|
Diagnostic digital breast tomosynthesis unil
|
$951.00 |
$951.00 |
$951.00 |
$75.93
|
|
Diagnostic laryngoscopy 31575
|
$1,565.00 |
$1,565.00 |
$1,565.00 |
$385.20
|
|
Diagnostic Mammogram (both breasts)
|
$1,591.00 |
$1,591.00 |
$1,591.00 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$794.00 |
$794.00 |
$794.00 |
$301.55
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.25 |
$0.25 |
$0.25 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$22.64 |
$22.64 |
$22.64 |
$73.22
|
|
Dicyclomine injection
|
$137.54 |
$137.54 |
$137.54 |
$202.91
|
|
Difelikefalin, esrd on dialy
|
$403.85 |
$403.85 |
$403.85 |
$0.15
|
|
Diffusing capacity
|
$1,558.00 |
$1,558.00 |
$1,558.00 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$4.01 |
$4.01 |
$4.01 |
$78.40
|
|
Digoxin immune fab 40 mg intravenous solution
|
$15,652.39 |
$15,652.39 |
$15,652.39 |
$10,388.97
|
|
Digoxin total therapeutic drug level
|
$170.00 |
$170.00 |
$170.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$232.32 |
$232.32 |
$232.32 |
$309.20
|
|
Dilate urethra stricture
|
$762.00 |
$762.00 |
$762.00 |
$514.79
|
|
Dimecaprol injection
|
$183.58 |
$183.58 |
$183.58 |
$390.78
|
|
Dimethyl sulfoxide 50% 50 ml
|
$45.49 |
$45.49 |
$45.49 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$0.15 |
$0.15 |
$0.15 |
$1.43
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.82 |
$9.82 |
$9.82 |
$24.70
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$372.88 |
$372.88 |
$372.88 |
$106.59
|
|
Dipyridamole injection
|
$6.03 |
$6.03 |
$6.03 |
$45.09
|
|
Disability dlco
|
$549.00 |
$549.00 |
$549.00 |
$307.58
|
|
Disaccharidases
|
$282.00 |
$282.00 |
$282.00 |
$223.80
|
|
Dna antibody native/double stranded
|
$336.00 |
$336.00 |
$336.00 |
$102.60
|
|
Dna gardnerella
|
$169.00 |
$169.00 |
$169.00 |
$67.68
|
|
Dna trichomonas
|
$169.00 |
$169.00 |
$169.00 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$0.08 |
$0.08 |
$0.08 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$28.64 |
$28.64 |
$28.64 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$0.09 |
$0.09 |
$0.09 |
$76.20
|
|
Doppler echo complete
|
$1,826.00 |
$1,826.00 |
$1,826.00 |
$608.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,789.00 |
$1,789.00 |
$1,789.00 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$990.00 |
$990.00 |
$990.00 |
$482.03
|
|
Doripenem 50 mg/ml inj 10 ml
|
$70.08 |
$70.08 |
$70.08 |
$73.80
|
|
Dornase alfa non-comp unit
|
$170.01 |
$170.01 |
$170.01 |
$350.67
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$4,047.09 |
$4,047.09 |
$4,047.09 |
$25,883.50
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$6.04 |
$6.04 |
$6.04 |
$409.84
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$118.30 |
$118.30 |
$118.30 |
$2,242.17
|
|
Drainage of kidney lesion
|
$5,904.00 |
$5,904.00 |
$5,904.00 |
$1,706.65
|
|
Drainage of mouth lesion
|
$736.00 |
$736.00 |
$736.00 |
$455.56
|
|
Drainage of mouth lesion
|
$1,619.00 |
$1,619.00 |
$1,619.00 |
$1,022.40
|
|
Drainage of nose lesion sept 30020
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$755.95
|
|
Drainage of rectal abscess 45020
|
$9,057.00 |
$9,057.00 |
$9,057.00 |
$3,245.23
|
|
Drainage of urethra abscess 53060
|
$6,575.00 |
$6,575.00 |
$6,575.00 |
$2,459.34
|
|
Drain blood from under nail 11740
|
$244.00 |
$244.00 |
$244.00 |
$190.33
|
|
Drain cath image guided visceral pq
|
$2,559.00 |
$2,559.00 |
$2,559.00 |
$3,073.90
|
|
Drain finger abscess;simple 26010
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$492.81
|
|
Drain ovarn cyst abd
|
$4,719.00 |
$4,719.00 |
$4,719.00 |
$3,762.53
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,331.00 |
$1,331.00 |
$1,331.00 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$747.00
|
|
Dronabinol 2.5mg oral
|
$10.17 |
$10.17 |
$10.17 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$12.96 |
$12.96 |
