|
Dexamethasone 4 mg tablet
|
$0.83 |
$0.83 |
$0.83 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$1.61 |
$1.61 |
$1.61 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$306.02 |
$306.02 |
$306.02 |
$858.00
|
|
Dextran 40 infusion
|
$0.05 |
$0.05 |
$0.05 |
$151.20
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$0.01 |
$0.01 |
$0.01 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$0.01 |
$0.01 |
$0.01 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$0.01 |
$0.01 |
$0.01 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$35.99 |
$35.99 |
$35.99 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$56.73 |
$56.73 |
$56.73 |
$79.20
|
|
Diab manage trn ind/group
|
$53.07 |
$53.07 |
$53.07 |
$56.55
|
|
Diagnostic digital breast tomosynthesis bil
|
$53.68 |
$53.68 |
$53.68 |
$117.94
|
|
Diagnostic digital breast tomosynthesis unil
|
$53.68 |
$53.68 |
$53.68 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$342.82 |
$342.82 |
$342.82 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$274.50 |
$274.50 |
$274.50 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$244.61 |
$244.61 |
$244.61 |
$301.55
|
|
Diagnostic radio unlisted proc
|
$32.94 |
$32.94 |
$32.94 |
$214.08
|
|
Dialysis circuit perm vascular embolization 36909
|
$904.63 |
$904.63 |
$904.63 |
$5,419.00
|
|
Dialysis one evaluation
|
$2,342.40 |
$2,342.40 |
$2,342.40 |
$919.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.08 |
$0.08 |
$0.08 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$10.07 |
$10.07 |
$10.07 |
$74.76
|
|
Dicyclomine injection
|
$23.45 |
$23.45 |
$23.45 |
$153.29
|
|
Diffusing capacity
|
$480.68 |
$480.68 |
$480.68 |
$332.00
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$70.53 |
$70.53 |
$70.53 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$2,927.95 |
$2,927.95 |
$2,927.95 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$76.86 |
$76.86 |
$76.86 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$27.90 |
$27.90 |
$27.90 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$203.74 |
$203.74 |
$203.74 |
$1,866.73
|
|
Dilation of anal sphincter
|
$2,048.38 |
$2,048.38 |
$2,048.38 |
$1,969.12
|
|
Dilation of rectal stricture 45910
|
$2,875.54 |
$2,875.54 |
$2,875.54 |
$1,395.28
|
|
Dilator fascial 10fx20cm
|
$592.92 |
$592.92 |
$592.92 |
$402.10
|
|
Dimethyl sulfoxide 50% 50 ml
|
$8.15 |
$8.15 |
$8.15 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$1.68 |
$1.68 |
$1.68 |
$17.75
|
|
Disability dlco
|
$294.63 |
$294.63 |
$294.63 |
$282.40
|
|
Disaccharidases
|
$479.46 |
$479.46 |
$479.46 |
$216.00
|
|
Discography cerv/thor spine
|
$1,180.35 |
$1,180.35 |
$1,180.35 |
$2,565.00
|
|
Dise eval slp do brth flx dx
|
$3,703.31 |
$3,703.31 |
$3,703.31 |
$1,120.00
|
|
Dissolve clot heart vessel
|
$653.31 |
$653.31 |
$653.31 |
$1,579.93
|
|
Dna antibody native/double stranded
|
$195.20 |
$195.20 |
$195.20 |
$97.50
|
|
Dna gardnerella
|
$88.45 |
$88.45 |
$88.45 |
$62.50
|
|
Dna trichomonas
|
$167.75 |
$167.75 |
$167.75 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$0.22 |
$0.22 |
$0.22 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$38.96 |
$38.96 |
$38.96 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$0.39 |
$0.39 |
$0.39 |
$65.40
|
|
Doppler echo complete
|
$378.20 |
$378.20 |
$378.20 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$4,036.98 |
$4,036.98 |
$4,036.98 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$944.89 |
$944.89 |
$944.89 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$479.46 |
$479.46 |
$479.46 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$16,744.58 |
$16,744.58 |
$16,744.58 |
$34,278.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$691.52 |
$691.52 |
$691.52 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$118.36 |
$118.36 |
$118.36 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$28.01 |
$28.01 |
$28.01 |
$1,718.24
