|
Graft impl ult thck 6x12cm -cost per sq cm
|
$26,222.04 |
$26,222.04 |
$26,222.04 |
$23,253.65
|
|
Graft patch felt ptfe 2x2
|
$138.90 |
$138.90 |
$138.90 |
$27,317.20
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$316.20 |
$316.20 |
$316.20 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,520.10 |
$1,520.10 |
$1,520.10 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$18,695.80 |
$18,695.80 |
$18,695.80 |
$28,666.90
|
|
Granisetron hcl injection
|
$24.45 |
$24.45 |
$24.45 |
$46.00
|
|
Great toe with reduction 28495
|
$79.80 |
$79.80 |
$79.80 |
$502.00
|
|
Growth stimulation gene 2
|
$38.40 |
$38.40 |
$38.40 |
$170.04
|
|
G-tube reposition
|
$202.20 |
$202.20 |
$202.20 |
$760.80
|
|
Gu dilat ureter/urethra s&i
|
$796.20 |
$796.20 |
$796.20 |
$2,057.58
|
|
Guided cath fluid drainage 10030
|
$517.35 |
$517.35 |
$517.35 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$15,323.15 |
$15,323.15 |
$15,323.15 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$214.65 |
$214.65 |
$214.65 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$92.55 |
$92.55 |
$92.55 |
$536.00
|
|
Gw stiffened micro access kit
|
$3,322.87 |
$3,322.87 |
$3,322.87 |
$6,500.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$104.15 |
$104.15 |
$104.15 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$14.65 |
$14.65 |
$14.65 |
$24.30
|
|
Hand X-ray
|
$80.10 |
$80.10 |
$80.10 |
$358.40
|
|
Haptoglobin quantitative
|
$22.05 |
$22.05 |
$22.05 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$769.95 |
$769.95 |
$769.95 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$110.40 |
$110.40 |
$110.40 |
$404.80
|
|
Hba1/hba2 gene fam vrnt
|
$481.65 |
$481.65 |
$481.65 |
$633.10
|
|
Hbb full gene sequence
|
$281.10 |
$281.10 |
$281.10 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$122.55 |
$122.55 |
$122.55 |
$538.85
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$263.10 |
$263.10 |
$263.10 |
$759.72
|
|
Hcg free betachain test
|
$26.25 |
$26.25 |
$26.25 |
$68.90
|
|
Hcg qualitative
|
$13.20 |
$13.20 |
$13.20 |
$90.40
|
|
Hcg quantitative
|
$26.25 |
$26.25 |
$26.25 |
$140.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$35.70 |
$35.70 |
$35.70 |
$108.19
|
|
Hc nm fusion spect CT unlisted
|
$418.80 |
$418.80 |
$418.80 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$418.80 |
$418.80 |
$418.80 |
$865.60
|
|
Hdr rdncl ntrstl/icav brchtx
|
$288.75 |
$288.75 |
$288.75 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$317.70 |
$317.70 |
$317.70 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$349.50 |
$349.50 |
$349.50 |
$3,787.85
|
|
Hdr rdncl skn surf brachytx
|
$106.20 |
$106.20 |
$106.20 |
$730.00
|
|
Hdr rdncl skn surf brachytx
|
$116.70 |
$116.70 |
$116.70 |
$886.00
|
|
Head CT scan (with and without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,824.98
|
|
Head CT scan (with contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,268.90
|
|
Hearing loss dup/del analys
|
$872.10 |
$872.10 |
$872.10 |
$937.81
|
|
Hearing loss sequence analys
|
$2,085.45 |
$2,085.45 |
$2,085.45 |
$2,687.40
|
|
Heart infarct image
|
$418.80 |
$418.80 |
$418.80 |
$951.06
|
|
Helicobacter pylori antibody igm
|
