|
Diltiazem 5 mg/ml intravenous solution
|
$92.66 |
$92.66 |
$92.66 |
$60.25
|
|
Dimenhydrinate injection
|
$38.90 |
$38.90 |
$38.90 |
$24.68
|
|
Dimethyl sulfoxide 50% 50 ml
|
$2,221.08 |
$2,221.08 |
$2,221.08 |
$1,155.52
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$25.12 |
$25.12 |
$25.12 |
$26.87
|
|
Disability dlco
|
$216.45 |
$216.45 |
$216.45 |
$307.58
|
|
Disaccharidases
|
$702.00 |
$702.00 |
$702.00 |
$223.80
|
|
Discography cerv/thor spine
|
$2,580.50 |
$2,580.50 |
$2,580.50 |
$2,404.00
|
|
#d/lmeth-l-methamphetamine
|
$13.65 |
$13.65 |
$13.65 |
$72.14
|
|
Dlyd plmt xtn prosth ea addl
|
$6,815.90 |
$6,815.90 |
$6,815.90 |
$2,001.55
|
|
Dmd dup/delet analysis
|
$2,683.20 |
$2,683.20 |
$2,683.20 |
$385.02
|
|
Dmpk gene detc abnor allele
|
$2,177.50 |
$2,177.50 |
$2,177.50 |
$318.75
|
|
Dna antibody native/double stranded
|
$121.55 |
$121.55 |
$121.55 |
$102.60
|
|
Dna gardnerella
|
$67.60 |
$67.60 |
$67.60 |
$67.68
|
|
Dna probe chlamydia
|
$24.05 |
$24.05 |
$24.05 |
$82.20
|
|
Dna probe gc
|
$119.60 |
$119.60 |
$119.60 |
$88.67
|
|
Dna trichomonas
|
$54.60 |
$54.60 |
$54.60 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$68.15 |
$68.15 |
$68.15 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$261.85 |
$261.85 |
$261.85 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$78.39 |
$78.39 |
$78.39 |
$84.30
|
|
Doppler echo complete
|
$186.55 |
$186.55 |
$186.55 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$1,419.60 |
$1,419.60 |
$1,419.60 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$501.15 |
$501.15 |
$501.15 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$399.10 |
$399.10 |
$399.10 |
$482.03
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$85.96 |
$85.96 |
$85.96 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$3,190.14 |
$3,190.14 |
$3,190.14 |
$2,417.38
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$71.66 |
$71.66 |
$71.66 |
$99.99
|
|
Dpyd gene common variants
|
$1,340.30 |
$1,340.30 |
$1,340.30 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$455.00 |
$455.00 |
$455.00 |
$820.50
|
|
Drainage external ear simple 69000
|
$910.00 |
$910.00 |
$910.00 |
$809.25
|
|
Drainage of kidney lesion
|
$3,036.80 |
$3,036.80 |
$3,036.80 |
$1,706.65
|
|
Drain blood from under nail 11740
|
$230.10 |
$230.10 |
$230.10 |
$190.33
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$4,102.15 |
$4,102.15 |
$4,102.15 |
$2,614.66
|
|
Drain cath image guided visceral pq
|
$4,102.15 |
$4,102.15 |
$4,102.15 |
$3,073.90
|
|
Drain cerebro spinal fluid 62272
|
$1,201.85 |
$1,201.85 |
$1,201.85 |
$1,113.06
|
|
Drain finger abscess;simple 26010
|
$542.10 |
$542.10 |
$542.10 |
$492.81
|
|
Drain lower leg lesion 27603
|
$3,290.30 |
$3,290.30 |
$3,290.30 |
$3,631.18
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$352.95 |
$352.95 |
$352.95 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$143.65 |
$143.65 |
$143.65 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$379.60 |
$379.60 |
$379.60 |
$554.40
|
|
Drng of eyelid abscess 67700
|
$488.15 |
$488.15 |
$488.15 |
$747.00
|
|
Drng of finger abscess comp 26011
|
$1,031.55 |
$1,031.55 |
$1,031.55 |
$2,048.00
|
|
Drng of hydrocele 55000
|
$876.20 |
$876.20 |
$876.20 |
$832.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$24.57 |
$24.57 |
$24.57 |
$39.60
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$709.46 |
$709.46 |
$709.46 |
$1,778.40
|
|
Drug admin & hemodynmic meas
|
$505.05 |
$505.05 |
$505.05 |
$528.50
|
|
Drug assay caffeine
|
$114.40 |
$114.40 |
$114.40 |
$81.61
|
|
Drug assay posaconazole
|
$127.40 |
$127.40 |
$127.40 |
$96.39
|
|
Drug assay rufinamide
|
$85.80 |
$85.80 |
$85.80 |
$93.60
|
|
Drug assay vedolizumab
|
$900.25 |
$900.25 |
$900.25 |
$164.16
|
|
Drug assay voriconazole
|
$200.20 |
$200.20 |
$200.20 |
$96.75
|
|
