|
Diltiazem 5 mg/ml intravenous solution
|
$7.50 |
$7.50 |
$7.50 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$24,373.79 |
$24,373.79 |
$24,373.79 |
$17.75
|
|
Dipyridamole injection
|
$125.94 |
$125.94 |
$125.94 |
$47.87
|
|
Disaccharidases
|
$330.60 |
$330.60 |
$330.60 |
$216.00
|
|
Dise eval slp do brth flx dx
|
$4,161.31 |
$4,161.31 |
$4,161.31 |
$1,120.00
|
|
Dmd dup/delet analysis
|
$496.20 |
$496.20 |
$496.20 |
$404.03
|
|
Dmpk gene detc abnor allele
|
$496.20 |
$496.20 |
$496.20 |
$313.60
|
|
Dna antibody native/double stranded
|
$163.20 |
$163.20 |
$163.20 |
$97.50
|
|
Dna gardnerella
|
$32.40 |
$32.40 |
$32.40 |
$62.50
|
|
Dna probe chlamydia
|
$247.80 |
$247.80 |
$247.80 |
$79.38
|
|
Dna trichomonas
|
$32.40 |
$32.40 |
$32.40 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$149.22 |
$149.22 |
$149.22 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2,179.38 |
$2,179.38 |
$2,179.38 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$100.74 |
$100.74 |
$100.74 |
$65.40
|
|
Dornase alfa non-comp unit
|
$682.26 |
$682.26 |
$682.26 |
$446.75
|
|
Dornhoffer fixed part w/window
|
$102,322.26 |
$102,322.26 |
$102,322.26 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$505.20 |
$505.20 |
$505.20 |
$163.50
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$60,271.68 |
$60,271.68 |
$60,271.68 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$667.86 |
$667.86 |
$667.86 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,903.82 |
$2,903.82 |
$2,903.82 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$134.34 |
$134.34 |
$134.34 |
$84.80
|
|
Dpyd gene common variants
|
$298.20 |
$298.20 |
$298.20 |
$380.50
|
|
Drainage of eye
|
$9,128.04 |
$9,128.04 |
$9,128.04 |
$3,222.78
|
|
Drain neck/chest lesion 21501
|
$5,894.52 |
$5,894.52 |
$5,894.52 |
$3,339.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$399.60 |
$399.60 |
$399.60 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$379.80 |
$379.80 |
$379.80 |
$344.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$49,298.95 |
$49,298.95 |
$49,298.95 |
$8,131.20
|
|
Drill hole implt ventricular cath/device 61107
|
$14,426.40 |
$14,426.40 |
$14,426.40 |
$1,515.00
|
|
Drng of pelvic abscess transrectal 45000
|
$8,613.64 |
$8,613.64 |
$8,613.64 |
$2,111.46
|
|
Dronabinol 2.5mg oral
|
$5.64 |
$5.64 |
$5.64 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$7.50 |
$7.50 |
$7.50 |
$31.07
|
|
Drop lock knee
|
$714.00 |
$714.00 |
$714.00 |
$204.95
|
|
Drop lock retainer each
|
$185.40 |
$185.40 |
$185.40 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$10,331.57 |
$10,331.57 |
$10,331.57 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$6,849.63 |
$6,849.63 |
$6,849.63 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$27,716.42 |
$27,716.42 |
$27,716.42 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$6,477.38 |
$6,477.38 |
$6,477.38 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$38,747.35 |
$38,747.35 |
$38,747.35 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$55,187.74 |
$55,187.74 |
$55,187.74 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$38,902.33 |
$38,902.33 |
$38,902.33 |
$400.98
|
|
Drug assay caffeine
|
$64.80 |
$64.80 |
$64.80 |
$83.40
|
|
Drug assay posaconazole
|
$105.00 |
$105.00 |
$105.00 |
$96.75
|
|
Drug assay rufinamide
|
$140.40 |
$140.40 |
$140.40 |
$85.80
|
|
Drug assay vedolizumab
|
$165.60 |
$165.60 |
$165.60 |
$152.79
|
|
Drug assay voriconazole
|
$105.00 |
$105.00 |
$105.00 |
$96.75
|
|
Drug of abuse screen urine
|
$68.40 |
$68.40 |
$68.40 |
$63.75
|
|
Drug screen quant tiagabine
|
$132.60 |
$132.60 |
$132.60 |
$114.62
|
|
Drug test def 1-7 classes
|
$298.20 |
$298.20 |
$298.20 |
$250.52
|
|
Drug test prsmv instrmnt
|
$11.40 |
$11.40 |
$11.40 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$231.60 |
$231.60 |
$231.60 |
$278.85
|
|
Drvvt confirm - quest
|
$49.80 |
$49.80 |
$49.80 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$6,912.72 |
