|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$64.50 |
$64.50 |
$64.50 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$425.00 |
$425.00 |
$425.00 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$73,131.00 |
$73,131.00 |
$73,131.00 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,969.00 |
$1,969.00 |
$1,969.00 |
$3,076.20
|
|
Growth hormone antibody
|
$0.50 |
$0.50 |
$0.50 |
$73.10
|
|
G-tube reposition
|
$1,371.00 |
$1,371.00 |
$1,371.00 |
$745.80
|
|
Guided cath fluid drainage 10030
|
$849.00 |
$849.00 |
$849.00 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$36,600.00 |
$36,600.00 |
$36,600.00 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$15,450.00 |
$15,450.00 |
$15,450.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$670.00 |
$670.00 |
$670.00 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$10,772.00 |
$10,772.00 |
$10,772.00 |
$6,600.00
|
|
Halo cervical into jckt vest
|
$5,542.00 |
$5,542.00 |
$5,542.00 |
$5,015.12
|
|
Hand X-ray
|
$288.00 |
$288.00 |
$288.00 |
$345.87
|
|
Haptoglobin quantitative
|
$95.50 |
$95.50 |
$95.50 |
$91.80
|
|
Hba1/hba2 full gene sequence
|
$755.50 |
$755.50 |
$755.50 |
$769.95
|
|
Hbb full gene sequence
|
$685.50 |
$685.50 |
$685.50 |
$633.25
|
|
Hbb gene dup/del variants
|
$526.50 |
$526.50 |
$526.50 |
$404.80
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$173.50 |
$173.50 |
$173.50 |
$721.00
|
|
Hcg free betachain test
|
$143.50 |
$143.50 |
$143.50 |
$68.90
|
|
Hcg qualitative
|
$33.00 |
$33.00 |
$33.00 |
$88.00
|
|
Hcg quantitative
|
$143.50 |
$143.50 |
$143.50 |
$137.15
|
|
Head CT scan (with and without contrast)
|
$1,967.00 |
$1,967.00 |
$1,967.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,680.50 |
$1,680.50 |
$1,680.50 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$1,570.50 |
$1,570.50 |
$1,570.50 |
$1,268.90
|
|
Hematocrit
|
$68.50 |
$68.50 |
$68.50 |
$33.57
|
|
Hemoglobin
|
$68.50 |
$68.50 |
$68.50 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$53.00 |
$53.00 |
$53.00 |
$52.32
|
|
Hemoglobin plasma
|
$70.50 |
$70.50 |
$70.50 |
$41.25
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,106.50 |
$1,106.50 |
$1,106.50 |
$1,170.54
|
|
Hepatitis a antibody igm
|
$116.50 |
$116.50 |
$116.50 |
$88.92
|
|
Hepatitis b core antibody igm
|
$129.00 |
$129.00 |
$129.00 |
$88.80
|
|
Hepatitis b core antibody total
|
$125.00 |
$125.00 |
$125.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$119.50 |
$119.50 |
$119.50 |
$81.12
|
|
Hepatitis c antibody
|
$176.50 |
$176.50 |
$176.50 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$1,438.99
|
|
Herpes simplex type 1 antibody igg
|
$81.00 |
$81.00 |
$81.00 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$87.00 |
$87.00 |
$87.00 |
$87.10
|
|
Heterophile antibodies screening
|
$98.00 |
$98.00 |
$98.00 |
$72.00
|
|
Hhv-6 dna quant
|
$498.50 |
$498.50 |
$498.50 |
$250.80
|
|
Hip adj flex ext abduct cont
|
$450.00 |
$450.00 |
$450.00 |
$837.61
|
|
Hip X-ray
|
$545.50 |
$545.50 |
$545.50 |
$296.05
|
|
Histamine
|
$148.50 |
$148.50 |
$148.50 |
$114.84
|
|
Hla class i high defin qual
|
$903.00 |
$903.00 |
$903.00 |
$625.00
|
|
Hla class ii high defin qual
|
$903.00 |
$903.00 |
$903.00 |
$569.25
|
|
Hla class i&ii antibody qual
|
$439.00 |
$439.00 |
$439.00 |
$254.33
|
|
Hla class i/ii antibody qual
|
$806.50 |
$806.50 |
$806.50 |
$171.92
|
|
Hla class ii phenotype qual
|
$903.00 |
$903.00 |
$903.00 |
$288.60
|
|
Hla class i phenotype qual
|
$793.00 |
$793.00 |
$793.00 |
$367.50
|
|
Hla i & ii type verify lr
|
$315.50 |
$315.50 |
$315.50 |
$742.50
|
|
Hla i & ii typing hr
|
$1,073.50 |
$1,073.50 |
$1,073.50 |
$871.65
|
|
Hla i & ii typing lr
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$288.00 |
$288.00 |
$288.00 |
$290.94
|
|
Hla i low res one antigen equiv ea
