|
Graft nerve adv 3-4x70mm
|
$4,566.40 |
$4,566.40 |
$4,566.40 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$3,090.00 |
$3,090.00 |
$3,090.00 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$11.00 |
$11.00 |
$11.00 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$149.20 |
$149.20 |
$149.20 |
$892.38
|
|
Graft repair of spine defect 63710
|
$738.80 |
$738.80 |
$738.80 |
$2,054.40
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$47.80 |
$47.80 |
$47.80 |
$427.89
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$168.20 |
$168.20 |
$168.20 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$28,268.40 |
$28,268.40 |
$28,268.40 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$544.20 |
$544.20 |
$544.20 |
$3,076.20
|
|
Great toe with reduction 28495
|
$134.40 |
$134.40 |
$134.40 |
$495.00
|
|
Grfg autol soft tiss dir exc
|
$334.20 |
$334.20 |
$334.20 |
$4,332.25
|
|
Group health education
|
$4.20 |
$4.20 |
$4.20 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$14.80 |
$14.80 |
$14.80 |
$40.14
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$1,275.60 |
$1,275.60 |
$1,275.60 |
$3,604.20
|
|
Gstrst open wo constj tube
|
$568.00 |
$568.00 |
$568.00 |
$2,756.00
|
|
G-tube reposition
|
$271.40 |
$271.40 |
$271.40 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$1,470.80 |
$1,470.80 |
$1,470.80 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$763.80 |
$763.80 |
$763.80 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$3,379.20 |
$3,379.20 |
$3,379.20 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$849.00 |
$849.00 |
$849.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$669.20 |
$669.20 |
$669.20 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$14.20 |
$14.20 |
$14.20 |
$535.60
|
|
Gw stiffened micro access kit
|
$209.80 |
$209.80 |
$209.80 |
$6,600.00
|
|
Gynecomastia (males) 19300
|
$302.80 |
$302.80 |
$302.80 |
$3,735.20
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$9.01 |
$9.01 |
$9.01 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$4.80 |
$4.80 |
$4.80 |
$23.30
|
|
Hand tendon reconstruction
|
$489.80 |
$489.80 |
$489.80 |
$5,023.20
|
|
Hand tendon reconstruction
|
$535.40 |
$535.40 |
$535.40 |
$4,454.10
|
|
Hand X-ray
|
$308.40 |
$308.40 |
$308.40 |
$345.87
|
|
Haptoglobin quantitative
|
$10.53 |
$10.53 |
$10.53 |
$91.80
|
|
Harness chest/shlder saddle
|
$135.00 |
$135.00 |
$135.00 |
$254.80
|
|
Harvest cultured skin graft 15040
|
$85.80 |
$85.80 |
$85.80 |
$2,164.64
|
|
Harvest femoropopliteal vein 35572
|
$216.20 |
$216.20 |
$216.20 |
$844.00
|
|
Harvest vein for bypass 35500
|
$199.40 |
$199.40 |
$199.40 |
$780.00
|
|
Hba1/hba2 full gene sequence
|
$93.50 |
$93.50 |
$93.50 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$32.38 |
$32.38 |
$32.38 |
$403.25
|
|
Hbb full gene sequence
|
$180.00 |
$180.00 |
$180.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$32.38 |
$32.38 |
$32.38 |
$404.80
|
|
Hb glycosylated a1c home dev
|
$7.80 |
$7.80 |
$7.80 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$110.40 |
$110.40 |
$110.40 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$363.60 |
$363.60 |
$363.60 |
$721.00
|
|
Hcg free betachain test
|
$2.68 |
$2.68 |
$2.68 |
$68.90
|
|
Hcg qualitative
|
$43.20 |
$43.20 |
$43.20 |
$88.00
|
|
Hcg quantitative
|
$72.60 |
$72.60 |
$72.60 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$155.20 |
$155.20 |
$155.20 |
$117.00
|
|
Hc metata joint dislocation anes
|
$93.00 |
$93.00 |
$93.00 |
$2,383.09
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$35.40 |
$35.40 |
$35.40 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$499.40 |
