|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$4.36 |
$5.23 |
$40.00 |
|
|
Digoxin immune fab 40 mg intravenous solution
|
$11,938.37 |
$11,938.37 |
$11,938.37 |
|
|
Digoxin total therapeutic drug level
|
$4.84 |
$57.54 |
$126.25 |
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$182.27 |
$218.72 |
$729.07 |
|
|
Dilate biliary duct/ampulla
|
$473.76 |
$488.00 |
$610.00 |
|
|
Dilate urethra stricture
|
$43.36 |
$171.25 |
$496.00 |
|
|
Dilation/female urethra/initial 53660
|
$37.18 |
$102.75 |
$496.00 |
|
|
Dilation/urethral strict/male/ini 53620
|
$393.12 |
$597.54 |
$941.44 |
|
|
Dilator fascial 10fx20cm
|
$37.44 |
$37.44 |
$37.44 |
|
|
Dilat xst trc ndurlgc px
|
$978.34 |
$1,401.39 |
$1,778.80 |
|
|
Dilat xst trc new access rcs
|
$2,050.60 |
$2,153.13 |
$2,563.25 |
|
|
Dimenhydrinate injection
|
$8.06 |
$9.67 |
$40.00 |
|
|
Dimethyl sulfoxide 50% 50 ml
|
$1,964.18 |
$1,964.18 |
$1,964.18 |
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.12 |
$0.15 |
$0.80 |
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$15.96 |
$19.15 |
$63.84 |
|
|
Dipyridamole injection
|
$26.10 |
$31.32 |
$104.40 |
|
|
Disability dlco
|
$55.00 |
$100.80 |
$267.52 |
|
|
Disaccharidases
|
$16.00 |
$151.60 |
$289.80 |
|
|
Dna antibody native/double stranded
|
$14.74 |
$50.43 |
$128.50 |
|
|
Dna gardnerella
|
$18.00 |
$18.00 |
$34.96 |
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$53.62 |
$64.35 |
$214.50 |
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$279.44 |
$335.32 |
$1,117.75 |
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$31.50 |
$37.80 |
$126.00 |
|
|
Doppler echo complete
|
$115.20 |
$172.26 |
$313.20 |
|
|
Doppler intravascular pressure flow initial vessel
|
$219.78 |
$399.60 |
$2,381.75 |
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$163.24 |
$304.00 |
$503.36 |
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$84.41 |
$270.00 |
$634.92 |
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$79.20 |
$159.50 |
$554.78 |
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$693.82 |
$867.28 |
$2,775.30 |
|
|
Dpyd gene common variants
|
$178.50 |
$204.00 |
$260.75 |
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$190.40 |
$375.15 |
$958.08 |
|
|
Drainage ext aud canal abscess 69020
|
$190.40 |
$220.25 |
$411.75 |
|
|
Drainage external ear complex 69005
|
$464.52 |
$487.83 |
$1,025.55 |
|
|
Drainage external ear simple 69000
|
$115.62 |
$209.28 |
$970.24 |
|
|
Drainage mouth roof lesion
|
$67.62 |
$126.42 |
$230.85 |
|
|
Drainage of arm bursa 23931
|
$729.20 |
$875.04 |
$1,895.92 |
|
|
Drainage of eye
|
$1,401.20 |
$1,681.44 |
$3,643.12 |
|
|
Drainage of kidney lesion
|
$368.60 |
$580.75 |
$991.20 |
|
|
Drainage of mouth lesion
|
$2,011.80 |
$2,011.80 |
$2,011.80 |
|
|
Drainage of mouth lesion
|
$1,645.20 |
$1,974.24 |
$4,277.52 |
|
|
Drainage of nose lesion int 30000
|
$87.80 |
$109.75 |
$131.40 |
|
|
Drainage of nose lesion sept 30020
|
$106.80 |
$128.16 |
$175.49 |
|
|
Drainage of pelvis lesion 26990
|
$1,383.22 |
$1,383.22 |
$1,383.22 |
|
|
Drain blood from under nail 11740
|
$20.46 |
$41.25 |
$178.56 |
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$733.80 |
$843.87 |
$1,467.60 |
|
|
Drain cath image guided visceral pq
|
$733.80 |
$917.25 |
$1,088.32 |
|
|
Drain cerebro spinal fluid 62272
|
$232.54 |
$315.84 |
$464.85 |
|
|
Drain finger abscess;simple 26010
|
$74.14 |
$94.99 |
$477.60 |
|
|
Drain shoulder lesion
|
$3,982.72 |
$3,982.72 |
