|
Graft axiofill 1000mg
|
$3,766.29 |
$3,766.29 |
$3,766.29 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$6,155.19 |
$6,155.19 |
$6,155.19 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$10,325.01 |
$10,325.01 |
$10,325.01 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$58,287.77 |
$58,287.77 |
$58,287.77 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$15,329.15 |
$15,329.15 |
$15,329.15 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$6,375.79 |
$6,375.79 |
$6,375.79 |
$1,455.76
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$284.90 |
$284.90 |
$284.90 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$4,698.89 |
$4,698.89 |
$4,698.89 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$165.20 |
$165.20 |
$165.20 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$28,247.16 |
$28,247.16 |
$28,247.16 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,631.37 |
$1,631.37 |
$1,631.37 |
$3,076.20
|
|
Granulocyte pheresis ea unit
|
$4,925.20 |
$4,925.20 |
$4,925.20 |
$2,698.02
|
|
Ground mileage
|
$37.80 |
$37.80 |
$37.80 |
$17.60
|
|
G-tube reposition
|
$417.20 |
$417.20 |
$417.20 |
$745.80
|
|
Guided cath fluid drainage 10030
|
$1,544.90 |
$1,544.90 |
$1,544.90 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$573.91 |
$573.91 |
$573.91 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$1,854.63 |
$1,854.63 |
$1,854.63 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$122.39 |
$122.39 |
$122.39 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$6,836.20 |
$6,836.20 |
$6,836.20 |
$6,600.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$75.25 |
$75.25 |
$75.25 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.00 |
$7.00 |
$7.00 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$41.30 |
$41.30 |
$41.30 |
$23.30
|
|
Hand X-ray
|
$547.40 |
$547.40 |
$547.40 |
$345.87
|
|
Haptoglobin quantitative
|
$124.60 |
$124.60 |
$124.60 |
$91.80
|
|
Harvest allogeneic stem cell
|
$3,938.90 |
$3,938.90 |
$3,938.90 |
$3,067.50
|
|
Harvest auto stem cells
|
$5,121.20 |
$5,121.20 |
$5,121.20 |
$3,379.00
|
|
Hast w/oxygen titrate
|
$1,220.10 |
$1,220.10 |
$1,220.10 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$658.70 |
$658.70 |
$658.70 |
$403.25
|
|
Hbb full gene sequence
|
$784.00 |
$784.00 |
$784.00 |
$633.25
|
|
Hbb gene com variants
|
$427.00 |
$427.00 |
$427.00 |
$345.95
|
|
Hbb gene dup/del variants
|
$488.60 |
$488.60 |
$488.60 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$747.60 |
$747.60 |
$747.60 |
$526.90
|
|
Hcg free betachain test
|
$43.40 |
$43.40 |
$43.40 |
$68.90
|
|
Hcg qualitative
|
$116.20 |
$116.20 |
$116.20 |
$88.00
|
|
Hcg quantitative
|
$200.20 |
$200.20 |
$200.20 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$666.40 |
$666.40 |
$666.40 |
$117.00
|
|
Hc pet myocardial imaging metabolic eval single study
|
$1,990.10 |
$1,990.10 |
$1,990.10 |
$3,840.40
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$5,548.90 |
$5,548.90 |
$5,548.90 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,818.00 |
$6,818.00 |
$6,818.00 |
$3,694.80
|
|
Head CT scan (with and without contrast)
|
$3,756.90 |
$3,756.90 |
$3,756.90 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,921.80 |
$2,921.80 |
$2,921.80 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$2,474.50 |
$2,474.50 |
$2,474.50 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$165.90 |
$165.90 |
$165.90 |
$92.23
|
|
Hematocrit
|
$38.50 |
$38.50 |
$38.50 |
$33.57
|
|
Hematopoietic nuclear tx
|
$2,400.30 |
$2,400.30 |
$2,400.30 |
$928.98
|
|
Hemodialysis one evaluation
|
$1,852.20 |
$1,852.20 |
$1,852.20 |
$1,338.00
|
|
Hemoglobin
|
$37.80 |
$37.80 |
$37.80 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$119.70 |
$119.70 |
