|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$12.26 |
$12.26 |
$15.45 |
$49.75
|
|
Dextrose 5 % IV bolus
|
$12.26 |
$12.26 |
$15.45 |
$68.93
|
|
Dhea-s (dehydroepiand sulfate)
|
$18.85 |
$18.85 |
$23.74 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$117.59 |
$117.59 |
$148.15 |
$78.03
|
|
Diab manage trn ind/group
|
$22.25 |
$22.25 |
$22.25 |
$49.50
|
|
Diagnostic Mammogram (both breasts)
|
$272.63 |
$272.63 |
$343.49 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$136.20 |
$136.20 |
$171.60 |
$301.55
|
|
Dialysis one evaluation
|
$821.97 |
$821.97 |
$1,035.61 |
$842.10
|
|
Diatrizoate meglumine 18 % urethral solution
|
$66.52 |
$66.52 |
$83.80 |
$100.03
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$17.16 |
$17.16 |
$41.32 |
$72.34
|
|
Dicyclomine injection
|
$102.84 |
$102.84 |
$129.56 |
$211.81
|
|
Diffusing capacity
|
$199.31 |
$199.31 |
$251.11 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$160.72 |
$160.72 |
$202.49 |
$69.79
|
|
Digoxin immune fab 40 mg intravenous solution
|
$1,049.43 |
$1,049.43 |
$1,049.43 |
$10,945.58
|
|
Digoxin total therapeutic drug level
|
$219.51 |
$219.51 |
$276.57 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$95.57 |
$95.57 |
$95.57 |
$334.68
|
|
Dilate ic vasospasm init
|
$2,185.11 |
$2,185.11 |
$2,185.11 |
$6,280.95
|
|
Dilator fascial 10fx20cm
|
$228.52 |
$228.52 |
$236.77 |
$305.68
|
|
Dimecaprol injection
|
$100.79 |
$100.79 |
$100.79 |
$199.46
|
|
Dimenhydrinate injection
|
$7.04 |
$7.04 |
$7.04 |
$24.68
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$5.91 |
$5.91 |
$7.44 |
$26.87
|
|
Disability dlco
|
$167.89 |
$167.89 |
$167.89 |
$307.58
|
|
Disaccharidases
|
$232.91 |
$232.91 |
$285.72 |
$223.80
|
|
Dlyd plmt xtn prosth ea addl
|
$493.64 |
$493.64 |
$493.64 |
$2,001.55
|
|
Dmd dup/delet analysis
|
$324.16 |
$324.16 |
$408.41 |
$385.02
|
|
Dmpk gene detc abnor allele
|
$180.47 |
$180.47 |
$227.37 |
$318.75
|
|
Dna antibody native/double stranded
|
$28.15 |
$28.15 |
$35.47 |
$102.60
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$32.01 |
$32.01 |
$32.01 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$341.64 |
$341.64 |
$341.64 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$17.94 |
$17.94 |
$22.60 |
$84.30
|
|
Doppler echo complete
|
$510.98 |
$510.98 |
$643.79 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$2,556.25 |
$2,556.25 |
$2,556.25 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$433.12 |
$433.12 |
$433.12 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$277.63 |
$277.63 |
$423.28 |
$482.03
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$298.28 |
$298.28 |
$298.28 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,019.23 |
$1,019.23 |
$1,019.23 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$29.74 |
$29.74 |
$37.47 |
$99.99
|
|
Drainage of bladder abscess
|
$1,401.12 |
$1,401.12 |
$1,401.12 |
$3,167.89
|
|
Drainage of kidney lesion
|
$623.35 |
$623.35 |
$785.36 |
$1,706.65
|
|
Drainage of pelvis lesion 26990
|
$1,504.65 |
$1,504.65 |
$1,504.65 |
$3,969.00
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$463.77 |
$463.77 |
$584.30 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$793.82 |
$793.82 |
$1,000.15 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$694.62 |
$694.62 |
$694.62 |
$1,113.06
|
|
Drain lower leg lesion 27603
|
$1,401.12 |
$1,401.12 |
$1,401.12 |
$3,631.18
|
|
Drain neck/chest lesion 21501
|
$1,401.12 |
$1,401.12 |
$1,401.12 |
$3,386.84
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$153.46 |
$153.46 |
$153.46 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$94.21 |
$94.21 |
$94.21 |
$365.60
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$7,256.74 |
$7,256.74 |
$7,256.74 |
$9,390.80
|
|
Drill hole implt ventricular cath/device 61107
|
$656.03 |
$656.03 |
$656.03 |
$1,594.26
|
|
Droperidol 2.5 mg/ml injection solution
|
$5.91 |
$5.91 |
$7.44 |
$39.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$658.38 |
