|
Dimenhydrinate injection
|
$32.60 |
$32.60 |
$32.60 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$51.83 |
$51.83 |
$51.83 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$9.41 |
$9.41 |
$9.41 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$23.23 |
$23.23 |
$23.23 |
$18.32
|
|
Disaccharidases
|
$197.12 |
$197.12 |
$197.12 |
$230.40
|
|
Disconnect insert locking wr
|
$102.26 |
$102.26 |
$102.26 |
$75.60
|
|
Disconnect locking wrist uni
|
$339.70 |
$339.70 |
$339.70 |
$207.20
|
|
Dna antibody native/double stranded
|
$117.49 |
$117.49 |
$117.49 |
$100.00
|
|
Dna gardnerella
|
$38.86 |
$38.86 |
$38.86 |
$61.83
|
|
Dna trichomonas
|
$38.86 |
$38.86 |
$38.86 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$80.58 |
$80.58 |
$80.58 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$273.43 |
$273.43 |
$273.43 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$68.49 |
$68.49 |
$68.49 |
$65.40
|
|
Doppler echo complete
|
$259.50 |
$259.50 |
$259.50 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$745.98 |
$745.98 |
$745.98 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$745.98 |
$745.98 |
$745.98 |
$481.65
|
|
Dornhoffer fixed part w/window
|
$36,331.62 |
$36,331.62 |
$36,331.62 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$128.07 |
$128.07 |
$128.07 |
$163.44
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$362.90 |
$362.90 |
$362.90 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$938.31 |
$938.31 |
$938.31 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$64.78 |
$64.78 |
$64.78 |
$89.34
|
|
Dpyd gene common variants
|
$519.34 |
$519.34 |
$519.34 |
$423.60
|
|
Drainage of kidney lesion
|
$580.50 |
$580.50 |
$580.50 |
$1,506.00
|
|
Drainage of pelvis lesion 26990
|
$801.47 |
$801.47 |
$801.47 |
$3,863.70
|
|
Drain cath image guided visceral pq
|
$951.89 |
$951.89 |
$951.89 |
$2,903.44
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$3,952.59 |
$3,952.59 |
$3,952.59 |
$3,789.86
|
|
Dronabinol 2.5mg oral
|
$19.14 |
$19.14 |
$19.14 |
$17.00
|
|
Droperidol 2.5 mg/ml injection solution
|
$36.54 |
$36.54 |
$36.54 |
$31.25
|
|
Drop lock knee
|
$180.82 |
$180.82 |
$180.82 |
$193.79
|
|
Drop lock retainer each
|
$46.87 |
$46.87 |
$46.87 |
$63.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$620.20 |
$620.20 |
$620.20 |
$1,818.32
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$26.88 |
$26.88 |
$26.88 |
$53.60
|
|
Drsg sht 5.625x4.625in std
|
$62.72 |
$62.72 |
$62.72 |
$123.24
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$224.06 |
$224.06 |
$224.06 |
$7,465.97
|
|
Drug assay caffeine
|
$48.05 |
$48.05 |
$48.05 |
$80.00
|
|
Drug assay posaconazole
|
$607.32 |
$607.32 |
$607.32 |
$96.75
|
|
Drug assay rufinamide
|
$78.74 |
$78.74 |
$78.74 |
$87.10
|
|
Drug assay vedolizumab
|
$262.86 |
$262.86 |
$262.86 |
$154.00
|
|
Drug assay voriconazole
|
$78.79 |
$78.79 |
$78.79 |
$96.75
|
|
Drug test def 1-7 classes
|
$435.62 |
$435.62 |
$435.62 |
$263.25
|
|
Drug test prsmv instrmnt
|
$88.37 |
$88.37 |
$88.37 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$236.82 |
$236.82 |
$236.82 |
$278.85
|
|
Drvvt confirm - quest
|
$66.36 |
$66.36 |
$66.36 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$355.54 |
$355.54 |
$355.54 |
$2,980.00
|
|
Dup scan/hemodialysis access 93990
|
$1,118.88 |
$1,118.88 |
$1,118.88 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$932.40 |
$932.40 |
$932.40 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$745.98 |
$745.98 |
$745.98 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$18,746.08 |
$18,746.08 |
$18,746.08 |
$8,445.90
|
|
Ecg/1-3 leads/tracing only 93041
|
$103.04 |
$103.04 |
$103.04 |
$132.08
|
|
Ecg external < 48 hours scanning analysis w/report
|
$499.24 |
$499.24 |
$499.24 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,211.00 |
