|
Granisetron hcl injection
|
$30.00 |
$30.00 |
$30.00 |
$45.03
|
|
Great toe with reduction 28495
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$495.00
|
|
Guide wire threaded 1.4x150mm
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$3,284.36
|
|
Gw stiffened micro access kit
|
$291.60 |
$291.60 |
$291.60 |
$6,893.38
|
|
Gynecomastia (males) 19300
|
$709.80 |
$709.80 |
$709.80 |
$3,735.20
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.20 |
$7.20 |
$7.20 |
$24.30
|
|
Handle/convey/speciman/office-lab 99000
|
$78.00 |
$78.00 |
$78.00 |
$23.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$70.20 |
$70.20 |
$70.20 |
$105.30
|
|
Hand X-ray
|
$140.40 |
$140.40 |
$140.40 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$125.40 |
$125.40 |
$125.40 |
$294.90
|
|
Hcg qualitative
|
$54.60 |
$54.60 |
$54.60 |
$90.10
|
|
Hcg quantitative
|
$93.00 |
$93.00 |
$93.00 |
$139.20
|
|
Hc pet myocardial imaging metabolic eval single study
|
$5,625.00 |
$5,625.00 |
$5,625.00 |
$3,958.50
|
|
Head CT scan (with and without contrast)
|
$1,671.60 |
$1,671.60 |
$1,671.60 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,234.80 |
$1,234.80 |
$1,234.80 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$753.00 |
$753.00 |
$753.00 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$118.80 |
$118.80 |
$118.80 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$103.80 |
$103.80 |
$103.80 |
$92.00
|
|
Hematocrit
|
$19.20 |
$19.20 |
$19.20 |
$33.80
|
|
Hemoglobin
|
$19.20 |
$19.20 |
$19.20 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$33.00 |
$33.00 |
$33.00 |
$52.32
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$393.00 |
$393.00 |
$393.00 |
$1,178.02
|
|
Hemorrhoidopexy stapling 46947
|
$642.60 |
$642.60 |
$642.60 |
$3,816.64
|
|
Hepagam b im injection
|
$991.20 |
$991.20 |
$991.20 |
$1,118.05
|
|
Heparin bolus from bag
|
$10.20 |
$10.20 |
$10.20 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$4.20 |
$4.20 |
$4.20 |
$12.00
|
|
Hepatitis a antibody igm
|
$106.80 |
$106.80 |
$106.80 |
$89.44
|
|
Hepatitis b core antibody igm
|
$111.00 |
$111.00 |
$111.00 |
$89.60
|
|
Hepatitis b core antibody total
|
$114.60 |
$114.60 |
$114.60 |
$77.50
|
|
Hepatitis b surface antibody
|
$102.60 |
$102.60 |
$102.60 |
$82.32
|
|
Hepatitis c antibody
|
$129.60 |
$129.60 |
$129.60 |
$108.25
|
|
Hernia Repair (Inguinal)
|
$918.00 |
$918.00 |
$918.00 |
$6,906.90
|
|
Herpes simplex type 1 antibody igg
|
$105.00 |
$105.00 |
$105.00 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$184.20 |
$184.20 |
$184.20 |
$87.36
|
|
Herpes simplex virus isolation
|
$312.00 |
$312.00 |
$312.00 |
$110.00
|
|
Heterophile antibodies screening
|
$40.80 |
$40.80 |
$40.80 |
$73.87
|
|
Hfo nontorsion jnts pre cst
|
$328.80 |
$328.80 |
$328.80 |
$110.88
|
|
High compres band w>=3"<5"yd
|
$16.80 |
$16.80 |
$16.80 |
$63.40
|
|
Hinge extension/flex wrist/f
|
$5,184.60 |
$5,184.60 |
$5,184.60 |
$1,653.00
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$155.40 |
$155.40 |
$155.40 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$175.80 |
$175.80 |
$175.80 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$129.60 |
$129.60 |
$129.60 |
$233.50
|
|
Hip X-ray
|
$148.80 |
$148.80 |
$148.80 |
$294.75
|
|
Histochemical stains add-on
|
$174.00 |
$174.00 |
$174.00 |
$152.75
|
|
Homocysteine
|
$161.40 |
$161.40 |
$161.40 |
$125.40
|
|
Homovanillic acid (hva)
|
$105.00 |
$105.00 |
$105.00 |
$59.95
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$69.60 |
$69.60 |
$69.60 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$23.40 |
$23.40 |
$23.40 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$19.80 |
$19.80 |
$19.80 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$63.00 |
$63.00 |
$63.00 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$99.00 |
$99.00 |
$99.00 |
$294.92
|
|
Hydromorphone injection
|
$6.00 |
$6.00 |
