|
Dextrose 5 % and lactated ringers intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$30.00 |
$30.00 |
$30.00 |
$47.48
|
|
Dhea-s (dehydroepiand sulfate)
|
$82.95 |
$82.95 |
$82.95 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$133.20 |
$133.20 |
$133.20 |
$79.20
|
|
Diab shoe for density insert
|
$147.56 |
$147.56 |
$147.56 |
$147.56
|
|
Diatrizoate meglumine 18 % urethral solution
|
$900.00 |
$900.00 |
$900.00 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$84.83 |
$84.83 |
$84.83 |
$74.76
|
|
Dicyclomine injection
|
$90.79 |
$90.79 |
$90.79 |
$153.29
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$297.50 |
$297.50 |
$297.50 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,553.01 |
$4,553.01 |
$4,553.01 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$284.70 |
$284.70 |
$284.70 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$322.92 |
$322.92 |
$322.92 |
$297.86
|
|
Dilate esophagus 1/mult pass
|
$562.65 |
$562.65 |
$562.65 |
$1,484.17
|
|
Dilator fascial 10fx20cm
|
$596.68 |
$596.68 |
$596.68 |
$402.10
|
|
Dimenhydrinate injection
|
$31.55 |
$31.55 |
$31.55 |
$30.48
|
|
Dimethyl sulfoxide 50% 50 ml
|
$27.53 |
$27.53 |
$27.53 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$6.00 |
$6.00 |
$6.00 |
$17.75
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$151.14 |
$151.14 |
$151.14 |
$91.53
|
|
Disaccharidases
|
$642.75 |
$642.75 |
$642.75 |
$216.00
|
|
Dna antibody native/double stranded
|
$164.55 |
$164.55 |
$164.55 |
$97.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$100.80 |
$100.80 |
$100.80 |
$98.43
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,105.40 |
$1,105.40 |
$1,105.40 |
$904.81
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$57.75 |
$57.75 |
$57.75 |
$65.40
|
|
Dornhoffer fixed part w/window
|
$34,278.00 |
$34,278.00 |
$34,278.00 |
$34,278.00
|
|
Dorsi & plantar flex ass/res
|
$163.50 |
$163.50 |
$163.50 |
$163.50
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$526.65 |
$526.65 |
$526.65 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,312.74 |
$1,312.74 |
$1,312.74 |
$1,718.24
|
|
Drain blood from under nail 11740
|
$97.35 |
$97.35 |
$97.35 |
$170.50
|
|
Drain finger abscess;simple 26010
|
$258.15 |
$258.15 |
$258.15 |
$419.00
|
|
Drain ostomy pouch w/flange
|
$7.86 |
$7.86 |
$7.86 |
$8.80
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$388.88 |
$388.88 |
$388.88 |
$8,131.20
|
|
Drng of eyelid abscess 67700
|
$360.45 |
$360.45 |
$360.45 |
$648.00
|
|
Dronabinol 2.5mg oral
|
$6.84 |
$6.84 |
$6.84 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$31.07
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$9,216.00 |
$9,216.00 |
$9,216.00 |
$1,956.48
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$53.27 |
$53.27 |
$53.27 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$289.05 |
$289.05 |
$289.05 |
$289.05
|
|
Drsg surg adh 11x11 3/4 occl drap wnd 28x30
|
$19.10 |
$19.10 |
$19.10 |
$19.10
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$409.86 |
$409.86 |
$409.86 |
$8,040.27
|
|
Drsg wound/burn 18x10cm suprathel resorb cost per sq cm
|
$3.11 |
$3.11 |
$3.11 |
$3.11
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$400.98 |
$400.98 |
$400.98 |
$400.98
|
|
Drug assay caffeine
|
$99.15 |
$99.15 |
$99.15 |
$83.40
|
|
Drug test def 1-7 classes
|
$396.00 |
$396.00 |
$396.00 |
$250.52
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$234.00 |
$234.00 |
$234.00 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$3,138.15 |
$3,138.15 |
$3,138.15 |
$3,020.80
|
|
Duragen 1x1 5ea/bx
|
$95.40 |
$95.40 |
$95.40 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$7,973.90 |
$7,973.90 |
$7,973.90 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$1,034.70 |
$1,034.70 |
$1,034.70 |
$2,365.20
|
|
Dx bronchoscope/wash 31622
|
$2,137.05 |
$2,137.05 |
$2,137.05 |
$2,322.60
|
|
Ear irrigation 69209
|
$111.30 |
$111.30 |
$111.30 |
$149.76
|
|
Ecallantide injection
|
$32,909.78 |
$32,909.78 |
$32,909.78 |
