|
Diatrizoate meglumine 18 % urethral solution
|
$298.43 |
$298.43 |
$298.43 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$460.15 |
$460.15 |
$460.15 |
$77.25
|
|
Dicyclomine injection
|
$833.29 |
$833.29 |
$833.29 |
$150.91
|
|
Diffusing capacity
|
$388.08 |
$388.08 |
$388.08 |
$335.20
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$1,370.30 |
$1,370.30 |
$1,370.30 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$56,674.80 |
$56,674.80 |
$56,674.80 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$161.97 |
$161.97 |
$161.97 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$792.56 |
$792.56 |
$792.56 |
$297.86
|
|
Dilator fascial 10fx20cm
|
$2,668.37 |
$2,668.37 |
$2,668.37 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$13,529.66 |
$13,529.66 |
$13,529.66 |
$3,883.16
|
|
Dilat xst trc new access rcs
|
$16,136.58 |
$16,136.58 |
$16,136.58 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$2.64 |
$2.64 |
$2.64 |
$46.56
|
|
Dimecaprol injection
|
$9.71 |
$9.71 |
$9.71 |
$293.38
|
|
Dimethyl sulfoxide 50% 50 ml
|
$8,028.93 |
$8,028.93 |
$8,028.93 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$19.01 |
$19.01 |
$19.01 |
$18.35
|
|
Dipyridamole injection
|
$176.98 |
$176.98 |
$176.98 |
$48.04
|
|
Disability dlco
|
$455.06 |
$455.06 |
$455.06 |
$292.03
|
|
Disaccharidases
|
$2,059.36 |
$2,059.36 |
$2,059.36 |
$224.31
|
|
Discography cerv/thor spine
|
$4,210.58 |
$4,210.58 |
$4,210.58 |
$2,481.50
|
|
Dmd dup/delet analysis
|
$1,081.47 |
$1,081.47 |
$1,081.47 |
$418.50
|
|
Dmpk gene detc abnor allele
|
$1,098.82 |
$1,098.82 |
$1,098.82 |
$313.60
|
|
Dna antibody native/double stranded
|
$357.79 |
$357.79 |
$357.79 |
$100.00
|
|
Dna gardnerella
|
$247.01 |
$247.01 |
$247.01 |
$61.80
|
|
Dna probe chlamydia
|
$230.72 |
$230.72 |
$230.72 |
$82.20
|
|
Dna probe gc
|
$230.72 |
$230.72 |
$230.72 |
$84.80
|
|
Dna trichomonas
|
$247.01 |
$247.01 |
$247.01 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$371.09 |
$371.09 |
$371.09 |
$98.29
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$22,156.11 |
$22,156.11 |
$22,156.11 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$114.18 |
$114.18 |
$114.18 |
$67.28
|
|
Doppler echo complete
|
$1,442.94 |
$1,442.94 |
$1,442.94 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,723.62 |
$3,723.62 |
$3,723.62 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,181.72 |
$1,181.72 |
$1,181.72 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$918.21 |
$918.21 |
$918.21 |
$473.76
|
|
Dornhoffer fixed part w/window
|
$38,105.40 |
$38,105.40 |
$38,105.40 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$2,515.99 |
$2,515.99 |
$2,515.99 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$2,137.34 |
$2,137.34 |
$2,137.34 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$6,308.18 |
$6,308.18 |
$6,308.18 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$1.60 |
$1.60 |
$1.60 |
$84.80
|
|
Dpyd gene common variants
|
$942.81 |
$942.81 |
$942.81 |
$423.60
|
|
Drainage of kidney lesion
|
$4,511.66 |
$4,511.66 |
$4,511.66 |
$1,506.00
|
|
Drain bladder by trocar/cath
|
$4,962.79 |
$4,962.79 |
$4,962.79 |
$1,198.14
|
|
Drain blood from under nail 11740
|
$610.16 |
$610.16 |
$610.16 |
$177.04
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$5,776.74 |
$5,776.74 |
$5,776.74 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$3,269.77 |
$3,269.77 |
$3,269.77 |
$2,885.30
|
|
Drain cerebro spinal fluid 62272
|
$5,213.51 |
$5,213.51 |
$5,213.51 |
$1,025.00
|
|
Drill hole evac+/drg subdural hematoma 61108
|
$4,360.10 |
$4,360.10 |
$4,360.10 |
$1,746.50
|
|
Drill hole implt ventricular cath/device 61107
|
$5,450.20 |
$5,450.20 |
$5,450.20 |
$1,485.75
|
|
Droperidol 2.5 mg/ml injection solution
|
$76.05 |
$76.05 |
$76.05 |
$31.26
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$20,234.25 |
$20,234.25 |
$20,234.25 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$14,933.76 |
