|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$9.08 |
$9.08 |
$9.08 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$24,919.74 |
$24,919.74 |
$24,919.74 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$146.40 |
$146.40 |
$146.40 |
$102.00
|
|
Dilate esophagus 1/mult pass
|
$5,030.09 |
$5,030.09 |
$5,030.09 |
$1,484.17
|
|
Dilation/urethral strict/male/ini 53620
|
$434.70 |
$434.70 |
$434.70 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$525.14 |
$525.14 |
$525.14 |
$402.10
|
|
Diltiazem 5 mg/ml intravenous solution
|
$9.00 |
$9.00 |
$9.00 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$17.75
|
|
Dmpk gene detc abnor allele
|
$215.70 |
$215.70 |
$215.70 |
$313.60
|
|
Dna antibody native/double stranded
|
$210.00 |
$210.00 |
$210.00 |
$97.50
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$264.00 |
$264.00 |
$264.00 |
$98.43
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$103.95 |
$103.95 |
$103.95 |
$65.40
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$984.60 |
$984.60 |
$984.60 |
$662.35
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$500.40 |
$500.40 |
$500.40 |
$471.17
|
|
Dornhoffer fixed part w/window
|
$42,603.37 |
$42,603.37 |
$42,603.37 |
$34,278.00
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$1,210.21 |
$1,210.21 |
$1,210.21 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$114.38 |
$114.38 |
$114.38 |
$84.80
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$450.90 |
$450.90 |
$450.90 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$450.90 |
$450.90 |
$450.90 |
$914.34
|
|
Drainage external ear complex 69005
|
$1,041.90 |
$1,041.90 |
$1,041.90 |
$2,726.90
|
|
Drainage external ear simple 69000
|
$450.90 |
$450.90 |
$450.90 |
$789.60
|
|
Drainage mouth roof lesion
|
$144.60 |
$144.60 |
$144.60 |
$390.39
|
|
Drainage of arm bursa 23931
|
$1,041.90 |
$1,041.90 |
$1,041.90 |
$2,197.48
|
|
Drainage of mouth lesion
|
$481.20 |
$481.20 |
$481.20 |
$962.40
|
|
Drainage of rectal abscess
|
$2,102.40 |
$2,102.40 |
$2,102.40 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$135.90 |
$135.90 |
$135.90 |
$170.50
|
|
Drain finger abscess;simple 26010
|
$125.70 |
$125.70 |
$125.70 |
$419.00
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$125.70 |
$125.70 |
$125.70 |
$392.40
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$144.00 |
$144.00 |
$144.00 |
$344.00
|
|
Dress/debrid prtl-thick burn l 16030
|
$259.20 |
$259.20 |
$259.20 |
$523.00
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$20,526.34 |
$20,526.34 |
$20,526.34 |
$8,131.20
|
|
Drng of eyelid abscess 67700
|
$184.20 |
$184.20 |
$184.20 |
$648.00
|
|
Drng of finger abscess comp 26011
|
$1,041.90 |
$1,041.90 |
$1,041.90 |
$1,943.50
|
|
Drng of scrotum abscess 55100
|
$1,742.70 |
$1,742.70 |
$1,742.70 |
$1,917.33
|
|
Dronabinol 2.5mg oral
|
$11.81 |
$11.81 |
$11.81 |
$10.17
|
|
Drop lock knee
|
$129.22 |
$129.22 |
$129.22 |
$204.95
|
|
Drop lock retainer each
|
$44.21 |
$44.21 |
$44.21 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$4,301.70 |
$4,301.70 |
$4,301.70 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$2,851.94 |
$2,851.94 |
$2,851.94 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$11,540.14 |
$11,540.14 |
$11,540.14 |
$127.14
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$2,696.95 |
$2,696.95 |
$2,696.95 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$16,133.03 |
$16,133.03 |
$16,133.03 |
$171.12
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$22,978.22 |
$22,978.22 |
$22,978.22 |
$8,040.27
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$16,197.55 |
$16,197.55 |
$16,197.55 |
$400.98
|
|
Drug assay posaconazole
|
$52.50 |
$52.50 |
$52.50 |
$96.75
|
|
Drug assay rufinamide
|
$31.20 |
$31.20 |
$31.20 |
$85.80
|
|
Drug assay vedolizumab
|
$230.10 |
$230.10 |
$230.10 |
$152.79
