|
Dexamethasone 4 mg tablet
|
$11.94 |
$11.94 |
$11.94 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$21.17
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$2,172.10 |
$2,172.10 |
$2,172.10 |
$858.00
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$172.80 |
$172.80 |
$172.80 |
$38.08
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$172.80 |
$172.80 |
$172.80 |
$45.40
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$109.80 |
$109.80 |
$109.80 |
$47.48
|
|
Dextrose 5 % IV bolus
|
$172.80 |
$172.80 |
$172.80 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$83.70 |
$83.70 |
$83.70 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$211.50 |
$211.50 |
$211.50 |
$79.20
|
|
Diagnostic anoscopy spx 46600
|
$48.60 |
$48.60 |
$48.60 |
$190.68
|
|
Diagnostic laryngoscopy 31575
|
$74.70 |
$74.70 |
$74.70 |
$331.58
|
|
Diagnostic Mammogram (both breasts)
|
$525.30 |
$525.30 |
$525.30 |
$399.30
|
|
Diagnostic Mammogram (one breast)
|
$395.10 |
$395.10 |
$395.10 |
$301.55
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$83.62 |
$83.62 |
$83.62 |
$74.76
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$48.00 |
$48.00 |
$48.00 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$19,697.04 |
$19,697.04 |
$19,697.04 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$249.30 |
$249.30 |
$249.30 |
$102.00
|
|
Dilate esophagus 1/mult pass
|
$4,274.40 |
$4,274.40 |
$4,274.40 |
$1,484.17
|
|
Dilation/urethral strict/male/ini 53620
|
$260.70 |
$260.70 |
$260.70 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$845.08 |
$845.08 |
$845.08 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$48.00 |
$48.00 |
$48.00 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$17.75
|
|
Dmpk gene detc abnor allele
|
$215.70 |
$215.70 |
$215.70 |
$313.60
|
|
Dna antibody native/double stranded
|
$181.50 |
$181.50 |
$181.50 |
$97.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$543.60 |
$543.60 |
$543.60 |
$98.43
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$309.17 |
$309.17 |
$309.17 |
$65.40
|
|
Doppler echo complete
|
$365.10 |
$365.10 |
$365.10 |
$540.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,152.60 |
$1,152.60 |
$1,152.60 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$637.50 |
$637.50 |
$637.50 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$68,559.37 |
$68,559.37 |
$68,559.37 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$294.30 |
$294.30 |
$294.30 |
$423.95
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,440.72 |
$1,440.72 |
$1,440.72 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$235.52 |
$235.52 |
$235.52 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$270.60 |
$270.60 |
$270.60 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$270.60 |
$270.60 |
$270.60 |
$914.34
|
|
Drainage external ear complex 69005
|
$625.20 |
$625.20 |
$625.20 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$270.60 |
$270.60 |
$270.60 |
$789.60
|
|
Drainage mouth roof lesion
|
$87.00 |
$87.00 |
$87.00 |
$390.39
|
|
Drainage of arm bursa 23931
|
$625.20 |
$625.20 |
$625.20 |
$2,197.48
|
|
Drainage of mouth lesion
|
$481.20 |
$481.20 |
$481.20 |
$962.40
|
|
Drainage of rectal abscess
|
$561.00 |
$561.00 |
$561.00 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$48.60 |
$48.60 |
$48.60 |
$170.50
|
|
Drain cerebro spinal fluid 62272
|
$552.90 |
$552.90 |
$552.90 |
$1,044.00
|
|
Drain finger abscess;simple 26010
|
$216.60 |
$216.60 |
$216.60 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$75.30 |
$75.30 |
$75.30 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$143.10 |
$143.10 |
$143.10 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$155.70 |
$155.70 |
$155.70 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$33,031.96 |
$33,031.96 |
$33,031.96 |
$8,131.20
|
|
Drng of eyelid abscess 67700
|
$110.70 |
$110.70 |
$110.70 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$625.20 |
$625.20 |
