|
Gu dilat ureter/urethra s&i
|
$2,608.00 |
$2,608.00 |
$2,608.00 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$3,243.20 |
$3,243.20 |
$3,243.20 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$9,000.00 |
$9,000.00 |
$9,000.00 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$4,068.00 |
$4,068.00 |
$4,068.00 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$758.40 |
$758.40 |
$758.40 |
$535.60
|
|
Gw stiffened micro access kit
|
$7,200.00 |
$7,200.00 |
$7,200.00 |
$6,893.38
|
|
Hallus-valgus nt dyn pre ots
|
$9.60 |
$9.60 |
$9.60 |
$80.16
|
|
Halo cervical into jckt vest
|
$4,093.60 |
$4,093.60 |
$4,093.60 |
$5,015.12
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$313.05 |
$313.05 |
$313.05 |
$24.30
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$128.80 |
$128.80 |
$128.80 |
$115.00
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$133.60 |
$133.60 |
$133.60 |
$105.30
|
|
Hand tendon reconstruction
|
$7,661.60 |
$7,661.60 |
$7,661.60 |
$4,498.52
|
|
Hand X-ray
|
$432.80 |
$432.80 |
$432.80 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$345.60 |
$345.60 |
$345.60 |
$294.90
|
|
Harvest femoropopliteal vein 35572
|
$3,507.20 |
$3,507.20 |
$3,507.20 |
$844.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,486.40 |
$1,486.40 |
$1,486.40 |
$726.00
|
|
Hc metata joint dislocation anes
|
$2,324.80 |
$2,324.80 |
$2,324.80 |
$2,383.09
|
|
Hc pet myocardial imaging metabolic eval single study
|
$6,274.40 |
$6,274.40 |
$6,274.40 |
$3,958.50
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,896.80 |
$4,896.80 |
$4,896.80 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,660.00 |
$6,660.00 |
$6,660.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$7,611.20 |
$7,611.20 |
$7,611.20 |
$3,706.29
|
|
Head CT scan (with and without contrast)
|
$2,932.80 |
$2,932.80 |
$2,932.80 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,648.80 |
$2,648.80 |
$2,648.80 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$2,334.40 |
$2,334.40 |
$2,334.40 |
$1,268.90
|
|
Heart first pass add-on
|
$466.40 |
$466.40 |
$466.40 |
$485.27
|
|
Heart first pass multiple
|
$1,846.40 |
$1,846.40 |
$1,846.40 |
$1,422.05
|
|
Heart infarct image
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$403.20 |
$403.20 |
$403.20 |
$276.00
|
|
Hematopoietic nuclear tx
|
$1,126.40 |
$1,126.40 |
$1,126.40 |
$928.98
|
|
Hemodialysis one evaluation
|
$1,652.00 |
$1,652.00 |
$1,652.00 |
$1,364.27
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,178.02
|
|
Hepagam b intravenous, inj
|
$2,599.12 |
$2,599.12 |
$2,599.12 |
$386.40
|
|
Heparin bolus from bag
|
$327.36 |
$327.36 |
$327.36 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$311.32 |
$311.32 |
$311.32 |
$12.00
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$394.38 |
$394.38 |
$394.38 |
$210.40
|
|
Hfo nontorsion jnts pre cst
|
$95.20 |
$95.20 |
$95.20 |
$110.88
|
|
Hfo nontorsion jnts pre ots
|
$274.40 |
$274.40 |
$274.40 |
$199.53
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$527.20 |
$527.20 |
$527.20 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$592.80 |
$592.80 |
$592.80 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$293.60 |
$293.60 |
$293.60 |
$233.50
|
|
Hip X-ray
|
$358.40 |
$358.40 |
$358.40 |
$294.75
|
|
Histochemical stains add-on
|
$195.20 |
$195.20 |
$195.20 |
$152.75
|
|
Hizentra injection
|
$640.41 |
$640.41 |
$640.41 |
$3,912.58
|
|
Hla class i high defin qual
|
$800.00 |
$800.00 |
$800.00 |
$631.15
|
|
Hla class ii high defin qual
|
$805.60 |
$805.60 |
$805.60 |
$569.25
|
|
Hla ii typing ag equiv lr
|
$684.80 |
$684.80 |
$684.80 |
$475.00
|
|
Hla i low res one antigen equiv ea
|
$233.60 |
$233.60 |
$233.60 |
$164.00
|
|
Home sleep test/type 3 porta
|
$719.20 |
$719.20 |
$719.20 |
$570.00
|
|
Ho post-op hip abduction
|
$649.60 |
$649.60 |
$649.60 |
$1,753.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$341.00 |
$341.00 |
$341.00 |
$126.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$341.00 |
