|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$139.10 |
$139.10 |
$139.10 |
$5,533.20
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$403.65 |
$403.65 |
$403.65 |
$543.12
|
|
Graft xenmtrx sft rect 15x20cm
|
$32,353.75 |
$32,353.75 |
$32,353.75 |
$32,353.75
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,109.25 |
$2,109.25 |
$2,109.25 |
$3,827.40
|
|
Granisetron hcl injection
|
$819.74 |
$819.74 |
$819.74 |
$21.42
|
|
Group mnt 2 or more 30 mins
|
$72.80 |
$72.80 |
$72.80 |
$31.27
|
|
Gu dilat ureter/urethra s&i
|
$2,847.00 |
$2,847.00 |
$2,847.00 |
$1,585.00
|
|
Guided cath fluid drainage 10030
|
$843.70 |
$843.70 |
$843.70 |
$1,451.40
|
|
Guide wire threaded 1.4x150mm
|
$4,826.25 |
$4,826.25 |
$4,826.25 |
$3,028.48
|
|
Guide worley csg 9fx50cm std
|
$329.55 |
$329.55 |
$329.55 |
$1,166.40
|
|
Guid loc target vol rad tx
|
$30,798.30 |
$30,798.30 |
$30,798.30 |
$620.91
|
|
Gw stiffened micro access kit
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$1,960.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Handle/convey/speciman/office-lab 99000
|
$19.50 |
$19.50 |
$19.50 |
$30.36
|
|
Handpiece aquabeam hp2000
|
$6,058.00 |
$6,058.00 |
$6,058.00 |
$4,225.00
|
|
Hand X-ray
|
$384.80 |
$384.80 |
$384.80 |
$317.78
|
|
Haptoglobin quantitative
|
$115.05 |
$115.05 |
$115.05 |
$75.00
|
|
Hba1/hba2 full gene sequence
|
$1,210.95 |
$1,210.95 |
$1,210.95 |
$847.86
|
|
Hba1/hba2 gene dup/del vrnts
|
$599.30 |
$599.30 |
$599.30 |
$407.57
|
|
Hbb full gene sequence
|
$404.95 |
$404.95 |
$404.95 |
$633.25
|
|
Hbb gene dup/del variants
|
$676.65 |
$676.65 |
$676.65 |
$436.80
|
|
Hbot, full body chamber, 30m
|
$620.10 |
$620.10 |
$620.10 |
$524.17
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,885.00 |
$1,885.00 |
$1,885.00 |
$527.13
|
|
Hcg free betachain test
|
$123.50 |
$123.50 |
$123.50 |
$64.28
|
|
Hcg qualitative
|
$291.20 |
$291.20 |
$291.20 |
$72.50
|
|
Hcg quantitative
|
$203.45 |
$203.45 |
$203.45 |
$105.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$179.40 |
$179.40 |
$179.40 |
$184.20
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,103.75 |
$3,103.75 |
$3,103.75 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,207.45 |
$4,207.45 |
$4,207.45 |
$3,111.55
|
|
Hdr rdncl skn surf brachytx
|
$2,648.10 |
$2,648.10 |
$2,648.10 |
$449.60
|
|
Hdr rdncl skn surf brachytx
|
$4,019.60 |
$4,019.60 |
$4,019.60 |
$657.60
|
|
Head CT scan (with and without contrast)
|
$3,149.90 |
$3,149.90 |
$3,149.90 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,528.80 |
$1,528.80 |
$1,528.80 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,493.70 |
$1,493.70 |
$1,493.70 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$138.45 |
$138.45 |
$138.45 |
$84.80
|
|
Hematocrit
|
$93.60 |
$93.60 |
$93.60 |
$32.50
|
|
Hemin 350 mg intravenous powder for solution
|
$37,212.55 |
$37,212.55 |
$37,212.55 |
$37,212.55
|
|
Hemodialysis one evaluation
|
$1,329.90 |
$1,329.90 |
$1,329.90 |
$1,131.00
|
|
Hemoglobin
|
$63.05 |
$63.05 |
$63.05 |
$28.60
|
|
Hemoglobin fetal qualitative
|
$125.45 |
$125.45 |
$125.45 |
$54.60
|
|
Hemoglobin methemoglobin quantitative
|
$183.30 |
$183.30 |
$183.30 |
$43.01
|
|
Hemoglobin plasma
|
$85.80 |
$85.80 |
$85.80 |
$43.80
|
|
Hemolysins and agglutinins incubated
|
$97.50 |
$97.50 |
$97.50 |
$67.50
|
|
Hemophilus influenza antibdy
|
$139.75 |
$139.75 |
$139.75 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$3,349.87 |
$3,349.87 |
$3,349.87 |
$1,073.68
|
|
Heparin assay
|
$141.05 |
$141.05 |
$141.05 |
$107.50
|
|
Heparin bolus from bag
|
$166.23 |
$166.23 |
$166.23 |
$50.95
|
|
Heparin neutralization
|
$105.95 |
$105.95 |
$105.95 |
$56.55
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Hepatitis a antibody igm
