|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$7.60 |
$7.60 |
$7.60 |
$20.76
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$307.20 |
$307.20 |
$307.20 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$75.60 |
$75.60 |
$75.60 |
$36.05
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$78.40 |
$78.40 |
$78.40 |
$42.25
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$80.80 |
$80.80 |
$80.80 |
$46.35
|
|
Dextrose 5 % IV bolus
|
$76.40 |
$76.40 |
$76.40 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$111.60 |
$111.60 |
$111.60 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$74.40 |
$74.40 |
$74.40 |
$79.30
|
|
Diab manage trn ind/group
|
$93.00 |
$93.00 |
$93.00 |
$54.99
|
|
Diagnostic anoscopy spx 46600
|
$463.20 |
$463.20 |
$463.20 |
$195.50
|
|
Diagnostic laryngoscopy 31575
|
$1,199.40 |
$1,199.40 |
$1,199.40 |
$338.00
|
|
Diagnostic Mammogram (both breasts)
|
$591.60 |
$591.60 |
$591.60 |
$420.35
|
|
Diagnostic Mammogram (one breast)
|
$487.20 |
$487.20 |
$487.20 |
$314.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$0.60 |
$0.60 |
$0.60 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$29.40 |
$29.40 |
$29.40 |
$79.71
|
|
Dicyclomine injection
|
$84.00 |
$84.00 |
$84.00 |
$154.33
|
|
Diffusing capacity
|
$145.80 |
$145.80 |
$145.80 |
$336.80
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$12.80 |
$12.80 |
$12.80 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$8,382.60 |
$8,382.60 |
$8,382.60 |
$10,279.62
|
|
Digoxin total therapeutic drug level
|
$89.40 |
$89.40 |
$89.40 |
$102.07
|
|
Dilate esophagus 1/mult pass
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$1,548.00
|
|
Dilator fascial 10fx20cm
|
$232.20 |
$232.20 |
$232.20 |
$402.10
|
|
Dimenhydrinate injection
|
$12.80 |
$12.80 |
$12.80 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$208.80 |
$208.80 |
$208.80 |
$1,258.20
|
|
Diphenhydramine 12.5 mg/5 ml oral elixir
|
$9.60 |
$9.60 |
$9.60 |
$1.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$8.60 |
$8.60 |
$8.60 |
$18.32
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$24.60 |
$24.60 |
$24.60 |
$98.15
|
|
Disability dlco
|
$190.20 |
$190.20 |
$190.20 |
$293.76
|
|
Disaccharidases
|
$163.80 |
$163.80 |
$163.80 |
$230.40
|
|
Dna antibody native/double stranded
|
$60.00 |
$60.00 |
$60.00 |
$100.00
|
|
Dna gardnerella
|
$175.80 |
$175.80 |
$175.80 |
$61.83
|
|
Dna trichomonas
|
$183.60 |
$183.60 |
$183.60 |
$63.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$297.00 |
$297.00 |
$297.00 |
$95.06
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$94.40 |
$94.40 |
$94.40 |
$949.39
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$28.20 |
$28.20 |
$28.20 |
$65.40
|
|
Doppler intravascular pressure flow initial vessel
|
$1,242.60 |
$1,242.60 |
$1,242.60 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$425.40 |
$425.40 |
$425.40 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$339.60 |
$339.60 |
$339.60 |
$481.65
|
|
Dornase alfa non-comp unit
|
$104.80 |
$104.80 |
$104.80 |
$356.00
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$565.80 |
$565.80 |
$565.80 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$358.40 |
$358.40 |
$358.40 |
$450.14
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,812.00 |
$1,812.00 |
$1,812.00 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$0.60 |
$0.60 |
$0.60 |
$89.34
|
|
Dpyd gene common variants
|
$2,524.20 |
$2,524.20 |
$2,524.20 |
$423.60
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$824.40 |
$824.40 |
$824.40 |
$800.00
|
|
Drainage external ear simple 69000
|
$1,134.60 |
$1,134.60 |
$1,134.60 |
$790.40
|
|
Drainage of arm bursa 23931
|
$2,183.40 |
$2,183.40 |
$2,183.40 |
$2,271.01
|
|
Drainage of kidney lesion
|
$2,056.80 |
$2,056.80 |
$2,056.80 |
$1,506.00
|
|
Drainage of mouth lesion
|
$3,430.80 |
$3,430.80 |
$3,430.80 |
$3,837.72
|
|
Drainage of mouth lesion
|
$3,379.20 |
$3,379.20 |
$3,379.20 |
$3,459.00
|
|
Drain blood from under nail 11740
|
$276.00 |
$276.00 |
