|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$296.00 |
$296.00 |
$296.00 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$771.00 |
$771.00 |
$771.00 |
$765.06
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$64.00 |
$64.00 |
$64.00 |
$28,799.96
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$512.00 |
$512.00 |
$512.00 |
$821.11
|
|
Graft xenmtrx sft rect 15x20cm
|
$27,440.00 |
$27,440.00 |
$27,440.00 |
$33,720.69
|
|
Graft xenmtrx sft rect 19x28cm
|
$616.00 |
$616.00 |
$616.00 |
$2,677.50
|
|
Group mnt 2 or more 30 mins
|
$18.00 |
$18.00 |
$18.00 |
$45.75
|
|
G-tube reposition
|
$872.00 |
$872.00 |
$872.00 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$1,825.00 |
$1,825.00 |
$1,825.00 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$2,828.00 |
$2,828.00 |
$2,828.00 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$4,298.00 |
$4,298.00 |
$4,298.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$142.00 |
$142.00 |
$142.00 |
$986.55
|
|
Guid loc target vol rad tx
|
$542.00 |
$542.00 |
$542.00 |
$503.80
|
|
Gw stiffened micro access kit
|
$10,800.00 |
$10,800.00 |
$10,800.00 |
$6,500.00
|
|
Halo cervical into jckt vest
|
$5,836.00 |
$5,836.00 |
$5,836.00 |
$4,160.16
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$141.00 |
$141.00 |
$141.00 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$39.75 |
$39.75 |
$39.75 |
$36.04
|
|
Handpiece aquabeam hp2000
|
$8,775.00 |
$8,775.00 |
$8,775.00 |
$6,628.05
|
|
Haptoglobin quantitative
|
$162.00 |
$162.00 |
$162.00 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$649.00 |
$649.00 |
$649.00 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$729.00 |
$729.00 |
$729.00 |
$406.25
|
|
Hbb full gene sequence
|
$649.00 |
$649.00 |
$649.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$767.00 |
$767.00 |
$767.00 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$513.00 |
$513.00 |
$513.00 |
$558.35
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$2,876.00 |
$2,876.00 |
$2,876.00 |
$759.72
|
|
Hcg free betachain test
|
$104.00 |
$104.00 |
$104.00 |
$54.59
|
|
Hcg qualitative
|
$135.00 |
$135.00 |
$135.00 |
$77.50
|
|
Hcg quantitative
|
$172.00 |
$172.00 |
$172.00 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$75.00 |
$75.00 |
$75.00 |
$136.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$6,063.00 |
$6,063.00 |
$6,063.00 |
$3,228.40
|
|
Head CT scan (with and without contrast)
|
$4,284.00 |
$4,284.00 |
$4,284.00 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$3,639.00 |
$3,639.00 |
$3,639.00 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$2,581.00 |
$2,581.00 |
$2,581.00 |
$1,268.90
|
|
Heart infarct image
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$840.74
|
|
Heavy metal qual any number
|
$242.00 |
$242.00 |
$242.00 |
$52.80
|
|
Helicobacter pylori antibody igm
|
$186.00 |
$186.00 |
$186.00 |
$84.80
|
|
Hematocrit
|
$45.00 |
$45.00 |
$45.00 |
$33.57
|
|
Hemodialysis one evaluation
|
$2,086.00 |
$2,086.00 |
$2,086.00 |
$1,329.90
|
|
Hemoglobin
|
$39.00 |
$39.00 |
$39.00 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$74.00 |
$74.00 |
$74.00 |
$49.40
|
|
Hemoglobin plasma
|
$88.00 |
$88.00 |
$88.00 |
$40.56
|
|
Hemophilus influenza antibdy
|
$188.00 |
$188.00 |
$188.00 |
$56.80
|
|
Heparin assay
|
$100.00 |
$100.00 |
$100.00 |
$130.20
|
|
Heparin bolus from bag
|
$99.00 |
$99.00 |
$99.00 |
$72.61
|
|
Heparin neutralization
|
$148.00 |
$148.00 |
$148.00 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$18.75 |
$18.75 |
$18.75 |
$22.75
|
|
Hepatitis a antibody igm
|
$146.00 |
$146.00 |
$146.00 |
$85.15
|
|
Hepatitis b core antibody igm
|
$127.00 |
$127.00 |
$127.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$163.00 |
$163.00 |
$163.00 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,167.75 |
