|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$215.46 |
$215.46 |
$215.46 |
$196.26
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$42.78 |
$42.78 |
$42.78 |
$7,933.81
|
|
Dermagraft
|
$1,105.23 |
$1,105.23 |
$1,105.23 |
$1,912.31
|
|
Description not available
|
$225.37 |
$225.37 |
$225.37 |
$225.37
|
|
Design mlc device for imrt
|
$2,340.42 |
$2,340.42 |
$2,340.42 |
$1,669.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$25.57 |
$25.57 |
$25.57 |
$102.32
|
|
Destroy cervthor facet jnt 64633
|
$2,028.06 |
$2,028.06 |
$2,028.06 |
$3,164.80
|
|
Destroy cth facet jnt addl 64634
|
$1,014.60 |
$1,014.60 |
$1,014.60 |
$1,441.44
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides)
|
$1,574.34 |
$1,574.34 |
$1,574.34 |
$1,879.50
|
|
Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides)
|
$3,148.11 |
$3,148.11 |
$3,148.11 |
$3,375.00
|
|
Developmental screen/score/document 96110
|
$132.24 |
$132.24 |
$132.24 |
$139.10
|
|
Device intraute mirena
|
$1,042.33 |
$1,042.33 |
$1,042.33 |
$2,618.91
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$58.71 |
$58.71 |
$58.71 |
$220.43
|
|
Dexamethasone 4 mg tablet
|
$7.08 |
$7.08 |
$7.08 |
$6.01
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$1.25 |
$1.25 |
$1.25 |
$30.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$454.35 |
$454.35 |
$454.35 |
$560.92
|
|
Dhea-s (dehydroepiand sulfate)
|
$53.58 |
$53.58 |
$53.58 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$34.20 |
$34.20 |
$34.20 |
$78.03
|
|
Diagnostic Mammogram (both breasts)
|
$711.93 |
$711.93 |
$711.93 |
$424.00
|
|
Diagnostic Mammogram (one breast)
|
$570.00 |
$570.00 |
$570.00 |
$301.55
|
|
Dialysis circuit perm vascular embolization 36909
|
$10,710.30 |
$10,710.30 |
$10,710.30 |
$7,145.00
|
|
Dialysis one evaluation
|
$759.81 |
$759.81 |
$759.81 |
$842.10
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$27.99 |
$27.99 |
$27.99 |
$72.34
|
|
Dicyclomine injection
|
$153.53 |
$153.53 |
$153.53 |
$211.81
|
|
Diffusing capacity
|
$189.24 |
$189.24 |
$189.24 |
$360.10
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$7.50 |
$7.50 |
$7.50 |
$69.79
|
|
Digoxin total therapeutic drug level
|
$51.87 |
$51.87 |
$51.87 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$294.84 |
$294.84 |
$294.84 |
$334.68
|
|
Dilat xst trc ndurlgc px
|
$3,256.98 |
$3,256.98 |
$3,256.98 |
$4,081.37
|
|
Dilat xst trc new access rcs
|
$5,647.56 |
$5,647.56 |
$5,647.56 |
$5,020.00
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$7.33 |
$7.33 |
$7.33 |
$26.87
|
|
Disability dlco
|
$163.02 |
$163.02 |
$163.02 |
$307.58
|
|
Disaccharidases
|
$224.58 |
$224.58 |
$224.58 |
$223.80
|
|
Dissolve clot heart vessel
|
$1,905.51 |
$1,905.51 |
$1,905.51 |
$1,396.47
|
|
Dna antibody native/double stranded
|
$33.63 |
$33.63 |
$33.63 |
$102.60
|
|
Dna gardnerella
|
$41.04 |
$41.04 |
$41.04 |
$67.68
|
|
Dna trichomonas
|
$35.34 |
$35.34 |
$35.34 |
$68.75
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$20.69 |
$20.69 |
$20.69 |
$101.04
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$4.48 |
$4.48 |
$4.48 |
$712.02
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$3.35 |
$3.35 |
$3.35 |
$84.30
|
|
Doppler echo complete
|
$337.44 |
$337.44 |
$337.44 |
$608.25
|
|
Doppler intravascular pressure flow initial vessel
|
$6,603.45 |
$6,603.45 |
$6,603.45 |
$3,006.25
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$729.03 |
$729.03 |
$729.03 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$369.36 |
$369.36 |
$369.36 |
$482.03
|
|
Dornase alfa non-comp unit
|
$103.28 |
$103.28 |
$103.28 |
$479.80
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$31.47 |
$31.47 |
$31.47 |
$299.52
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$722.64 |
$722.64 |
$722.64 |
$2,417.38
|
|
Dpyd gene common variants
|
$253.08 |
$253.08 |
$253.08 |
$380.50
|
|
Drainage of kidney lesion
|
$1,008.90 |
$1,008.90 |
$1,008.90 |
$1,706.65
