|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$349.41 |
$349.41 |
$349.41 |
$336.78
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$658.88 |
$658.88 |
$658.88 |
$3,070.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$883.63 |
$883.63 |
$883.63 |
$43,312.93
|
|
Granulocyte pheresis ea unit
|
$12,700.35 |
$12,700.35 |
$12,700.35 |
$2,950.30
|
|
G-tube reposition
|
$975.00 |
$975.00 |
$975.00 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$3,623.10 |
$3,623.10 |
$3,623.10 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$561.60 |
$561.60 |
$561.60 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$367.51 |
$367.51 |
$367.51 |
$3,474.86
|
|
Gw stiffened micro access kit
|
$1,219.26 |
$1,219.26 |
$1,219.26 |
$6,285.56
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$25.14 |
$25.14 |
$25.14 |
$35.40
|
|
Hand X-ray
|
$843.70 |
$843.70 |
$843.70 |
$338.58
|
|
Haptoglobin quantitative
|
$74.10 |
$74.10 |
$74.10 |
$89.95
|
|
Hast w/i&r phys/qhp
|
$2,247.05 |
$2,247.05 |
$2,247.05 |
$301.95
|
|
Hast w/oxygen titrate
|
$873.60 |
$873.60 |
$873.60 |
$310.40
|
|
Hba1/hba2 full gene sequence
|
$1,120.60 |
$1,120.60 |
$1,120.60 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$717.60 |
$717.60 |
$717.60 |
$406.25
|
|
Hba1/hba2 gene fam vrnt
|
$766.35 |
$766.35 |
$766.35 |
$517.85
|
|
Hbb full gene sequence
|
$787.80 |
$787.80 |
$787.80 |
$633.25
|
|
Hbb gene dup/del variants
|
$772.20 |
$772.20 |
$772.20 |
$404.80
|
|
Hbb gene known fam variant
|
$766.35 |
$766.35 |
$766.35 |
$626.88
|
|
Hbot, full body chamber, 30m
|
$828.75 |
$828.75 |
$828.75 |
$494.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,147.25 |
$1,147.25 |
$1,147.25 |
$759.72
|
|
Hcg qualitative
|
$33.80 |
$33.80 |
$33.80 |
$77.50
|
|
Hcg quantitative
|
$384.15 |
$384.15 |
$384.15 |
$124.80
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$159.25 |
$159.25 |
$159.25 |
$3,228.40
|
|
Head CT scan (with and without contrast)
|
$1,117.35 |
$1,117.35 |
$1,117.35 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,015.30 |
$1,015.30 |
$1,015.30 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$884.00 |
$884.00 |
$884.00 |
$1,268.90
|
|
Heart first pass multiple
|
$5,872.75 |
$5,872.75 |
$5,872.75 |
$1,100.00
|
|
Heinz bodies direct
|
$67.60 |
$67.60 |
$67.60 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$136.50 |
$136.50 |
$136.50 |
$84.80
|
|
Hematocrit
|
$8.45 |
$8.45 |
$8.45 |
$33.57
|
|
Hemodialysis one evaluation
|
$4,366.70 |
$4,366.70 |
$4,366.70 |
$1,329.90
|
|
Hemoglobin
|
$8.45 |
$8.45 |
$8.45 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$78.00 |
$78.00 |
$78.00 |
$49.40
|
|
Hemoglobin plasma
|
$163.80 |
$163.80 |
$163.80 |
$40.56
|
|
Hemophilus influenza antibdy
|
$54.60 |
$54.60 |
$54.60 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,674.75 |
$2,674.75 |
$2,674.75 |
$1,141.40
|
|
Heparin assay
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$130.20
|
|
Heparin bolus from bag
|
$60.00 |
$60.00 |
$60.00 |
$79.04
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.47 |
$0.47 |
$0.47 |
$32.27
|
|
Hepatitis a antibody igm
|
$63.05 |
$63.05 |
$63.05 |
$85.15
|
|
Hepatitis b core antibody igm
|
$76.05 |
$76.05 |
$76.05 |
$87.98
|
|
Hepatitis b core antibody total
|
$72.15 |
$72.15 |
$72.15 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$271.83 |
$271.83 |
$271.83 |
$1,116.61
|
|
Hepatitis b surface ag quan
|
$566.15 |
$566.15 |
$566.15 |
$40.95
|
|
Hepatitis b surface antibody
|
$59.15 |
$59.15 |
$59.15 |
$83.79
|
|
Hepatitis c antibody
|
$32.50 |
$32.50 |
$32.50 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,397.20 |
$2,397.20 |
$2,397.20 |
$1,521.10
|
|
Hereditary colon ca dsordrs