$341.00 |
$341.00 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$342.41 |
$342.41 |
$342.41 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$395.75 |
$395.75 |
$395.75 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$387.08 |
$387.08 |
$387.08 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$1,023.80 |
$1,023.80 |
$1,023.80 |
$294.92
|
|
Hydroxocobalamin im 10mcg
|
$329.59 |
$329.59 |
$329.59 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$159.25 |
$159.25 |
$159.25 |
$72.65
|
|
Hysterosalpingography s&i
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$669.12
|
|
I-123 iobenguane diag
|
$5,632.80 |
$5,632.80 |
$5,632.80 |
$5,170.70
|
|
I-123 ioflupane diag
|
$5,440.80 |
$5,440.80 |
$5,440.80 |
$4,158.00
|
|
I-123 sod iodide diag per 100 uci
|
$224.80 |
$224.80 |
$224.80 |
$147.46
|
|
I125 iothalamate, dx
|
$2,307.20 |
$2,307.20 |
$2,307.20 |
$634.90
|
|
I131 iodide cap, rx
|
$140.00 |
$140.00 |
$140.00 |
$71.70
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$749.80 |
$749.80 |
$749.80 |
$684.45
|
|
Ibuprofen injection
|
$1,541.00 |
$1,541.00 |
$1,541.00 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$768.52 |
$768.52 |
$768.52 |
$980.94
|
|
Icatibant injection
|
$7,661.86 |
$7,661.86 |
$7,661.86 |
$8,695.05
|
|
Icd cobalt xt dr MRI is1 df1
|
$52,646.40 |
$52,646.40 |
$52,646.40 |
$34,093.09
|
|
Icd crtd cobalt hf MRI is1 df1
|
$65,757.60 |
$65,757.60 |
$65,757.60 |
$39,070.50
|
|
Icd crtp serena MRI
|
$34,408.00 |
$34,408.00 |
$34,408.00 |
$14,360.25
|
|
Icd reliance df4 ib 64cm
|
$14,472.00 |
$14,472.00 |
$14,472.00 |
$9,264.83
|
|
Idarubicin hcl injection
|
$2,573.17 |
$2,573.17 |
$2,573.17 |
$447.02
|
|
I&d frarm&/wrst deep absc/hematoma
|
$5,554.40 |
$5,554.40 |
$5,554.40 |
$3,839.54
|
|
I&d lacrimal sac
|
$2,738.40 |
$2,738.40 |
$2,738.40 |
$2,760.73
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,345.60 |
$3,345.60 |
$3,345.60 |
$3,371.02
|
|
Ifosfamide 1 gram intravenous solution
|
$474.01 |
$474.01 |
$474.01 |
$246.95
|
|
Ihc/icc per specimen each additional single antibody stain
|
$151.20 |
$151.20 |
$151.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$415.20 |
$415.20 |
$415.20 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$169.60 |
$169.60 |
$169.60 |
$277.90
|
|
Iliac/fem angio cath insert
|
$2,199.20 |
$2,199.20 |
$2,199.20 |
$1,856.01
|
|
Imatinib 100 mg tab
|
$237.04 |
$237.04 |
$237.04 |
$248.00
|
|
Imetelstat 188 mg intravenous solution
|
$27,653.88 |
$27,653.88 |
$27,653.88 |
$20,373.55
|
|
Immob elbow child sm
|
$108.00 |
$108.00 |
$108.00 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$144.80 |
$144.80 |
$144.80 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$58.40 |
$58.40 |
$58.40 |
$118.43
|
|
Immobilizer shldr sling med
|
$64.00 |
$64.00 |
$64.00 |
$126.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$5,811.84 |
$5,811.84 |
$5,811.84 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$3,429.83 |
$3,429.83 |
$3,429.83 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$1,872.80 |
$1,872.80 |
$1,872.80 |
$3,846.15
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$218.40 |
$218.40 |
$218.40 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$300.80 |
$300.80 |
$300.80 |
$234.27
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$3,360.00 |
$3,360.00 |
$3,360.00 |
$2,946.00
|
|
Implant cartilage 10mm synthetic
|
$8,092.00 |
$8,092.00 |
$8,092.00 |
$8,332.51
|
|
Implant cochlear osia osi300
|
$14,812.00 |
$14,812.00 |
$14,812.00 |
$16,195.55
|
|
Implant tcat pulm vlv perq
|
$37,999.20 |
$37,999.20 |
$37,999.20 |
$12,623.60
|
|
Implant ureth bulk agent
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$2,168.00
|
|
Impl neurostim electr perc
|
$7,280.00 |
$7,280.00 |
$7,280.00 |
$7,672.50
|
|
Imuglucerase injection
|
$4,560.80 |
$4,560.80 |
$4,560.80 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$4,928.00 |
$4,928.00 |
$4,928.00 |
$3,493.75
|