|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$88.35 |
$122.40 |
$492.80 |
|
|
Graft nerve adv 3-4x70mm
|
$8,140.00 |
$8,140.00 |
$22,080.00 |
|
|
Graft patch felt ptfe 2x2
|
$9,956.52 |
$9,956.52 |
$52,725.60 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$172.00 |
$172.00 |
$298.08 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$469.71 |
$900.00 |
$1,440.00 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$792.00 |
$794.40 |
$1,589.60 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$130.40 |
$130.40 |
$130.40 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$59.19 |
$59.19 |
$101.60 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$844.80 |
$844.80 |
$1,689.60 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$141.60 |
$3,360.00 |
$64,400.00 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,493.12 |
$2,493.12 |
$4,273.60 |
|
|
Granisetron 1 mg tab
|
$1.98 |
$1.98 |
$1.98 |
|
|
Granisetron hcl injection
|
$61.52 |
$62.42 |
$323.54 |
|
|
Great toe with reduction 28495
|
$457.60 |
$470.40 |
$525.60 |
|
|
Ground mileage
|
$23.20 |
$23.20 |
$28.00 |
|
|
Group train without patient
|
$51.20 |
$51.20 |
$52.80 |
|
|
G-tube reposition
|
$1,130.40 |
$1,130.40 |
$1,227.20 |
|
|
Gu dilat ureter/urethra s&i
|
$961.60 |
$961.60 |
$2,608.00 |
|
|
Guided cath fluid drainage 10030
|
$3,243.20 |
$3,243.20 |
$3,243.20 |
|
|
Guide endoanchr sg-64 aaa 62cm
|
$4,771.20 |
$4,771.20 |
$4,771.20 |
|
|
Guide wire threaded 1.4x150mm
|
$673.60 |
$841.60 |
$9,000.00 |
|
|
Guide worley csg 9fx50cm std
|
$323.20 |
$323.20 |
$4,068.00 |
|
|
Guid loc target vol rad tx
|
$758.40 |
$758.40 |
$758.40 |
|
|
Gw stiffened micro access kit
|
$102.40 |
$280.80 |
$7,200.00 |
|
|
Hallus-valgus nt dyn pre ots
|
$9.60 |
$9.60 |
$9.60 |
|
|
Halo cervical into jckt vest
|
$4,093.60 |
$4,093.60 |
$4,093.60 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$60.59 |
$60.59 |
$313.05 |
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$128.80 |
$128.80 |
$128.80 |
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$114.40 |
$126.40 |
$133.60 |
|
|
Hand tendon reconstruction
|
$7,661.60 |
$7,661.60 |
$7,661.60 |
|
|
Hand X-ray
|
$252.00 |
$334.40 |
$432.80 |
|
|
Hand X-ray (2 views, both hands)
|
$225.60 |
$253.60 |
$345.60 |
|
|
Haptoglobin quantitative
|
$62.40 |
$99.20 |
$146.40 |
|
|
Harvest femoropopliteal vein 35572
|
$3,507.20 |
$3,507.20 |
$3,507.20 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,455.20 |
$1,455.20 |
$1,486.40 |
|
|
Hcg qualitative
|
$47.20 |
$66.40 |
$80.00 |
|
|
Hcg quantitative
|
$97.60 |
$117.60 |
$229.60 |
|
|
Hc metata joint dislocation anes
|
$2,324.80 |
$2,324.80 |
$2,324.80 |
|
|
Hc pet myocardial imaging metabolic eval single study
|
$5,828.00 |
$5,828.00 |
$6,274.40 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,896.80 |
$4,896.80 |
$4,896.80 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,660.00 |
$6,660.00 |
$6,660.00 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$7,611.20 |
$7,611.20 |
$7,611.20 |
|
|
Head CT scan (with and without contrast)
|
$2,231.20 |
$2,618.40 |
$2,932.80 |
|
|
Head CT scan (with contrast)
|
$2,008.00 |
$2,447.20 |
$2,648.80 |
|
|
Head CT scan (without contrast)
|
$1,756.80 |
$1,977.60 |
$2,334.40 |
|
|
Heart first pass add-on
|
$429.60 |
$429.60 |
$466.40 |
|
|
Heart first pass multiple
|
$1,802.40 |
$1,802.40 |
$1,846.40 |
|
|
Heart infarct image