|
|
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 prsmv instrmnt
|
$31.50 |
$31.50 |
$31.50 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$121.50 |
$121.50 |
$121.50 |
$278.85
|
|
Drvvt confirm - quest
|
$36.00 |
$36.00 |
$36.00 |
$109.20
|
|
Dup scan/hemodialysis access 93990
|
$1,377.90 |
$1,377.90 |
$1,377.90 |
$489.72
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$370.20 |
$370.20 |
$370.20 |
$887.25
|
|
Duragen 1x1 5ea/bx
|
$11,220.02 |
$11,220.02 |
$11,220.02 |
$10,163.72
|
|
Durvalumab 50 mg/ml intravenous solution
|
$16,233.82 |
$16,233.82 |
$16,233.82 |
$7,973.90
|
|
Ear irrigation 69209
|
$71.40 |
$71.40 |
$71.40 |
$149.76
|
|
Ecg 12 lead tracing only
|
$180.30 |
$180.30 |
$180.30 |
$226.50
|
|
Ecg external < 48 hours recording
|
$700.20 |
$700.20 |
$700.20 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,016.10 |
$1,016.10 |
$1,016.10 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,533.30 |
$1,533.30 |
$1,533.30 |
$2,001.17
|
|
Echocardiography doppler color flow mapping
|
$189.00 |
$189.00 |
$189.00 |
$469.95
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,276.70 |
$2,276.70 |
$2,276.70 |
$1,943.50
|
|
Echocardiography transthoracic 2d followup/limited
|
$958.50 |
$958.50 |
$958.50 |
$703.25
|
|
Echocardiograpy doppler follow up/limited study
|
$186.30 |
$186.30 |
$186.30 |
$362.50
|
|
Echo transesophageal intraop
|
$524.40 |
$524.40 |
$524.40 |
$1,571.70
|
|
E equine encephalitis igg
|
$65.10 |
$65.10 |
$65.10 |
$49.92
|
|
Egd remove foreign body
|
$573.90 |
$573.90 |
$573.90 |
$1,505.50
|
|
Egd remove lesion snare
|
$5,805.90 |
$5,805.90 |
$5,805.90 |
$2,597.25
|
|
Electrd sq emblem s-icd
|
$8,917.75 |
$8,917.75 |
$8,917.75 |
$10,243.24
|
|
Electrolyte panel
|
$111.00 |
$111.00 |
$111.00 |
$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
|
$734.85 |
$734.85 |
$734.85 |
$1,165.55
|
|
Endo below knee alignable sy
|
$505.17 |
$505.17 |
$505.17 |
$611.88
|
|
Endo bk ultra-light material
|
$694.71 |
$694.71 |
$694.71 |
$1,012.80
|
|
Endo knee-shin frct swg & st
|
$782.91 |
$782.91 |
$782.91 |
$1,241.78
|
|
Endo knee-shin mnl lck ultra
|
$1,010.07 |
$1,010.07 |
$1,010.07 |
$1,602.08
|
|
Endoscpy nsl/sns w/cntrl nsl hmrrgh
|
$1,110.60 |
$1,110.60 |
$1,110.60 |
$2,756.52
|
|
Endo, single, pulmonary
|
$5,128.95 |
$5,128.95 |
$5,128.95 |
$1,046.66
|
|
Endoskel knee-shin mnl lock
|
$691.76 |
$691.76 |
$691.76 |
$1,097.21
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$131.14 |
$131.14 |
$131.14 |
$109.71
|
|
Eo, adj lock joint prefab ot
|
$678.97 |
$678.97 |
$678.97 |
$456.96
|
|
Eo elas w/metal jnts pre ots
|
$193.86 |
$193.86 |
$193.86 |
$145.60
|
|
Epilepsy gen seq alys panel
|
$3,856.50 |
$3,856.50 |
$3,856.50 |
$3,142.35
|
|
Epinephrine 1 mg/ml im kit - adult
|
$990.00 |
$990.00 |
$990.00 |
$25.30
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$9.00 |
$9.00 |
$9.00 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$552.61 |
$552.61 |
$552.61 |
$809.08
|
|
Epstein barr early antigen antibody
|
$150.90 |
$150.90 |
$150.90 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$73.20 |
$73.20 |
$73.20 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$72.00 |
$72.00 |
$72.00 |
$91.00
|
|
Eptifibatide 0.75 mg/ml intravenous solution
|
$455.40 |
$455.40 |
$455.40 |
$393.98
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$93.04 |
$93.04 |
$93.04 |
$222.98
|
|
ER Visit (level 1, minor)
|
$266.10 |
$266.10 |
$266.10 |
$246.24
|
|
ER Visit (level 2)
|
$531.30 |
$531.30 |
$531.30 |
$452.20
|
|
ER Visit (level 3)
|
$1,018.50 |
$1,018.50 |
$1,018.50 |
$770.04
|
|
ER Visit (level 4)
|
$1,619.40 |
$1,619.40 |
$1,619.40 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$2,391.00 |
$2,391.00 |
$2,391.00 |
$1,820.02
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$788.70 |
$788.70 |
$788.70 |
$279.72
|
