|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$377.71 |
$377.71 |
$377.71 |
$28,894.71
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$600.60 |
$600.60 |
$600.60 |
$1,103.05
|
|
Graft xenmtrx sft rect 19x28cm
|
$224.71 |
$224.71 |
$224.71 |
$2,905.40
|
|
Granisetron 1 mg tab
|
$2.60 |
$2.60 |
$2.60 |
$53.15
|
|
Great toe with reduction 28495
|
$763.42 |
$763.42 |
$763.42 |
$495.00
|
|
Group mnt 2 or more 30 mins
|
$22.97 |
$22.97 |
$22.97 |
$43.12
|
|
G-tube reposition
|
$293.47 |
$293.47 |
$293.47 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$5,191.40 |
$5,191.40 |
$5,191.40 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$1,063.87 |
$1,063.87 |
$1,063.87 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$2,525.23 |
$2,525.23 |
$2,525.23 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,726.92 |
$1,726.92 |
$1,726.92 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$188.59 |
$188.59 |
$188.59 |
$535.60
|
|
Gum graft
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$5,289.89
|
|
Gw stiffened micro access kit
|
$3,510.00 |
$3,510.00 |
$3,510.00 |
$6,893.38
|
|
Hair removal by electrolysis 17380
|
$1,651.23 |
$1,651.23 |
$1,651.23 |
$849.50
|
|
Halo cervical into jckt vest
|
$4,699.01 |
$4,699.01 |
$4,699.01 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$38.84 |
$38.84 |
$38.84 |
$91.09
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$86.00 |
$86.00 |
$86.00 |
$105.30
|
|
Hand X-ray
|
$201.75 |
$201.75 |
$201.75 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$275.16 |
$275.16 |
$275.16 |
$294.90
|
|
Haptoglobin quantitative
|
$45.53 |
$45.53 |
$45.53 |
$92.80
|
|
Harvest allogeneic stem cell
|
$3,624.31 |
$3,624.31 |
$3,624.31 |
$3,766.50
|
|
Harvest auto stem cells
|
$3,624.31 |
$3,624.31 |
$3,624.31 |
$3,624.31
|
|
Hast w/i&r phys/qhp
|
$335.52 |
$335.52 |
$335.52 |
$301.95
|
|
Hast w/oxygen titrate
|
$335.52 |
$335.52 |
$335.52 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$1,413.29 |
$1,413.29 |
$1,413.29 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$448.71 |
$448.71 |
$448.71 |
$403.25
|
|
Hbb full gene sequence
|
$764.54 |
$764.54 |
$764.54 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$410.50 |
$410.50 |
$410.50 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$336.54 |
$336.54 |
$336.54 |
$726.00
|
|
Hcg qualitative
|
$27.24 |
$27.24 |
$27.24 |
$90.10
|
|
Hcg quantitative
|
$54.49 |
$54.49 |
$54.49 |
$139.20
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$1,351.65 |
$1,351.65 |
$1,351.65 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$675.82 |
$675.82 |
$675.82 |
$858.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$1,351.65 |
$1,351.65 |
$1,351.65 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$257.46 |
$257.46 |
$257.46 |
$564.00
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$643.63 |
$643.63 |
$643.63 |
$845.60
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$3,133.32 |
$3,133.32 |
$3,133.32 |
$1,327.95
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$16,155.11 |
$16,155.11 |
$16,155.11 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,566.00 |
$2,566.00 |
$2,566.00 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,566.00 |
$2,566.00 |
$2,566.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,566.00 |
$2,566.00 |
$2,566.00 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$786.77 |
$786.77 |
$786.77 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$786.77 |
$786.77 |
$786.77 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$845.92 |
$845.92 |
$845.92 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$845.92 |
$845.92 |
$845.92 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$520.31 |