$6.00 |
$80.38
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$13.80 |
$13.80 |
$13.80 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$119.40 |
$119.40 |
$119.40 |
$73.45
|
|
Hymenotomy
|
$94.80 |
$94.80 |
$94.80 |
$4,358.89
|
|
Hyoid myotomy & suspension
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$6,311.00
|
|
Hysterosalpingography s&i
|
$213.00 |
$213.00 |
$213.00 |
$669.12
|
|
Hysteroscopy ablation
|
$660.60 |
$660.60 |
$660.60 |
$5,865.75
|
|
Hysteroscopy biopsy
|
$515.40 |
$515.40 |
$515.40 |
$5,419.00
|
|
Hysteroscopy dx sep proc
|
$366.60 |
$366.60 |
$366.60 |
$3,997.50
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$270.00 |
$270.00 |
$270.00 |
$352.24
|
|
I-123 sod iodide diag per 100 uci
|
$83.40 |
$83.40 |
$83.40 |
$147.46
|
|
Ia infect ag ab qual/semiquant sgl step
|
$33.00 |
$33.00 |
$33.00 |
$50.60
|
|
Icd cobalt xt dr MRI is1 df1
|
$28,351.80 |
$28,351.80 |
$28,351.80 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$33,408.60 |
$33,408.60 |
$33,408.60 |
$39,070.50
|
|
Icd crtp serena MRI
|
$5,940.00 |
$5,940.00 |
$5,940.00 |
$14,360.25
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,460.40 |
$1,460.40 |
$1,460.40 |
$3,592.74
|
|
Idarubicin hcl injection
|
$268.20 |
$268.20 |
$268.20 |
$447.02
|
|
I&d frarm&/wrst deep absc/hematoma
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$3,839.54
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$422.40 |
$422.40 |
$422.40 |
$3,371.02
|
|
Igh gene rearrange amp meth
|
$891.60 |
$891.60 |
$891.60 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$1,366.20 |
$1,366.20 |
$1,366.20 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$674.40 |
$674.40 |
$674.40 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$193.20 |
$193.20 |
$193.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$411.00 |
$411.00 |
$411.00 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$219.60 |
$219.60 |
$219.60 |
$277.90
|
|
Ileostomy/jejunostomy non-tube 44310
|
$1,809.00 |
$1,809.00 |
$1,809.00 |
$1,976.40
|
|
Immobilizer shldr cntor adlt
|
$187.80 |
$187.80 |
$187.80 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$69.60 |
$69.60 |
$69.60 |
$118.43
|
|
Immune complex assay
|
$178.20 |
$178.20 |
$178.20 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$6,568.80 |
$6,568.80 |
$6,568.80 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,854.20 |
$2,854.20 |
$2,854.20 |
$2,900.11
|
|
Immunoassay tumor antigen quantitative ca 125
|
$193.20 |
$193.20 |
$193.20 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$198.60 |
$198.60 |
$198.60 |
$116.40
|
|
Immunodiffusion nes
|
$135.60 |
$135.60 |
$135.60 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$106.80 |
$106.80 |
$106.80 |
$142.50
|
|
Immunofluorescence per specimen initial single antibody stain
|
$181.20 |
$181.20 |
$181.20 |
$234.27
|
|
Implant open hernia repair w/mesh 49568
|
$420.60 |
$420.60 |
$420.60 |
$632.40
|
|
Implant spine infusion pump
|
$612.60 |
$612.60 |
$612.60 |
$17,262.84
|
|
Implant spine infusion pump
|
$678.00 |
$678.00 |
$678.00 |
$17,270.40
|
|
Implant ureth bulk agent
|
$445.80 |
$445.80 |
$445.80 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$2,922.60 |
$2,922.60 |
$2,922.60 |
$3,974.88
|
|
Impl neurostim electr perc
|
$785.40 |
$785.40 |
$785.40 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$351.60 |
$351.60 |
$351.60 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$5,095.20
|
|
Impl oi implt skull perq esp
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$13,525.50
|
|
Implt neurostim elctr each
|
$4,320.00 |
$4,320.00 |
$4,320.00 |
$4,320.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$3,067.80 |
$3,067.80 |
$3,067.80 |
$2,598.17
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$514.20 |
$514.20 |
$514.20 |
$2,086.70
|
|
Incision of achilles tendon
|
$327.00 |
$327.00 |
$327.00 |
$3,318.90
|
