|
Diazepam 5 mg/ml injection solution (wrapper)
|
$80.83 |
$80.83 |
$460.15 |
|
|
Dicyclomine injection
|
$61.76 |
$193.54 |
$833.29 |
|
|
Diffusing capacity
|
$220.00 |
$339.60 |
$413.40 |
|
|
Digital analysis of eeg
|
$661.80 |
$661.80 |
$661.80 |
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$41.63 |
$191.62 |
$1,370.30 |
|
|
Digoxin immune fab 40 mg intravenous solution
|
$6,815.78 |
$6,815.78 |
$56,674.80 |
|
|
Digoxin total therapeutic drug level
|
$88.80 |
$152.40 |
$255.60 |
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$308.90 |
$308.90 |
$792.56 |
|
|
Dilate biliary duct/ampulla
|
$1,873.20 |
$1,873.20 |
$1,873.20 |
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$9,593.50 |
$9,593.50 |
$9,593.50 |
|
|
Dilate ic vasospasm ea add vsl same territory
|
$9,593.50 |
$9,593.50 |
$9,593.50 |
|
|
Dilate ic vasospasm init
|
$19,186.00 |
$19,186.00 |
$19,186.00 |
|
|
Dilate urethra stricture
|
$47.60 |
$47.60 |
$47.60 |
|
|
Dilation of salivary duct
|
$1,088.40 |
$1,088.40 |
$1,088.40 |
|
|
Dilation of urethra
|
$35.18 |
$35.18 |
$35.18 |
|
|
Dilator fascial 10fx20cm
|
$334.76 |
$334.76 |
$2,668.37 |
|
|
Dilat xst trc ndurlgc px
|
$3,591.00 |
$6,734.40 |
$13,529.66 |
|
|
Dilat xst trc new access rcs
|
$9,424.80 |
$9,424.80 |
$16,136.58 |
|
|
Diltiazem 5 mg/ml intravenous solution
|
$2.64 |
$2.64 |
$2.64 |
|
|
Dimecaprol injection
|
$9.71 |
$199.46 |
$248.83 |
|
|
Dimethyl sulfoxide 50% 50 ml
|
$810.75 |
$1,001.55 |
$8,028.93 |
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$19.90 |
$19.90 |
$19.90 |
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$19.01 |
$38.75 |
$38.80 |
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$43.03 |
$43.03 |
$43.03 |
|
|
Dipyridamole injection
|
$39.79 |
$101.05 |
$176.98 |
|
|
Disability dlco
|
$165.00 |
$647.40 |
$1,263.50 |
|
|
Disaccharidases
|
$30.00 |
$253.20 |
$2,059.36 |
|
|
Discography cerv/thor spine
|
$1,227.60 |
$1,227.60 |
$4,210.58 |
|
|
Dissolve clot heart vessel
|
$943.80 |
$1,178.40 |
$1,178.40 |
|
|
Dlyd plmt xtn prosth ea addl
|
$3,409.80 |
$3,409.80 |
$3,409.80 |
|
|
Dmd dup/delet analysis
|
$1,081.47 |
$1,081.47 |
$1,081.47 |
|
|
Dmpk gene detc abnor allele
|
$1,098.82 |
$1,098.82 |
$1,098.82 |
|
|
Dna antibody native/double stranded
|
$43.50 |
$157.20 |
$357.79 |
|
|
Dna gardnerella
|
$46.50 |
$84.60 |
$247.01 |
|
|
Dna probe chlamydia
|
$121.80 |
$248.40 |
$270.00 |
|
|
Dna probe gc
|
$153.60 |
$282.60 |
$320.40 |
|
|
Dna trichomonas
|
$60.60 |
$84.60 |
$247.01 |
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$65.84 |
$101.04 |
$371.09 |
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$275.05 |
$472.96 |
$22,156.11 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$65.76 |
$104.59 |
$134.30 |
|
|
Doppler echo complete
|
$444.38 |
$720.00 |
$1,442.94 |
|
|
Doppler intravascular pressure flow initial vessel
|
$2,174.50 |
$6,677.40 |
$6,969.00 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$845.40 |
$997.80 |
$1,308.60 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$474.88 |
$657.60 |
$918.21 |
|
|
Doripenem 50 mg/ml inj 10 ml
|
$129.74 |
$129.74 |
$129.74 |
|
|
Dornhoffer fixed part w/window
|
$21,447.60 |
$48,698.50 |
$48,698.50 |
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$2,515.99 |
$17,344.68 |
$28,933.80 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$190.78 |
$619.80 |
$2,137.34 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$99.43 |
$299.92 |
$6,308.18 |
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$1.60 |
$1.60 |
$1.60 |
|
|
Dpyd gene common variants
|
$942.81 |