$6,912.72 |
$6,912.72 |
$3,020.80
|
|
Ductogram sgl duct
|
$851.40 |
$851.40 |
$851.40 |
$463.10
|
|
Duragen 1x1 5ea/bx
|
$26,947.59 |
$26,947.59 |
$26,947.59 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$21,516.30 |
$21,516.30 |
$21,516.30 |
$7,973.90
|
|
Dxa bone density axl vrt fx
|
$153.60 |
$153.60 |
$153.60 |
$392.60
|
|
Dx bronchoscope/brush 31623
|
$13,175.82 |
$13,175.82 |
$13,175.82 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$13,286.94 |
$13,286.94 |
$13,286.94 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$9,873.31 |
$9,873.31 |
$9,873.31 |
$2,322.60
|
|
Ecg 12 lead tracing only
|
$47,505.50 |
$47,505.50 |
$47,505.50 |
$226.50
|
|
E equine encephalitis igg
|
$64.80 |
$64.80 |
$64.80 |
$49.92
|
|
Egd control bleeding any
|
$8,991.57 |
$8,991.57 |
$8,991.57 |
$2,553.75
|
|
Egd dilate stricture
|
$7,101.23 |
$7,101.23 |
$7,101.23 |
$2,244.82
|
|
Egd endo mucosal resection
|
$9,394.31 |
$9,394.31 |
$9,394.31 |
$2,430.40
|
|
Egd endoscopic stent place
|
$37,243.29 |
$37,243.29 |
$37,243.29 |
$3,774.00
|
|
Egd guide wire insertion
|
$4,889.70 |
$4,889.70 |
$4,889.70 |
$1,664.00
|
|
Egd remove foreign body
|
$37,243.29 |
$37,243.29 |
$37,243.29 |
$1,505.50
|
|
Egd remove lesion snare
|
$5,923.80 |
$5,923.80 |
$5,923.80 |
$2,597.25
|
|
Egd Ultrasound exam duodenum/jejunum
|
$5,735.11 |
$5,735.11 |
$5,735.11 |
$2,244.82
|
|
Egd Ultrasound fine needle bx/aspir
|
$6,380.89 |
$6,380.89 |
$6,380.89 |
$2,392.00
|
|
Egd Ultrasound fine needle bx/aspir
|
$10,598.47 |
$10,598.47 |
$10,598.47 |
$2,912.00
|
|
Egd Ultrasound transmural injxn/mark
|
$7,490.41 |
$7,490.41 |
$7,490.41 |
$3,218.80
|
|
Egfr gene com variants
|
$536.40 |
$536.40 |
$536.40 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$93.00 |
$93.00 |
$93.00 |
$93.00
|
|
Electrd sq emblem s-icd
|
$21,418.13 |
$21,418.13 |
$21,418.13 |
$10,243.24
|
|
Electrolyte panel
|
$98.40 |
$98.40 |
$98.40 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$983.41
|
|
Elotuzumab 300 mg intravenous solution
|
$15,505.26 |
$15,505.26 |
$15,505.26 |
$5,523.02
|
|
Embolization s&i
|
$3,253.20 |
$3,253.20 |
$3,253.20 |
$3,199.00
|
|
Embo or occlude vascular arterial s&i
|
$24,169.20 |
$24,169.20 |
$24,169.20 |
$15,768.75
|
|
Embo or occlude vascular hemorrhage s&i
|
$24,169.20 |
$24,169.20 |
$24,169.20 |
$14,586.00
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$24,169.20 |
$24,169.20 |
$24,169.20 |
$14,586.00
|
|
Embo or occlude vascular venous s&i
|
$7,485.00 |
$7,485.00 |
$7,485.00 |
$14,586.00
|
|
Encephalitis, california igg/igm
|
$64.80 |
$64.80 |
$64.80 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$64.80 |
$64.80 |
$64.80 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$64.80 |
$64.80 |
$64.80 |
$53.10
|
|
Endo ak/hip alignable system
|
$1,764.91 |
$1,764.91 |
$1,764.91 |
$1,165.55
|
|
Endo below knee alignable sy
|
$1,213.28 |
$1,213.28 |
$1,213.28 |
$611.88
|
|
Endo bk ultra-light material
|
$1,668.51 |
$1,668.51 |
$1,668.51 |
$1,012.80
|
|
Endo cholangiopancreatograph
|
$29,472.13 |
$29,472.13 |
$29,472.13 |
$4,217.20
|
|
Endo cholangiopancreatograph
|
$8,545.03 |
$8,545.03 |
$8,545.03 |
$4,214.73
|
|
Endo knee-shin frct swg & st
|
$1,880.35 |
$1,880.35 |
$1,880.35 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,602.08 |
$1,602.08 |
$1,602.08 |
$1,602.08
|
|
Endoscopic pancreatoscopy
|
$29,472.13 |
$29,472.13 |
$29,472.13 |
$2,635.20
|
|
Endoscopic Ultrasound exam esoph
|
$4,322.47 |
$4,322.47 |
$4,322.47 |
$2,557.50
|
|
Endoscopy maxillary sinus
|
$34,988.48 |
$34,988.48 |
$34,988.48 |
$7,307.50
|
|
Endo, single, pulmonary
|
$8,135.08 |
$8,135.08 |
$8,135.08 |
$1,046.66
|
|
Endoskel knee-shin mnl lock
|
$1,661.44 |
$1,661.44 |
$1,661.44 |
$1,097.21
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$21,109.68 |
$21,109.68 |
$21,109.68 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$190.08 |
$190.08 |
$190.08 |
$109.71
|
