|
Diltiazem 5 mg/ml intravenous solution
|
$385.78 |
$385.78 |
$385.78 |
$45.60
|
|
Dimenhydrinate injection
|
$31.08 |
$31.08 |
$31.08 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,204.25 |
$1,204.25 |
$1,204.25 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$10.68 |
$10.68 |
$10.68 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$23.24 |
$23.24 |
$23.24 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$84.45 |
$84.45 |
$84.45 |
$98.15
|
|
Dipyridamole injection
|
$51.74 |
$51.74 |
$51.74 |
$48.04
|
|
Disability dlco
|
$299.38 |
$299.38 |
$299.38 |
$293.76
|
|
Disaccharidases
|
$260.74 |
$260.74 |
$260.74 |
$230.40
|
|
Discography cerv/thor spine
|
$546.96 |
$546.96 |
$546.96 |
$2,565.00
|
|
Disconnect insert locking wr
|
$119.71 |
$119.71 |
$119.71 |
$75.60
|
|
Disconnect locking wrist uni
|
$397.78 |
$397.78 |
$397.78 |
$207.20
|
|
Dlyd plmt xtn prosth ea addl
|
$1,343.42 |
$1,343.42 |
$1,343.42 |
$1,810.80
|
|
Dna antibody native/double stranded
|
$107.62 |
$107.62 |
$107.62 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$75.33 |
$75.33 |
$75.33 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$558.60 |
$558.60 |
$558.60 |
$949.39
|
|
Dolasetron mesylate
|
$118.32 |
$118.32 |
$118.32 |
$44.65
|
|
Dolasetron mesylate oral
|
$120.17 |
$120.17 |
$120.17 |
$156.80
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$64.67 |
$64.67 |
$64.67 |
$65.40
|
|
Doppler echo complete
|
$186.48 |
$186.48 |
$186.48 |
$558.00
|
|
Doppler intravascular pressure flow initial vessel
|
$3,198.34 |
$3,198.34 |
$3,198.34 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$813.89 |
$813.89 |
$813.89 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$665.81 |
$665.81 |
$665.81 |
$481.65
|
|
Doripenem 50 mg/ml inj 10 ml
|
$85.16 |
$85.16 |
$85.16 |
$73.80
|
|
Dornhoffer fixed part w/window
|
$32,765.57 |
$32,765.57 |
$32,765.57 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$149.90 |
$149.90 |
$149.90 |
$163.44
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$510.83 |
$510.83 |
$510.83 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,980.47 |
$1,980.47 |
$1,980.47 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$62.64 |
$62.64 |
$62.64 |
$89.34
|
|
Dpyd gene common variants
|
$446.78 |
$446.78 |
$446.78 |
$423.60
|
|
Drainage lymph node lesion 38300
|
$293.14 |
$293.14 |
$293.14 |
$3,088.80
|
|
Drainage of bladder abscess
|
$2,505.94 |
$2,505.94 |
$2,505.94 |
$3,127.88
|
|
Drainage of kidney lesion
|
$934.99 |
$934.99 |
$934.99 |
$1,506.00
|
|
Drainage of pelvis lesion 26990
|
$1,416.91 |
$1,416.91 |
$1,416.91 |
$3,863.70
|
|
Drainage of prostate abscess
|
$4,769.09 |
$4,769.09 |
$4,769.09 |
$3,863.60
|
|
Drain bladder by trocar/cath
|
$1,751.95 |
$1,751.95 |
$1,751.95 |
$1,203.94
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,916.93 |
$1,916.93 |
$1,916.93 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$1,932.24 |
$1,932.24 |
$1,932.24 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$471.74 |
$471.74 |
$471.74 |
$1,044.00
|
|
Drain lower leg lesion 27603
|
$1,473.84 |
$1,473.84 |
$1,473.84 |
$3,994.09
|
|
Drain neck/chest lesion 21501
|
$1,253.09 |
$1,253.09 |
$1,253.09 |
$3,339.00
|
|
Drain ovarn cyst abd
|
$788.69 |
$788.69 |
$788.69 |
$3,786.00
|
|
Drain ovary abscess open
|
$2,965.06 |
$2,965.06 |
$2,965.06 |
$3,762.53
|
|
Drain thigh/knee lesion 27301
|
$2,490.58 |
$2,490.58 |
$2,490.58 |
$3,986.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$396.96 |
$396.96 |
$396.96 |
$349.50
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$267.70 |
$267.70 |
$267.70 |
$3,789.86
|
|
Drill hole implt ventricular cath/device 61107
|
$817.39 |
$817.39 |
$817.39 |
$1,485.75
|
|
Drng of ovarian cyst(s) 58800
|
$1,176.10 |
$1,176.10 |
$1,176.10 |
$3,474.84
|
|
Drng ovary abscess perqt 58822
|
$4,708.37 |
$4,708.37 |
