|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$41.89 |
$41.89 |
$41.89 |
$2,648.81
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$237.81 |
$237.81 |
$237.81 |
$2,369.10
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$196.44 |
$196.44 |
$196.44 |
$3,070.00
|
|
Granisetron hcl injection
|
$40.33 |
$40.33 |
$40.33 |
$41.65
|
|
Guided cath fluid drainage 10030
|
$557.50 |
$557.50 |
$557.50 |
$1,461.15
|
|
Guid loc target vol rad tx
|
$93.75 |
$93.75 |
$93.75 |
$503.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$69.04 |
$69.04 |
$69.04 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$18.87 |
$18.87 |
$18.87 |
$35.40
|
|
Hand X-ray
|
$137.50 |
$137.50 |
$137.50 |
$338.58
|
|
Haptoglobin quantitative
|
$35.00 |
$35.00 |
$35.00 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$200.00 |
$200.00 |
$200.00 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$150.00 |
$150.00 |
$150.00 |
$406.25
|
|
Hbb full gene sequence
|
$200.00 |
$200.00 |
$200.00 |
$633.25
|
|
Hcg qualitative
|
$31.25 |
$31.25 |
$31.25 |
$77.50
|
|
Hcg quantitative
|
$40.00 |
$40.00 |
$40.00 |
$124.80
|
|
Hdr rdncl ntrstl/icav brchtx
|
$650.00 |
$650.00 |
$650.00 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$650.00 |
$650.00 |
$650.00 |
$3,111.55
|
|
Head CT scan (with and without contrast)
|
$750.00 |
$750.00 |
$750.00 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$700.00 |
$700.00 |
$700.00 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$625.00 |
$625.00 |
$625.00 |
$1,268.90
|
|
Hematocrit
|
$13.75 |
$13.75 |
$13.75 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$8,235.36 |
$8,235.36 |
$8,235.36 |
$23,025.73
|
|
Hemodialysis one evaluation
|
$500.00 |
$500.00 |
$500.00 |
$1,329.90
|
|
Hemoglobin
|
$13.75 |
$13.75 |
$13.75 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$20.00 |
$20.00 |
$20.00 |
$49.40
|
|
Hemoglobin plasma
|
$20.00 |
$20.00 |
$20.00 |
$40.56
|
|
Hemoglobin urine
|
$8.75 |
$8.75 |
$8.75 |
$23.31
|
|
Hepagam b intravenous, inj
|
$156.81 |
$156.81 |
$156.81 |
$569.70
|
|
Heparin assay
|
$35.00 |
$35.00 |
$35.00 |
$130.20
|
|
Heparin bolus from bag
|
$44.05 |
$44.05 |
$44.05 |
$79.04
|
|
Heparin neutralization
|
$35.00 |
$35.00 |
$35.00 |
$47.45
|
|
Hepatitis a antibody igm
|
$35.00 |
$35.00 |
$35.00 |
$85.15
|
|
Hepatitis b core antibody igm
|
$35.00 |
$35.00 |
$35.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$35.00 |
$35.00 |
$35.00 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$230.18 |
$230.18 |
$230.18 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$17.50 |
$17.50 |
$17.50 |
$83.79
|
|
Hepatitis c antibody
|
$58.75 |
$58.75 |
$58.75 |
$108.00
|
|
Hepatobiliary system imaging
|
$433.75 |
$433.75 |
$433.75 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$35.00 |
$35.00 |
$35.00 |
$40.28
|
|
Herpes simplex 2 ag if
|
$35.00 |
$35.00 |
$35.00 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$35.00 |
$35.00 |
$35.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$25.00 |
$25.00 |
$25.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$43.75 |
$43.75 |
$43.75 |
$93.32
|
|
Heterophile antibodies screening
|
$22.50 |
$22.50 |
$22.50 |
$73.60
|
|
Heterophile antibodies titer
|
$5.75 |
$5.75 |
$5.75 |
$16.80
|
|
Hhv-6 dna quant
|
$50.00 |
$50.00 |
$50.00 |
$200.25
|
|
Hip X-ray
|
$125.00 |
$125.00 |
$125.00 |
$292.05
|
|
Histamine
|
$43.75 |
$43.75 |
$43.75 |
$125.40
|
|
Histochemical stains add-on
|
$112.50 |
$112.50 |
$112.50 |
$169.65
|
|
Hizentra injection
|
$51.45 |
$51.45 |
$51.45 |
$13.23
|
|
Hla ii typing 1 loc hr
|
$100.00 |
$100.00 |
$100.00 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$25.00 |
$25.00 |
