|
Graft xenmtrx sft rect 15x20cm
|
$1,297.60 |
$1,297.60 |
$4,671.57 |
$36,668.80
|
|
Graft xenmtrx sft rect 19x28cm
|
$658.75 |
$658.75 |
$1,351.58 |
$2,677.50
|
|
Granulocyte pheresis ea unit
|
$2,209.31 |
$2,209.31 |
$6,050.00 |
$2,920.32
|
|
Great toe with reduction 28495
|
$378.95 |
$378.95 |
$642.78 |
$577.03
|
|
Group mnt 2 or more 30 mins
|
$40.14 |
$40.14 |
$40.14 |
$44.64
|
|
G-tube reposition
|
$1,355.75 |
$1,355.75 |
$1,901.18 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$1,262.80 |
$1,262.80 |
$2,063.95 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$1,910.48 |
$1,910.48 |
$3,341.80 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$689.40 |
$689.40 |
$4,769.72 |
$3,047.63
|
|
Guide worley csg 9fx50cm std
|
$151.36 |
$151.36 |
$284.97 |
$945.75
|
|
Guid loc target vol rad tx
|
$503.80 |
$503.80 |
$959.75 |
$503.80
|
|
Gw stiffened micro access kit
|
$416.00 |
$416.00 |
$2,419.40 |
$5,485.50
|
|
Hand X-ray
|
$253.00 |
$253.00 |
$302.50 |
$338.58
|
|
Haptoglobin quantitative
|
$70.95 |
$70.95 |
$127.60 |
$89.95
|
|
Harvest allogeneic stem cell
|
$4,081.22 |
$4,081.22 |
$87,287.20 |
$3,766.50
|
|
Harvest auto stem cells
|
$4,817.67 |
$4,817.67 |
$6,586.80 |
$3,914.00
|
|
Harvest femoropopliteal vein 35572
|
$3,597.00 |
$3,597.00 |
$3,597.00 |
$844.00
|
|
Harvest stem cell concentrte
|
$2,864.95 |
$2,864.95 |
$2,864.95 |
$1,287.78
|
|
Hast w/i&r phys/qhp
|
$159.50 |
$159.50 |
$159.50 |
$301.95
|
|
Hba1/hba2 full gene sequence
|
$872.30 |
$872.30 |
$1,208.90 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$484.00 |
$484.00 |
$503.80 |
$406.25
|
|
Hba1/hba2 gene fam vrnt
|
$894.30 |
$894.30 |
$894.30 |
$517.85
|
|
Hbb full gene sequence
|
$1,208.90 |
$1,208.90 |
$1,340.90 |
$633.25
|
|
Hbb gene com variants
|
$356.40 |
$356.40 |
$356.40 |
$228.54
|
|
Hbb gene dup/del variants
|
$577.50 |
$577.50 |
$598.40 |
$404.80
|
|
Hc ea ha check monaural
|
$138.71 |
$138.71 |
$138.71 |
$45.60
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$376.20 |
$376.20 |
$594.94 |
$759.72
|
|
Hcg free betachain test
|
$26.40 |
$26.40 |
$157.30 |
$54.59
|
|
Hcg qualitative
|
$41.80 |
$41.80 |
$44.00 |
$77.50
|
|
Hcg quantitative
|
$81.95 |
$81.95 |
$167.20 |
$124.80
|
|
Hc hearing aid chck binaurl
|
$297.44 |
$297.44 |
$297.44 |
$78.40
|
|
Hc hearing aid chck monarl
|
$198.06 |
$198.06 |
$198.06 |
$48.00
|
|
Hc hearing aid exam both ears
|
$446.16 |
$446.16 |
$446.16 |
$175.20
|
|
Hc hearing aid exam one ear
|
$456.17 |
$456.17 |
$456.17 |
$157.50
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$412.76 |
$412.76 |
$412.76 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$239.39 |
$239.39 |
$239.39 |
$827.08
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$356.96 |
$356.96 |
$356.96 |
$1,107.48
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$213.66 |
$213.66 |
$213.66 |
$874.90
|
|
Hc nm fusion spect CT unlisted
|
$4,132.15 |
$4,132.15 |
$4,132.15 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$583.00 |
$583.00 |
$583.00 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$494.45 |
$494.45 |
$494.45 |
$1,186.80
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,979.90 |
$2,979.90 |
$2,979.90 |
$3,309.00
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$715.00 |
$715.00 |
$715.00 |
$3,228.40
|
|
Head CT scan (with and without contrast)
|
$1,684.10 |
$1,684.10 |
$1,930.50 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,346.95 |
$1,346.95 |
$1,501.50 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$858.00 |
$858.00 |
$990.00 |
$1,268.90
|
|
Heart infarct image
|
$460.90 |
$460.90 |
$460.90 |
$840.74
|
|
Heart infarct image (ef)