|
$1,022.40 |
$1,059.20 |
$1,516.80 |
|
|
Heel (Calcaneus) X-ray (both feet)
|
$231.20 |
$308.80 |
$403.20 |
|
|
Helicobacter pylori antibody igm
|
$75.20 |
$100.80 |
$164.80 |
|
|
Hematocrit
|
$18.40 |
$32.80 |
$61.60 |
|
|
Hematopoietic nuclear tx
|
$1,126.40 |
$1,126.40 |
$1,126.40 |
|
|
Hemodialysis one evaluation
|
$1,652.00 |
$1,652.00 |
$1,652.00 |
|
|
Hemoglobin
|
$24.00 |
$29.60 |
$55.20 |
|
|
Hemoglobin methemoglobin quantitative
|
$53.60 |
$58.40 |
$89.60 |
|
|
Hemoglobin plasma
|
$74.40 |
$74.40 |
$74.40 |
|
|
Hemophilus influenza antibdy
|
$56.80 |
$56.80 |
$56.80 |
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,080.00 |
$1,080.00 |
$1,230.40 |
|
|
Hepagam b intravenous, inj
|
$252.69 |
$252.69 |
$2,599.12 |
|
|
Heparin assay
|
$120.00 |
$155.20 |
$242.40 |
|
|
Heparin bolus from bag
|
$76.84 |
$125.40 |
$327.36 |
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.61 |
$10.00 |
$311.32 |
|
|
Hepatitis a antibody igm
|
$58.40 |
$84.00 |
$133.60 |
|
|
Hepatitis b core antibody igm
|
$61.60 |
$139.20 |
$212.80 |
|
|
Hepatitis b core antibody total
|
$58.40 |
$92.00 |
$128.80 |
|
|
Hepatitis b surface antibody
|
$56.00 |
$92.00 |
$127.20 |
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$394.38 |
$394.38 |
$394.38 |
|
|
Hepatitis c antibody
|
$87.20 |
$124.00 |
$221.60 |
|
|
Herpes simplex type 1 antibody igg
|
$75.20 |
$88.00 |
$111.20 |
|
|
Herpes simplex type 2 antibody igg
|
$75.20 |
$98.40 |
$128.00 |
|
|
Heterophile antibodies screening
|
$32.80 |
$72.00 |
$79.20 |
|
|
Hfo nontorsion jnts pre cst
|
$95.20 |
$95.20 |
$95.20 |
|
|
Hfo nontorsion jnts pre ots
|
$274.40 |
$274.40 |
$274.40 |
|
|
Hip adj flex ext abduct cont
|
$848.00 |
$848.00 |
$848.00 |
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$320.00 |
$508.80 |
$532.00 |
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$424.80 |
$495.20 |
$689.60 |
|
|
Hip and Pelvis X-ray (single view, left side)
|
$239.20 |
$293.60 |
$312.00 |
|
|
Hip X-ray
|
$269.60 |
$339.20 |
$448.00 |
|
|
Histamine
|
$75.20 |
$127.20 |
$130.40 |
|
|
Histochemical stains add-on
|
$195.20 |
$195.20 |
$195.20 |
|
|
Hizentra injection
|
$640.41 |
$640.41 |
$640.41 |
|
|
Hla class i high defin qual
|
$800.00 |
$800.00 |
$800.00 |
|
|
Hla class ii high defin qual
|
$805.60 |
$805.60 |
$805.60 |
|
|
Hla ii typing 1 loc hr
|
$299.20 |
$299.20 |
$299.20 |
|
|
Hla ii typing ag equiv lr
|
$684.80 |
$684.80 |
$684.80 |
|
|
Hla i low res one antigen equiv ea
|
$233.60 |
$233.60 |
$233.60 |
|
|
Hocm 350-399mg/ml iodine,1ml
|
$144.00 |
$144.00 |
$144.00 |
|
|
Home sleep test/type 3 porta
|
$529.60 |
$680.00 |
$719.20 |
|
|
Homocysteine
|
$96.00 |
$96.00 |
$96.00 |
|
|
Homogenization tissue
|
$36.00 |
$36.00 |
$36.00 |
|
|
Homovanillic acid (hva)
|
$58.40 |
$58.40 |
$68.80 |
|
|
Ho post-op hip abduction
|
$649.60 |
$649.60 |
$2,632.00 |
|
|
H pylori (c-13) breath
|
$228.00 |
$272.80 |
$332.00 |
|
|
Hyaluronidase 150 unit/ml injection solution
|
$72.56 |
$72.56 |
$341.00 |
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$89.74 |
$98.15 |
$341.00 |
|
|
Hydralazine 20 mg/ml injection solution
|
$61.72 |
$62.40 |
$342.41 |
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$70.49 |
$74.02 |
$395.75 |
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$60.32 |
$60.83 |
$387.08 |
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$154.80 |
$168.55 |
$1,023.80 |
|