$14,933.76 |
$14,933.76 |
$58.20
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$344.65 |
$344.65 |
$344.65 |
$122.50
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,413.71 |
$1,413.71 |
$1,413.71 |
$8,040.27
|
|
Drug admin & hemodynmic meas
|
$7,704.41 |
$7,704.41 |
$7,704.41 |
$578.59
|
|
Drug assay caffeine
|
$434.64 |
$434.64 |
$434.64 |
$81.61
|
|
Drug assay rufinamide
|
$434.64 |
$434.64 |
$434.64 |
$85.80
|
|
Drug assay vedolizumab
|
$582.67 |
$582.67 |
$582.67 |
$157.00
|
|
Drug assay voriconazole
|
$729.53 |
$729.53 |
$729.53 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$765.26 |
$765.26 |
$765.26 |
$66.43
|
|
Drug of abuse screen urine
|
$76.56 |
$76.56 |
$76.56 |
$64.50
|
|
Drug screen quant tiagabine
|
$464.96 |
$464.96 |
$464.96 |
$107.59
|
|
Drug/substance nos 4-6
|
$957.82 |
$957.82 |
$957.82 |
$72.14
|
|
Drug test def 15-21 classes
|
$536.06 |
$536.06 |
$536.06 |
$316.00
|
|
Drug test def 1-7 classes
|
$1,777.16 |
$1,777.16 |
$1,777.16 |
$263.25
|
|
Drug test def 22+ classes
|
$689.84 |
$689.84 |
$689.84 |
$423.00
|
|
Drug test def 8-14 classes
|
$839.81 |
$839.81 |
$839.81 |
$289.80
|
|
Drug test prsmv instrmnt
|
$149.20 |
$149.20 |
$149.20 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,925.10 |
$1,925.10 |
$1,925.10 |
$280.95
|
|
Drvvt confirm - quest
|
$224.87 |
$224.87 |
$224.87 |
$109.20
|
|
Dry needling (97799)
|
$143.18 |
$143.18 |
$143.18 |
$114.27
|
|
Ductogram sgl duct
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$469.44
|
|
Duplex scan bilateral study 93985
|
$2,258.57 |
$2,258.57 |
$2,258.57 |
$692.40
|
|
Duplex scan unilateral study 93986
|
$1,129.29 |
$1,129.29 |
$1,129.29 |
$375.60
|
|
Dup scan/hemodialysis access 93990
|
$1,424.66 |
$1,424.66 |
$1,424.66 |
$486.02
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,322.40 |
$1,322.40 |
$1,322.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,881.28 |
$1,881.28 |
$1,881.28 |
$903.50
|
|
Duragen 1x1 5ea/bx
|
$17,080.35 |
$17,080.35 |
$17,080.35 |
$10,564.87
|
|
Durvalumab 50 mg/ml intravenous solution
|
$902.23 |
$902.23 |
$902.23 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$971.54 |
$971.54 |
$971.54 |
$410.25
|
|
Ear irrigation 69209
|
$291.50 |
$291.50 |
$291.50 |
$150.00
|
|
Ecg 12 lead tracing only
|
$359.41 |
$359.41 |
$359.41 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$126.81 |
$126.81 |
$126.81 |
$132.08
|
|
Ecg external < 48 hours recording
|
$978.69 |
$978.69 |
$978.69 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,457.38 |
$1,457.38 |
$1,457.38 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$433.80 |
$433.80 |
$433.80 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$433.80 |
$433.80 |
$433.80 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$5,637.08 |
$5,637.08 |
$5,637.08 |
$1,977.50
|
|
Echocardiography doppler color flow mapping
|
$1,276.69 |
$1,276.69 |
$1,276.69 |
$499.20
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$5,530.19 |
$5,530.19 |
$5,530.19 |
$1,935.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,270.27 |
$2,270.27 |
$2,270.27 |
$711.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$2,133.65 |
$2,133.65 |
$2,133.65 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$1,268.93 |
$1,268.93 |
$1,268.93 |
$371.25
|
|
Echo exam of fetal heart
|
$861.92 |
$861.92 |
$861.92 |
$904.80
|
|
Echo exam of fetal heart
|
$861.92 |
$861.92 |
$861.92 |
$538.27
|
|
Echo exam of fetal heart
|
$336.75 |
$336.75 |
$336.75 |
$431.41
|
|
Echo exam of fetal heart
|
$168.75 |
$168.75 |
$168.75 |
$319.00
|
|
Echo exam uterus 76831-
|
$884.00 |
$884.00 |
$884.00 |
$552.50
|
|
Echo guidance radiotherapy
|
$942.66 |
$942.66 |
$942.66 |
$812.00
|
|
Echo guide for amniocentesis
|
$188.25 |
$188.25 |
$188.25 |
$446.60
|
|
Echo guide for artery repair
|
$1,224.70 |
$1,224.70 |
$1,224.70 |
$687.35
|
|
Echo guide for transfusion
|
$332.39 |
$332.39 |
$332.39 |
$332.39
|