|
Graft xenmtrx sft rect 15x20cm
|
$15,076.88 |
$15,076.88 |
$15,076.88 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$6,763.69 |
$6,763.69 |
$6,763.69 |
$2,701.58
|
|
Granisetron 1 mg tab
|
$152.18 |
$152.18 |
$152.18 |
$53.15
|
|
Granisetron hcl injection
|
$73.61 |
$73.61 |
$73.61 |
$45.03
|
|
Great toe with reduction 28495
|
$660.45 |
$660.45 |
$660.45 |
$482.40
|
|
Grfg autol soft tiss dir exc
|
$10,047.85 |
$10,047.85 |
$10,047.85 |
$4,332.25
|
|
Growth hormone panel
|
$269.45 |
$269.45 |
$269.45 |
$168.00
|
|
Growth hormone panel
|
$521.05 |
$521.05 |
$521.05 |
$259.20
|
|
G-tube reposition
|
$672.35 |
$672.35 |
$672.35 |
$759.36
|
|
Gu dilat ureter/urethra s&i
|
$9,777.55 |
$9,777.55 |
$9,777.55 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$11,089.44 |
$11,089.44 |
$11,089.44 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$2,849.20 |
$2,849.20 |
$2,849.20 |
$1,105.00
|
|
Gw stiffened micro access kit
|
$15,261.75 |
$15,261.75 |
$15,261.75 |
$6,696.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$93.52 |
$93.52 |
$93.52 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$10.03 |
$10.03 |
$10.03 |
$23.06
|
|
Hand X-ray
|
$406.30 |
$406.30 |
$406.30 |
$356.00
|
|
Haptoglobin quantitative
|
$50.15 |
$50.15 |
$50.15 |
$91.14
|
|
Harvest femoropopliteal vein 35572
|
$5,182.45 |
$5,182.45 |
$5,182.45 |
$844.00
|
|
Harvest vein for bypass 35500
|
$4,267.85 |
$4,267.85 |
$4,267.85 |
$780.00
|
|
Hcg qualitative
|
$31.45 |
$31.45 |
$31.45 |
$89.70
|
|
Hcg quantitative
|
$62.05 |
$62.05 |
$62.05 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$45.05 |
$45.05 |
$45.05 |
$117.00
|
|
Hc metata joint dislocation anes
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$2,453.28
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$3,042.15 |
$3,042.15 |
$3,042.15 |
$3,046.80
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,163.70 |
$3,163.70 |
$3,163.70 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,359.20 |
$3,359.20 |
$3,359.20 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,100.85 |
$5,100.85 |
$5,100.85 |
$3,727.65
|
|
Hdr rdncl skn surf brachytx
|
$1,258.85 |
$1,258.85 |
$1,258.85 |
$598.20
|
|
Hdr rdncl skn surf brachytx
|
$1,258.85 |
$1,258.85 |
$1,258.85 |
$758.32
|
|
Head CT scan (with and without contrast)
|
$1,478.15 |
$1,478.15 |
$1,478.15 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,266.50 |
$1,266.50 |
$1,266.50 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$1,011.50 |
$1,011.50 |
$1,011.50 |
$1,268.90
|
|
Heart first pass add-on
|
$209.95 |
$209.95 |
$209.95 |
$468.66
|
|
Heart image spect
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$843.42
|
|
Heinz bodies direct
|
$17.85 |
$17.85 |
$17.85 |
$37.44
|
|
Helicobacter pylori antibody igm
|
$68.00 |
$68.00 |
$68.00 |
$91.98
|
|
Hematocrit
|
$10.20 |
$10.20 |
$10.20 |
$33.57
|
|
Hematopoietic nuclear tx
|
$1,165.35 |
$1,165.35 |
$1,165.35 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$29,685.79 |
$29,685.79 |
$29,685.79 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$1,657.50 |
$1,657.50 |
$1,657.50 |
$1,319.44
|
|
Hemodialysis repeated eval
|
$1,677.90 |
$1,677.90 |
$1,677.90 |
$1,209.60
|
|
Hemoglobin
|
$10.20 |
$10.20 |
$10.20 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$32.30 |
$32.30 |
$32.30 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$34.00 |
$34.00 |
$34.00 |
$53.60
|
|
Hemoglobin-oxygen affinity
|
$53.55 |
$53.55 |
$53.55 |
$84.76
|
|
Hemoglobin plasma
|
$29.75 |
$29.75 |
$29.75 |
$41.25
|
|
Hemolysin acid
|
$35.70 |
$35.70 |
$35.70 |
$79.04
|
|
Hemolysins and agglutinins incubated
|
$48.45 |
$48.45 |
$48.45 |
$57.14
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,485.40 |