|
$633.05 |
$633.05 |
$633.05 |
$636.97
|
|
Helicobacter pylori antibody igm
|
$81.95 |
$81.95 |
$147.40 |
$84.80
|
|
Hematocrit
|
$16.50 |
$16.50 |
$27.50 |
$33.57
|
|
Hematopoietic nuclear tx
|
$1,627.45 |
$1,627.45 |
$1,627.45 |
$918.60
|
|
Hemodialysis one evaluation
|
$1,108.80 |
$1,108.80 |
$1,333.75 |
$1,329.90
|
|
Hemoglobin
|
$14.30 |
$14.30 |
$17.60 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$42.90 |
$42.90 |
$42.90 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$46.20 |
$46.20 |
$46.20 |
$49.40
|
|
Hemoglobin-oxygen affinity
|
$49.50 |
$49.50 |
$293.15 |
$73.00
|
|
Hemoglobin plasma
|
$33.55 |
$33.55 |
$84.70 |
$40.56
|
|
Hemolysins/agglutinins auto
|
$30.80 |
$30.80 |
$33.00 |
$53.90
|
|
Hemophilus influenza antibdy
|
$68.75 |
$68.75 |
$68.75 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,581.70 |
$2,581.70 |
$2,581.70 |
$1,141.40
|
|
Heparin assay
|
$92.40 |
$92.40 |
$144.65 |
$130.20
|
|
Heparin neutralization
|
$29.70 |
$29.70 |
$40.15 |
$47.45
|
|
Hepatitis a antibody igm
|
$73.15 |
$73.15 |
$82.50 |
$85.15
|
|
Hepatitis b core antibody igm
|
$51.70 |
$51.70 |
$126.50 |
$87.98
|
|
Hepatitis b core antibody total
|
$104.50 |
$104.50 |
$123.20 |
$83.29
|
|
Hepatitis b surface antibody
|
$49.50 |
$49.50 |
$50.05 |
$83.79
|
|
Hepatitis c antibody
|
$73.15 |
$73.15 |
$132.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$828.30 |
$828.30 |
$1,881.55 |
$1,521.10
|
|
Herpes simplex 2 ag if
|
$96.25 |
$96.25 |
$96.25 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$36.30 |
$36.30 |
$50.05 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$52.25 |
$52.25 |
$55.55 |
$87.10
|
|
Herpes simplex virus isolation
|
$52.25 |
$52.25 |
$74.25 |
$93.32
|
|
Heterophile antibodies screening
|
$26.40 |
$26.40 |
$121.00 |
$73.60
|
|
Heterophile antibodies titer
|
$14.85 |
$14.85 |
$14.85 |
$16.80
|
|
Hhv-6 dna quant
|
$255.75 |
$255.75 |
$715.00 |
$200.25
|
|
Hip X-ray
|
$288.20 |
$288.20 |
$292.05 |
$292.05
|
|
Histamine
|
$119.35 |
$119.35 |
$243.10 |
$125.40
|
|
Histochemical stains add-on
|
$138.05 |
$138.05 |
$280.50 |
$169.65
|
|
Hla class i high defin qual
|
$201.30 |
$201.30 |
$595.10 |
$574.86
|
|
Hla class ii high defin qual
|
$778.80 |
$778.80 |
$1,168.20 |
$568.50
|
|
Hla class i&ii antibody qual
|
$131.45 |
$131.45 |
$250.80 |
$207.60
|
|
Hla i & ii typing lr
|
$779.35 |
$779.35 |
$2,108.15 |
$1,178.15
|
|
Hla ii typing 1 loc hr
|
$785.40 |
$785.40 |
$878.90 |
$323.40
|
|
Hla ii typing ag equiv lr
|
$612.15 |
$612.15 |
$1,053.80 |
$354.24
|
|
Hla i low res one antigen equiv ea
|
$248.05 |
$248.05 |
$248.05 |
$164.00
|
|
Hla i typing 1 locus hr
|
$699.05 |
$699.05 |
$879.45 |
$398.40
|
|
Hla i typing complete hr
|
$796.40 |
$796.40 |
$2,638.90 |
$462.82
|
|
Hla i typing complete lr
|
$905.30 |
$905.30 |
$1,053.80 |
$588.55
|
|
Hla i typing high res 1 allele grp ea
|
$343.20 |
$343.20 |
$381.70 |
$307.53
|
|
Hla i typing low res one locus ea
|
$309.10 |
$309.10 |
$576.95 |
$340.00
|
|
Hla typing a b or c
|
$440.55 |
$440.55 |
$865.70 |
$309.40
|
|
Hla typing dr/dq
|
$673.20 |
$673.20 |
$673.20 |
$135.20
|
|
Hla x-match noncytotoxc addl
|
$2,593.25 |
$2,593.25 |
$2,593.25 |
$135.63
|
|
Hla x-math non-cytotoxic
|
$1,018.05 |
$1,018.05 |
$2,593.25 |
$265.00
|
|
Homocysteine
|
$93.50 |
$93.50 |
$99.55 |
$113.10
|
|
Homogenization tissue
|
$28.60 |
$28.60 |
$38.50 |
$39.00
|
|
Homovanillic acid (hva)
|
$24.75 |
$24.75 |
$105.60 |
$56.00
|
|
Hpa-1 genotyping
|
$284.90 |
$284.90 |
$284.90 |
$147.17
|
|
Hpv types 16 & 18 only
|
$74.80 |
$74.80 |
$95.70 |
$93.60
|
|
Htt gene detc abnor alleles
|
$252.45 |
$252.45 |
$252.45 |
$252.45
|