|
$7,048.60 |
$7,048.60 |
$7,048.60 |
$1,956.00
|
|
Herpes simplex type 1 antibody igg
|
$83.85 |
$83.85 |
$83.85 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$83.85 |
$83.85 |
$83.85 |
$87.10
|
|
Herpes simplex virus isolation
|
$217.75 |
$217.75 |
$217.75 |
$93.32
|
|
Heterophile antibodies screening
|
$132.60 |
$132.60 |
$132.60 |
$73.60
|
|
Heterophile antibody absrbj
|
$36.40 |
$36.40 |
$36.40 |
$19.20
|
|
Hexa gene
|
$674.70 |
$674.70 |
$674.70 |
$179.04
|
|
Hip X-ray
|
$553.80 |
$553.80 |
$553.80 |
$292.05
|
|
Histamine
|
$350.35 |
$350.35 |
$350.35 |
$125.40
|
|
Histochemical stains add-on
|
$152.10 |
$152.10 |
$152.10 |
$169.65
|
|
Hla class i high defin qual
|
$1,124.50 |
$1,124.50 |
$1,124.50 |
$574.86
|
|
Hla class ii high defin qual
|
$1,023.10 |
$1,023.10 |
$1,023.10 |
$568.50
|
|
Hla ii typing 1 loc hr
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$323.40
|
|
Hla ii typing ag equiv lr
|
$282.10 |
$282.10 |
$282.10 |
$354.24
|
|
Hla i low res one antigen equiv ea
|
$430.95 |
$430.95 |
$430.95 |
$164.00
|
|
Hla i typing 1 locus hr
|
$1,256.45 |
$1,256.45 |
$1,256.45 |
$398.40
|
|
Hla i typing complete lr
|
$395.85 |
$395.85 |
$395.85 |
$588.55
|
|
Hla i typing high res 1 allele grp ea
|
$386.10 |
$386.10 |
$386.10 |
$307.53
|
|
Hla i typing low res one locus ea
|
$470.60 |
$470.60 |
$470.60 |
$340.00
|
|
Homocysteine
|
$282.75 |
$282.75 |
$282.75 |
$113.10
|
|
Homogenization tissue
|
$114.40 |
$114.40 |
$114.40 |
$39.00
|
|
Homovanillic acid (hva)
|
$84.50 |
$84.50 |
$84.50 |
$56.00
|
|
Hpa-15 genotyping
|
$152.75 |
$152.75 |
$152.75 |
$147.17
|
|
Hpa-1 genotyping
|
$152.75 |
$152.75 |
$152.75 |
$147.17
|
|
Hpa-2 genotyping
|
$152.75 |
$152.75 |
$152.75 |
$147.17
|
|
Hpa-3 genotyping
|
$152.75 |
$152.75 |
$152.75 |
$147.17
|
|
Hpa-4 genotyping
|
$152.75 |
$152.75 |
$152.75 |
$147.17
|
|
Hpa-5 genotyping
|
$152.75 |
$152.75 |
$152.75 |
$148.20
|
|
Hpa-6 genotyping
|
$152.75 |
$152.75 |
$152.75 |
$147.17
|
|
Hpa-9 genotyping
|
$152.75 |
$152.75 |
$152.75 |
$148.20
|
|
Hpv types 16 & 18 only
|
$53.30 |
$53.30 |
$53.30 |
$93.60
|
|
H pylori (c-13) breath
|
$85.15 |
$85.15 |
$85.15 |
$219.05
|
|
Hrdtry cardmypy gene panel
|
$7,564.05 |
$7,564.05 |
$7,564.05 |
$1,276.00
|
|
Hrdtry perph neurphy panel
|
$6,292.65 |
$6,292.65 |
$6,292.65 |
$1,263.50
|
|
Htt gene detc abnor alleles
|
$551.85 |
$551.85 |
$551.85 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$92.30 |
$92.30 |
$92.30 |
$131.84
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$176.15 |
$176.15 |
$176.15 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$31.62 |
$31.62 |
$31.62 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$146.90 |
$146.90 |
$146.90 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$487.50 |
$487.50 |
$487.50 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$154.90 |
$154.90 |
$154.90 |
$111.52
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$58.11 |
$58.11 |
$58.11 |
$112.22
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$120.25 |
$120.25 |
$120.25 |
$360.99
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$80.11 |
$80.11 |
$80.11 |
$86.47
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$609.70 |
$609.70 |
$609.70 |
$76.13
|
|
Hysterorrhaphy of ruptured uterus 59350
|
$2,197.00 |
$2,197.00 |
$2,197.00 |
$1,106.40
|
|
Hysterosalpingography s&i
|
$900.90 |
$900.90 |
$900.90 |
$629.46
|
|
I-123 sod iodide diag per 100 uci
|
$72.12 |
$72.12 |
$72.12 |
$158.05
|
|
Iaadi respiratory synctial virus
|
$169.00 |
$169.00 |
$169.00 |
$42.48
|
|
Idh1 common variants
|
$915.20 |
$915.20 |
$915.20 |
$415.35
|
|
Idh2 common variants
|
$1,158.30 |
$1,158.30 |
$1,158.30 |
$451.91
|
