|
Graft xenmtrx sft rect 15x20cm
|
$43,312.93 |
$43,312.93 |
$43,312.93 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,992.45 |
$2,992.45 |
$2,992.45 |
$2,653.10
|
|
G-tube reposition
|
$1,025.29 |
$1,025.29 |
$1,025.29 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$1,504.47 |
$1,504.47 |
$1,504.47 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$675.61 |
$675.61 |
$675.61 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$2,992.45 |
$2,992.45 |
$2,992.45 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$363.75 |
$363.75 |
$363.75 |
$2,229.99
|
|
Gw stiffened micro access kit
|
$5,060.98 |
$5,060.98 |
$5,060.98 |
$6,285.56
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$19.40 |
$19.40 |
$19.40 |
$35.40
|
|
Haptoglobin quantitative
|
$82.94 |
$82.94 |
$82.94 |
$89.95
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$2,747.53 |
$2,747.53 |
$2,747.53 |
$759.72
|
|
Hcg qualitative
|
$153.26 |
$153.26 |
$153.26 |
$77.50
|
|
Hcg quantitative
|
$265.78 |
$265.78 |
$265.78 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$66.93 |
$66.93 |
$66.93 |
$136.50
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,194.07 |
$1,194.07 |
$1,194.07 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$1,512.72 |
$1,512.72 |
$1,512.72 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,903.63 |
$1,903.63 |
$1,903.63 |
$1,186.80
|
|
Head CT scan (with and without contrast)
|
$3,713.65 |
$3,713.65 |
$3,713.65 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$3,102.06 |
$3,102.06 |
$3,102.06 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$2,264.47 |
$2,264.47 |
$2,264.47 |
$1,268.90
|
|
Heart image spect
|
$843.42 |
$843.42 |
$843.42 |
$566.74
|
|
Heart infarct image
|
$1,613.60 |
$1,613.60 |
$1,613.60 |
$840.74
|
|
Hematocrit
|
$3.88 |
$3.88 |
$3.88 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,329.90
|
|
Hemoglobin
|
$57.72 |
$57.72 |
$57.72 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$112.04 |
$112.04 |
$112.04 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$32.01 |
$32.01 |
$32.01 |
$49.40
|
|
Hemolysins and agglutinins incubated
|
$75.18 |
$75.18 |
$75.18 |
$67.50
|
|
Heparin bolus from bag
|
$26.68 |
$26.68 |
$26.68 |
$79.04
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$12.61 |
$12.61 |
$12.61 |
$32.27
|
|
Hepatitis a antibody igm
|
$83.91 |
$83.91 |
$83.91 |
$85.15
|
|
Hepatitis b core antibody igm
|
$83.91 |
$83.91 |
$83.91 |
$87.98
|
|
Hepatitis b core antibody total
|
$99.91 |
$99.91 |
$99.91 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$492.28 |
$492.28 |
$492.28 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$92.15 |
$92.15 |
$92.15 |
$83.79
|
|
Hepatitis c antibody
|
$132.89 |
$132.89 |
$132.89 |
$108.00
|
|
Hepatobiliary system imaging
|
$578.12 |
$578.12 |
$578.12 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$6.55 |
$6.55 |
$6.55 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$6.55 |
$6.55 |
$6.55 |
$87.10
|
|
Herpes simplex virus isolation
|
$12.12 |
$12.12 |
$12.12 |
$93.32
|
|
Hiv-1 ag ia
|
$125.13 |
$125.13 |
$125.13 |
$84.67
|
|
Hocm 350-399mg/ml iodine,1ml
|
$202.25 |
$202.25 |
$202.25 |
$68.86
|
|
Homocysteine
|
$27.65 |
$27.65 |
$27.65 |
$113.10
|
|
Homogenization tissue
|
$87.79 |
$87.79 |
$87.79 |
$39.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$66.45 |
$66.45 |
$66.45 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$40.26 |
$40.26 |
$40.26 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$179.94 |
$179.94 |
$179.94 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$615.47 |
$615.47 |
$615.47 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$19.89 |
$19.89 |
$19.89 |
$111.52
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$46.56 |
$46.56 |
$46.56 |
$112.22
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$1,022.38 |
$1,022.38 |
$1,022.38 |
$360.99