Drug of abuse screen urine
|
$92.95 |
$92.95 |
$92.95 |
$63.75
|
|
Drug screen quant tiagabine
|
$114.40 |
$114.40 |
$114.40 |
$91.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$622.05 |
$622.05 |
$622.05 |
$278.85
|
|
Drvvt confirm - quest
|
$390.00 |
$390.00 |
$390.00 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$3,268.20 |
$3,268.20 |
$3,268.20 |
$3,390.00
|
|
Ductogram sgl duct
|
$469.30 |
$469.30 |
$469.30 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$491.40 |
$491.40 |
$491.40 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$491.40 |
$491.40 |
$491.40 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$609.70 |
$609.70 |
$609.70 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$567.45 |
$567.45 |
$567.45 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$805.35 |
$805.35 |
$805.35 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$2,832.47 |
$2,832.47 |
$2,832.47 |
$10,021.12
|
|
Dxa bone density axl vrt fx
|
$295.10 |
$295.10 |
$295.10 |
$374.00
|
|
Dx bronchoscope/brush 31623
|
$2,839.85 |
$2,839.85 |
$2,839.85 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$2,934.10 |
$2,934.10 |
$2,934.10 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,655.25 |
$2,655.25 |
$2,655.25 |
$2,587.60
|
|
Ear irrigation 69209
|
$669.50 |
$669.50 |
$669.50 |
$165.42
|
|
Ecg 12 lead tracing only
|
$109.20 |
$109.20 |
$109.20 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$146.90 |
$146.90 |
$146.90 |
$129.83
|
|
Ecg external < 48 hours recording
|
$375.05 |
$375.05 |
$375.05 |
$461.76
|
|
Ecg external > 48 hours up to 7 days recording
|
$375.05 |
$375.05 |
$375.05 |
$162.78
|
|
Ecg external >7 days up to 15 days recording
|
$375.05 |
$375.05 |
$375.05 |
$200.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$130.00 |
$130.00 |
$130.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$2,027.90
|
|
Echocardiography transthoracic 2d followup/limited
|
$932.10 |
$932.10 |
$932.10 |
$724.20
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$932.10 |
$932.10 |
$932.10 |
$762.00
|
|
Echocardiograpy doppler follow up/limited study
|
$145.60 |
$145.60 |
$145.60 |
$353.46
|
|
Echo exam of fetal heart
|
$878.15 |
$878.15 |
$878.15 |
$855.38
|
|
Echo exam of fetal heart
|
$351.00 |
$351.00 |
$351.00 |
$503.80
|
|
Echo exam of fetal heart
|
$488.15 |
$488.15 |
$488.15 |
$431.41
|
|
Echo exam of fetal heart
|
$198.90 |
$198.90 |
$198.90 |
$323.40
|
|
Echo exam uterus 76831-
|
$507.65 |
$507.65 |
$507.65 |
$547.20
|
|
Echograp trans r pros study
|
$557.05 |
$557.05 |
$557.05 |
$459.40
|
|
Echo guidance radiotherapy
|
$534.95 |
$534.95 |
$534.95 |
$774.80
|
|
Echo guide for amniocentesis
|
$219.05 |
$219.05 |
$219.05 |
$384.65
|
|
Echo guide for artery repair
|
$384.80 |
$384.80 |
$384.80 |
$680.28
|
|
Echo guide for transfusion
|
$405.60 |
$405.60 |
$405.60 |
$324.60
|
|
Echo guide villus sampling
|
$156.00 |
$156.00 |
$156.00 |
$355.80
|
|
Echo stress
|
$1,602.90 |
$1,602.90 |
$1,602.90 |
$1,582.75
|
|
Echo tee guidance
|
$1,509.30 |
$1,509.30 |
$1,509.30 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,589.90 |
$1,589.90 |
$1,589.90 |
$1,871.10
|
|
Echo transesophageal
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$913.33
|
|
Echo transesophageal
|
$1,399.45 |
$1,399.45 |
$1,399.45 |
$1,734.10
|
|
Echo transthoracic
|
$1,746.55 |
$1,746.55 |
$1,746.55 |
$1,492.50
|
|
Echo transthoracic
|
$1,225.25 |
$1,225.25 |
$1,225.25 |
$953.10
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$26,989.30 |
$26,989.30 |
$26,989.30 |
$4,331.00
|
|
Eculizumab 300 mg/30 ml intravenous solution
|
$17,641.10 |
$17,641.10 |
$17,641.10 |
$18,038.06
|
|
Eeg 41-60 minutes 95812-26
|
$1,233.70 |
$1,233.70 |
$1,233.70 |
$956.45
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$2,473.25 |
$2,473.25 |
$2,473.25 |
$1,049.59
|