$25.00 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$75.00 |
$75.00 |
$75.00 |
$307.53
|
|
Hla typing a b or c
|
$62.50 |
$62.50 |
$62.50 |
$309.40
|
|
Hla typing dr/dq
|
$43.75 |
$43.75 |
$43.75 |
$135.20
|
|
Hocm 250-299mg/ml iodine,1ml
|
$1.02 |
$1.02 |
$1.02 |
$33.91
|
|
Hocm 350-399mg/ml iodine,1ml
|
$2.23 |
$2.23 |
$2.23 |
$68.86
|
|
Holder tube cath-secure nonstrl lf disp
|
$1.94 |
$1.94 |
$1.94 |
$1.94
|
|
Homocysteine
|
$31.25 |
$31.25 |
$31.25 |
$113.10
|
|
Homogenization tissue
|
$22.50 |
$22.50 |
$22.50 |
$39.00
|
|
Homovanillic acid (hva)
|
$19.50 |
$19.50 |
$19.50 |
$56.00
|
|
Hpv types 16 & 18 only
|
$41.25 |
$41.25 |
$41.25 |
$93.60
|
|
H pylori (c-13) breath
|
$62.50 |
$62.50 |
$62.50 |
$219.05
|
|
Htt gene detc abnor alleles
|
$68.75 |
$68.75 |
$68.75 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$43.75 |
$43.75 |
$43.75 |
$131.84
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$1,631.10 |
$1,631.10 |
$1,631.10 |
$4,652.48
|
|
Hyaluronidase 150 unit/ml injection solution
|
$72.60 |
$72.60 |
$72.60 |
$152.81
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$109.35 |
$109.35 |
$109.35 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$40.30 |
$40.30 |
$40.30 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$88.75 |
$88.75 |
$88.75 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$175.00 |
$175.00 |
$175.00 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$159.14 |
$159.14 |
$159.14 |
$111.52
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$46.71 |
$46.71 |
$46.71 |
$86.47
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$31.25 |
$31.25 |
$31.25 |
$76.13
|
|
Hyoscyamine sulfate inj
|
$185.16 |
$185.16 |
$185.16 |
$215.75
|
|
Hyqvia 100mg immuneglobulin
|
$39.71 |
$39.71 |
$39.71 |
$17.50
|
|
Hysterosalpingography s&i
|
$300.00 |
$300.00 |
$300.00 |
$629.46
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$134.19 |
$134.19 |
$134.19 |
$331.10
|
|
I-123 ioflupane diag
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$3,887.10
|
|
Iadna legionella pneumophila amplified probe tq
|
$37.50 |
$37.50 |
$37.50 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$135.76 |
$135.76 |
$135.76 |
$839.85
|
|
Ibuprofen injection
|
$20.07 |
$20.07 |
$20.07 |
$90.23
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$43.40 |
$43.40 |
$43.40 |
$891.89
|
|
Icatibant injection
|
$3,139.64 |
$3,139.64 |
$3,139.64 |
$3,939.88
|
|
Icd cobalt xt dr MRI is1 df1
|
$15,142.09 |
$15,142.09 |
$15,142.09 |
$35,816.55
|
|
Icd crtd cobalt hf MRI is1 df1
|
$21,397.39 |
$21,397.39 |
$21,397.39 |
$32,098.95
|
|
Icd crtp serena MRI
|
$7,365.92 |
$7,365.92 |
$7,365.92 |
$12,663.00
|
|
Icd reliance df4 ib 64cm
|
$3,781.58 |
$3,781.58 |
$3,781.58 |
$7,292.40
|
|
Icut allergy test drug/bug
|
$35.00 |
$35.00 |
$35.00 |
$69.95
|
|
Idarubicin hcl injection
|
$52.48 |
$52.48 |
$52.48 |
$544.37
|
|
Idecabtagene vicleucel car
|
$304,031.68 |
$304,031.68 |
$304,031.68 |
$526,587.59
|
|
Idh1 common variants
|
$120.00 |
$120.00 |
$120.00 |
$415.35
|
|
Idh2 common variants
|
$185.00 |
$185.00 |
$185.00 |
$451.91
|
|
Ifosfamide 1 gram intravenous solution
|
$278.13 |
$278.13 |
$278.13 |
$289.34
|
|
Igh@ var region somatic mutation analy
|
$325.00 |
$325.00 |
$325.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$81.25 |
$81.25 |
$81.25 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$100.00 |
$100.00 |
$100.00 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$81.25 |
$81.25 |
$81.25 |
$266.76
|
|
Imetelstat 188 mg intravenous solution
|
$7,956.29 |
$7,956.29 |
$7,956.29 |
$57.02
|
|
Immobilizer shldr cntor adlt
|
$104.18 |
$104.18 |
$104.18 |
$134.01
|
