|
Deodorant ostmy adapt lube 8ml
|
$0.06 |
$0.06 |
$0.06 |
$1.98
|
|
Desmopressin 4 mcg/ml injection solution
|
$735.85 |
$735.85 |
$735.85 |
$91.84
|
|
Destroy cervthor facet jnt 64633
|
$3,712.15 |
$3,712.15 |
$3,712.15 |
$3,138.15
|
|
Destroy cth facet jnt addl 64634
|
$1,695.20 |
$1,695.20 |
$1,695.20 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$13,060.20 |
$13,060.20 |
$13,060.20 |
$1,652.35
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$12,505.10 |
$12,505.10 |
$12,505.10 |
$3,296.80
|
|
Device ablt adv novasure
|
$6,237.48 |
$6,237.48 |
$6,237.48 |
$6,237.48
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$2,599.67 |
$2,599.67 |
$2,599.67 |
$4,200.00
|
|
Device intraute mirena
|
$2,112.88 |
$2,112.88 |
$2,112.88 |
$2,125.00
|
|
Device sut capio slim opn
|
$1,534.26 |
$1,534.26 |
$1,534.26 |
$1,860.95
|
|
Device tiss remov myosure reach
|
$3,961.70 |
$3,961.70 |
$3,961.70 |
$2,515.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$273.00 |
$273.00 |
$273.00 |
$227.25
|
|
Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr
|
$28,888.08 |
$28,888.08 |
$28,888.08 |
$21.00
|
|
Dexamethasone 4 mg tablet
|
$15,158.30 |
$15,158.30 |
$15,158.30 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$20.20 |
$20.20 |
$20.20 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$884.80 |
$884.80 |
$884.80 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$35.00 |
$35.00 |
$35.00 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$30.00 |
$30.00 |
$30.00 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$204.10 |
$204.10 |
$204.10 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$781.00 |
$781.00 |
$781.00 |
$79.30
|
|
Diagnostic Mammogram (both breasts)
|
$490.10 |
$490.10 |
$490.10 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$204.10 |
$204.10 |
$204.10 |
$314.00
|
|
Diagnostic radio unlisted proc
|
$39.00 |
$39.00 |
$39.00 |
$259.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$108.95 |
$108.95 |
$108.95 |
$79.71
|
|
Diffusing capacity
|
$120.90 |
$120.90 |
$120.90 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$11.50 |
$11.50 |
$11.50 |
$65.84
|
|
Digoxin total therapeutic drug level
|
$63.05 |
$63.05 |
$63.05 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$358.75 |
$358.75 |
$358.75 |
$297.86
|
|
Dilator fascial 10fx20cm
|
$274.98 |
$274.98 |
$274.98 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$8.85 |
$8.85 |
$8.85 |
$45.60
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$3.45 |
$3.45 |
$3.45 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$3.70 |
$3.70 |
$3.70 |
$18.32
|
|
Dna antibody native/double stranded
|
$131.30 |
$131.30 |
$131.30 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$42.70 |
$42.70 |
$42.70 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2,567.60 |
$2,567.60 |
$2,567.60 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$72.50 |
$72.50 |
$72.50 |
$65.40
|
|
Doppler echo complete
|
$203.00 |
$203.00 |
$203.00 |
$558.00
|
|
Dornhoffer fixed part w/window
|
$20,628.52 |
$20,628.52 |
$20,628.52 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$36,812.65 |
$36,812.65 |
$36,812.65 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,578.20 |
$1,578.20 |
$1,578.20 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$7,093.75 |
$7,093.75 |
$7,093.75 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$28.30 |
$28.30 |
$28.30 |
$89.34
|
|
Drainage of arm bursa 23931
|
$756.13 |
$756.13 |
$756.13 |
$2,271.01
|
|
Drain chst dry seal exp thorastat
|
$138.44 |
$138.44 |
$138.44 |
$119.43
|
|
Drain thigh/knee lesion 27301
|
$2,317.00 |
$2,317.00 |
$2,317.00 |
$3,986.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$978.05 |
$978.05 |
$978.05 |
$3,789.86
|
|
Drng of finger abscess comp 26011
|
$969.00 |
$969.00 |
$969.00 |
$2,079.50
|
|
Dronabinol 2.5mg oral
|
$2.10 |
$2.10 |
$2.10 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$22.30 |
$22.30 |
$22.30 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$3,826.54 |