|
$175.50 |
$175.50 |
$175.50 |
$164.00
|
|
Ho abduction hip adjustable
|
$165.00 |
$165.00 |
$165.00 |
$418.24
|
|
Homocysteine
|
$183.00 |
$183.00 |
$183.00 |
$125.00
|
|
Homogenization tissue
|
$76.00 |
$76.00 |
$76.00 |
$41.00
|
|
Homovanillic acid (hva)
|
$94.50 |
$94.50 |
$94.50 |
$59.95
|
|
Ho post-op hip abduction
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$1,837.50
|
|
Hpv types 16 & 18 only
|
$99.00 |
$99.00 |
$99.00 |
$110.06
|
|
H pylori (c-13) breath
|
$207.00 |
$207.00 |
$207.00 |
$213.00
|
|
H pylori drug admin
|
$63.00 |
$63.00 |
$63.00 |
$28.56
|
|
Hrdtry brst ca-rlatd do 5+
|
$600.00 |
$600.00 |
$600.00 |
$1,702.08
|
|
Human epididymis protein 4 (he4)
|
$156.00 |
$156.00 |
$156.00 |
$156.65
|
|
Hydration IV infusion each additional hour
|
$158.50 |
$158.50 |
$158.50 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$469.00 |
$469.00 |
$469.00 |
$385.20
|
|
Hysterosalpingography s&i
|
$562.00 |
$562.00 |
$562.00 |
$663.50
|
|
Icd cobalt xt dr MRI is1 df1
|
$56,141.50 |
$56,141.50 |
$56,141.50 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$68,318.50 |
$68,318.50 |
$68,318.50 |
$41,418.00
|
|
Icd crtp serena MRI
|
$28,608.50 |
$28,608.50 |
$28,608.50 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$17,744.50 |
$17,744.50 |
$17,744.50 |
$9,267.72
|
|
Igh gene rearrange amp meth
|
$475.00 |
$475.00 |
$475.00 |
$464.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$165.00 |
$165.00 |
$165.00 |
$191.52
|
|
Ihc/icc per specimen initial single antibody stain
|
$174.50 |
$174.50 |
$174.50 |
$272.30
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$258.00 |
$258.00 |
$258.00 |
$259.20
|
|
Immobilizer shldr cntor adlt
|
$200.00 |
$200.00 |
$200.00 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$73.50 |
$73.50 |
$73.50 |
$114.60
|
|
Immune complex assay
|
$83.00 |
$83.00 |
$83.00 |
$100.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$214.00 |
$214.00 |
$214.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$193.00 |
$193.00 |
$193.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$46.00 |
$46.00 |
$46.00 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$222.00 |
$222.00 |
$222.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$109.50 |
$109.50 |
$109.50 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$125.50 |
$125.50 |
$125.50 |
$231.40
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$1,319.50 |
$1,319.50 |
$1,319.50 |
$3,036.25
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$3,299.00 |
$3,299.00 |
$3,299.00 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$8,184.00
|
|
Implant cochlear osia osi300
|
$11,044.50 |
$11,044.50 |
$11,044.50 |
$16,200.89
|
|
Implant ureth bulk agent
|
$3,108.00 |
$3,108.00 |
$3,108.00 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$4,912.50 |
$4,912.50 |
$4,912.50 |
$3,974.88
|
|
Implt neurostim elctr each
|
$11,343.50 |
$11,343.50 |
$11,343.50 |
$4,579.99
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$1,986.50 |
$1,986.50 |
$1,986.50 |
$2,056.93
|
|
Incision of tongue fold
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$1,792.50
|
|
Infect ag drug suscept pheno predict
|
$218.00 |
$218.00 |
$218.00 |
$323.20
|
|
Infect ag genotype na cytomegalovirus
|
$1,325.50 |
$1,325.50 |
$1,325.50 |
$661.80
|
|
Infect ag genotype na hiv-1 other region
|
$500.00 |
$500.00 |
$500.00 |
$386.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,272.50 |
$1,272.50 |
$1,272.50 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$127.00 |
$127.00 |
$127.00 |
$72.93
|
|
Infect ag if hep delta agent
|
$278.50 |
$278.50 |
$278.50 |
$125.97
|
|
Infect ag na herpes simplex quant
|
$246.00 |
$246.00 |
$246.00 |
$169.65
|
|
Infect ag na influenza r/amp 1st 2 types
|
$172.50 |
$172.50 |
$172.50 |
$219.70
|
