|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$189.51 |
$189.51 |
$224.34 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,895.82 |
$4,895.82 |
$4,895.82 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$23.25 |
$23.25 |
$23.25 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$107.81 |
$107.81 |
$189.44 |
$297.86
|
|
Dilate biliary duct/ampulla
|
$841.05 |
$841.05 |
$841.05 |
$1,866.73
|
|
Dilate urethra stricture
|
$212.25 |
$212.25 |
$212.25 |
$490.00
|
|
Dilation of cervical canal 57800
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$4,376.00
|
|
Dilator fascial 10fx20cm
|
$388.60 |
$388.60 |
$388.60 |
$402.10
|
|
Dimecaprol injection
|
$357.22 |
$357.22 |
$357.22 |
$293.38
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$2.93 |
$2.93 |
$6.72 |
$17.75
|
|
Disability dlco
|
$47.55 |
$47.55 |
$47.55 |
$282.40
|
|
Disaccharidases
|
$31.65 |
$31.65 |
$31.65 |
$216.00
|
|
Dissolve clot heart vessel
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$1,579.93
|
|
Dmd dup/delet analysis
|
$219.15 |
$219.15 |
$219.15 |
$404.03
|
|
Dna antibody native/double stranded
|
$24.00 |
$24.00 |
$24.00 |
$97.50
|
|
Dna gardnerella
|
$35.10 |
$35.10 |
$35.10 |
$62.50
|
|
Dna trichomonas
|
$35.10 |
$35.10 |
$35.10 |
$67.80
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$24.08 |
$24.08 |
$24.08 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,758.63 |
$1,758.63 |
$1,758.63 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$8.58 |
$8.58 |
$13.85 |
$65.40
|
|
Doppler echo complete
|
$224.25 |
$224.25 |
$224.25 |
$540.00
|
|
Doppler intravascular pressure flow initial vessel
|
$513.90 |
$513.90 |
$513.90 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$252.45 |
$252.45 |
$252.45 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$229.50 |
$229.50 |
$229.50 |
$471.17
|
|
Dornase alfa non-comp unit
|
$24.33 |
$24.33 |
$24.33 |
$446.75
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$354.66 |
$354.66 |
$354.66 |
$423.95
|
|
Dpyd gene common variants
|
$224.40 |
$224.40 |
$224.40 |
$380.50
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$66.45 |
$66.45 |
$66.45 |
$800.00
|
|
Drainage external ear simple 69000
|
$56.70 |
$56.70 |
$56.70 |
$789.60
|
|
Drainage lymph node lesion 38300
|
$900.45 |
$900.45 |
$900.45 |
$3,088.80
|
|
Drainage mouth roof lesion
|
$147.45 |
$147.45 |
$147.45 |
$390.39
|
|
Drainage of kidney lesion
|
$369.45 |
$369.45 |
$369.45 |
$1,506.00
|
|
Drainage of urethra abscess 53060
|
$877.35 |
$877.35 |
$877.35 |
$2,424.12
|
|
Drain blood from under nail 11740
|
$40.95 |
$40.95 |
$40.95 |
$170.50
|
|
Drain cath image guided visceral pq
|
$1,161.30 |
$1,161.30 |
$1,161.30 |
$2,850.35
|
|
Drain cerebro spinal fluid 62272
|
$363.60 |
$363.60 |
$363.60 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$130.95 |
$130.95 |
$130.95 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$228.60 |
$228.60 |
$228.60 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$75.90 |
$75.90 |
$75.90 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$102.00 |
$102.00 |
$102.00 |
$523.00
|
|
Drill hole implt ventricular cath/device 61107
|
$267.30 |
$267.30 |
$267.30 |
$1,515.00
|
|
Drng of eyelid abscess 67700
|
$205.50 |
$205.50 |
$205.50 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$709.80 |
$709.80 |
$709.80 |
$1,943.50
|
|
Drng of hydrocele 55000
|
$313.20 |
$313.20 |
$313.20 |
$832.60
|
|
Drng of scrotum abscess 55100
|
$356.25 |
$356.25 |
$356.25 |
$1,917.33
|
|
Droperidol 2.5 mg/ml injection solution
|
$2.93 |
$2.93 |
$21.06 |
$31.07
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$4.50 |
$4.50 |
$4.50 |
$127.14
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$217.53 |
$217.53 |
$217.53 |
$8,040.27
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$0.15 |