$658.38 |
$680.55 |
$1,778.40
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$680.55 |
$680.55 |
$857.43 |
$468.29
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$680.55 |
$680.55 |
$857.43 |
$318.13
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$1,501.61 |
$1,501.61 |
$1,501.61 |
$127.14
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$1,952.66 |
$1,952.66 |
$1,952.66 |
$6,581.45
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$11,198.14 |
$11,198.14 |
$11,198.14 |
$18,384.03
|
|
Drug admin & hemodynmic meas
|
$349.36 |
$349.36 |
$349.36 |
$528.50
|
|
Drug assay caffeine
|
$18.62 |
$18.62 |
$23.46 |
$81.61
|
|
Drug assay posaconazole
|
$19.07 |
$19.07 |
$24.03 |
$96.39
|
|
Drug assay voriconazole
|
$19.07 |
$19.07 |
$24.03 |
$96.75
|
|
Drug test def 15-21 classes
|
$106.69 |
$106.69 |
$134.42 |
$144.42
|
|
Drug test def 1-7 classes
|
$619.71 |
$619.71 |
$780.78 |
$250.52
|
|
Drug test def 22+ classes
|
$168.21 |
$168.21 |
$211.93 |
$246.92
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$139.61 |
$139.61 |
$175.89 |
$278.85
|
|
Duplex scan bilateral study 93985
|
$162.17 |
$162.17 |
$162.17 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$78.37 |
$78.37 |
$78.37 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$207.48 |
$207.48 |
$261.41 |
$499.38
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$826.97 |
$826.97 |
$1,041.90 |
$903.00
|
|
Dx gastr intub w/asp spec
|
$261.96 |
$261.96 |
$261.96 |
$368.50
|
|
Ecg 12 lead tracing only
|
$346.63 |
$346.63 |
$436.73 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$70.60 |
$70.60 |
$70.60 |
$129.83
|
|
Ecg external < 48 hours recording
|
$179.33 |
$179.33 |
$179.33 |
$461.76
|
|
Echocardiogram (Heart Ultrasound)
|
$2,149.47 |
$2,149.47 |
$2,708.14 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$245.62 |
$245.62 |
$309.46 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$659.89 |
$659.89 |
$831.41 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$322.04 |
$322.04 |
$322.04 |
$353.46
|
|
Echo exam of fetal heart
|
$409.06 |
$409.06 |
$515.38 |
$855.38
|
|
Echo exam of fetal heart
|
$305.17 |
$305.17 |
$305.17 |
$503.80
|
|
Echo exam of fetal heart
|
$62.66 |
$62.66 |
$78.94 |
$431.41
|
|
Echo exam of fetal heart
|
$74.65 |
$74.65 |
$74.65 |
$323.40
|
|
Echo guide for artery repair
|
$318.32 |
$318.32 |
$318.32 |
$680.28
|
|
Echo stress
|
$385.53 |
$385.53 |
$385.53 |
$1,582.75
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$493.64 |
$493.64 |
$493.64 |
$648.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,907.26 |
$1,907.26 |
$2,402.98 |
$1,871.10
|
|
Echo transesophageal
|
$247.89 |
$247.89 |
$312.32 |
$913.33
|
|
Echo transesophageal
|
$2,258.83 |
$2,258.83 |
$2,258.83 |
$572.25
|
|
Echo transesophageal
|
$493.64 |
$493.64 |
$493.64 |
$1,734.10
|
|
Echo transesophageal intraop
|
$493.64 |
$493.64 |
$493.64 |
$1,571.70
|
|
Echo transthoracic
|
$550.25 |
$550.25 |
$693.27 |
$1,492.50
|
|
Echo transthoracic
|
$329.61 |
$329.61 |
$415.28 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$947.81 |
$947.81 |
$947.81 |
$1,014.01
|
|
Ecmo/ecls daily mgmt artery 33949
|
$1,097.55 |
$1,097.55 |
$1,097.55 |
$4,409.25
|
|
Ecmo/ecls daily mgmt-venous 33948
|
$1,097.55 |
$1,097.55 |
$1,097.55 |
$4,324.50
|
|
Ecmo/ecls initiation artery 33947
|
$2,402.57 |
$2,402.57 |
$2,402.57 |
$3,950.10
|
|
Ecmo/ecls initiation venous 33946
|
$2,402.57 |
$2,402.57 |
$2,402.57 |
$4,324.50
|
|
Ecmo/ecls insj prph cannula 6yrs&older opn 33954
|
$163.22 |
$163.22 |
$163.22 |
$1,411.92
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$163.22 |
$163.22 |
$163.22 |
$4,331.00
|
|
Ecmo/ecls remove cent cannula 0-5yrs 33985
|
$179.33 |
$179.33 |
$179.33 |
$925.55
|
|
Ecmo/ecls remove cent cannula 6yrs&older 33986
|
$179.33 |
$179.33 |
$179.33 |
$1,394.09
|
|
Ecmo/ecls remove perph cannula 0-5yrs perq 33965
|
$193.18 |
$193.18 |
$193.18 |
$1,057.76
|