$2,485.40 |
$2,485.40 |
$1,168.00
|
|
Hepagam b im injection
|
$916.25 |
$916.25 |
$916.25 |
$1,008.44
|
|
Heparin assay
|
$53.55 |
$53.55 |
$53.55 |
$140.10
|
|
Heparin bolus from bag
|
$159.80 |
$159.80 |
$159.80 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$14.00 |
$14.00 |
$14.00 |
$10.61
|
|
Hepatitis a antibody igm
|
$45.90 |
$45.90 |
$45.90 |
$87.75
|
|
Hepatitis b core antibody igm
|
$46.75 |
$46.75 |
$46.75 |
$87.98
|
|
Hepatitis b core antibody total
|
$48.45 |
$48.45 |
$48.45 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,100.32 |
$2,100.32 |
$2,100.32 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$44.20 |
$44.20 |
$44.20 |
$82.05
|
|
Hepatitis c antibody
|
$58.65 |
$58.65 |
$58.65 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$1,438.58
|
|
Hep b vac 3ag 10mcg 3 dos im
|
$74.55 |
$74.55 |
$74.55 |
$123.81
|
|
Hepb vacc 3 dose immunsup im
|
$522.30 |
$522.30 |
$522.30 |
$319.52
|
|
Hereditary colon ca dsordrs
|
$123.25 |
$123.25 |
$123.25 |
$1,799.45
|
|
Herpes simplex type 1 antibody igg
|
$53.55 |
$53.55 |
$53.55 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$78.20 |
$78.20 |
$78.20 |
$87.10
|
|
Heterophile antibodies screening
|
$21.25 |
$21.25 |
$21.25 |
$74.00
|
|
Hip X-ray
|
$406.30 |
$406.30 |
$406.30 |
$292.05
|
|
Histochemical stains add-on
|
$337.45 |
$337.45 |
$337.45 |
$153.29
|
|
Histoplasmosis skin test
|
$32.30 |
$32.30 |
$32.30 |
$46.45
|
|
Hiv-1 ag ia
|
$96.90 |
$96.90 |
$96.90 |
$108.80
|
|
HIV prep, inj, cabotegravir
|
$4,216.87 |
$4,216.87 |
$4,216.87 |
$7,211.48
|
|
Hizentra injection
|
$2,466.70 |
$2,466.70 |
$2,466.70 |
$3,912.58
|
|
Hocm 250-299mg/ml iodine,1ml
|
$14.20 |
$14.20 |
$14.20 |
$36.41
|
|
Home health care supervision
|
$181.90 |
$181.90 |
$181.90 |
$101.60
|
|
Home health care supervision
|
$269.45 |
$269.45 |
$269.45 |
$215.20
|
|
Home/res vst est high mdm 60
|
$497.25 |
$497.25 |
$497.25 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$342.55 |
$342.55 |
$342.55 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$122.40 |
$122.40 |
$122.40 |
$98.40
|
|
Home/res vst new high mdm 75
|
$541.45 |
$541.45 |
$541.45 |
$398.40
|
|
Home/res vst new low mdm 30
|
$211.65 |
$211.65 |
$211.65 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$381.65 |
$381.65 |
$381.65 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$133.45 |
$133.45 |
$133.45 |
$98.40
|
|
Home visit est patient 99348
|
$207.40 |
$207.40 |
$207.40 |
$148.41
|
|
Homocysteine
|
$73.10 |
$73.10 |
$73.10 |
$121.92
|
|
Homogenization tissue
|
$24.65 |
$24.65 |
$24.65 |
$39.20
|
|
Hrdtry brst ca-rlatd do 5+
|
$123.25 |
$123.25 |
$123.25 |
$1,702.08
|
|
Hyaluronidase 150 unit/ml injection solution
|
$47.60 |
$47.60 |
$47.60 |
$116.13
|
|
Hyaluronidase 200 units/ml inj
|
$271.28 |
$271.28 |
$271.28 |
$260.99
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$101.01 |
$101.01 |
$101.01 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$16.39 |
$16.39 |
$16.39 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$147.05 |
$147.05 |
$147.05 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$522.75 |
$522.75 |
$522.75 |
$383.00
|
|
Hydrocolld drg >16<=48 w/bdr
|
$23.57 |
$23.57 |
$23.57 |
$25.70
|
|
Hydrocolld drg <=16 in w/bdr
|
$10.89 |
$10.89 |
$10.89 |
$5.57
|
|
Hydrocolld drg filler paste
|
$26.18 |
$26.18 |
$26.18 |
$45.92
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$467.90 |
$467.90 |
$467.90 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$286.03 |
$286.03 |
$286.03 |
$131.47
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$384.20 |
$384.20 |
$384.20 |
$294.92
|
|
Hydroxocobalamin im 10mcg
|
$7.94 |
$7.94 |
$7.94 |
$4.86
|