$0.15 |
$0.15 |
$3.11
|
|
Drug assay posaconazole
|
$21.30 |
$21.30 |
$21.30 |
$96.75
|
|
Drug assay rufinamide
|
$34.80 |
$34.80 |
$34.80 |
$85.80
|
|
Drug assay vedolizumab
|
$33.45 |
$33.45 |
$33.45 |
$152.79
|
|
Drug assay voriconazole
|
$34.80 |
$34.80 |
$34.80 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$14.70 |
$14.70 |
$14.70 |
$66.43
|
|
Drug of abuse screen urine
|
$19.20 |
$19.20 |
$19.20 |
$63.75
|
|
Drug screening tapentadol
|
$14.70 |
$14.70 |
$14.70 |
$36.00
|
|
Drug test def 15-21 classes
|
$213.00 |
$213.00 |
$213.00 |
$263.25
|
|
Drug test def 1-7 classes
|
$102.60 |
$102.60 |
$102.60 |
$250.52
|
|
Drug test def 22+ classes
|
$276.30 |
$276.30 |
$276.30 |
$423.00
|
|
Drug test def 8-14 classes
|
$157.80 |
$157.80 |
$157.80 |
$282.00
|
|
Drug test prsmv instrmnt
|
$25.65 |
$25.65 |
$25.65 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$102.45 |
$102.45 |
$102.45 |
$278.85
|
|
Drvvt confirm - quest
|
$15.75 |
$15.75 |
$15.75 |
$109.20
|
|
Dstrj nulyt agt gnclr nrv
|
$831.60 |
$831.60 |
$831.60 |
$3,020.80
|
|
Ductogram sgl duct
|
$153.90 |
$153.90 |
$153.90 |
$463.10
|
|
Duplex scan bilateral study 93985
|
$476.25 |
$476.25 |
$476.25 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$317.55 |
$317.55 |
$317.55 |
$360.75
|
|
Dup scan/hemodialysis access 93990
|
$229.50 |
$229.50 |
$229.50 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$229.50 |
$229.50 |
$229.50 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$344.25 |
$344.25 |
$344.25 |
$887.25
|
|
Durvalumab 50 mg/ml intravenous solution
|
$5,099.45 |
$5,099.45 |
$5,099.45 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$710.40 |
$710.40 |
$710.40 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$784.20 |
$784.20 |
$784.20 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$531.15 |
$531.15 |
$531.15 |
$2,322.60
|
|
Ear irrigation 69209
|
$48.30 |
$48.30 |
$48.30 |
$149.76
|
|
Ecg 12 lead tracing only
|
$70.95 |
$70.95 |
$70.95 |
$226.50
|
|
Ecg external < 48 hours recording
|
$247.50 |
$247.50 |
$247.50 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$247.50 |
$247.50 |
$247.50 |
$541.20
|
|
Ecg external > 48 hours up to 7 days recording
|
$161.85 |
$161.85 |
$161.85 |
$147.28
|
|
Ecg external >7 days up to 15 days recording
|
$161.85 |
$161.85 |
$161.85 |
$161.85
|
|
Echocardiogram (Heart Ultrasound)
|
$448.35 |
$448.35 |
$448.35 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$112.20 |
$112.20 |
$112.20 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$473.85 |
$473.85 |
$473.85 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$175.35 |
$175.35 |
$175.35 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$289.50 |
$289.50 |
$289.50 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$103.50 |
$103.50 |
$103.50 |
$362.50
|
|
Echo exam of fetal heart
|
$144.00 |
$144.00 |
$144.00 |
$939.00
|
|
Echo exam of fetal heart
|
$144.00 |
$144.00 |
$144.00 |
$524.55
|
|
Echo exam of fetal heart
|
$101.55 |
$101.55 |
$101.55 |
$431.41
|
|
Echo exam of fetal heart
|
$101.55 |
$101.55 |
$101.55 |
$323.40
|
|
Echo guide for amniocentesis
|
$101.55 |
$101.55 |
$101.55 |
$456.30
|
|
Echo guide for artery repair
|
$166.35 |
$166.35 |
$166.35 |
$664.00
|
|
Echo stress
|
$448.35 |
$448.35 |
$448.35 |
$1,592.05
|
|
Echo tee guidance
|
$324.75 |
$324.75 |
$324.75 |
$1,821.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$448.35 |
$448.35 |
$448.35 |
$1,849.50
|
|
Echo transesophageal
|
$293.10 |
$293.10 |
$293.10 |
$1,559.35
|
|
Echo transthoracic
|
$448.35 |
$448.35 |
$448.35 |
$1,361.75
|
|
Echo transthoracic
|
$209.55 |
$209.55 |
$209.55 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$306.45 |
$306.45 |
$306.45 |
$985.15
|
|
Ecmo/ecls daily mgmt artery 33949
|
$413.40 |
$413.40 |
$413.40 |
$2,560.67
|