|
Device tiss remov myosure reach
|
$4,815.58 |
$4,815.58 |
$4,815.58 |
$2,541.00
|
|
Dexamethasone 4 mg tablet
|
$8.86 |
$8.86 |
$8.86 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$596.30 |
$596.30 |
$596.30 |
$20.52
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$213.75 |
$213.75 |
$213.75 |
$37.80
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$205.20 |
$205.20 |
$205.20 |
$45.88
|
|
Dextrose 5 % in water (d5w) intravenous solution (non-pvc)
|
$196.65 |
$196.65 |
$196.65 |
$47.66
|
|
Dhea-s (dehydroepiand sulfate)
|
$167.40 |
$167.40 |
$167.40 |
$113.40
|
|
Diabetes (HbA1c) Test
|
$117.00 |
$117.00 |
$117.00 |
$79.52
|
|
Diag laparo separate proc 49320
|
$15,206.68 |
$15,206.68 |
$15,206.68 |
$6,904.15
|
|
Diagnostic anoscopy spx 46600
|
$97.20 |
$97.20 |
$97.20 |
$190.68
|
|
Diagnostic laryngoscopy 31575
|
$149.40 |
$149.40 |
$149.40 |
$319.80
|
|
Diagnostic Mammogram (both breasts)
|
$433.80 |
$433.80 |
$433.80 |
$407.04
|
|
Diagnostic Mammogram (one breast)
|
$340.80 |
$340.80 |
$340.80 |
$310.20
|
|
Dialysis one evaluation
|
$2,635.20 |
$2,635.20 |
$2,635.20 |
$936.00
|
|
Diatrizoate meglumine 18 % urethral solution
|
$397.44 |
$397.44 |
$397.44 |
$115.15
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$79.53 |
$79.53 |
$79.53 |
$76.76
|
|
Dicyclomine injection
|
$184.28 |
$184.28 |
$184.28 |
$153.53
|
|
Diffusing capacity
|
$642.60 |
$642.60 |
$642.60 |
$337.60
|
|
Digital analysis of eeg
|
$842.40 |
$842.40 |
$842.40 |
$605.60
|
|
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
|
$28,650.24 |
$28,650.24 |
$28,650.24 |
$10,152.02
|
|
Digoxin total therapeutic drug level
|
$53.40 |
$53.40 |
$53.40 |
$102.07
|
|
Dilate esophagus 1/mult pass
|
$4,719.26 |
$4,719.26 |
$4,719.26 |
$1,484.17
|
|
Dilate ic vasospasm ea add vsl diff territory
|
$869.40 |
$869.40 |
$869.40 |
$3,769.50
|
|
Dilation/urethral strict/male/ini 53620
|
$521.40 |
$521.40 |
$521.40 |
$1,372.80
|
|
Dilator fascial 10fx20cm
|
$1,650.16 |
$1,650.16 |
$1,650.16 |
$408.24
|
|
Diltiazem 5 mg/ml intravenous solution
|
$107.84 |
$107.84 |
$107.84 |
$45.60
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$17.75
|
|
Dipyridamole injection
|
$117.02 |
$117.02 |
$117.02 |
$48.04
|
|
Disaccharidases
|
$114.60 |
$114.60 |
$114.60 |
$224.58
|
|
Dmpk gene detc abnor allele
|
$431.40 |
$431.40 |
$431.40 |
$313.60
|
|
Dna antibody native/double stranded
|
$70.20 |
$70.20 |
$70.20 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$378.00 |
$378.00 |
$378.00 |
$99.10
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$944.35
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$186.64 |
$186.64 |
$186.64 |
$65.40
|
|
Doppler echo complete
|
$1,312.80 |
$1,312.80 |
$1,312.80 |
$551.40
|
|
Doppler intravascular pressure flow initial vessel
|
$4,588.20 |
$4,588.20 |
$4,588.20 |
$2,777.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$444.00 |
$444.00 |
$444.00 |
$679.64
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$640.80 |
$640.80 |
$640.80 |
$481.65
|
|
Dornase alfa non-comp unit
|
$1,264.18 |
$1,264.18 |
$1,264.18 |
$446.75
|
|
Dornhoffer fixed part w/window
|
$133,874.25 |
$133,874.25 |
$133,874.25 |
$34,278.00
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$1,530.84 |
$1,530.84 |
$1,530.84 |
$435.74
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$1,718.24
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$138.67 |
$138.67 |
$138.67 |
$84.80
|
|
Dpyd gene common variants
|
$669.60 |
$669.60 |
$669.60 |
$386.00
|
|
Drainage absc/cyst/hmtma/vestibule mouth smpl
|
$541.20 |
$541.20 |
$541.20 |
$800.00
|
|
Drainage ext aud canal abscess 69020
|
$541.20 |
$541.20 |
$541.20 |
$901.80
|
|
Drainage external ear complex 69005
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$2,858.10
|
|
Drainage external ear simple 69000
|
$541.20 |
$541.20 |
$541.20 |
$779.45
|
|
Drainage mouth roof lesion
|
$174.00 |
$174.00 |
$174.00 |
$401.50
|
|
Drainage of arm bursa 23931
|
$1,250.40 |
