|
Dimethyl sulfoxide 50% 50 ml
|
$810.75 |
$810.75 |
$810.75 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$19.90 |
$19.90 |
$19.90 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$25.58 |
$25.58 |
$25.58 |
$17.75
|
|
Disability dlco
|
$1,239.50 |
$1,239.50 |
$1,239.50 |
$282.40
|
|
Disaccharidases
|
$182.50 |
$182.50 |
$182.50 |
$216.00
|
|
Dna antibody native/double stranded
|
$44.50 |
$44.50 |
$44.50 |
$97.50
|
|
Dna gardnerella
|
$112.50 |
$112.50 |
$112.50 |
$62.50
|
|
Dna trichomonas
|
$85.50 |
$85.50 |
$85.50 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$228.38 |
$228.38 |
$228.38 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$275.05 |
$275.05 |
$275.05 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$134.30 |
$134.30 |
$134.30 |
$65.40
|
|
Doppler echo complete
|
$521.50 |
$521.50 |
$521.50 |
$540.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$887.00 |
$887.00 |
$887.00 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$587.50 |
$587.50 |
$587.50 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$48,698.50 |
$48,698.50 |
$48,698.50 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$28,933.80 |
$28,933.80 |
$28,933.80 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$619.80 |
$619.80 |
$619.80 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$299.92 |
$299.92 |
$299.92 |
$1,718.24
|
|
Drainage of kidney lesion
|
$2,081.50 |
$2,081.50 |
$2,081.50 |
$1,506.00
|
|
Drain cath image guided visceral pq
|
$3,674.50 |
$3,674.50 |
$3,674.50 |
$2,850.35
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$900.00 |
$900.00 |
$900.00 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$378.00 |
$378.00 |
$378.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$16,171.18 |
$16,171.18 |
$16,171.18 |
$8,131.20
|
|
Dronabinol 2.5mg oral
|
$17.00 |
$17.00 |
$17.00 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$62.12 |
$62.12 |
$62.12 |
$31.07
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$16,014.15 |
$16,014.15 |
$16,014.15 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$13,304.50 |
$13,304.50 |
$13,304.50 |
$400.98
|
|
Drug assay posaconazole
|
$80.00 |
$80.00 |
$80.00 |
$96.75
|
|
Drug assay vedolizumab
|
$153.00 |
$153.00 |
$153.00 |
$152.79
|
|
Drug assay voriconazole
|
$72.00 |
$72.00 |
$72.00 |
$96.75
|
|
Drug of abuse screen urine
|
$50.00 |
$50.00 |
$50.00 |
$63.75
|
|
Drug test def 15-21 classes
|
$453.00 |
$453.00 |
$453.00 |
$263.25
|
|
Drug test def 1-7 classes
|
$151.00 |
$151.00 |
$151.00 |
$250.52
|
|
Drug test def 22+ classes
|
$604.50 |
$604.50 |
$604.50 |
$423.00
|
|
Drug test def 8-14 classes
|
$302.00 |
$302.00 |
$302.00 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$116.50 |
$116.50 |
$116.50 |
$278.85
|
|
Drvvt confirm - quest
|
$41.00 |
$41.00 |
$41.00 |
$109.20
|
|
Dup scan/hemodialysis access 93990
|
$268.00 |
$268.00 |
$268.00 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$2,033.00 |
$2,033.00 |
$2,033.00 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$936.50 |
$936.50 |
$936.50 |
$887.25
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$8,148.82 |
$8,148.82 |
$8,148.82 |
$23,482.80
|
|
Durvalumab 50 mg/ml intravenous solution
|
$28,477.76 |
$28,477.76 |
$28,477.76 |
$7,973.90
|
|
Ecallantide injection
|
$41,575.76 |
$41,575.76 |
$41,575.76 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$199.50 |
$199.50 |
$199.50 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$161.00 |
$161.00 |
$161.00 |
$135.80
|
|
Ecg < 30 days transmission & analysis
|
$774.50 |
$774.50 |
$774.50 |
$487.60
|
|
Ecg external < 48 hours recording
|
$852.00 |
$852.00 |
$852.00 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$427.00 |
$427.00 |
$427.00 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,702.00 |
$1,702.00 |
$1,702.00 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$421.50 |
$421.50 |