$520.31 |
$520.31 |
$1,268.90
|
|
Heart first pass add-on
|
$61.10 |
$61.10 |
$61.10 |
$485.27
|
|
Heart image spect
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$1,135.68
|
|
Heart infarct image
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$201.75 |
$201.75 |
$201.75 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$52.51 |
$52.51 |
$52.51 |
$92.00
|
|
Hematocrit
|
$8.57 |
$8.57 |
$8.57 |
$33.80
|
|
Hemodialysis one evaluation
|
$1,417.36 |
$1,417.36 |
$1,417.36 |
$1,364.27
|
|
Hemoglobin
|
$8.57 |
$8.57 |
$8.57 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$26.53 |
$26.53 |
$26.53 |
$52.32
|
|
Hemoglobin plasma
|
$26.46 |
$26.46 |
$26.46 |
$41.40
|
|
Hemoglobin urine
|
$9.31 |
$9.31 |
$9.31 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$24.49 |
$24.49 |
$24.49 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$43.81 |
$43.81 |
$43.81 |
$61.79
|
|
Hemophilus influenza antibdy
|
$57.32 |
$57.32 |
$57.32 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,393.41 |
$2,393.41 |
$2,393.41 |
$1,178.02
|
|
Heparin assay
|
$47.37 |
$47.37 |
$47.37 |
$139.15
|
|
Heparin bolus from bag
|
$0.49 |
$0.49 |
$0.49 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.27 |
$0.27 |
$0.27 |
$12.00
|
|
Hepatitis a antibody igm
|
$40.74 |
$40.74 |
$40.74 |
$89.44
|
|
Hepatitis b core antibody igm
|
$42.62 |
$42.62 |
$42.62 |
$89.60
|
|
Hepatitis b core antibody total
|
$43.62 |
$43.62 |
$43.62 |
$77.50
|
|
Hepatitis b surface antibody
|
$38.86 |
$38.86 |
$38.86 |
$82.32
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$130.74 |
$130.74 |
$130.74 |
$210.40
|
|
Hepatitis c antibody
|
$51.62 |
$51.62 |
$51.62 |
$108.25
|
|
Hepatitis d quantification
|
$89.18 |
$89.18 |
$89.18 |
$91.28
|
|
Hepb vacc 3 dose immunsup im
|
$271.43 |
$271.43 |
$271.43 |
$319.52
|
|
Hereditary colon ca dsordrs
|
$2,714.34 |
$2,714.34 |
$2,714.34 |
$1,901.23
|
|
Herpes simplex 1 ag if
|
$43.39 |
$43.39 |
$43.39 |
$38.58
|
|
Herpes simplex 2 ag if
|
$30.34 |
$30.34 |
$30.34 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$47.72 |
$47.72 |
$47.72 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$70.06 |
$70.06 |
$70.06 |
$87.36
|
|
Herpes simplex virus isolation
|
$122.56 |
$122.56 |
$122.56 |
$110.00
|
|
Heterophile antibodies screening
|
$18.74 |
$18.74 |
$18.74 |
$73.87
|
|
Hexa gene
|
$150.82 |
$150.82 |
$150.82 |
$150.82
|
|
Hfo nontorsion jnts pre cst
|
$137.22 |
$137.22 |
$137.22 |
$110.88
|
|
Hhv-6 dna quant
|
$151.11 |
$151.11 |
$151.11 |
$253.68
|
|
Hib-hepb vaccine im
|
$380.35 |
$380.35 |
$380.35 |
$85.80
|
|
Hinge extension/flex wrist/f
|
$2,271.41 |
$2,271.41 |
$2,271.41 |
$1,653.00
|
|
Hip adj flex ext abduct cont
|
$636.12 |
$636.12 |
$636.12 |
$837.61
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$275.16 |
$275.16 |
$275.16 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$275.16 |
$275.16 |
$275.16 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$201.75 |
$201.75 |
$201.75 |
$233.50
|
|
Hip clevis/thrust bearing lo
|
$508.40 |
$508.40 |
$508.40 |
$557.65
|
|
Hip X-ray
|
$201.75 |
$201.75 |
$201.75 |
$294.75
|
|
Histamine
|
$106.88 |
$106.88 |
$106.88 |
$115.00
|
|
Histochemical stains add-on
|
$243.62 |
$243.62 |
$243.62 |
$152.75
|
|
Hla class i high defin qual
|
$949.00 |
$949.00 |
$949.00 |
$631.15
|
|
Hla class ii high defin qual
|
$955.01 |
$955.01 |
$955.01 |
$569.25
|
|
Hla class i&ii antibody qual
|
$47.43 |
$47.43 |
$47.43 |
$255.00
|
|
Hla class ii phenotype qual
|
$250.45 |
$250.45 |
$250.45 |
$313.60
|
|
Hla class i phenotype qual
|
$292.18 |
$292.18 |
$292.18 |
$397.20
|
|
Hla i & ii type verify lr
|
$1,185.76 |
$1,185.76 |
$1,185.76 |
$742.50
|