$625.20 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$625.20 |
$625.20 |
$625.20 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$204.25 |
$204.25 |
$204.25 |
$10.17
|
|
Drop lock knee
|
$207.94 |
$207.94 |
$207.94 |
$204.95
|
|
Drop lock retainer each
|
$71.14 |
$71.14 |
$71.14 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$6,922.50 |
$6,922.50 |
$6,922.50 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$4,589.48 |
$4,589.48 |
$4,589.48 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$18,570.94 |
$18,570.94 |
$18,570.94 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$4,340.06 |
$4,340.06 |
$4,340.06 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$25,962.04 |
$25,962.04 |
$25,962.04 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$36,977.65 |
$36,977.65 |
$36,977.65 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$26,065.87 |
$26,065.87 |
$26,065.87 |
$400.98
|
|
Drug assay posaconazole
|
$52.50 |
$52.50 |
$52.50 |
$96.75
|
|
Drug assay voriconazole
|
$45.30 |
$45.30 |
$45.30 |
$96.75
|
|
Drug asy hydroxychloroquine
|
$63.90 |
$63.90 |
$63.90 |
$66.43
|
|
Drug test def 1-7 classes
|
$180.30 |
$180.30 |
$180.30 |
$250.52
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$126.60 |
$126.60 |
$126.60 |
$278.85
|
|
Drvvt confirm - quest
|
$59.40 |
$59.40 |
$59.40 |
$109.20
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$254.10 |
$254.10 |
$254.10 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$18,055.80 |
$18,055.80 |
$18,055.80 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$19,325.97 |
$19,325.97 |
$19,325.97 |
$7,973.90
|
|
Dx bronchoscope/wash 31622
|
$1,665.60 |
$1,665.60 |
$1,665.60 |
$2,322.60
|
|
Ear irrigation 69209
|
$74.70 |
$74.70 |
$74.70 |
$149.76
|
|
Ecg 12 lead tracing only
|
$181.50 |
$181.50 |
$181.50 |
$226.50
|
|
Ecg external < 48 hours recording
|
$993.90 |
$993.90 |
$993.90 |
$462.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$39.30 |
$39.30 |
$39.30 |
$147.28
|
|
Echocardiogram (Heart Ultrasound)
|
$1,680.30 |
$1,680.30 |
$1,680.30 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$336.30 |
$336.30 |
$336.30 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,064.40 |
$1,064.40 |
$1,064.40 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$707.10 |
$707.10 |
$707.10 |
$703.25
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$701.40 |
$701.40 |
$701.40 |
$851.50
|
|
Echocardiograpy doppler follow up/limited study
|
$201.00 |
$201.00 |
$201.00 |
$362.50
|
|
Echo stress
|
$868.20 |
$868.20 |
$868.20 |
$1,592.05
|
|
Echo transesophageal intraop
|
$524.40 |
$524.40 |
$524.40 |
$1,571.70
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$231.60 |
$231.60 |
$231.60 |
$985.15
|
|
E equine encephalitis igg
|
$65.10 |
$65.10 |
$65.10 |
$49.92
|
|
Egd remove foreign body
|
$344.40 |
$344.40 |
$344.40 |
$1,505.50
|
|
Egd remove lesion snare
|
$8,459.09 |
$8,459.09 |
$8,459.09 |
$2,597.25
|
|
Egfr gene com variants
|
$592.20 |
$592.20 |
$592.20 |
$657.00
|
|
Electrd sq emblem s-icd
|
$14,350.87 |
$14,350.87 |
$14,350.87 |
$10,243.24
|
|
Electrical stimulation/unattended 97014
|
$163.50 |
$163.50 |
$163.50 |
$79.20
|
|
Electrolyte panel
|
$27.00 |
$27.00 |
$27.00 |
$84.24
|
|
Encephalitis, california igg/igm
|
$68.40 |
$68.40 |
$68.40 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$68.40 |
$68.40 |
$68.40 |
$48.57
|
|
Endo ak/hip alignable system
|
$1,182.55 |
$1,182.55 |
$1,182.55 |
$1,165.55
|
|
Endo below knee alignable sy
|
$812.94 |
$812.94 |
$812.94 |
$611.88
|
|
Endo bk ultra-light material
|
$1,117.96 |
$1,117.96 |
$1,117.96 |
$1,012.80
|
|
Endo knee-shin frct swg & st
|
$1,259.89 |
$1,259.89 |
$1,259.89 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,625.46 |
$1,625.46 |
$1,625.46 |
$1,602.08
|
|
Endoscopy swallow (fees) vid
|
$220.20 |
$220.20 |
$220.20 |
$402.35
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$666.60 |
$666.60 |
$666.60 |
$2,756.52
|