$12.96 |
$34.85
|
|
Drug assay caffeine
|
$211.00 |
$211.00 |
$211.00 |
$81.61
|
|
Drug assay posaconazole
|
$425.00 |
$425.00 |
$425.00 |
$96.39
|
|
Drug assay vedolizumab
|
$194.00 |
$194.00 |
$194.00 |
$164.16
|
|
Drug test def 1-7 classes
|
$169.00 |
$169.00 |
$169.00 |
$268.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$204.00 |
$204.00 |
$204.00 |
$278.85
|
|
Drvvt confirm - quest
|
$78.00 |
$78.00 |
$78.00 |
$101.66
|
|
Ductogram sgl duct
|
$2,109.00 |
$2,109.00 |
$2,109.00 |
$413.91
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,789.00 |
$1,789.00 |
$1,789.00 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$3,655.00 |
$3,655.00 |
$3,655.00 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$1,444.77 |
$1,444.77 |
$1,444.77 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$827.00 |
$827.00 |
$827.00 |
$374.00
|
|
Dx bronchoscope/lavage 31624
|
$5,668.00 |
$5,668.00 |
$5,668.00 |
$2,780.40
|
|
Ear irrigation 69209
|
$393.00 |
$393.00 |
$393.00 |
$165.42
|
|
Ecallantide injection
|
$17,228.90 |
$17,228.90 |
$17,228.90 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$537.00 |
$537.00 |
$537.00 |
$245.00
|
|
Echocardiogram (Heart Ultrasound)
|
$6,020.00 |
$6,020.00 |
$6,020.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$1,349.00 |
$1,349.00 |
$1,349.00 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$2,302.00 |
$2,302.00 |
$2,302.00 |
$724.20
|
|
Echo exam of fetal heart
|
$735.00 |
$735.00 |
$735.00 |
$855.38
|
|
Echo exam of fetal heart
|
$735.00 |
$735.00 |
$735.00 |
$503.80
|
|
Echo exam uterus 76831-
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$547.20
|
|
Echograp trans r pros study
|
$4,912.00 |
$4,912.00 |
$4,912.00 |
$459.40
|
|
Echo guidance radiotherapy
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$774.80
|
|
Echo guide for amniocentesis
|
$953.00 |
$953.00 |
$953.00 |
$384.65
|
|
Echo guide villus sampling
|
$953.00 |
$953.00 |
$953.00 |
$355.80
|
|
Echo tee cngntl wo ctrst probe plcmnt
|
$1,807.00 |
$1,807.00 |
$1,807.00 |
$648.84
|
|
Echo tee probe placement image acquisition interpretation & report
|
$3,488.20 |
$3,488.20 |
$3,488.20 |
$1,871.10
|
|
Echo transesophageal
|
$1,807.00 |
$1,807.00 |
$1,807.00 |
$913.33
|
|
Echo transesophageal intraop
|
$1,807.00 |
$1,807.00 |
$1,807.00 |
$1,571.70
|
|
Eculizumab injection
|
$761.02 |
$761.02 |
$761.02 |
$82,163.83
|
|
Edetate calcium disodium inj
|
$3,769.83 |
$3,769.83 |
$3,769.83 |
$6,086.32
|
|
Eeg 41-60 minutes 95812-26
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$956.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,563.00 |
$1,563.00 |
$1,563.00 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$1,067.00 |
$1,067.00 |
$1,067.00 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$704.79
|
|
Eeg without vid 2-12 hr unmntr
|
$1,293.00 |
$1,293.00 |
$1,293.00 |
$586.20
|
|
Eeg without vid ea 12-26hr cont
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$1,353.60
|
|
Eeg without vid ea 12-26hr intmt
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$1,278.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,559.00 |
$1,559.00 |
$1,559.00 |
$639.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$1,251.52
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$1,083.32 |
$1,083.32 |
$1,083.32 |
$158.60
|
|
Egd control bleeding any
|
$4,708.99 |
$4,708.99 |
$4,708.99 |
$2,553.75
|
|
Egd endo mucosal resection
|
$4,691.83 |
$4,691.83 |
$4,691.83 |
$2,433.60
|
|
Egd remove foreign body
|
$4,580.31 |
$4,580.31 |
$4,580.31 |
$1,588.55
|
|
Egd remove lesion snare
|
$4,675.90 |
$4,675.90 |
$4,675.90 |
$2,506.40
|
|
Egd Ultrasound fine needle bx/aspir
|
$4,786.19 |
$4,786.19 |
$4,786.19 |
$2,638.57
|
|
Egfr gene com variants
|
$468.00 |
$468.00 |
$468.00 |
$619.04
|
|
Elec analys infus pump w/reprog 62368
|
$952.00 |
$952.00 |
$952.00 |
$619.45
|