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$12.61 |
$12.61 |
$12.61 |
$86.47
|
|
Hysterosalpingography s&i
|
$581.03 |
$581.03 |
$581.03 |
$629.46
|
|
Hysteroscopy biopsy
|
$2,391.05 |
$2,391.05 |
$2,391.05 |
$4,753.18
|
|
Hysteroscopy remove fb
|
$5,878.20 |
$5,878.20 |
$5,878.20 |
$4,451.18
|
|
I-123 iobenguane diag
|
$4,760.28 |
$4,760.28 |
$4,760.28 |
$5,730.40
|
|
I-123 ioflupane diag
|
$6,581.45 |
$6,581.45 |
$6,581.45 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$108.16 |
$108.16 |
$108.16 |
$158.05
|
|
I131 iodide cap, rx
|
$461.72 |
$461.72 |
$461.72 |
$91.83
|
|
Iadna legionella pneumophila amplified probe tq
|
$15.77 |
$15.77 |
$15.77 |
$125.25
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,442.39 |
$1,442.39 |
$1,442.39 |
$891.89
|
|
Icd cobalt xt dr MRI is1 df1
|
$63,411.33 |
$63,411.33 |
$63,411.33 |
$35,816.55
|
|
Icd crtd cobalt hf MRI is1 df1
|
$69,752.70 |
$69,752.70 |
$69,752.70 |
$32,098.95
|
|
Icd crtp serena MRI
|
$26,893.25 |
$26,893.25 |
$26,893.25 |
$12,663.00
|
|
Icd reliance df4 ib 64cm
|
$11,125.90 |
$11,125.90 |
$11,125.90 |
$7,292.40
|
|
Ihc/icc per specimen each additional single antibody stain
|
$181.88 |
$181.88 |
$181.88 |
$191.75
|
|
Ihc/icc per specimen initial single antibody stain
|
$229.41 |
$229.41 |
$229.41 |
$266.76
|
|
Ikbkap gene
|
$135.51 |
$135.51 |
$135.51 |
$156.20
|
|
Iliac/fem angio cath insert
|
$1,230.45 |
$1,230.45 |
$1,230.45 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$6,472.81 |
$6,472.81 |
$6,472.81 |
$6,513.10
|
|
Immobilizer shldr cntor adlt
|
$123.68 |
$123.68 |
$123.68 |
$134.01
|
|
Immobilizer shldr dlx str 24-36in med
|
$41.23 |
$41.23 |
$41.23 |
$80.00
|
|
Immune complex assay
|
$7.85 |
$7.85 |
$7.85 |
$88.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$105.73 |
$105.73 |
$105.73 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$111.07 |
$111.07 |
$111.07 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$2.74 |
$2.74 |
$2.74 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$4.05 |
$4.05 |
$4.05 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$51.74 |
$51.74 |
$51.74 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$51.74 |
$51.74 |
$51.74 |
$250.00
|
|
Immunoglobulin assay
|
$12.29 |
$12.29 |
$12.29 |
$74.00
|
|
Implant cartilage 10mm synthetic
|
$63,411.33 |
$63,411.33 |
$63,411.33 |
$9,261.00
|
|
Implant neuroelectrodes
|
$9,743.65 |
$9,743.65 |
$9,743.65 |
$7,266.73
|
|
Implant ureth bulk agent
|
$1,045.18 |
$1,045.18 |
$1,045.18 |
$1,930.57
|
|
In-111 autol wbc diag per dose
|
$2,956.56 |
$2,956.56 |
$2,956.56 |
$3,704.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,295.44 |
$1,295.44 |
$1,295.44 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,441.49 |
$2,441.49 |
$2,441.49 |
$2,135.29
|
|
In-111 pentetreotide
|
$1,498.17 |
$1,498.17 |
$1,498.17 |
$6,617.05
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,494.29 |
$1,494.29 |
$1,494.29 |
$2,261.20
|
|
Infect ag drug suscept pheno predict
|
$67.90 |
$67.90 |
$67.90 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$124.58 |
$124.58 |
$124.58 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$67.90 |
$67.90 |
$67.90 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$67.90 |
$67.90 |
$67.90 |
$574.60
|
|
Infect ag ia optc obs influenza
|
$151.81 |
$151.81 |
$151.81 |
$66.72
|
|
Infect ag if hep delta agent
|
$60.63 |
$60.63 |
$60.63 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$14.55 |
$14.55 |
$14.55 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$7.28 |
$7.28 |
$7.28 |
$62.29
|
|
Infect ag na orthopoxvirus amp prb each
|
$41.23 |
$41.23 |
$41.23 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$606.25 |
$606.25 |
$606.25 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$55.97 |
$55.97 |
$55.97 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$55.97 |
$55.97 |
$55.97 |
$77.00
|