|
|
Drain cath image guided visceral pq
|
$5,845.92 |
$5,845.92 |
$5,845.92 |
$3,073.90
|
|
Dress/debride pt-tck burn/5-10% bs 16025
|
$451.44 |
$451.44 |
$451.44 |
$420.00
|
|
Dress/debride pt-thick burn/<5% bs 16020
|
$312.93 |
$312.93 |
$312.93 |
$365.60
|
|
Dress/debrid prtl-thick burn l 16030
|
$606.48 |
$606.48 |
$606.48 |
$554.40
|
|
Dronabinol 2.5mg oral
|
$3.39 |
$3.39 |
$3.39 |
$10.17
|
|
Droperidol 2.5 mg/ml injection solution
|
$21.59 |
$21.59 |
$21.59 |
$39.60
|
|
Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$3,374.24
|
|
Drug admin & hemodynmic meas
|
$646.95 |
$646.95 |
$646.95 |
$528.50
|
|
Drug assay posaconazole
|
$91.77 |
$91.77 |
$91.77 |
$96.39
|
|
Drug assay rufinamide
|
$63.84 |
$63.84 |
$63.84 |
$93.60
|
|
Drug assay voriconazole
|
$163.59 |
$163.59 |
$163.59 |
$96.75
|
|
Drug of abuse screen urine
|
$78.66 |
$78.66 |
$78.66 |
$63.75
|
|
Drug test def 1-7 classes
|
$165.30 |
$165.30 |
$165.30 |
$250.52
|
|
Drug test def 8-14 classes
|
$181.26 |
$181.26 |
$181.26 |
$172.25
|
|
Drug test prsmv instrmnt
|
$35.34 |
$35.34 |
$35.34 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$177.84 |
$177.84 |
$177.84 |
$278.85
|
|
Dstrj nulyt agt gnclr nrv
|
$3,818.43 |
$3,818.43 |
$3,818.43 |
$3,390.00
|
|
Ductogram sgl duct
|
$238.83 |
$238.83 |
$238.83 |
$413.91
|
|
Duplex scan bilateral study 93985
|
$1,046.52 |
$1,046.52 |
$1,046.52 |
$673.00
|
|
Duplex scan unilateral study 93986
|
$524.40 |
$524.40 |
$524.40 |
$394.00
|
|
Dup scan/hemodialysis access 93990
|
$740.43 |
$740.43 |
$740.43 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$1,243.74 |
$1,243.74 |
$1,243.74 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,072.17 |
$1,072.17 |
$1,072.17 |
$903.00
|
|
Durvalumab 50 mg/ml intravenous solution
|
$137.19 |
$137.19 |
$137.19 |
$10,021.12
|
|
Dx bronchoscope/brush 31623
|
$2,672.16 |
$2,672.16 |
$2,672.16 |
$2,168.40
|
|
Dx bronchoscope/lavage 31624
|
$2,672.16 |
$2,672.16 |
$2,672.16 |
$2,780.40
|
|
Dx bronchoscope/wash 31622
|
$2,672.16 |
$2,672.16 |
$2,672.16 |
$2,587.60
|
|
Ear irrigation 69209
|
$123.69 |
$123.69 |
$123.69 |
$165.42
|
|
Ecg 12 lead tracing only
|
$144.21 |
$144.21 |
$144.21 |
$245.00
|
|
Ecg/1-3 leads/tracing only 93041
|
$181.83 |
$181.83 |
$181.83 |
$129.83
|
|
Ecg external < 48 hours recording
|
$467.40 |
$467.40 |
$467.40 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$420.66 |
$420.66 |
$420.66 |
$567.00
|
|
Echocardiogram (Heart Ultrasound)
|
$1,723.68 |
$1,723.68 |
$1,723.68 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$337.44 |
$337.44 |
$337.44 |
$469.95
|
|
Echocardiography transthoracic 2d followup/limited
|
$938.22 |
$938.22 |
$938.22 |
$724.20
|
|
Echocardiograpy doppler follow up/limited study
|
$337.44 |
$337.44 |
$337.44 |
$353.46
|
|
Echograp trans r pros study
|
$180.69 |
$180.69 |
$180.69 |
$459.40
|
|
Echo guidance radiotherapy
|
$78.09 |
$78.09 |
$78.09 |
$774.80
|
|
Echo guide for artery repair
|
$373.92 |
$373.92 |
$373.92 |
$680.28
|
|
Echo stress
|
$808.83 |
$808.83 |
$808.83 |
$1,582.75
|
|
Echo tee guidance
|
$2,830.05 |
$2,830.05 |
$2,830.05 |
$2,007.00
|
|
Echo tee probe placement image acquisition interpretation & report
|
$1,668.96 |
$1,668.96 |
$1,668.96 |
$1,871.10
|
|
Echo transesophageal
|
$808.83 |
$808.83 |
$808.83 |
$913.33
|
|
Echo transesophageal intraop
|
$1,668.96 |
$1,668.96 |
$1,668.96 |
$1,571.70
|
|
Echo transthoracic
|
$876.09 |
$876.09 |
$876.09 |
$1,492.50
|
|
Echo transthoracic
|
$1,483.71 |
$1,483.71 |
$1,483.71 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,594.86 |
$1,594.86 |
$1,594.86 |
$1,014.01
|
|
Eeg 41-60 minutes 95812-26
|
$737.01 |
$737.01 |
$737.01 |
$956.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$669.18 |
$669.18 |
$669.18 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$758.67 |
$758.67 |
$758.67 |
$1,119.54
|
|
Eeg recording awake and asleep
|
$765.51 |
$765.51 |
$765.51 |
$1,030.27
|