|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$5.40 |
$5.40 |
$5.40 |
$18.32
|
|
Dipyridamole injection
|
$86.50 |
$86.50 |
$86.50 |
$48.04
|
|
Dna antibody native/double stranded
|
$139.75 |
$139.75 |
$139.75 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$183.75 |
$183.75 |
$183.75 |
$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
|
$523.90 |
$523.90 |
$523.90 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$1,302.60 |
$1,302.60 |
$1,302.60 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$398.45 |
$398.45 |
$398.45 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$286.00 |
$286.00 |
$286.00 |
$481.65
|
|
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
|
$96.90 |
$96.90 |
$96.90 |
$89.34
|
|
Drainage external ear simple 69000
|
$444.00 |
$444.00 |
$444.00 |
$790.40
|
|
Drain blood from under nail 11740
|
$317.20 |
$317.20 |
$317.20 |
$182.40
|
|
Drain chst dry seal exp thorastat
|
$138.44 |
$138.44 |
$138.44 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$13,250.87 |
$13,250.87 |
$13,250.87 |
$428.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$550.06 |
$550.06 |
$550.06 |
$349.50
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$978.05 |
$978.05 |
$978.05 |
$3,789.86
|
|
Dronabinol 2.5mg oral
|
$2.10 |
$2.10 |
$2.10 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$44.55 |
$44.55 |
$44.55 |
$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 assay rufinamide
|
$94.25 |
$94.25 |
$94.25 |
$87.10
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$431.60 |
$431.60 |
$431.60 |
$278.85
|
|
Drvvt confirm - quest
|
$67.60 |
$67.60 |
$67.60 |
$109.20
|
|
Dup scan/hemodialysis access 93990
|
$474.50 |
$474.50 |
$474.50 |
$489.72
|
|
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 and throat examination
|
$285.00 |
$285.00 |
$285.00 |
$602.63
|
|
Ear cartilage graft
|
$1,979.00 |
$1,979.00 |
$1,979.00 |
$6,385.40
|
|
Ecg external > 48 hours up to 7 days recording
|
$42.25 |
$42.25 |
$42.25 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$104.65 |
$104.65 |
$104.65 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,996.15 |
$1,996.15 |
$1,996.15 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$588.90 |
$588.90 |
$588.90 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$585.00 |
$585.00 |
$585.00 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,651.65 |
$1,651.65 |
$1,651.65 |
$1,944.80
|
|
Echocardiograpy doppler follow up/limited study
|
$378.95 |
$378.95 |
$378.95 |
$371.25
|
|
Echo guide for artery repair
|
$941.85 |
$941.85 |
$941.85 |
$696.30
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,946.10 |
$1,946.10 |
$1,946.10 |
$1,913.60
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$18,199.20 |
$18,199.20 |
$18,199.20 |
$19,540.29
|
|
Eeg 41-60 minutes 95812-26
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$934.05
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$835.00
|
|
Eeg/record in coma or sleep only 95822
|
$747.50 |
$747.50 |
$747.50 |
$871.00
|
|
Eeg recording awake and asleep
|
$931.45 |
$931.45 |
$931.45 |
$931.20
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$18,942.60 |
$18,942.60 |
$18,942.60 |
$13,130.61
|
|
Egd control bleeding any
|
$12,086.84 |
$12,086.84 |
$12,086.84 |
$2,553.75
|
|
Egd dilate stricture
|
$636.00 |
$636.00 |
$636.00 |
$2,394.60
|
|
Egd guide wire insertion
|
$604.00 |
$604.00 |
$604.00 |
$1,664.00
|
|
Egd remove foreign body
|
$642.00 |
$642.00 |
$642.00 |
$1,571.40
|
|
Egd remove lesion snare
|
$11,477.24 |
$11,477.24 |
$11,477.24 |
$2,597.25
|
|
EKG tracing for initial prev
|
$57.85 |
$57.85 |
$57.85 |
$81.76
|
|
EKG (Tracing Only)
|
$4,839.25 |
$4,839.25 |
$4,839.25 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$323.05 |
$323.05 |
$323.05 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$374.40 |
$374.40 |
$374.40 |
$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)
|
$48.10 |
$48.10 |
$48.10 |
$87.49
|
|
Electrolyte panel
|
$164.45 |
$164.45 |
$164.45 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,272.05 |
$1,272.05 |
$1,272.05 |
$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
|
|
Emb w/colposcopy 58110
|
$86.00 |
$86.00 |
$86.00 |
$290.55
|
|
Emb without cervical dilation 58100
|
$135.00 |
$135.00 |
$135.00 |
$373.60
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$10,636.60 |
$10,636.60 |
$10,636.60 |
$5,515.40
|
|
Endocerv curettage w/scope 57456
|
$216.00 |
$216.00 |
$216.00 |
$515.50
|
|
Endoscopy maxillary sinus
|
$26,150.60 |
$26,150.60 |
$26,150.60 |
$7,139.50
|
|
Endoven ther chem adhes 1st 36482
|
$17,800.90 |
$17,800.90 |
$17,800.90 |
$6,366.08
|
|
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
|
$108.00 |
$108.00 |
$108.00 |
$112.79
|
|
Enterectomy small intestine single 44120
|
$4,357.00 |
$4,357.00 |
$4,357.00 |
$2,170.64
|
|
Enterostomy/cecostomy tube open 44300
|
$3,008.00 |
$3,008.00 |
$3,008.00 |
$1,741.60
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$50,429.90 |
$50,429.90 |
$50,429.90 |
$30,598.85
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$58.00 |
$58.00 |
$58.00 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$50.40 |
$50.40 |
$50.40 |
$31.76
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$919.80 |
$919.80 |
$919.80 |
$507.10
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$487.50 |
$487.50 |
$487.50 |
$33.60
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$1,405.00 |
$1,405.00 |
$1,405.00 |
$256.27
|
|
Epoetin alfa, 100 units esrd
|
$34,216.75 |
$34,216.75 |
$34,216.75 |
$6.00
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$12,298.91 |
$12,298.91 |
$12,298.91 |
$865.80
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$4,916.35 |
$4,916.35 |
$4,916.35 |
$1,329.09
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$156.15 |
$156.15 |
$156.15 |
$129.30
|
|
Epstein barr early antigen antibody
|
$87.75 |
$87.75 |
$87.75 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$117.65 |
$117.65 |
$117.65 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$139.75 |
$139.75 |
$139.75 |
$85.50
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,297.00 |
$1,297.00 |
$1,297.00 |
$427.26
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$10,020.45 |
$10,020.45 |
$10,020.45 |
$3,838.45
|
|
Ercp biliary & pancreas
|
$1,259.05 |
$1,259.05 |
$1,259.05 |
$967.04
|
|
Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution
|
$7,050.00 |
$7,050.00 |
$7,050.00 |
$2,488.75
|