|
Graft xenmtrx sft rect 15x20cm
|
$33,720.69 |
$33,720.69 |
$33,720.69 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,503.82 |
$2,503.82 |
$2,503.82 |
$2,905.40
|
|
G-tube reposition
|
$378.71 |
$378.71 |
$378.71 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$364.23 |
$364.23 |
$364.23 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$6,905.81 |
$6,905.81 |
$6,905.81 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$2,185.31 |
$2,185.31 |
$2,185.31 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$111.54 |
$111.54 |
$111.54 |
$535.60
|
|
Gw stiffened micro access kit
|
$3,914.37 |
$3,914.37 |
$3,914.37 |
$6,893.38
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$104.27 |
$104.27 |
$104.27 |
$105.30
|
|
Hand X-ray
|
$160.20 |
$160.20 |
$160.20 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$103.05 |
$103.05 |
$103.05 |
$294.90
|
|
Haptoglobin quantitative
|
$19.47 |
$19.47 |
$19.47 |
$92.80
|
|
Hba1/hba2 full gene sequence
|
$554.40 |
$554.40 |
$554.40 |
$769.95
|
|
Hcg qualitative
|
$7.59 |
$7.59 |
$7.59 |
$90.10
|
|
Hcg quantitative
|
$22.11 |
$22.11 |
$22.11 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$32.56 |
$32.56 |
$32.56 |
$113.12
|
|
Head CT scan (with and without contrast)
|
$607.23 |
$607.23 |
$607.23 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$505.98 |
$505.98 |
$505.98 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$404.73 |
$404.73 |
$404.73 |
$1,268.90
|
|
Heart first pass add-on
|
$224.87 |
$224.87 |
$224.87 |
$485.27
|
|
Heart infarct image
|
$403.97 |
$403.97 |
$403.97 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$105.30 |
$105.30 |
$105.30 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$31.75 |
$31.75 |
$31.75 |
$92.00
|
|
Hematocrit
|
$23.12 |
$23.12 |
$23.12 |
$33.80
|
|
Hemodialysis one evaluation
|
$1,135.94 |
$1,135.94 |
$1,135.94 |
$1,364.27
|
|
Hemoglobin
|
$20.10 |
$20.10 |
$20.10 |
$33.54
|
|
Hemoglobin plasma
|
$19.47 |
$19.47 |
$19.47 |
$41.40
|
|
Hemolysins/agglutinins auto
|
$199.43 |
$199.43 |
$199.43 |
$62.48
|
|
Hemophilus influenza antibdy
|
$25.23 |
$25.23 |
$25.23 |
$62.70
|
|
Heparin assay
|
$21.78 |
$21.78 |
$21.78 |
$139.15
|
|
Hepatitis a antibody igm
|
$35.00 |
$35.00 |
$35.00 |
$89.44
|
|
Hepatitis b core antibody igm
|
$39.07 |
$39.07 |
$39.07 |
$89.60
|
|
Hepatitis b core antibody total
|
$22.38 |
$22.38 |
$22.38 |
$77.50
|
|
Hepatitis b surface antibody
|
$22.38 |
$22.38 |
$22.38 |
$82.32
|
|
Hepatitis c antibody
|
$38.66 |
$38.66 |
$38.66 |
$108.25
|
|
Herpes simplex 1 ag if
|
$25.80 |
$25.80 |
$25.80 |
$38.58
|
|
Herpes simplex 2 ag if
|
$25.80 |
$25.80 |
$25.80 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$21.57 |
$21.57 |
$21.57 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$24.01 |
$24.01 |
$24.01 |
$87.36
|
|
Herpes simplex virus isolation
|
$43.86 |
$43.86 |
$43.86 |
$110.00
|
|
Heterophile antibodies screening
|
$6.51 |
$6.51 |
$6.51 |
$73.87
|
|
Hhv-6 dna quant
|
$54.18 |
$54.18 |
$54.18 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$122.85 |
$122.85 |
$122.85 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$200.25 |
$200.25 |
$200.25 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$99.45 |
$99.45 |
$99.45 |
$233.50
|
|
Hip X-ray
|
$186.75 |
$186.75 |
$186.75 |
$294.75
|
|
Histamine
|
$29.37 |
$29.37 |
$29.37 |
$115.00
|
|
Hla i & ii type verify lr
|
$373.91 |
$373.91 |
$373.91 |
$742.50
|
|
Hla ii typing 1 loc hr
|
$114.58 |
$114.58 |
$114.58 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$68.68 |
$68.68 |
$68.68 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$157.08 |
$157.08 |
$157.08 |
$304.20
|
|