$1,250.40 |
$1,250.40 |
$2,209.90
|
|
Drainage of kidney lesion
|
$1,351.80 |
$1,351.80 |
$1,351.80 |
$1,578.89
|
|
Drainage of mouth lesion
|
$962.40 |
$962.40 |
$962.40 |
$962.40
|
|
Drainage of rectal abscess
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$2,111.46
|
|
Drain blood from under nail 11740
|
$272.40 |
$272.40 |
$272.40 |
$173.21
|
|
Drain cath image guided visceral pq
|
$3,176.40 |
$3,176.40 |
$3,176.40 |
$2,903.44
|
|
Drain finger abscess;simple 26010
|
$603.60 |
$603.60 |
$603.60 |
$428.40
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$392.40 |
$392.40 |
$392.40 |
$394.80
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$286.20 |
$286.20 |
$286.20 |
$349.50
|
|
Dress/debrid prtl-thick burn l 16030
|
$795.00 |
$795.00 |
$795.00 |
$524.04
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$64,500.72 |
$64,500.72 |
$64,500.72 |
$8,131.20
|
|
Drng of eyelid abscess 67700
|
$221.40 |
$221.40 |
$221.40 |
$655.72
|
|
Drng of finger abscess comp 26011
|
$2,401.20 |
$2,401.20 |
$2,401.20 |
$1,994.16
|
|
Drng of hydrocele 55000
|
$6,387.00 |
$6,387.00 |
$6,387.00 |
$854.50
|
|
Drng of scrotum abscess 55100
|
$3,495.60 |
$3,495.60 |
$3,495.60 |
$1,956.40
|
|
Dronabinol 2.5mg oral
|
$74.94 |
$74.94 |
$74.94 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$31.25
|
|
Drop lock knee
|
$406.04 |
$406.04 |
$406.04 |
$204.95
|
|
Drop lock retainer each
|
$138.92 |
$138.92 |
$138.92 |
$70.12
|
|
Drsg interceed 3x4in adh wnd barr absorb
|
$13,517.40 |
$13,517.40 |
$13,517.40 |
$1,956.48
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$8,961.77 |
$8,961.77 |
$8,961.77 |
$1,575.70
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$36,263.03 |
$36,263.03 |
$36,263.03 |
$134.00
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$8,474.74 |
$8,474.74 |
$8,474.74 |
$289.05
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$50,695.45 |
$50,695.45 |
$50,695.45 |
$94.94
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$72,205.37 |
$72,205.37 |
$72,205.37 |
$7,721.16
|
|
Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm
|
$50,898.21 |
$50,898.21 |
$50,898.21 |
$400.98
|
|
Drug assay caffeine
|
$90.60 |
$90.60 |
$90.60 |
$83.30
|
|
Drug assay rufinamide
|
$62.40 |
$62.40 |
$62.40 |
$85.80
|
|
Drug assay vedolizumab
|
$460.20 |
$460.20 |
$460.20 |
$157.00
|
|
Drug assay voriconazole
|
$90.60 |
$90.60 |
$90.60 |
$97.02
|
|
Drug asy hydroxychloroquine
|
$127.80 |
$127.80 |
$127.80 |
$66.43
|
|
Drug test def 1-7 classes
|
$600.60 |
$600.60 |
$600.60 |
$263.25
|
|
Drug test prsmv instrmnt
|
$372.60 |
$372.60 |
$372.60 |
$90.75
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$660.60 |
$660.60 |
$660.60 |
$286.55
|
|
Drvvt confirm - quest
|
$118.80 |
$118.80 |
$118.80 |
$109.20
|
|
Dup scan/hemodialysis access 93990
|
$372.60 |
$372.60 |
$372.60 |
$489.72
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,192.20 |
$1,192.20 |
$1,192.20 |
$757.57
|
|
Duragen 1x1 5ea/bx
|
$36,314.86 |
$36,314.86 |
$36,314.86 |
$11,009.65
|
|
Durvalumab 50 mg/ml intravenous solution
|
$24,994.93 |
$24,994.93 |
$24,994.93 |
$7,973.90
|
|
Dx bronchoscope/brush 31623
|
$14,794.11 |
$14,794.11 |
$14,794.11 |
$2,040.67
|
|
Dx bronchoscope/lavage 31624
|
$10,327.24 |
$10,327.24 |
$10,327.24 |
$2,329.60
|
|
Dx bronchoscope/wash 31622
|
$14,765.78 |
$14,765.78 |
$14,765.78 |
$2,238.00
|
|
Dx gastr intub w/asp spec
|
$583.20 |
$583.20 |
$583.20 |
$441.60
|
|
Ear irrigation 69209
|
$48.00 |
$48.00 |
$48.00 |
$150.00
|
|
Ecg 12 lead tracing only
|
$226.20 |
$226.20 |
$226.20 |
$226.50
|
|
Ecg/1-3 leads/tracing only 93041
|
$238.20 |
$238.20 |
$238.20 |
$136.53
|
|
Ecg < 30 days transmission & analysis
|
$393.60 |
$393.60 |
$393.60 |
$487.60
|
|
Ecg external < 48 hours recording
|
$525.00 |
$525.00 |
$525.00 |
$472.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,237.20 |
$1,237.20 |
$1,237.20 |
$545.58
|
|
Echocardiogram (Heart Ultrasound)
|
$3,630.60 |
$3,630.60 |
$3,630.60 |
$2,030.14
|
