|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$12,188.88 |
$12,188.88 |
$12,188.88 |
$1,057.31
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$21,168.00 |
$21,168.00 |
$21,168.00 |
$765.06
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$54,552.02 |
$54,552.02 |
$54,552.02 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$6,674.40 |
$6,674.40 |
$6,674.40 |
$821.11
|
|
Graft xenmtrx sft rect 15x20cm
|
$61,102.08 |
$61,102.08 |
$61,102.08 |
$33,720.69
|
|
Graft xenmtrx sft rect 19x28cm
|
$4,422.72 |
$4,422.72 |
$4,422.72 |
$2,677.50
|
|
Granisetron 1 mg tab
|
$29.68 |
$29.68 |
$29.68 |
$62.30
|
|
Granisetron hcl injection
|
$81.52 |
$81.52 |
$81.52 |
$40.83
|
|
Great toe with reduction 28495
|
$547.20 |
$547.20 |
$547.20 |
$577.03
|
|
G-tube reposition
|
$2,548.80 |
$2,548.80 |
$2,548.80 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$2,564.16 |
$2,564.16 |
$2,564.16 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$10,552.80 |
$10,552.80 |
$10,552.80 |
$7,499.50
|
|
Guide wire threaded 1.4x150mm
|
$6,301.13 |
$6,301.13 |
$6,301.13 |
$2,622.00
|
|
Guide worley csg 9fx50cm std
|
$18,228.00 |
$18,228.00 |
$18,228.00 |
$986.55
|
|
Guid loc target vol rad tx
|
$3,692.16 |
$3,692.16 |
$3,692.16 |
$503.80
|
|
Gw stiffened micro access kit
|
$21,050.40 |
$21,050.40 |
$21,050.40 |
$6,500.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$44.76 |
$44.76 |
$44.76 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$36.04
|
|
Handpiece aquabeam hp2000
|
$7,956.00 |
$7,956.00 |
$7,956.00 |
$6,628.05
|
|
Hand tendon reconstruction
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$4,192.86
|
|
Hand X-ray
|
$434.88 |
$434.88 |
$434.88 |
$338.58
|
|
Haptoglobin quantitative
|
$92.64 |
$92.64 |
$92.64 |
$89.95
|
|
Hbot, full body chamber, 30m
|
$290.88 |
$290.88 |
$290.88 |
$558.35
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$931.68 |
$931.68 |
$931.68 |
$759.72
|
|
Hcg free betachain test
|
$3.36 |
$3.36 |
$3.36 |
$54.59
|
|
Hcg qualitative
|
$93.60 |
$93.60 |
$93.60 |
$77.50
|
|
Hcg quantitative
|
$116.64 |
$116.64 |
$116.64 |
$124.80
|
|
Hc metata joint dislocation anes
|
$4,865.76 |
$4,865.76 |
$4,865.76 |
$2,423.85
|
|
Hc nm kidney imaging with flow
|
$668.64 |
$668.64 |
$668.64 |
$1,008.39
|
|
Hc pet myocardial imaging metabolic eval single study
|
$4,102.56 |
$4,102.56 |
$4,102.56 |
$3,309.00
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$7,358.88 |
$7,358.88 |
$7,358.88 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$7,345.92 |
$7,345.92 |
$7,345.92 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$8,927.52 |
$8,927.52 |
$8,927.52 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$10,508.64 |
$10,508.64 |
$10,508.64 |
$3,410.55
|
|
Head CT scan (with and without contrast)
|
$1,752.96 |
$1,752.96 |
$1,752.96 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,705.44 |
$1,705.44 |
$1,705.44 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,587.36 |
$1,587.36 |
$1,587.36 |
$1,268.90
|
|
Hematocrit
|
$32.64 |
$32.64 |
$32.64 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$16,537.56 |
$16,537.56 |
$16,537.56 |
$21,893.50
|
|
Hemodialysis one evaluation
|
$1,092.48 |
$1,092.48 |
$1,092.48 |
$1,329.90
|
|
Hemoglobin
|
$35.52 |
$35.52 |
$35.52 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$35.52 |
$35.52 |
$35.52 |
$49.40
|
|
Hemoglobin plasma
|
$35.54 |
$35.54 |
$35.54 |
$40.56
|
|
Hemophilus influenza antibdy
|
$31.20 |
$31.20 |
$31.20 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,534.56 |
$1,534.56 |
$1,534.56 |
$1,141.40
|
|
Hemorrhoidopexy stapling 46947
|
$1,990.56 |
$1,990.56 |
$1,990.56 |
$3,316.74
|
|
Heparin assay
|
$83.04 |
$83.04 |
$83.04 |
$130.20
|
|
Heparin bolus from bag
|
$61.49 |
$61.49 |
$61.49 |
$72.61
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$22.75
|
|