$3,982.72 |
|
|
Drain thigh/knee lesion 27301
|
$224.27 |
$735.75 |
$1,536.78 |
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$78.54 |
$156.48 |
$640.35 |
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$78.54 |
$157.00 |
$640.35 |
|
|
Dress/debrid prtl-thick burn l 16030
|
$167.25 |
$247.94 |
$640.35 |
|
|
Drill hole implt ventricular cath/device 61107
|
$215.28 |
$215.28 |
$233.75 |
|
|
Drng of eyelid abscess 67700
|
$87.40 |
$109.25 |
$512.00 |
|
|
Drng of finger abscess comp 26011
|
$483.00 |
$934.39 |
$2,303.36 |
|
|
Drng of hydrocele 55000
|
$142.40 |
$171.25 |
$385.56 |
|
|
Drng of mouth lesion 40801
|
$854.85 |
$854.85 |
$854.85 |
|
|
Drng of scrotum abscess 55100
|
$457.38 |
$504.75 |
$1,038.96 |
|
|
Drng salivary gland simple 42300
|
$476.60 |
$476.60 |
$476.60 |
|
|
Dronabinol 2.5mg oral
|
$22.70 |
$27.24 |
$90.80 |
|
|
Droperidol 2.5 mg/ml injection solution
|
$13.03 |
$15.63 |
$52.12 |
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$139.60 |
$193.68 |
$219.19 |
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$6.60 |
$6.60 |
$6.60 |
|
|
Drug admin & hemodynmic meas
|
$99.40 |
$103.53 |
$130.25 |
|
|
Drug assay caffeine
|
$70.75 |
$70.75 |
$74.20 |
|
|
Drug assay posaconazole
|
$19.80 |
$36.00 |
$76.40 |
|
|
Drug assay rufinamide
|
$15.40 |
$18.48 |
$40.04 |
|
|
Drug assay vedolizumab
|
$29.61 |
$33.84 |
$106.00 |
|
|
Drug assay voriconazole
|
$10.08 |
$12.48 |
$168.75 |
|
|
Drug asy hydroxychloroquine
|
$12.40 |
$14.88 |
$32.24 |
|
|
Drug of abuse screen urine
|
$11.20 |
$29.12 |
$104.00 |
|
|
Drug screen quant tiagabine
|
$31.74 |
$31.74 |
$108.48 |
|
|
Drug test def 15-21 classes
|
$54.40 |
$54.40 |
$54.40 |
|
|
Drug test def 1-7 classes
|
$29.70 |
$67.41 |
$80.25 |
|
|
Drug test def 8-14 classes
|
$52.80 |
$85.92 |
$410.88 |
|
|
Drug test prsmv instrmnt
|
$14.60 |
$17.52 |
$37.96 |
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$39.38 |
$71.60 |
$243.20 |
|
|
Drvvt confirm - quest
|
$23.52 |
$23.52 |
$23.52 |
|
|
Dstrj nulyt agt gnclr nrv
|
$1,384.75 |
$1,384.75 |
$1,926.40 |
|
|
Ductogram sgl duct
|
$148.81 |
$148.81 |
$155.28 |
|
|
Duplex scan bilateral study 93985
|
$147.62 |
$159.60 |
$268.40 |
|
|
Duplex scan unilateral study 93986
|
$90.00 |
$146.78 |
$222.18 |
|
|
Dup scan/hemodialysis access 93990
|
$75.39 |
$204.60 |
$255.75 |
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$125.20 |
$143.98 |
$523.32 |
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$154.00 |
$293.04 |
$455.85 |
|
|
Dxa bone density axl vrt fx
|
$60.03 |
$60.03 |
$238.77 |
|
|
Dx bronchoscope/brush 31623
|
$337.92 |
$337.92 |
$337.92 |
|
|
Dx bronchoscope/lavage 31624
|
$360.00 |
$613.92 |
$713.37 |
|
|
Dx bronchoscope/wash 31622
|
$348.00 |
$348.00 |
$1,067.76 |
|
|
Ear irrigation 69209
|
$20.40 |
$24.50 |
$48.88 |
|
|
Ecg 12 lead tracing only
|
$44.28 |
$63.60 |
$150.40 |
|
|
Ecg/1-3 leads/interp & report only 93042
|
$15.49 |
$15.49 |
$15.49 |
|
|
Ecg/1-3 leads/tracing only 93041
|
$18.04 |
$56.16 |
$132.08 |
|
|
Ecg < 30 days transmission & analysis
|
$167.44 |
$167.44 |
$182.00 |
|
|
Ecg external < 48 hours recording
|
$117.70 |
$191.31 |
$304.00 |
|
|
Ecg external < 48 hours scanning analysis w/report
|
$72.28 |
$201.71 |
$360.32 |
|
|
Ecg external > 48 hours up to 7 days recording
|
$16.00 |
$49.95 |
$78.43 |
|
|
Ecg external >7 days up to 15 days recording
|
$16.00 |
$78.43 |
$153.45 |
|
|
Echocardiogram (Heart Ultrasound)
|
$417.56 |
$759.20 |
$947.28 |
|