$942.81 |
$942.81 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$186.50 |
$186.50 |
$186.50 |
|
|
Drainage external ear simple 69000
|
$182.00 |
$182.00 |
$182.00 |
|
|
Drainage lymph node lesion 38300
|
$3,882.00 |
$3,882.00 |
$3,882.00 |
|
|
Drainage of kidney lesion
|
$1,534.80 |
$2,033.00 |
$4,511.66 |
|
|
Drain bladder by trocar/cath
|
$4,962.79 |
$4,962.79 |
$4,962.79 |
|
|
Drain blood from under nail 11740
|
$25.20 |
$69.50 |
$610.16 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$5,776.74 |
$5,776.74 |
$5,776.74 |
|
|
Drain cath image guided visceral pq
|
$2,850.00 |
$3,505.80 |
$4,220.40 |
|
|
Drain cerebro spinal fluid 62272
|
$144.38 |
$1,044.00 |
$5,213.51 |
|
|
Drain finger abscess;simple 26010
|
$257.00 |
$257.00 |
$392.50 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$324.50 |
$873.50 |
$917.50 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$335.75 |
$385.50 |
$533.40 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$415.80 |
$971.50 |
$1,020.50 |
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$4,069.80 |
$16,171.00 |
$16,171.18 |
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$4,360.10 |
$4,360.10 |
$4,360.10 |
|
|
Drill hole implt ventricular cath/device 61107
|
$1,945.20 |
$4,552.80 |
$5,450.20 |
|
|
Drng ovary abscess perqt 58822
|
$4,839.60 |
$4,839.60 |
$4,839.60 |
|
|
Dronabinol 2.5mg oral
|
$17.00 |
$17.00 |
$20.03 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$20.78 |
$43.80 |
$76.05 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$20,234.25 |
$20,234.25 |
$20,234.25 |
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$2,589.60 |
$2,589.60 |
$2,589.60 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$462.60 |
$901.80 |
$14,933.76 |
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$1,662.60 |
$1,662.60 |
$2,425.20 |
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$344.65 |
$344.65 |
$344.65 |
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$5,020.80 |
$7,852.80 |
$7,852.80 |
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,413.71 |
$16,014.00 |
$19,358.40 |
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$7,038.60 |
$13,304.50 |
$13,304.50 |
|
|
Drug admin & hemodynmic meas
|
$279.00 |
$291.00 |
$7,704.41 |
|
|
Drug assay caffeine
|
$252.00 |
$346.80 |
$434.64 |
|
|
Drug assay posaconazole
|
$77.50 |
$79.00 |
$81.50 |
|
|
Drug assay rufinamide
|
$434.64 |
$434.64 |
$434.64 |
|
|
Drug assay vedolizumab
|
$148.50 |
$151.50 |
$582.67 |
|
|
Drug assay voriconazole
|
$70.00 |
$71.50 |
$729.53 |
|
|
Drug asy hydroxychloroquine
|
$765.26 |
$765.26 |
$765.26 |
|
|
Drug of abuse screen urine
|
$19.00 |
$142.80 |
$354.00 |
|
|
Drug screen quant tiagabine
|
$464.96 |
$464.96 |
$464.96 |
|
|
Drug/substance nos 4-6
|
$957.82 |
$957.82 |
$957.82 |
|
|
Drug test def 15-21 classes
|
$440.00 |
$448.00 |
$536.06 |
|
|
Drug test def 1-7 classes
|
$125.88 |
$365.40 |
$1,777.16 |
|
|
Drug test def 22+ classes
|
$439.20 |
$595.50 |
$689.84 |
|
|
Drug test def 8-14 classes
|
$289.20 |
$378.60 |
$839.81 |
|
|
Drug test prsmv instrmnt
|
$97.20 |
$149.20 |
$354.00 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$108.50 |
$207.00 |
$1,925.10 |
|
|
Drvvt confirm - quest
|
$40.00 |
$195.00 |
$318.60 |
|
|
Dry needling (97799)
|
$74.40 |
$143.18 |
$219.00 |
|
|
Ductogram sgl duct
|
$258.00 |
$258.00 |
$1,245.60 |
|
|
Duplex scan bilateral study 93985
|
$544.20 |
$1,201.20 |
$2,258.57 |
|
|
Duplex scan unilateral study 93986
|
$523.80 |
$600.60 |
$1,129.29 |
|
|
Dup scan/hemodialysis access 93990
|
$260.00 |
$787.80 |
$1,424.66 |
|
