|
Dextran 40 infusion
|
$33.68 |
$33.68 |
$33.68 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$9.11 |
$9.11 |
$9.11 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$9.11 |
$9.11 |
$9.11 |
$68.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$9.48 |
$9.48 |
$9.48 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$9.11 |
$9.11 |
$9.11 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$151.36 |
$151.36 |
$151.36 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$63.04 |
$63.04 |
$63.04 |
$79.20
|
|
Diab manage trn ind/group
|
$39.22 |
$39.22 |
$39.22 |
$49.65
|
|
Diagnostic anoscopy spx 46600
|
$110.68 |
$110.68 |
$110.68 |
$245.35
|
|
Diagnostic laryngoscopy 31505
|
$138.53 |
$138.53 |
$138.53 |
$238.58
|
|
Diagnostic Mammogram (both breasts)
|
$146.23 |
$146.23 |
$146.23 |
$409.50
|
|
Diagnostic Mammogram (one breast)
|
$118.38 |
$118.38 |
$118.38 |
$285.60
|
|
Dialysis one evaluation
|
$357.32 |
$357.32 |
$357.32 |
$827.97
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$49.41 |
$49.41 |
$49.41 |
$67.89
|
|
Dicyclomine injection
|
$128.48 |
$128.48 |
$128.48 |
$210.00
|
|
Diffusing capacity
|
$129.01 |
$129.01 |
$129.01 |
$357.50
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$183.99 |
$183.99 |
$183.99 |
$53.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$9,684.65 |
$9,684.65 |
$9,684.65 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$85.03 |
$85.03 |
$85.03 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$157.31 |
$157.31 |
$157.31 |
$308.90
|
|
Dilation/female urethra/initial 53660
|
$124.24 |
$124.24 |
$124.24 |
$204.60
|
|
Dilator fascial 10fx20cm
|
$44.02 |
$44.02 |
$44.02 |
$266.65
|
|
Dimethyl sulfoxide 50% 50 ml
|
$829.95 |
$829.95 |
$829.95 |
$1,001.55
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$1.31 |
$1.31 |
$1.31 |
$1.62
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$19.84 |
$19.84 |
$19.84 |
$22.58
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$100.80 |
$100.80 |
$100.80 |
$100.80
|
|
Disability dlco
|
$120.21 |
$120.21 |
$120.21 |
$302.90
|
|
Disaccharidases
|
$171.88 |
$171.88 |
$171.88 |
$230.40
|
|
#d/lmeth-l-methamphetamine
|
$109.95 |
$109.95 |
$109.95 |
$72.14
|
|
Dmpk gene detc abnor allele
|
$197.54 |
$197.54 |
$197.54 |
$318.75
|
|
Dna antibody native/double stranded
|
$103.35 |
$103.35 |
$103.35 |
$102.60
|
|
Dna trichomonas
|
$23.09 |
$23.09 |
$23.09 |
$69.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$65.08 |
$65.08 |
$65.08 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$322.92 |
$322.92 |
$322.92 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$47.57 |
$47.57 |
$47.57 |
$64.77
|
|
Doppler echo complete
|
$304.55 |
$304.55 |
$304.55 |
$644.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$214.40 |
$214.40 |
$214.40 |
$694.85
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$202.30 |
$202.30 |
$202.30 |
$495.00
|
|
Dornhoffer fixed part w/window
|
$3,855.38 |
$3,855.38 |
$3,855.38 |
$32,112.76
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$226.05 |
$226.05 |
$226.05 |
$232.80
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,005.03 |
$1,005.03 |
$1,005.03 |
$2,608.20
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$167.49 |
$167.49 |
$167.49 |
$820.50
|
|
Drainage ext aud canal abscess 69020
|
$598.47 |
$598.47 |
$598.47 |
$843.21
|
|
Drainage external ear complex 69005
|
$348.89 |
$348.89 |
$348.89 |
$3,016.11
|
|
Drainage external ear simple 69000
|
$190.57 |
$190.57 |
$190.57 |
$805.38
|
|
Drainage lymph node lesion 38300
|
$612.03 |
$612.03 |
$612.03 |
$2,986.75
|
|
Drainage mouth roof lesion
|
$167.49 |
$167.49 |
$167.49 |
$503.12
|
|
Drainage of arm bursa 23931
|
$583.08 |
$583.08 |
$583.08 |
$2,377.90
|
|
Drainage of forearm bursa
|
$1,498.18 |
$1,498.18 |
$1,498.18 |
$2,211.05
|
|
Drainage of mouth lesion
|
$167.49 |
$167.49 |
$167.49 |
$535.20
|
|
