|
Detect agnt mult dna direc
|
$153.60 |
$153.60 |
$153.60 |
$147.75
|
|
Device ablt adv novasure
|
$14,448.73 |
$14,448.73 |
$14,448.73 |
$6,097.50
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$7,447.80 |
$7,447.80 |
$7,447.80 |
$4,285.86
|
|
Device sut capio slim opn
|
$3,408.11 |
$3,408.11 |
$3,408.11 |
$1,936.74
|
|
Device tiss remov myosure reach
|
$2,759.41 |
$2,759.41 |
$2,759.41 |
$2,529.60
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$241.20 |
$241.20 |
$241.20 |
$227.25
|
|
Dexamethasone 4 mg tablet
|
$3.90 |
$3.90 |
$3.90 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$22.05
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$35.57
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$30.00 |
$30.00 |
$30.00 |
$42.32
|
|
Dextrose 5 % IV bolus
|
$30.00 |
$30.00 |
$30.00 |
$46.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$146.40 |
$146.40 |
$146.40 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$135.60 |
$135.60 |
$135.60 |
$79.30
|
|
Diag laparo separate proc 49320
|
$16,877.26 |
$16,877.26 |
$16,877.26 |
$6,904.15
|
|
Diagnostic Mammogram (both breasts)
|
$483.00 |
$483.00 |
$483.00 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$330.00 |
$330.00 |
$330.00 |
$310.00
|
|
Diagnostic radio unlisted proc
|
$235.80 |
$235.80 |
$235.80 |
$239.25
|
|
Dialysis circuit perm vascular embolization 36909
|
$16,988.40 |
$16,988.40 |
$16,988.40 |
$6,185.00
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$34.38 |
$34.38 |
$34.38 |
$74.02
|
|
Dicyclomine injection
|
$79.56 |
$79.56 |
$79.56 |
$157.16
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$9.00 |
$9.00 |
$9.00 |
$69.88
|
|
Digoxin immune fab 40 mg intravenous solution
|
$13,877.46 |
$13,877.46 |
$13,877.46 |
$8,843.78
|
|
Digoxin total therapeutic drug level
|
$75.60 |
$75.60 |
$75.60 |
$99.35
|
|
Dilator fascial 10fx20cm
|
$945.57 |
$945.57 |
$945.57 |
$402.10
|
|
Dilat xst trc ndurlgc px
|
$2,719.20 |
$2,719.20 |
$2,719.20 |
$4,056.65
|
|
Dilat xst trc new access rcs
|
$2,802.60 |
$2,802.60 |
$2,802.60 |
$4,258.20
|
|
Diltiazem 5 mg/ml intravenous solution
|
$46.56 |
$46.56 |
$46.56 |
$51.12
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$17.38
|
|
Disaccharidases
|
$202.80 |
$202.80 |
$202.80 |
$203.08
|
|
Discography cerv/thor spine
|
$6,629.40 |
$6,629.40 |
$6,629.40 |
$2,360.70
|
|
Dise eval slp do brth flx dx
|
$4,914.05 |
$4,914.05 |
$4,914.05 |
$1,120.00
|
|
#d/lmeth-l-methamphetamine
|
$200.40 |
$200.40 |
$200.40 |
$72.14
|
|
Dmd dup/delet analysis
|
$464.40 |
$464.40 |
$464.40 |
$385.02
|
|
Dna antibody native/double stranded
|
$180.60 |
$180.60 |
$180.60 |
$100.00
|
|
Dna gardnerella
|
$45.60 |
$45.60 |
$45.60 |
$62.50
|
|
Dna probe chlamydia
|
$260.40 |
$260.40 |
$260.40 |
$82.20
|
|
Dna trichomonas
|
$96.00 |
$96.00 |
$96.00 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$159.12 |
$159.12 |
$159.12 |
$99.10
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$775.50 |
$775.50 |
$775.50 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$58.14 |
$58.14 |
$58.14 |
$65.00
|
|
Dornase alfa non-comp unit
|
$545.82 |
$545.82 |
$545.82 |
$350.67
|
|
Dornhoffer fixed part w/window
|
$76,712.34 |
$76,712.34 |
$76,712.34 |
$34,278.00
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,610.16 |
$1,610.16 |
$1,610.16 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$68.04 |
$68.04 |
$68.04 |
$84.33
|
|
Dpyd gene common variants
|
$289.20 |
$289.20 |
$289.20 |
$362.05
|
|
Drainage external ear simple 69000
|
$7,364.28 |
$7,364.28 |
$7,364.28 |
$789.60
|
|
Drainage of kidney lesion
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$1,534.80
|
|
Drain cath image guided peri/retroperitoneal transvag/transrectal
|
$6,246.00 |
$6,246.00 |
$6,246.00 |
$2,595.00
|
|
Drain cath image guided visceral pq
|
$6,246.00 |
$6,246.00 |
$6,246.00 |
$2,881.20
|
|
Drain cerebro spinal fluid 62272
|
$807.60 |
$807.60 |
$807.60 |