$3,826.54 |
$3,826.54 |
$1,818.32
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$156.82 |
$156.82 |
$156.82 |
$119.50
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$34.84 |
$34.84 |
$34.84 |
$53.60
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$41.79 |
$41.79 |
$41.79 |
$193.15
|
|
Drsg sht 5.625x4.625in std
|
$80.11 |
$80.11 |
$80.11 |
$123.24
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$0.47 |
$0.47 |
$0.47 |
$19.10
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$94.94 |
$94.94 |
$94.94 |
$94.94
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$46.92 |
$46.92 |
$46.92 |
$135.72
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$6,228.55 |
$6,228.55 |
$6,228.55 |
$7,465.97
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$16.74 |
$16.74 |
$16.74 |
$1.00
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$247.88 |
$247.88 |
$247.88 |
$376.50
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$2,149.55 |
$2,149.55 |
$2,149.55 |
$2,980.00
|
|
Duragen 1x1 5ea/bx
|
$1,503.57 |
$1,503.57 |
$1,503.57 |
$10,564.87
|
|
Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm
|
$171.82 |
$171.82 |
$171.82 |
$16,549.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$13,206.10 |
$13,206.10 |
$13,206.10 |
$8,445.90
|
|
Ear protector evaluation
|
$71.50 |
$71.50 |
$71.50 |
$112.56
|
|
Ecg external < 48 hours recording
|
$642.85 |
$642.85 |
$642.85 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$642.85 |
$642.85 |
$642.85 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$564.20 |
$564.20 |
$564.20 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$592.15 |
$592.15 |
$592.15 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,527.50 |
$1,527.50 |
$1,527.50 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$585.00 |
$585.00 |
$585.00 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$341.25 |
$341.25 |
$341.25 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$698.10 |
$698.10 |
$698.10 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$572.65 |
$572.65 |
$572.65 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$292.50 |
$292.50 |
$292.50 |
$371.25
|
|
Echo transthoracic
|
$1,852.50 |
$1,852.50 |
$1,852.50 |
$1,361.75
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$18,199.20 |
$18,199.20 |
$18,199.20 |
$19,540.29
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$18,942.60 |
$18,942.60 |
$18,942.60 |
$13,130.61
|
|
Egd control bleeding any
|
$730.00 |
$730.00 |
$730.00 |
$2,553.75
|
|
Egd dilate stricture
|
$15,802.50 |
$15,802.50 |
$15,802.50 |
$2,394.60
|
|
Egd endoscopic stent place
|
$789.00 |
$789.00 |
$789.00 |
$3,986.00
|
|
Egd guide wire insertion
|
$11,772.00 |
$11,772.00 |
$11,772.00 |
$1,664.00
|
|
Egd remove foreign body
|
$642.00 |
$642.00 |
$642.00 |
$1,571.40
|
|
Egd remove lesion snare
|
$16,158.07 |
$16,158.07 |
$16,158.07 |
$2,597.25
|
|
Egd varices ligation
|
$8,331.60 |
$8,331.60 |
$8,331.60 |
$2,244.82
|
|
EKG (Tracing Only)
|
$25,547.62 |
$25,547.62 |
$25,547.62 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$39,322.86 |
$39,322.86 |
$39,322.86 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$455.65 |
$455.65 |
$455.65 |
$364.20
|
|
Electrd sq emblem s-icd
|
$7,374.87 |
$7,374.87 |
$7,374.87 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$72.80 |
$72.80 |
$72.80 |
$87.49
|
|
Electroacous eval hear aid/biaural 92595
|
$26.00 |
$26.00 |
$26.00 |
$97.50
|
|
Electrolyte panel
|
$44.85 |
$44.85 |
$44.85 |
$79.30
|
|
Electron microscopy diagnostic
|
$2,878.85 |
$2,878.85 |
$2,878.85 |
$1,011.98
|
|
Elotuzumab 300 mg intravenous solution
|
$9,470.30 |
$9,470.30 |
$9,470.30 |
$5,761.81
|
|
Elranatamab-bcmm 40 mg/ml subcutaneous solution
|
$42,858.30 |
$42,858.30 |
$42,858.30 |
$14,606.11
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$12,640.50 |
$12,640.50 |
$12,640.50 |
$8,222.82
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$54.00 |
$54.00 |
$54.00 |
$112.79
|