|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$65.65 |
$139.10 |
$139.10 |
$349.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$17,886.05 |
$17,886.05 |
$17,886.05 |
$28,894.71
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$346.66 |
$346.66 |
$346.66 |
$1,114.96
|
|
Graft xenmtrx sft rect 15x20cm
|
$110.50 |
$110.50 |
$110.50 |
$29,113.43
|
|
Graft xenmtrx sft rect 19x28cm
|
$178.10 |
$178.10 |
$1,040.00 |
$2,923.86
|
|
Granisetron 1 mg tab
|
$88.40 |
$88.40 |
$88.40 |
$53.15
|
|
Granisetron hcl injection
|
$9.82 |
$21.06 |
$21.06 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$4,474.60 |
$4,474.60 |
$4,474.60 |
$2,698.02
|
|
Great toe-hand transfer
|
$12,604.80 |
$12,604.80 |
$12,604.80 |
$7,413.38
|
|
Great toe with reduction 28495
|
$716.95 |
$716.95 |
$716.95 |
$495.00
|
|
Grfg autol fat lipo 25 cc/<
|
$1,775.80 |
$1,775.80 |
$1,775.80 |
$5,110.00
|
|
Grfg autol fat lipo 50 cc/<
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$715.00 |
$715.00 |
$715.00 |
$4,026.40
|
|
Grfg autol soft tiss dir exc
|
$1,736.80 |
$1,736.80 |
$1,736.80 |
$4,562.50
|
|
Ground mileage
|
$7.15 |
$7.15 |
$7.15 |
$17.60
|
|
Group health education
|
$51.35 |
$51.35 |
$51.35 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$71.50 |
$71.50 |
$71.50 |
$43.12
|
|
Growth hormone panel
|
$299.00 |
$299.00 |
$299.00 |
$168.00
|
|
Growth hormone panel
|
$579.80 |
$579.80 |
$579.80 |
$259.20
|
|
Growth stimulation gene 2
|
$339.30 |
$339.30 |
$339.30 |
$180.50
|
|
Grp adapt bhv tx by phy/qhp
|
$89.05 |
$89.05 |
$89.05 |
$51.52
|
|
Grp adapt bhv tx by tech
|
$117.65 |
$117.65 |
$117.65 |
$61.71
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$8,616.40 |
$8,616.40 |
$8,616.40 |
$3,604.20
|
|
Gstr rstcv oth/thn v-band
|
$5,514.60 |
$5,514.60 |
$5,514.60 |
$3,141.60
|
|
Gstr rstcv px shrt roux-en-y
|
$7,126.60 |
$7,126.60 |
$7,126.60 |
$3,987.20
|
|
Gstr rstcv px sm int rcnstj
|
$7,872.80 |
$7,872.80 |
$7,872.80 |
$4,424.00
|
|
Gstr rstcv px v-banded gstp
|
$5,467.80 |
$5,467.80 |
$5,467.80 |
$2,917.60
|
|
Gstrst open wo constj tube
|
$2,821.00 |
$2,821.00 |
$2,821.00 |
$2,756.00
|
|
G-tube reposition
|
$727.35 |
$727.35 |
$727.35 |
$760.80
|
|
Gu dilat ureter/urethra s&i
|
$9,187.75 |
$9,187.75 |
$9,403.55 |
$2,057.58
|
|
Guided cath fluid drainage 10030
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$1,097.20 |
$1,097.20 |
$1,097.20 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$40.30 |
$869.70 |
$877.50 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$254.80 |
$254.80 |
$254.80 |
$535.60
|
|
Gum graft
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$5,289.89
|
|
Gw stiffened micro access kit
|
$3,997.50 |
$6,500.00 |
$6,500.00 |
$6,836.20
|
|
Gynecomastia (males) 19300
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$3,735.20
|
|
Hair removal by electrolysis 17380
|
$72.15 |
$72.15 |
$72.15 |
$849.50
|
|
Hair trnspl 1-15 punch grfts
|
$1,027.00 |
$1,027.00 |
$1,027.00 |
$908.00
|
|
Hair trnspl >15 punch grafts
|
$4,680.00 |
$4,680.00 |
$4,680.00 |
$1,108.80
|
|
Hallus-valgus nt dyn pre ots
|
$34.45 |
$34.45 |
$34.45 |
$80.16
|
|
Halo cervical into jckt vest
|
$2,045.06 |
$2,045.06 |
$2,045.06 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$120.47 |
$120.47 |
$120.47 |
$90.97
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$14.02 |
$14.02 |
$14.02 |
$24.25
|
|
Hand-held pefr meter a4614
|
$24.70 |
$24.70 |
$24.70 |
$26.40
|
|
Handle/convey/speciman/office-lab 99000
|
$31.85 |
$31.85 |
$31.85 |
$23.40
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$120.58 |
$120.58 |
$120.58 |
$115.00
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$156.65 |
$156.65 |
$156.65 |
$105.30
|
|
Hand tendon/muscle transfer
|
$2,251.60 |
$2,251.60 |
$2,251.60 |
$3,839.54
|
|
Hand tendon reconstruction
|
$1,593.80 |