$1,044.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$964.80 |
$964.80 |
$964.80 |
$397.15
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$553.80 |
$553.80 |
$553.80 |
$359.20
|
|
Dress/debrid prtl-thick burn l 16030
|
$1,255.20 |
$1,255.20 |
$1,255.20 |
$530.40
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$36,960.07 |
$36,960.07 |
$36,960.07 |
$6,438.00
|
|
Drill hole implt ventricular cath/device 61107
|
$8,526.00 |
$8,526.00 |
$8,526.00 |
$1,603.20
|
|
Drng open retroperitoneal abscess 49060
|
$194.40 |
$194.40 |
$194.40 |
$2,265.00
|
|
Dronabinol 2.5mg oral
|
$32.64 |
$32.64 |
$32.64 |
$6.84
|
|
Droperidol 2.5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$31.07
|
|
Drop lock knee
|
$232.67 |
$232.67 |
$232.67 |
$137.40
|
|
Drop lock retainer each
|
$79.60 |
$79.60 |
$79.60 |
$63.89
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$7,745.71 |
$7,745.71 |
$7,745.71 |
$2,001.24
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$5,135.26 |
$5,135.26 |
$5,135.26 |
$3,374.24
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$20,779.36 |
$20,779.36 |
$20,779.36 |
$94.65
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$4,856.17 |
$4,856.17 |
$4,856.17 |
$189.68
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$29,049.40 |
$29,049.40 |
$29,049.40 |
$94.94
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$41,374.97 |
$41,374.97 |
$41,374.97 |
$7,465.97
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$29,165.59 |
$29,165.59 |
$29,165.59 |
$351.54
|
|
Drug assay caffeine
|
$64.80 |
$64.80 |
$64.80 |
$81.61
|
|
Drug assay posaconazole
|
$64.80 |
$64.80 |
$64.80 |
$91.00
|
|
Drug assay rufinamide
|
$140.40 |
$140.40 |
$140.40 |
$88.20
|
|
Drug assay vedolizumab
|
$165.60 |
$165.60 |
$165.60 |
$136.08
|
|
Drug assay voriconazole
|
$72.00 |
$72.00 |
$72.00 |
$96.75
|
|
Drug of abuse screen urine
|
$116.40 |
$116.40 |
$116.40 |
$59.60
|
|
Drug screen quant tiagabine
|
$132.60 |
$132.60 |
$132.60 |
$107.80
|
|
Drug test def 1-7 classes
|
$316.80 |
$316.80 |
$316.80 |
$263.25
|
|
Drug test prsmv instrmnt
|
$87.60 |
$87.60 |
$87.60 |
$81.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$116.40 |
$116.40 |
$116.40 |
$278.85
|
|
Drvvt confirm - quest
|
$72.00 |
$72.00 |
$72.00 |
$101.66
|
|
Dstrj nulyt agt gnclr nrv
|
$3,042.00 |
$3,042.00 |
$3,042.00 |
$3,091.94
|
|
Ductogram sgl duct
|
$973.20 |
$973.20 |
$973.20 |
$452.50
|
|
Duragen 1x1 5ea/bx
|
$20,202.96 |
$20,202.96 |
$20,202.96 |
$11,009.65
|
|
Durvalumab 50 mg/ml intravenous solution
|
$11,930.58 |
$11,930.58 |
$11,930.58 |
$7,619.12
|
|
Dxa bone density axl vrt fx
|
$204.00 |
$204.00 |
$204.00 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$17,921.77 |
$17,921.77 |
$17,921.77 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$17,213.10 |
$17,213.10 |
$17,213.10 |
$2,447.43
|
|
Dx bronchoscope/wash 31622
|
$11,278.40 |
$11,278.40 |
$11,278.40 |
$2,447.43
|
|
Ear cartilage graft
|
$34,834.80 |
$34,834.80 |
$34,834.80 |
$5,686.18
|
|
Echo exam uterus 76831-
|
$159.60 |
$159.60 |
$159.60 |
$560.50
|
|
Echograp trans r pros study
|
$69.00 |
$69.00 |
$69.00 |
$462.80
|
|
Echo guidance radiotherapy
|
$1,919.40 |
$1,919.40 |
$1,919.40 |
$812.00
|
|
Echo guide for amniocentesis
|
$877.80 |
$877.80 |
$877.80 |
$399.50
|
|
Echo guide for artery repair
|
$1,573.80 |
$1,573.80 |
$1,573.80 |
$660.00
|
|
E equine encephalitis igg
|
$55.20 |
$55.20 |
$55.20 |
$48.73
|
|
Efgartigimod alfa-fcab 20 mg/ml intravenous solution
|
$17,271.18 |
$17,271.18 |
$17,271.18 |
$12,393.28
|
|
Egd control bleeding any
|
$8,908.09 |
$8,908.09 |
$8,908.09 |
$2,553.75
|
|
Egd dilate stricture
|
$6,665.02 |
$6,665.02 |
$6,665.02 |
$2,455.50
|
|
Egd endo mucosal resection
|
$9,182.25 |
$9,182.25 |
$9,182.25 |
$2,430.40
|
|
Egd guide wire insertion
|
$10,747.76 |
$10,747.76 |
$10,747.76 |
$1,664.00
|
|
Egd remove foreign body
|
$5,836.92 |
$5,836.92 |
$5,836.92 |
$1,519.29
|