$13,353.39
|
|
Ecg 12 lead tracing only
|
$205.35 |
$205.35 |
$205.35 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$164.55 |
$164.55 |
$164.55 |
$135.80
|
|
Echocardiography transthoracic 2d followup/limited
|
$488.55 |
$488.55 |
$488.55 |
$703.25
|
|
Echo guide for amniocentesis
|
$568.35 |
$568.35 |
$568.35 |
$456.30
|
|
Echo transesophageal
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$1,559.35
|
|
Eculizumab injection
|
$12,915.54 |
$12,915.54 |
$12,915.54 |
$17,032.68
|
|
Eeg during surgery
|
$467.85 |
$467.85 |
$467.85 |
$797.30
|
|
Eeg over 1 hour 95813 - 26
|
$2,239.80 |
$2,239.80 |
$2,239.80 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$1,317.15 |
$1,317.15 |
$1,317.15 |
$907.80
|
|
E equine encephalitis igg
|
$116.40 |
$116.40 |
$116.40 |
$49.92
|
|
Egd control bleeding any
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,553.75
|
|
Egd injection varices
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd lesion ablation
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd remove foreign body
|
$731.70 |
$731.70 |
$731.70 |
$1,505.50
|
|
Egd remove lesion snare
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,597.25
|
|
Egd/remov tum/polyp/hot bx forcep 43250
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd Ultrasound exam duodenum/jejunum
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egd varices ligation
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,244.82
|
|
Egfr gene com variants
|
$1,543.20 |
$1,543.20 |
$1,543.20 |
$657.00
|
|
Electrd sq emblem s-icd
|
$18,003.00 |
$18,003.00 |
$18,003.00 |
$10,243.24
|
|
Electrolyte panel
|
$193.35 |
$193.35 |
$193.35 |
$84.24
|
|
Electron microscopy diagnostic
|
$729.15 |
$729.15 |
$729.15 |
$983.41
|
|
Elosulfase alfa, injection
|
$2,760.12 |
$2,760.12 |
$2,760.12 |
$2,635.83
|
|
Elotuzumab 300 mg intravenous solution
|
$4,330.84 |
$4,330.84 |
$4,330.84 |
$5,523.02
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$508.20 |
$508.20 |
$508.20 |
$375.20
|
|
Emg cranial nerve bilateral
|
$710.40 |
$710.40 |
$710.40 |
$500.49
|
|
Emg needle test 1-extremity
|
$294.90 |
$294.90 |
$294.90 |
$334.34
|
|
Emg needle test 4-extremities
|
$914.10 |
$914.10 |
$914.10 |
$547.00
|
|
Encephalitis, california igg/igm
|
$116.40 |
$116.40 |
$116.40 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$116.40 |
$116.40 |
$116.40 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$116.40 |
$116.40 |
$116.40 |
$53.10
|
|
Endoscopic Ultrasound exam esoph
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$2,557.50
|
|
Enfortumab vedotin-ejfv 20 mg intravenous solution
|
$5,452.92 |
$5,452.92 |
$5,452.92 |
$8,452.00
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$93.92 |
$93.92 |
$93.92 |
$109.71
|
|
Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution
|
$30,598.85 |
$30,598.85 |
$30,598.85 |
$30,598.85
|
|
Epidural/lumbar/sacral/ea add level64484
|
$741.45 |
$741.45 |
$741.45 |
$1,141.80
|
|
Epidural lysis mult sessions
|
$2,440.50 |
$2,440.50 |
$2,440.50 |
$2,440.50
|
|
Epidural lysis on single day 62264
|
$1,393.80 |
$1,393.80 |
$1,393.80 |
$2,202.48
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$491.04 |
$491.04 |
$491.04 |
$248.81
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$873.58 |
$873.58 |
$873.58 |
$809.08
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$2,116.62 |
$2,116.62 |
$2,116.62 |
$1,289.71
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$121.99 |
$121.99 |
$121.99 |
$129.30
|
|
Epstein barr early antigen antibody
|
$43.65 |
$43.65 |
$43.65 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$43.65 |
$43.65 |
$43.65 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$110.55 |
$110.55 |
$110.55 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$1,077.29 |
$1,077.29 |
$1,077.29 |
$393.98
|
|
Ercp biliary & pancreas
|
$1,035.30 |
$1,035.30 |
$1,035.30 |
$967.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$277.91 |
$277.91 |
$277.91 |
$222.98
|