$119.70 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$463.40 |
$463.40 |
$463.40 |
$89.13
|
|
Hemoglobin plasma
|
$106.40 |
$106.40 |
$106.40 |
$41.25
|
|
Hemoglobin urine
|
$19.60 |
$19.60 |
$19.60 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$72.10 |
$72.10 |
$72.10 |
$57.28
|
|
Hemophilus influenza antibdy
|
$112.00 |
$112.00 |
$112.00 |
$62.70
|
|
Hemorrhoidectomy intern transanal deater 2+ 46948
|
$22,076.88 |
$22,076.88 |
$22,076.88 |
$3,816.64
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$10,932.45 |
$10,932.45 |
$10,932.45 |
$1,170.54
|
|
Heparin assay
|
$153.30 |
$153.30 |
$153.30 |
$138.84
|
|
Heparin bolus from bag
|
$58.45 |
$58.45 |
$58.45 |
$68.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$2.80 |
$2.80 |
$2.80 |
$12.91
|
|
Hepatitis a antibody igm
|
$194.60 |
$194.60 |
$194.60 |
$88.92
|
|
Hepatitis b core antibody igm
|
$119.70 |
$119.70 |
$119.70 |
$88.80
|
|
Hepatitis b core antibody total
|
$151.90 |
$151.90 |
$151.90 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$346.15 |
$346.15 |
$346.15 |
$1,174.30
|
|
Hepatitis b surface ag quan
|
$679.00 |
$679.00 |
$679.00 |
$54.88
|
|
Hepatitis b surface antibody
|
$149.10 |
$149.10 |
$149.10 |
$81.12
|
|
Hepatitis c antibody
|
$179.20 |
$179.20 |
$179.20 |
$108.00
|
|
Hepatitis d quantification
|
$90.30 |
$90.30 |
$90.30 |
$91.28
|
|
Hepatobiliary system imaging
|
$1,537.90 |
$1,537.90 |
$1,537.90 |
$1,438.99
|
|
Hepb vacc 3 dose immunsup im
|
$392.70 |
$392.70 |
$392.70 |
$319.52
|
|
Hereditary colon ca dsordrs
|
$3,011.40 |
$3,011.40 |
$3,011.40 |
$1,901.23
|
|
Hered neuroend tum-rlt do 5+
|
$1,014.30 |
$1,014.30 |
$1,014.30 |
$870.60
|
|
Hernia Repair (Inguinal)
|
$24,380.94 |
$24,380.94 |
$24,380.94 |
$6,739.98
|
|
Herpes simplex type 1 antibody igg
|
$205.10 |
$205.10 |
$205.10 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$205.10 |
$205.10 |
$205.10 |
$87.10
|
|
Herpes simplex virus isolation
|
$141.40 |
$141.40 |
$141.40 |
$106.21
|
|
Heterophile antibodies screening
|
$114.10 |
$114.10 |
$114.10 |
$72.00
|
|
Hexa gene
|
$408.10 |
$408.10 |
$408.10 |
$150.82
|
|
Hfo nontorsion jnts pre cst
|
$86.10 |
$86.10 |
$86.10 |
$110.88
|
|
Hhv-6 dna quant
|
$463.40 |
$463.40 |
$463.40 |
$250.80
|
|
Hinge extension/flex wrist/f
|
$2,165.10 |
$2,165.10 |
$2,165.10 |
$1,653.00
|
|
Hip X-ray
|
$522.90 |
$522.90 |
$522.90 |
$296.05
|
|
Histamine
|
$144.90 |
$144.90 |
$144.90 |
$114.84
|
|
Histochemical stains add-on
|
$14,337.71 |
$14,337.71 |
$14,337.71 |
$152.75
|
|
HIV prep, ftc/tdf 200/300mg
|
$9.45 |
$9.45 |
$9.45 |
$31.80
|
|
HIV prep, inj, cabotegravir
|
$12,674.55 |
$12,674.55 |
$12,674.55 |
$7,320.13
|
|
Hla class i high defin qual
|
$722.40 |
$722.40 |
$722.40 |
$625.00
|
|
Hla class ii high defin qual
|
$674.10 |
$674.10 |
$674.10 |
$569.25
|
|
Hla class i&ii antibody qual
|
$352.10 |
$352.10 |
$352.10 |
$254.33
|
|
Hla class ii phenotype qual
|
$313.60 |
$313.60 |
$313.60 |
$288.60
|
|
Hla class ii semiquant panel
|
$2,326.80 |
$2,326.80 |
$2,326.80 |
$724.80
|
|
Hla class i phenotype qual
|
$457.80 |
$457.80 |
$457.80 |
$367.50
|
|
Hla class i semiquant panel
|
$1,227.10 |
$1,227.10 |
$1,227.10 |
$802.40
|
|
Hla i & ii type verify lr
|
$950.60 |
$950.60 |
$950.60 |
$742.50
|
|
Hla i & ii typing hr
|
$5,353.60 |
$5,353.60 |
$5,353.60 |
$871.65
|
|
Hla i & ii typing lr
|
$1,701.00 |
$1,701.00 |
$1,701.00 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$965.30 |
$965.30 |
$965.30 |
$290.94
|
|
Hla ii typing ag equiv lr
|
$760.20 |
$760.20 |
$760.20 |
$448.80
|
|
Hla i low res one antigen equiv ea
|
$203.00 |
$203.00 |
$203.00 |
$164.00
|
|
Hla i typing 1 locus hr
|
$466.90 |
$466.90 |
$466.90 |
$436.80
|
|
Hla i typing complete lr
|
$844.20 |
$844.20 |
$844.20 |
$719.20
|