$499.40 |
$499.40 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$420.80 |
$420.80 |
$420.80 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$1,063.80 |
$1,063.80 |
$1,063.80 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$940.00 |
$940.00 |
$940.00 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$851.00 |
$851.00 |
$851.00 |
$1,268.90
|
|
Heart infarct image
|
$429.40 |
$429.40 |
$429.40 |
$942.29
|
|
Helicobacter pylori antibody igm
|
$55.20 |
$55.20 |
$55.20 |
$92.23
|
|
Hematocrit
|
$16.20 |
$16.20 |
$16.20 |
$33.57
|
|
Hemodialysis one evaluation
|
$531.40 |
$531.40 |
$531.40 |
$1,338.00
|
|
Hemodialysis repeated eval
|
$531.40 |
$531.40 |
$531.40 |
$1,209.60
|
|
Hemoglobin
|
$17.60 |
$17.60 |
$17.60 |
$32.76
|
|
Hemoglobin plasma
|
$1.30 |
$1.30 |
$1.30 |
$41.25
|
|
Hemoglobin urine
|
$0.70 |
$0.70 |
$0.70 |
$17.50
|
|
Hemorrhoidectomy intern transanal deater 2+ 46948
|
$310.60 |
$310.60 |
$310.60 |
$3,816.64
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$292.40 |
$292.40 |
$292.40 |
$1,170.54
|
|
Hemorrhoidopexy stapling 46947
|
$268.40 |
$268.40 |
$268.40 |
$3,786.00
|
|
Heparin assay
|
$28.00 |
$28.00 |
$28.00 |
$138.84
|
|
Heparin bolus from bag
|
$23.78 |
$23.78 |
$23.78 |
$68.00
|
|
Heparin neutralization
|
$7.00 |
$7.00 |
$7.00 |
$36.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$7.99 |
$7.99 |
$7.99 |
$12.91
|
|
Hepatectomy removal of liver 47120
|
$1,552.20 |
$1,552.20 |
$1,552.20 |
$4,363.20
|
|
Hepatitis a antibody igm
|
$40.20 |
$40.20 |
$40.20 |
$88.92
|
|
Hepatitis b core antibody igm
|
$30.80 |
$30.80 |
$30.80 |
$88.80
|
|
Hepatitis b core antibody total
|
$30.80 |
$30.80 |
$30.80 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$749.27 |
$749.27 |
$749.27 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$27.80 |
$27.80 |
$27.80 |
$81.12
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$70.40 |
$70.40 |
$70.40 |
$210.40
|
|
Hepatitis c antibody
|
$37.60 |
$37.60 |
$37.60 |
$108.00
|
|
Hepatitis d quantification
|
$45.00 |
$45.00 |
$45.00 |
$91.28
|
|
Hepatobiliary system imaging
|
$987.80 |
$987.80 |
$987.80 |
$1,438.99
|
|
Hereditary colon ca dsordrs
|
$468.00 |
$468.00 |
$468.00 |
$1,901.23
|
|
Hered neuroend tum-rlt do 5+
|
$300.00 |
$300.00 |
$300.00 |
$870.60
|
|
Hernia Repair (Inguinal)
|
$534.40 |
$534.40 |
$534.40 |
$6,739.98
|
|
Herpes simplex 1 ag if
|
$2.02 |
$2.02 |
$2.02 |
$38.58
|
|
Herpes simplex 2 ag if
|
$2.02 |
$2.02 |
$2.02 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$2.34 |
$2.34 |
$2.34 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$3.44 |
$3.44 |
$3.44 |
$87.10
|
|
Herpes simplex virus isolation
|
$5.42 |
$5.42 |
$5.42 |
$106.21
|
|
Heterophile antibodies screening
|
$30.20 |
$30.20 |
$30.20 |
$72.00
|
|
Heterophile antibodies titer
|
$1.15 |
$1.15 |
$1.15 |
$29.25
|
|
Hfo nontorsion jnts pre cst
|
$37.40 |
$37.40 |
$37.40 |
$110.88
|
|
Hhv-6 dna quant
|
$7.42 |
$7.42 |
$7.42 |
$250.80
|
|
Hib-hepb vaccine im
|
$32.20 |
$32.20 |
$32.20 |
$85.80
|
|
High inten beh couns std 30m
|
$16.00 |
$16.00 |
$16.00 |
$108.93
|
|
Hip arthr0 w/debridement
|
$567.60 |
$567.60 |
$567.60 |
$7,181.65
|
|
Hip arthro acetabuloplasty
|
$702.20 |
$702.20 |
$702.20 |
$5,043.20
|
|
Hip arthro w/fb removal
|
$485.00 |
$485.00 |
$485.00 |
$5,352.45
|
|
Hip arthro w/femoroplasty
|
$689.40 |
$689.40 |
$689.40 |
$6,223.52
|
|
Hip arthro w/labral repair
|
$703.20 |
$703.20 |
$703.20 |
$6,920.22
|
|
Hip X-ray
|
$206.20 |
$206.20 |
$206.20 |
$296.05
|
|
Histamine
|
$5.25 |
$5.25 |
$5.25 |
$114.84
|
|
Hla class i&ii antibody qual
|
$53.00 |
$53.00 |
$53.00 |
$254.33
|