$1,167.75 |
$1,167.75 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$174.00 |
$174.00 |
$174.00 |
$83.79
|
|
Hepatitis c antibody
|
$212.00 |
$212.00 |
$212.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,734.00 |
$1,734.00 |
$1,734.00 |
$1,521.10
|
|
Hereditary colon ca dsordrs
|
$7,520.00 |
$7,520.00 |
$7,520.00 |
$1,956.00
|
|
Herpes simplex 1 ag if
|
$116.00 |
$116.00 |
$116.00 |
$40.28
|
|
Herpes simplex 2 ag if
|
$116.00 |
$116.00 |
$116.00 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$127.00 |
$127.00 |
$127.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$262.00 |
$262.00 |
$262.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$434.00 |
$434.00 |
$434.00 |
$93.32
|
|
Heterophile antibodies screening
|
$74.00 |
$74.00 |
$74.00 |
$73.60
|
|
Hexa gene
|
$794.00 |
$794.00 |
$794.00 |
$179.04
|
|
Hfo nontorsion jnts pre cst
|
$42.00 |
$42.00 |
$42.00 |
$93.60
|
|
Hip adj flex ext abduct cont
|
$758.00 |
$758.00 |
$758.00 |
$758.00
|
|
Hip joint adjustable flexion
|
$594.00 |
$594.00 |
$594.00 |
$598.02
|
|
Histamine
|
$358.00 |
$358.00 |
$358.00 |
$125.40
|
|
Histochemical stains add-on
|
$596.00 |
$596.00 |
$596.00 |
$169.65
|
|
Hla ii typing 1 loc hr
|
$1,590.00 |
$1,590.00 |
$1,590.00 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$429.00 |
$429.00 |
$429.00 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$1,217.00 |
$1,217.00 |
$1,217.00 |
$307.53
|
|
Hla i typing low res one locus ea
|
$724.00 |
$724.00 |
$724.00 |
$340.00
|
|
Hla typing dr/dq
|
$358.00 |
$358.00 |
$358.00 |
$135.20
|
|
Hocm 250-299mg/ml iodine,1ml
|
$80.50 |
$80.50 |
$80.50 |
$33.91
|
|
Hocm 350-399mg/ml iodine,1ml
|
$296.50 |
$296.50 |
$296.50 |
$79.78
|
|
Home sleep test/type 3 porta
|
$642.00 |
$642.00 |
$642.00 |
$641.76
|
|
Homocysteine
|
$214.00 |
$214.00 |
$214.00 |
$113.10
|
|
Homogenization tissue
|
$64.00 |
$64.00 |
$64.00 |
$39.00
|
|
Ho post-op hip abduction
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,350.00
|
|
H pylori (c-13) breath
|
$350.00 |
$350.00 |
$350.00 |
$219.05
|
|
H pylori drug admin
|
$101.00 |
$101.00 |
$101.00 |
$31.99
|
|
Human epididymis protein 4 (he4)
|
$268.00 |
$268.00 |
$268.00 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$368.50 |
$368.50 |
$368.50 |
$130.57
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$368.50 |
$368.50 |
$368.50 |
$176.15
|
|
Hydralazine 20 mg/ml injection solution
|
$94.75 |
$94.75 |
$94.75 |
$63.91
|
|
Hydration IV infusion each additional hour
|
$186.00 |
$186.00 |
$186.00 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$595.00 |
$595.00 |
$595.00 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,154.00 |
$1,154.00 |
$1,154.00 |
$120.06
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$1,552.50 |
$1,552.50 |
$1,552.50 |
$136.93
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$213.00 |
$213.00 |
$213.00 |
$80.11
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$226.00 |
$226.00 |
$226.00 |
$76.13
|
|
#hypersens-actinomyces ab
|
$74.00 |
$74.00 |
$74.00 |
$19.60
|
|
Hysterosalpingography s&i
|
$905.00 |
$905.00 |
$905.00 |
$629.46
|
|
I-123 sod iodide diag per 100 uci
|
$184.00 |
$184.00 |
$184.00 |
$158.05
|
|
I131 iodide cap, rx
|
$108.00 |
$108.00 |
$108.00 |
$91.83
|
|
Iaadi respiratory synctial virus
|
$116.00 |
$116.00 |
$116.00 |
$42.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$293.00 |
$293.00 |
$293.00 |
$125.25
|
|
Icd cobalt xt dr MRI is1 df1
|
$53,552.00 |
$53,552.00 |
$53,552.00 |
$33,717.60
|
|
Icd crtd cobalt hf MRI is1 df1
|
$72,004.00 |
$72,004.00 |
$72,004.00 |
$35,650.00
|
|
Icd crtp serena MRI
|
$18,000.00 |
$18,000.00 |
$18,000.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$8,464.00 |
$8,464.00 |
$8,464.00 |
$8,612.50
|
|
Idarubicin hcl injection
|
$463.25 |
$463.25 |
$463.25 |
$474.69
|