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$877.79 |
$877.79 |
$877.79 |
$800.00
|
|
Drainage external ear simple 69000
|
$340.99 |
$340.99 |
$340.99 |
$789.60
|
|
Drainage mouth roof lesion
|
$358.07 |
$358.07 |
$358.07 |
$390.39
|
|
Drainage of kidney lesion
|
$699.06 |
$699.06 |
$699.06 |
$1,506.00
|
|
Drainage of nose lesion int 30000
|
$228.75 |
$228.75 |
$228.75 |
$491.40
|
|
Drain blood from under nail 11740
|
$84.18 |
$84.18 |
$84.18 |
$170.50
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$1,495.11 |
$1,495.11 |
$1,495.11 |
$2,540.00
|
|
Drain cath image guided visceral pq
|
$2,967.04 |
$2,967.04 |
$2,967.04 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$533.75 |
$533.75 |
$533.75 |
$1,044.00
|
|
Drain chst dry seal exp thorastat
|
$134.16 |
$134.16 |
$134.16 |
$119.43
|
|
Drain finger abscess;simple 26010
|
$334.89 |
$334.89 |
$334.89 |
$419.00
|
|
Drain neck/chest lesion 21501
|
$2,682.17 |
$2,682.17 |
$2,682.17 |
$3,339.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$299.51 |
$299.51 |
$299.51 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$242.17 |
$242.17 |
$242.17 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$423.95 |
$423.95 |
$423.95 |
$523.00
|
|
Drng of eyelid abscess 67700
|
$370.27 |
$370.27 |
$370.27 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,270.63 |
$1,270.63 |
$1,270.63 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$1,462.78 |
$1,462.78 |
$1,462.78 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$1.94 |
$1.94 |
$1.94 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$2.57 |
$2.57 |
$2.57 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$665.75 |
$665.75 |
$665.75 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$2,834.91 |
$2,834.91 |
$2,834.91 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$2,237.28 |
$2,237.28 |
$2,237.28 |
$289.05
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$9,287.82 |
$9,287.82 |
$9,287.82 |
$8,040.27
|
|
Drug assay voriconazole
|
$216.55 |
$216.55 |
$216.55 |
$96.75
|
|
Drug of abuse screen urine
|
$109.80 |
$109.80 |
$109.80 |
$63.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$456.89 |
$456.89 |
$456.89 |
$278.85
|
|
Drvvt confirm - quest
|
$42.09 |
$42.09 |
$42.09 |
$109.20
|
|
Dry needling (97799)
|
$21.35 |
$21.35 |
$21.35 |
$108.00
|
|
Dstrj nulyt agt gnclr nrv
|
$2,115.48 |
$2,115.48 |
$2,115.48 |
$3,020.80
|
|
Ductogram sgl duct
|
$506.91 |
$506.91 |
$506.91 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$1,319.43 |
$1,319.43 |
$1,319.43 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$880.84 |
$880.84 |
$880.84 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$461.16 |
$461.16 |
$461.16 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,002.23 |
$1,002.23 |
$1,002.23 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$794.22 |
$794.22 |
$794.22 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$1,943.46 |
$1,943.46 |
$1,943.46 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$256.84 |
$256.84 |
$256.84 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$457.50 |
$457.50 |
$457.50 |
$392.60
|
|
Dx bronchoscope/lavage 31624
|
$478.85 |
$478.85 |
$478.85 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$478.85 |
$478.85 |
$478.85 |
$2,322.60
|
|
Ear irrigation 69209
|
$70.15 |
$70.15 |
$70.15 |
$149.76
|
|
Ecg 12 lead tracing only
|
$310.49 |
$310.49 |
$310.49 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$98.82 |
$98.82 |
$98.82 |
$135.80
|
|
Ecg external < 48 hours recording
|
$493.49 |
$493.49 |
$493.49 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$493.49 |
$493.49 |
$493.49 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$671.61 |
$671.61 |
$671.61 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$671.61 |
$671.61 |
$671.61 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$2,282.62 |
$2,282.62 |
$2,282.62 |
$2,001.17
|