$421.50 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,782.00 |
$1,782.00 |
$1,782.00 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$542.50 |
$542.50 |
$542.50 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$574.50 |
$574.50 |
$574.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$366.50 |
$366.50 |
$366.50 |
$362.50
|
|
Echo exam of fetal heart
|
$387.00 |
$387.00 |
$387.00 |
$939.00
|
|
Echo exam of fetal heart
|
$387.00 |
$387.00 |
$387.00 |
$431.41
|
|
Echo exam uterus 76831-
|
$466.50 |
$466.50 |
$466.50 |
$523.71
|
|
Echo guide for amniocentesis
|
$625.50 |
$625.50 |
$625.50 |
$456.30
|
|
Echo guide for artery repair
|
$651.50 |
$651.50 |
$651.50 |
$664.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$1,849.50
|
|
Echo transesophageal
|
$984.50 |
$984.50 |
$984.50 |
$1,087.90
|
|
Echo transthoracic
|
$947.00 |
$947.00 |
$947.00 |
$1,361.75
|
|
Echo transthoracic
|
$701.00 |
$701.00 |
$701.00 |
$953.10
|
|
Eculizumab injection
|
$16,330.48 |
$16,330.48 |
$16,330.48 |
$17,032.68
|
|
Eeg 41-60 minutes 95812-26
|
$848.00 |
$848.00 |
$848.00 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$1,043.50 |
$1,043.50 |
$1,043.50 |
$1,000.42
|
|
Eeg during surgery
|
$2,117.50 |
$2,117.50 |
$2,117.50 |
$797.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$705.50 |
$705.50 |
$705.50 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$928.50 |
$928.50 |
$928.50 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$768.50 |
$768.50 |
$768.50 |
$907.80
|
|
E equine encephalitis igg
|
$93.00 |
$93.00 |
$93.00 |
$49.92
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$15,501.95 |
$15,501.95 |
$15,501.95 |
$12,999.80
|
|
EKG tracing for initial prev
|
$199.50 |
$199.50 |
$199.50 |
$81.76
|
|
Electrd sq emblem s-icd
|
$15,092.00 |
$15,092.00 |
$15,092.00 |
$10,243.24
|
|
Electrolyte panel
|
$34.50 |
$34.50 |
$34.50 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,291.50 |
$1,291.50 |
$1,291.50 |
$983.41
|
|
Elosulfase alfa, injection
|
$2,653.85 |
$2,653.85 |
$2,653.85 |
$2,635.83
|
|
Elotuzumab 300 mg intravenous solution
|
$7,477.60 |
$7,477.60 |
$7,477.60 |
$5,523.02
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$32,652.80 |
$32,652.80 |
$32,652.80 |
$16,066.72
|
|
Encephalitis, california igg/igm
|
$107.00 |
$107.00 |
$107.00 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$93.00 |
$93.00 |
$93.00 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$93.00 |
$93.00 |
$93.00 |
$53.10
|
|
Endo cath bile duct s&i
|
$267.00 |
$267.00 |
$267.00 |
$694.06
|
|
Endoscopy swallow (fees) vid
|
$229.50 |
$229.50 |
$229.50 |
$402.35
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$10,559.75 |
$10,559.75 |
$10,559.75 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$250.40 |
$250.40 |
$250.40 |
$109.71
|
|
Enzyme histochemistry
|
$477.50 |
$477.50 |
$477.50 |
$471.60
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$39,626.90 |
$39,626.90 |
$39,626.90 |
$30,598.85
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$192.59 |
$192.59 |
$192.59 |
$248.81
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$885.70 |
$885.70 |
$885.70 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,329.09 |
$1,329.09 |
$1,329.09 |
$1,289.71
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$219.26 |
$219.26 |
$219.26 |
$129.30
|
|
Epstein barr early antigen antibody
|
$107.00 |
$107.00 |
$107.00 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$66.00 |
$66.00 |
$66.00 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$80.50 |
$80.50 |
$80.50 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$126.72 |
$126.72 |
$126.72 |
$393.98
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$4,595.58 |
$4,595.58 |
$4,595.58 |
$3,838.45
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$3,551.00 |
$3,551.00 |
$3,551.00 |
$2,488.75
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$445.86 |
$445.86 |
$445.86 |
$222.98
|