|
$74.75 |
$74.75 |
$74.75 |
$80.60
|
|
Hepatitis b core antibody igm
|
$74.75 |
$74.75 |
$74.75 |
$85.80
|
|
Hepatitis b core antibody total
|
$74.75 |
$74.75 |
$74.75 |
$84.75
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$3,457.48 |
$3,457.48 |
$3,457.48 |
$468.80
|
|
Hepatitis b surface antibody
|
$74.75 |
$74.75 |
$74.75 |
$81.12
|
|
Hepatitis c antibody
|
$74.75 |
$74.75 |
$74.75 |
$106.50
|
|
Hepatobiliary system imaging
|
$2,566.85 |
$2,566.85 |
$2,566.85 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$2,904.85 |
$2,904.85 |
$2,904.85 |
$2,642.25
|
|
Hernia Repair (Inguinal)
|
$7,904.78 |
$7,904.78 |
$7,904.78 |
$5,870.15
|
|
Herpes simplex 1 ag if
|
$89.05 |
$89.05 |
$89.05 |
$49.40
|
|
Herpes simplex 2 ag if
|
$94.90 |
$94.90 |
$94.90 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$164.45 |
$164.45 |
$164.45 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$130.65 |
$130.65 |
$130.65 |
$96.20
|
|
Heterophile antibodies screening
|
$170.30 |
$170.30 |
$170.30 |
$59.40
|
|
Hexa gene
|
$907.40 |
$907.40 |
$907.40 |
$230.75
|
|
Hip arthr0 w/debridement
|
$12,802.95 |
$12,802.95 |
$12,802.95 |
$7,181.65
|
|
Hip arthr0 w/synovectomy
|
$12,852.38 |
$12,852.38 |
$12,852.38 |
$4,009.60
|
|
Hip arthro acetabuloplasty
|
$15,189.84 |
$15,189.84 |
$15,189.84 |
$5,886.74
|
|
Hip arthro w/femoroplasty
|
$20,385.59 |
$20,385.59 |
$20,385.59 |
$6,223.52
|
|
Hip arthro w/labral repair
|
$20,385.59 |
$20,385.59 |
$20,385.59 |
$6,920.22
|
|
Hip X-ray
|
$244.40 |
$244.40 |
$244.40 |
$262.64
|
|
Histamine
|
$206.05 |
$206.05 |
$206.05 |
$132.60
|
|
Histochemical stains add-on
|
$18,535.28 |
$18,535.28 |
$18,535.28 |
$179.04
|
|
Hla class i high defin qual
|
$835.25 |
$835.25 |
$835.25 |
$574.86
|
|
Hla ii typing 1 loc hr
|
$782.60 |
$782.60 |
$782.60 |
$342.60
|
|
Hla i typing high res 1 allele grp ea
|
$255.45 |
$255.45 |
$255.45 |
$340.00
|
|
Hla typing a b or c
|
$415.35 |
$415.35 |
$415.35 |
$379.20
|
|
Hla typing dr/dq
|
$370.50 |
$370.50 |
$370.50 |
$77.71
|
|
Hocm 250-299mg/ml iodine,1ml
|
$14.22 |
$14.22 |
$14.22 |
$49.12
|
|
Hocm 350-399mg/ml iodine,1ml
|
$46.12 |
$46.12 |
$46.12 |
$9.00
|
|
Home health re-certification physician g0179
|
$73.45 |
$73.45 |
$73.45 |
$73.45
|
|
Home sleep test/type 3 porta
|
$1,126.45 |
$1,126.45 |
$1,126.45 |
$606.45
|
|
Homocysteine
|
$167.70 |
$167.70 |
$167.70 |
$100.00
|
|
Homogenization tissue
|
$44.85 |
$44.85 |
$44.85 |
$39.20
|
|
Homovanillic acid (hva)
|
$118.30 |
$118.30 |
$118.30 |
$66.60
|
|
Hpv types 16 & 18 only
|
$118.30 |
$118.30 |
$118.30 |
$114.33
|
|
H pylori (c-13) breath
|
$334.10 |
$334.10 |
$334.10 |
$236.00
|
|
H pylori drug admin
|
$26.00 |
$26.00 |
$26.00 |
$33.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$244.10 |
$244.10 |
$244.10 |
$180.48
|
|
Hydralazine 20 mg/ml injection solution
|
$74.54 |
$74.54 |
$74.54 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$339.30 |
$339.30 |
$339.30 |
$125.45
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$563.55 |
$563.55 |
$563.55 |
$388.70
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$879.50 |
$879.50 |
$879.50 |
$63.24
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$1,398.20 |
$1,398.20 |
$1,398.20 |
$47.18
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$101.54 |
$101.54 |
$101.54 |
$75.95
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$169.65 |
$169.65 |
$169.65 |
$86.45
|
|
Hymenotomy
|
$5,404.05 |
$5,404.05 |
$5,404.05 |
$3,522.35
|
|
Hyoscyamine sulfate inj
|
$236.22 |
$236.22 |
$236.22 |
$123.83
|
|
Hysterosalpingography s&i
|
$1,061.45 |
$1,061.45 |
$1,061.45 |
$555.39
|
|
Hysteroscopy ablation
|
$8,997.19 |
$8,997.19 |
$8,997.19 |
$5,795.25
|