Hla i typing low res one locus ea
|
$117.96 |
$117.96 |
$117.96 |
$340.00
|
|
Hla typing dr/dq
|
$37.04 |
$37.04 |
$37.04 |
$135.20
|
|
Homocysteine
|
$19.14 |
$19.14 |
$19.14 |
$125.40
|
|
Homogenization tissue
|
$22.36 |
$22.36 |
$22.36 |
$41.30
|
|
Homovanillic acid (hva)
|
$22.44 |
$22.44 |
$22.44 |
$59.95
|
|
H pylori (c-13) breath
|
$66.99 |
$66.99 |
$66.99 |
$212.25
|
|
Human epididymis protein 4 (he4)
|
$39.48 |
$39.48 |
$39.48 |
$157.32
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$11.31 |
$11.31 |
$11.31 |
$140.54
|
|
Hysterosalpingography s&i
|
$238.05 |
$238.05 |
$238.05 |
$669.12
|
|
I-123 sod iodide diag per 100 uci
|
$84.26 |
$84.26 |
$84.26 |
$147.46
|
|
I131 iodide cap, rx
|
$47.69 |
$47.69 |
$47.69 |
$71.70
|
|
Iaadi respiratory synctial virus
|
$25.80 |
$25.80 |
$25.80 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$45.58 |
$45.58 |
$45.58 |
$109.80
|
|
Ia nfct ab sarscov2 covid19
|
$55.35 |
$55.35 |
$55.35 |
$62.49
|
|
Icd cobalt xt dr MRI is1 df1
|
$67,389.23 |
$67,389.23 |
$67,389.23 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$57,152.10 |
$57,152.10 |
$57,152.10 |
$39,070.50
|
|
Icd crtp serena MRI
|
$22,464.44 |
$22,464.44 |
$22,464.44 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$15,309.96 |
$15,309.96 |
$15,309.96 |
$9,264.83
|
|
Ifnl3 gene
|
$68.07 |
$68.07 |
$68.07 |
$147.20
|
|
Igh gene rearrange amp meth
|
$182.95 |
$182.95 |
$182.95 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$272.27 |
$272.27 |
$272.27 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$159.85 |
$159.85 |
$159.85 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$90.71 |
$90.71 |
$90.71 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$353.97 |
$353.97 |
$353.97 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$169.59 |
$169.59 |
$169.59 |
$277.90
|
|
Immunoassay tumor antigen quantitative ca 125
|
$25.64 |
$25.64 |
$25.64 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$25.64 |
$25.64 |
$25.64 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$22.79 |
$22.79 |
$22.79 |
$48.57
|
|
Immunodiffusion nes
|
$22.38 |
$22.38 |
$22.38 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$57.79 |
$57.79 |
$57.79 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$93.18 |
$93.18 |
$93.18 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$169.59 |
$169.59 |
$169.59 |
$234.27
|
|
Immunoglobulin assay
|
$96.05 |
$96.05 |
$96.05 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$44,905.62 |
$44,905.62 |
$44,905.62 |
$8,332.51
|
|
Implant ureth bulk agent
|
$1,434.35 |
$1,434.35 |
$1,434.35 |
$2,168.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$726.93 |
$726.93 |
$726.93 |
$2,753.23
|
|
Infect ag drug suscept pheno predict
|
$168.56 |
$168.56 |
$168.56 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$18.49 |
$18.49 |
$18.49 |
$71.20
|
|
Infect ag genotype na cytomegalovirus
|
$332.39 |
$332.39 |
$332.39 |
$665.40
|
|
Infect ag genotype na hiv-1 other region
|
$166.41 |
$166.41 |
$166.41 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$332.39 |
$332.39 |
$332.39 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$21.50 |
$21.50 |
$21.50 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$25.80 |
$25.80 |
$25.80 |
$68.40
|
|
Infect ag if influenza a
|
$25.80 |
$25.80 |
$25.80 |
$41.30
|
|
Infect ag if influenza b
|
$25.80 |
$25.80 |
$25.80 |
$37.95
|
|
Infect ag if pneumocystis carinii
|
$32.68 |
$32.68 |
$32.68 |
$66.06
|
|
Infect ag if varicella zoster
|
$25.80 |
$25.80 |
$25.80 |
$72.00
|
|
Infect ag na hep b amp
|
$58.05 |
$58.05 |
$58.05 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$45.58 |
$45.58 |
$45.58 |
$139.20
|