$276.00 |
$182.40
|
|
Drain cath image guided visceral pq
|
$7,281.60 |
$7,281.60 |
$7,281.60 |
$2,903.44
|
|
Drain cerebro spinal fluid 62272
|
$3,449.40 |
$3,449.40 |
$3,449.40 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$194.40 |
$194.40 |
$194.40 |
$428.40
|
|
Drain thigh/knee lesion 27301
|
$5,469.60 |
$5,469.60 |
$5,469.60 |
$3,986.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$866.40 |
$866.40 |
$866.40 |
$397.65
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$529.20 |
$529.20 |
$529.20 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$3,570.00 |
$3,570.00 |
$3,570.00 |
$541.00
|
|
Drng of eyelid abscess 67700
|
$7,063.80 |
$7,063.80 |
$7,063.80 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$3,017.40 |
$3,017.40 |
$3,017.40 |
$2,079.50
|
|
Drng of scrotum abscess 55100
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$1,997.89
|
|
Droperidol 2.5 mg/ml injection solution
|
$22.80 |
$22.80 |
$22.80 |
$31.25
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$2,118.60 |
$2,118.60 |
$2,118.60 |
$1,818.32
|
|
Drug assay vedolizumab
|
$126.60 |
$126.60 |
$126.60 |
$154.00
|
|
Drug asy hydroxychloroquine
|
$57.60 |
$57.60 |
$57.60 |
$66.43
|
|
Drug test def 1-7 classes
|
$239.40 |
$239.40 |
$239.40 |
$263.25
|
|
Drug test def 8-14 classes
|
$239.40 |
$239.40 |
$239.40 |
$289.80
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$239.40 |
$239.40 |
$239.40 |
$278.85
|
|
Drvvt confirm - quest
|
$163.80 |
$163.80 |
$163.80 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$1,400.40 |
$1,400.40 |
$1,400.40 |
$2,980.00
|
|
Duplex scan bilateral study 93985
|
$1,662.00 |
$1,662.00 |
$1,662.00 |
$691.08
|
|
Duplex scan unilateral study 93986
|
$831.00 |
$831.00 |
$831.00 |
$369.20
|
|
Dup scan/hemodialysis access 93990
|
$498.00 |
$498.00 |
$498.00 |
$489.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$490.20 |
$490.20 |
$490.20 |
$904.78
|
|
Durvalumab 50 mg/ml intravenous solution
|
$200.40 |
$200.40 |
$200.40 |
$8,445.90
|
|
Dxa bone density axl vrt fx
|
$151.80 |
$151.80 |
$151.80 |
$401.20
|
|
Dx bronchoscope/lavage 31624
|
$4,661.40 |
$4,661.40 |
$4,661.40 |
$2,446.60
|
|
Dx bronchoscope/wash 31622
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$2,410.50
|
|
Ear irrigation 69209
|
$79.80 |
$79.80 |
$79.80 |
$154.70
|
|
Ecg < 30 days transmission & analysis
|
$855.60 |
$855.60 |
$855.60 |
$412.88
|
|
Ecg external < 48 hours recording
|
$235.80 |
$235.80 |
$235.80 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$404.40 |
$404.40 |
$404.40 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$66.00 |
$66.00 |
$66.00 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$63.00 |
$63.00 |
$63.00 |
$173.40
|
|
Echocardiogram (Heart Ultrasound)
|
$1,820.40 |
$1,820.40 |
$1,820.40 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$691.20 |
$691.20 |
$691.20 |
$720.60
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,820.40 |
$1,820.40 |
$1,820.40 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$691.20 |
$691.20 |
$691.20 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$324.00 |
$324.00 |
$324.00 |
$371.25
|
|
Echograp trans r pros study
|
$576.60 |
$576.60 |
$576.60 |
$468.00
|
|
Echo guidance radiotherapy
|
$3,656.40 |
$3,656.40 |
$3,656.40 |
$812.00
|
|
Echo stress
|
$626.40 |
$626.40 |
$626.40 |
$1,609.44
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$1,913.60
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,025.40 |
$1,025.40 |
$1,025.40 |
$1,033.00
|
|
Ecmo/ecls initiation artery 33947
|
$1,554.60 |
$1,554.60 |
$1,554.60 |
$3,950.10
|
|
Ecmo/ecls insj prph cannula 6yrs&older perq 33952
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$2,660.16
|
|
Edetate disodium per 150 mg
|
$28.80 |
$28.80 |
$28.80 |
$221.20
|
|
Eeg during surgery
|
$604.80 |
$604.80 |
$604.80 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$584.40 |
$584.40 |
$584.40 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$627.00 |
$627.00 |
$627.00 |
$1,119.54
|