$1,211.00 |
$1,211.00 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$753.48 |
$753.48 |
$753.48 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$254.97 |
$254.97 |
$254.97 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,211.00 |
$1,211.00 |
$1,211.00 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$753.48 |
$753.48 |
$753.48 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$172.98 |
$172.98 |
$172.98 |
$371.25
|
|
Echo exam of fetal heart
|
$141.68 |
$141.68 |
$141.68 |
$904.80
|
|
Echo guide for amniocentesis
|
$566.94 |
$566.94 |
$566.94 |
$455.57
|
|
Echo guide villus sampling
|
$598.14 |
$598.14 |
$598.14 |
$362.88
|
|
Echo stress
|
$3,114.16 |
$3,114.16 |
$3,114.16 |
$1,609.44
|
|
Echo transthoracic
|
$1,038.02 |
$1,038.02 |
$1,038.02 |
$1,361.75
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$778.51 |
$778.51 |
$778.51 |
$1,033.00
|
|
E equine encephalitis igg
|
$68.21 |
$68.21 |
$68.21 |
$51.84
|
|
Egfr gene com variants
|
$744.07 |
$744.07 |
$744.07 |
$672.88
|
|
Ehrlicha chaffeensis amp prb
|
$192.70 |
$192.70 |
$192.70 |
$93.00
|
|
EKG tracing for initial prev
|
$137.20 |
$137.20 |
$137.20 |
$81.76
|
|
EKG (Tracing Only)
|
$140.95 |
$140.95 |
$140.95 |
$226.50
|
|
Elb disart prosth tiss shap
|
$5,450.70 |
$5,450.70 |
$5,450.70 |
$4,242.00
|
|
Elb mold sock flex hinge pad
|
$3,988.32 |
$3,988.32 |
$3,988.32 |
$2,363.20
|
|
Elbow inter loc elbow forarm
|
$4,932.31 |
$4,932.31 |
$4,932.31 |
$4,026.40
|
|
Elbow mold doub splt soc ste
|
$4,613.11 |
$4,613.11 |
$4,613.11 |
$3,474.80
|
|
Elbow mold outsid lock hinge
|
$5,013.46 |
$5,013.46 |
$5,013.46 |
$4,090.80
|
|
Elbow mold sock suspension t
|
$4,219.43 |
$4,219.43 |
$4,219.43 |
$3,060.40
|
|
Elbow stump activated lock h
|
$4,866.90 |
$4,866.90 |
$4,866.90 |
$3,880.80
|
|
Elbow X-ray (2 views, both sides)
|
$257.66 |
$257.66 |
$257.66 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$171.81 |
$171.81 |
$171.81 |
$364.20
|
|
Elec knee-shin swing/stance
|
$34,255.42 |
$34,255.42 |
$34,255.42 |
$26,493.60
|
|
Electrd sq emblem s-icd
|
$13,377.28 |
$13,377.28 |
$13,377.28 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$65.46 |
$65.46 |
$65.46 |
$87.49
|
|
Electroconvulsive therapy 90870
|
$689.19 |
$689.19 |
$689.19 |
$1,235.00
|
|
Electrolyte panel
|
$60.42 |
$60.42 |
$60.42 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,047.20 |
$1,047.20 |
$1,047.20 |
$1,011.98
|
|
Encephalitis, california igg/igm
|
$68.21 |
$68.21 |
$68.21 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$68.21 |
$68.21 |
$68.21 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$68.21 |
$68.21 |
$68.21 |
$54.99
|
|
Endo ak/hip alignable system
|
$836.42 |
$836.42 |
$836.42 |
$1,111.04
|
|
Endo ak/hip knee extens assi
|
$201.66 |
$201.66 |
$201.66 |
$145.60
|
|
Endo ak ultra-light material
|
$1,226.46 |
$1,226.46 |
$1,226.46 |
$876.40
|
|
Endo below knee alignable sy
|
$570.92 |
$570.92 |
$570.92 |
$611.88
|
|
Endo bk ultra-light material
|
$790.72 |
$790.72 |
$790.72 |
$900.29
|
|
Endo hip ultra-light materia
|
$1,833.83 |
$1,833.83 |
$1,833.83 |
$1,086.40
|
|
Endo knee-shin fluid swg/sta
|
$4,672.08 |
$4,672.08 |
$4,672.08 |
$4,113.20
|
|
Endo knee-shin fluid swing p
|
$2,625.17 |
$2,625.17 |
$2,625.17 |
$2,298.80
|
|
Endo knee-shin frct swg & st
|
$936.49 |
$936.49 |
$936.49 |
$1,241.78
|
|
Endo knee-shin frct swg & st
|
$1,513.85 |
$1,513.85 |
$1,513.85 |
$1,442.00
|
|
Endo knee-shin hydral swg ph
|
$5,692.12 |
$5,692.12 |
$5,692.12 |
$4,099.20
|
|
Endo knee-shin mnl lck ultra
|
$1,244.43 |
$1,244.43 |
$1,244.43 |
$1,602.08
|
|
Endo knee-shin pneum swg frc
|
$2,777.04 |
$2,777.04 |
$2,777.04 |
$1,915.20
|
|
Endo knee-shin pneum/swg pha
|
$3,150.22 |
$3,150.22 |
$3,150.22 |
$2,844.80
|
|
Endo knee-shin polyc mch sta
|
$1,340.64 |
$1,340.64 |
$1,340.64 |
$1,276.80
|