Drainage of mouth lesion
|
$2,632.43 |
$2,632.43 |
$2,632.43 |
$3,837.72
|
|
Drainage of rectal abscess
|
$278.53 |
$278.53 |
$278.53 |
$2,299.90
|
|
Drainage of salivary gland
|
$212.20 |
$212.20 |
$212.20 |
$629.60
|
|
Drainage of urethra abscess 53060
|
$1,844.13 |
$1,844.13 |
$1,844.13 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$87.96 |
$87.96 |
$87.96 |
$190.10
|
|
Drain cerebro spinal fluid 62272
|
$432.45 |
$432.45 |
$432.45 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$228.69 |
$228.69 |
$228.69 |
$490.80
|
|
Drain neck/chest lesion 21501
|
$612.03 |
$612.03 |
$612.03 |
$3,285.96
|
|
Drain shoulder bursa 23031
|
$612.03 |
$612.03 |
$612.03 |
$2,719.83
|
|
Drain shoulder lesion
|
$612.03 |
$612.03 |
$612.03 |
$3,285.96
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$228.32 |
$228.32 |
$228.32 |
$403.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$228.32 |
$228.32 |
$228.32 |
$359.45
|
|
Dress/debrid prtl-thick burn l 16030
|
$196.44 |
$196.44 |
$196.44 |
$519.80
|
|
Drng of eyelid abscess 67700
|
$261.31 |
$261.31 |
$261.31 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$883.22 |
$883.22 |
$883.22 |
$1,916.20
|
|
Drng of palm single bursa 26025
|
$1,128.40 |
$1,128.40 |
$1,128.40 |
$2,444.37
|
|
Drng of scrotum abscess 55100
|
$583.08 |
$583.08 |
$583.08 |
$1,997.89
|
|
Drng salivary gland simple 42300
|
$746.89 |
$746.89 |
$746.89 |
$2,113.90
|
|
Dronabinol 2.5mg oral
|
$175.34 |
$175.34 |
$175.34 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$28.00 |
$28.00 |
$28.00 |
$33.99
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$106.04 |
$106.04 |
$106.04 |
$843.34
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$14.30 |
$14.30 |
$14.30 |
$205.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$298.70 |
$298.70 |
$298.70 |
$392.90
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$12.83 |
$12.83 |
$12.83 |
$280.18
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$1,524.60 |
$1,524.60 |
$1,524.60 |
$5,301.00
|
|
Drug assay posaconazole
|
$24.93 |
$24.93 |
$24.93 |
$96.75
|
|
Drug assay vedolizumab
|
$39.58 |
$39.58 |
$39.58 |
$172.90
|
|
Drug assay voriconazole
|
$49.11 |
$49.11 |
$49.11 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$18.33 |
$18.33 |
$18.33 |
$83.85
|
|
Drug of abuse screen urine
|
$272.30 |
$272.30 |
$272.30 |
$63.75
|
|
Drug test def 1-7 classes
|
$112.15 |
$112.15 |
$112.15 |
$268.94
|
|
Drug test def 22+ classes
|
$120.21 |
$120.21 |
$120.21 |
$243.05
|
|
Drug test def 8-14 classes
|
$97.86 |
$97.86 |
$97.86 |
$172.25
|
|
Drug test prsmv instrmnt
|
$304.92 |
$304.92 |
$304.92 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$157.23 |
$157.23 |
$157.23 |
$280.95
|
|
Drvvt confirm - quest
|
$21.99 |
$21.99 |
$21.99 |
$107.00
|
|
Ductogram sgl duct
|
$270.10 |
$270.10 |
$270.10 |
$409.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$743.23 |
$743.23 |
$743.23 |
$886.60
|
|
Durvalumab 50 mg/ml intravenous solution
|
$9,177.15 |
$9,177.15 |
$9,177.15 |
$6,529.68
|
|
Dxa bone density axl vrt fx
|
$275.23 |
$275.23 |
$275.23 |
$377.65
|
|
Dx bronchoscope/brush 31623
|
$1,469.96 |
$1,469.96 |
$1,469.96 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$1,469.96 |
$1,469.96 |
$1,469.96 |
$2,637.04
|
|
Dx bronchoscope/wash 31622
|
$1,469.96 |
$1,469.96 |
$1,469.96 |
$2,459.93
|
|
Ear irrigation 69209
|
$53.51 |
$53.51 |
$53.51 |
$155.20
|
|
Ecg 12 lead tracing only
|
$94.19 |
$94.19 |
$94.19 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$25.66 |
$25.66 |
$25.66 |
$129.83
|
|
Ecg external < 48 hours recording
|
$63.04 |
$63.04 |
$63.04 |
$461.76
|
|
Ecg external > 48 hours up to 7 days recording
|
$28.22 |
$28.22 |
$28.22 |
$153.17
|
|
Echocardiogram (Heart Ultrasound)
|
$1,596.76 |
$1,596.76 |
$1,596.76 |
$2,077.18
|
|
Echocardiography doppler color flow mapping
|
$330.20 |
$330.20 |
$330.20 |
$461.61
|