$4,708.37 |
$2,279.50
|
|
Drng salivary gland simple 42300
|
$709.49 |
$709.49 |
$709.49 |
$2,039.50
|
|
Drng salivary gland submax/subling 42310
|
$1,373.57 |
$1,373.57 |
$1,373.57 |
$799.40
|
|
Dronabinol 2.5mg oral
|
$23.64 |
$23.64 |
$23.64 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$34.55 |
$34.55 |
$34.55 |
$31.25
|
|
Drop lock knee
|
$211.78 |
$211.78 |
$211.78 |
$193.79
|
|
Drop lock retainer each
|
$54.91 |
$54.91 |
$54.91 |
$63.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$1,474.18 |
$1,474.18 |
$1,474.18 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$26.26 |
$26.26 |
$26.26 |
$53.60
|
|
Drsg sht 5.625x4.625in std
|
$61.20 |
$61.20 |
$61.20 |
$123.24
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$198.72 |
$198.72 |
$198.72 |
$94.94
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$212.50 |
$212.50 |
$212.50 |
$7,465.97
|
|
Drug admin & hemodynmic meas
|
$3,198.34 |
$3,198.34 |
$3,198.34 |
$569.75
|
|
Drug assay caffeine
|
$38.59 |
$38.59 |
$38.59 |
$80.00
|
|
Drug assay posaconazole
|
$460.80 |
$460.80 |
$460.80 |
$96.75
|
|
Drug assay rufinamide
|
$62.50 |
$62.50 |
$62.50 |
$87.10
|
|
Drug assay vedolizumab
|
$213.89 |
$213.89 |
$213.89 |
$154.00
|
|
Drug assay voriconazole
|
$65.33 |
$65.33 |
$65.33 |
$96.75
|
|
Drug screen quant tiagabine
|
$73.44 |
$73.44 |
$73.44 |
$107.59
|
|
Drug test def 1-7 classes
|
$423.36 |
$423.36 |
$423.36 |
$263.25
|
|
Drug test prsmv instrmnt
|
$80.88 |
$80.88 |
$80.88 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$169.82 |
$169.82 |
$169.82 |
$278.85
|
|
Dry needling (97799)
|
$304.61 |
$304.61 |
$304.61 |
$114.27
|
|
Dstrj nulyt agt gnclr nrv
|
$647.09 |
$647.09 |
$647.09 |
$2,980.00
|
|
Ductogram sgl duct
|
$277.34 |
$277.34 |
$277.34 |
$469.80
|
|
Duodenal motility study
|
$505.87 |
$505.87 |
$505.87 |
$1,143.10
|
|
Duplex scan bilateral study 93985
|
$379.44 |
$379.44 |
$379.44 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$189.70 |
$189.70 |
$189.70 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$665.86 |
$665.86 |
$665.86 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$665.86 |
$665.86 |
$665.86 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$591.94 |
$591.94 |
$591.94 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$17,259.79 |
$17,259.79 |
$17,259.79 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$288.24 |
$288.24 |
$288.24 |
$401.20
|
|
Ear irrigation 69209
|
$136.03 |
$136.03 |
$136.03 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$110.83 |
$110.83 |
$110.83 |
$132.08
|
|
Ecg < 30 days transmission & analysis
|
$992.40 |
$992.40 |
$992.40 |
$412.88
|
|
Ecg external < 48 hours recording
|
$116.21 |
$116.21 |
$116.21 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$345.60 |
$345.60 |
$345.60 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$174.38 |
$174.38 |
$174.38 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$174.38 |
$174.38 |
$174.38 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$830.21 |
$830.21 |
$830.21 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$577.63 |
$577.63 |
$577.63 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$436.66 |
$436.66 |
$436.66 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$869.18 |
$869.18 |
$869.18 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$577.63 |
$577.63 |
$577.63 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$124.18 |
$124.18 |
$124.18 |
$371.25
|
|
Echo exam of eye
|
$415.20 |
$415.20 |
$415.20 |
$172.00
|
|
Echo exam of fetal heart
|
$170.74 |
$170.74 |
$170.74 |
$904.80
|
|
Echo exam of fetal heart
|
$826.66 |
$826.66 |
$826.66 |
$538.27
|
|
Echo exam of fetal heart
|
$881.71 |
$881.71 |
$881.71 |
$431.41
|
|
Echo exam of fetal heart
|
$455.28 |
$455.28 |
$455.28 |
$318.34
|
|
Echo exam uterus 76831-
|
$455.28 |
$455.28 |
$455.28 |
$561.00
|