$1,593.80 |
$1,593.80 |
$5,023.20
|
|
Hand tendon reconstruction
|
$1,900.60 |
$1,900.60 |
$1,900.60 |
$4,498.52
|
|
Hand X-ray
|
$395.20 |
$395.20 |
$443.95 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$477.10 |
$477.10 |
$518.70 |
$294.90
|
|
Haptoglobin quantitative
|
$56.55 |
$56.55 |
$56.55 |
$92.64
|
|
Harness figure of 8 sing con
|
$91.53 |
$91.53 |
$91.53 |
$173.60
|
|
Harvest allogeneic stem cell
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$3,766.50
|
|
Harvest auto stem cells
|
$4,262.05 |
$4,262.05 |
$4,262.05 |
$3,624.31
|
|
Harvest cultured skin graft 15040
|
$520.00 |
$520.00 |
$520.00 |
$2,164.64
|
|
Harvest femoropopliteal vein 35572
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$844.00
|
|
Harvest stem cell concentrte
|
$1,136.85 |
$1,136.85 |
$1,136.85 |
$1,355.25
|
|
Harvest vein for bypass 35500
|
$1,674.40 |
$1,674.40 |
$1,674.40 |
$780.00
|
|
Hast w/i&r phys/qhp
|
$385.45 |
$385.45 |
$473.85 |
$301.95
|
|
Hast w/oxygen titrate
|
$385.45 |
$385.45 |
$499.85 |
$347.20
|
|
Hba1/hba2 gene dup/del vrnts
|
$908.05 |
$908.05 |
$908.05 |
$403.25
|
|
Hbb full gene sequence
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$633.25
|
|
Hb glycosylated a1c home dev
|
$43.55 |
$43.55 |
$43.55 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$358.80 |
$358.80 |
$358.80 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$798.20 |
$798.20 |
$1,102.40 |
$726.00
|
|
Hcg free betachain test
|
$68.90 |
$68.90 |
$68.90 |
$64.74
|
|
Hcg qualitative
|
$33.80 |
$33.80 |
$33.80 |
$89.60
|
|
Hcg quantitative
|
$67.60 |
$67.60 |
$67.60 |
$137.70
|
|
Hc i-131 sodium iodide cap dx per mci
|
$117.00 |
$117.00 |
$117.00 |
$113.12
|
|
Hc metata joint dislocation anes
|
$509.60 |
$509.60 |
$509.60 |
$2,383.09
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$858.00 |
$858.00 |
$858.00 |
$840.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$1,445.60 |
$1,445.60 |
$1,445.60 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$449.80 |
$449.80 |
$449.80 |
$562.25
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$874.90 |
$874.90 |
$874.90 |
$845.60
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$2,668.90 |
$2,668.90 |
$2,668.90 |
$1,070.00
|
|
Hc nm fusion spect CT unlisted
|
$426.40 |
$426.40 |
$482.95 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$1,802.45 |
$1,802.45 |
$1,929.85 |
$865.60
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$2,414.10 |
$2,414.10 |
$2,653.30 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$5,855.20 |
$5,855.20 |
$6,315.40 |
$3,958.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$2,037.10 |
$2,037.10 |
$2,037.10 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,111.55 |
$3,111.55 |
$3,618.55 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,111.55 |
$3,111.55 |
$4,099.55 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,111.55 |
$3,111.55 |
$4,515.55 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$1,452.75 |
$1,452.75 |
$1,452.75 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$1,543.75 |
$1,543.75 |
$1,543.75 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$1,161.55 |
$1,822.95
|
|
Head CT scan (with contrast)
|
$798.20 |
$798.20 |
$1,121.25 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$477.10 |
$477.10 |
$720.20 |
$1,268.90
|
|
Heart first pass add-on
|
$561.60 |
$561.60 |
$561.60 |
$487.78
|
|
Heart first pass multiple
|
$2,796.30 |
$2,796.30 |
$2,796.30 |
$1,422.05
|
|
Heart infarct image
|
$1,981.85 |
$1,981.85 |
$1,981.85 |
$942.29
|
|
Heart infarct image (ef)
|
$2,622.10 |
$2,622.10 |
$2,622.10 |
$865.98
|
|
Heart revascularize (tmr)
|
$7,368.40 |
$7,368.40 |
$7,368.40 |
$4,129.86
|
|
Heart tmr w/other procedure 33141
|
$660.40 |
$660.40 |
$660.40 |
$322.40
|
|
Heavy duty control cable
|
$78.59 |
$78.59 |
$78.59 |
$140.00
|