Hepatitis a antibody igm
|
$134.88 |
$134.88 |
$134.88 |
$85.15
|
|
Hepatitis b core antibody igm
|
$142.08 |
$142.08 |
$142.08 |
$87.98
|
|
Hepatitis b core antibody total
|
$149.76 |
$149.76 |
$149.76 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,920.53 |
$1,920.53 |
$1,920.53 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$142.08 |
$142.08 |
$142.08 |
$83.79
|
|
Hepatitis c antibody
|
$142.08 |
$142.08 |
$142.08 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,572.96 |
$1,572.96 |
$1,572.96 |
$1,521.10
|
|
Hernia Repair (Inguinal)
|
$2,280.48 |
$2,280.48 |
$2,280.48 |
$5,870.15
|
|
Herpes simplex type 1 antibody igg
|
$41.28 |
$41.28 |
$41.28 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$41.28 |
$41.28 |
$41.28 |
$87.10
|
|
Herpes simplex virus isolation
|
$32.16 |
$32.16 |
$32.16 |
$93.32
|
|
Heterophile antibodies screening
|
$76.32 |
$76.32 |
$76.32 |
$73.60
|
|
Hip X-ray
|
$516.96 |
$516.96 |
$516.96 |
$292.05
|
|
Histamine
|
$65.76 |
$65.76 |
$65.76 |
$125.40
|
|
Hla class i high defin qual
|
$168.00 |
$168.00 |
$168.00 |
$574.86
|
|
Hla class ii high defin qual
|
$180.00 |
$180.00 |
$180.00 |
$568.50
|
|
Hla class ii phenotype qual
|
$96.00 |
$96.00 |
$96.00 |
$341.64
|
|
Hla class i phenotype qual
|
$84.00 |
$84.00 |
$84.00 |
$335.40
|
|
Hla i & ii typing lr
|
$156.00 |
$156.00 |
$156.00 |
$1,178.15
|
|
Hla ii typing 1 loc hr
|
$24.60 |
$24.60 |
$24.60 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$41.28 |
$41.28 |
$41.28 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$72.00 |
$72.00 |
$72.00 |
$307.53
|
|
Hla x-math non-cytotoxic
|
$364.80 |
$364.80 |
$364.80 |
$265.00
|
|
Home sleep test/type 3 porta
|
$807.84 |
$807.84 |
$807.84 |
$641.76
|
|
Home sleep test/type 4 porta
|
$807.84 |
$807.84 |
$807.84 |
$603.00
|
|
Homocysteine
|
$76.80 |
$76.80 |
$76.80 |
$113.10
|
|
Homovanillic acid (hva)
|
$6.24 |
$6.24 |
$6.24 |
$56.00
|
|
H pylori (c-13) breath
|
$29.76 |
$29.76 |
$29.76 |
$219.05
|
|
Human epididymis protein 4 (he4)
|
$122.88 |
$122.88 |
$122.88 |
$131.84
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$2,252.16 |
$2,252.16 |
$2,252.16 |
$4,190.44
|
|
Hyaluronidase 150 unit/ml injection solution
|
$125.69 |
$125.69 |
$125.69 |
$130.57
|
|
Hydralazine 20 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$63.91
|
|
Hydration IV infusion each additional hour
|
$95.52 |
$95.52 |
$95.52 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$287.52 |
$287.52 |
$287.52 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$353.57 |
$353.57 |
$353.57 |
$120.06
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$320.04 |
$320.04 |
$320.04 |
$136.93
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$910.39 |
$910.39 |
$910.39 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$90.00 |
$90.00 |
$90.00 |
$80.11
|
|
Hymenotomy
|
$4,107.36 |
$4,107.36 |
$4,107.36 |
$4,107.36
|
|
Hyoscyamine sulfate inj
|
$110.02 |
$110.02 |
$110.02 |
$215.75
|
|
Hysterosalpingography s&i
|
$765.12 |
$765.12 |
$765.12 |
$629.46
|
|
Iaadi respiratory synctial virus
|
$23.09 |
$23.09 |
$23.09 |
$42.48
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$918.69 |
$918.69 |
$918.69 |
$962.29
|
|
Icd cobalt xt dr MRI is1 df1
|
$52,380.00 |
$52,380.00 |
$52,380.00 |
$33,717.60
|
|
Icd crtd cobalt hf MRI is1 df1
|
$34,920.00 |
$34,920.00 |
$34,920.00 |
$35,650.00
|
|
Icd crtp serena MRI
|
$14,256.00 |
$14,256.00 |
$14,256.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$7,292.40 |
$7,292.40 |
$7,292.40 |
$8,612.50
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$4,803.84 |
$4,803.84 |
$4,803.84 |
$3,837.72
|
|
I&d frarm&/wrst deep absc/hematoma
|
$4,885.44 |
$4,885.44 |
$4,885.44 |
$3,821.05
|
|
Idh1 common variants
|
$127.50 |
$127.50 |
$127.50 |
$415.35
|
|
Idh2 common variants
|
$127.50 |
$127.50 |
$127.50 |
$451.91
|