$25.50 |
$25.50 |
$25.50 |
$95.50
|
|
Hematocrit
|
$4.05 |
$4.05 |
$4.05 |
$34.25
|
|
Hematopoietic nuclear tx
|
$418.80 |
$418.80 |
$418.80 |
$928.98
|
|
Hemodialysis one evaluation
|
$301.05 |
$301.05 |
$301.05 |
$1,306.08
|
|
Hemoglobin
|
$4.05 |
$4.05 |
$4.05 |
$33.00
|
|
Hemoglobin fetal qualitative
|
$10.35 |
$10.35 |
$10.35 |
$53.56
|
|
Hemoglobin methemoglobin quantitative
|
$12.30 |
$12.30 |
$12.30 |
$53.95
|
|
Hemoglobin-oxygen affinity
|
$17.55 |
$17.55 |
$17.55 |
$85.80
|
|
Hemoglobin plasma
|
$12.75 |
$12.75 |
$12.75 |
$41.25
|
|
Hemolysin acid
|
$15.00 |
$15.00 |
$15.00 |
$79.04
|
|
Hemolysins and agglutinins incubated
|
$20.55 |
$20.55 |
$20.55 |
$57.28
|
|
Hemophilus influenza antibdy
|
$26.85 |
$26.85 |
$26.85 |
$58.32
|
|
Heparin assay
|
$22.95 |
$22.95 |
$22.95 |
$139.15
|
|
Heparin bolus from bag
|
$62.78 |
$62.78 |
$62.78 |
$68.93
|
|
Heparin neutralization
|
$20.70 |
$20.70 |
$20.70 |
$38.69
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$2.93 |
$2.93 |
$2.93 |
$12.79
|
|
Hepatitis a antibody igm
|
$19.65 |
$19.65 |
$19.65 |
$88.92
|
|
Hepatitis b core antibody igm
|
$20.70 |
$20.70 |
$20.70 |
$88.41
|
|
Hepatitis b core antibody total
|
$21.15 |
$21.15 |
$21.15 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,154.13 |
$1,154.13 |
$1,154.13 |
$1,174.30
|
|
Hepatitis b surface ag quan
|
$61.50 |
$61.50 |
$61.50 |
$54.88
|
|
Hepatitis b surface antibody
|
$18.90 |
$18.90 |
$18.90 |
$82.55
|
|
Hepatitis c antibody
|
$25.05 |
$25.05 |
$25.05 |
$108.00
|
|
Hepatitis c rna dir probe
|
$16.35 |
$16.35 |
$16.35 |
$63.20
|
|
Hepatitis d quantification
|
$75.15 |
$75.15 |
$75.15 |
$91.28
|
|
Hepatobiliary system imaging
|
$452.25 |
$452.25 |
$452.25 |
$1,494.00
|
|
Hereditary colon ca dsordrs
|
$1,022.55 |
$1,022.55 |
$1,022.55 |
$1,872.00
|
|
Herpes simplex 1 ag if
|
$20.10 |
$20.10 |
$20.10 |
$38.58
|
|
Herpes simplex 2 ag if
|
$20.10 |
$20.10 |
$20.10 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$23.10 |
$23.10 |
$23.10 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$17.55 |
$17.55 |
$17.55 |
$87.36
|
|
Herpes simplex virus isolation
|
$30.75 |
$30.75 |
$30.75 |
$106.21
|
|
Heterophile antibodies screening
|
$9.15 |
$9.15 |
$9.15 |
$73.15
|
|
Heterophile antibodies titer
|
$11.40 |
$11.40 |
$11.40 |
$29.25
|
|
Hexa gene
|
$227.10 |
$227.10 |
$227.10 |
$179.04
|
|
Hfo nontorsion jnts pre cst
|
$17.70 |
$17.70 |
$17.70 |
$110.88
|
|
Hhv-6 dna quant
|
$44.85 |
$44.85 |
$44.85 |
$253.55
|
|
Hinge extension/flex wrist/f
|
$329.55 |
$329.55 |
$329.55 |
$1,638.00
|
|
Hinge ext/flex wrist finger
|
$762.00 |
$762.00 |
$762.00 |
$3,276.85
|
|
Hip X-ray
|
$69.30 |
$69.30 |
$69.30 |
$296.05
|
|
Histamine
|
$51.75 |
$51.75 |
$51.75 |
$115.00
|
|
Histochemical stains add-on
|
$63.30 |
$63.30 |
$63.30 |
$152.75
|
|
Hiv-1 ag ia
|
$30.90 |
$30.90 |
$30.90 |
$108.80
|
|
Hiv-2 ag ia
|
$30.90 |
$30.90 |
$30.90 |
$44.00
|
|
Hla i & ii typing hr
|
$370.50 |
$370.50 |
$370.50 |
$804.00
|
|
Hla ii typing 1 loc hr
|
$216.45 |
$216.45 |
$216.45 |
$290.94
|
|
Hla ii typing ag equiv lr
|
$386.55 |
$386.55 |
$386.55 |
$436.92
|
|
Hla i low res one antigen equiv ea
|
$152.10 |
$152.10 |
$152.10 |
$161.70
|
|
Hla i typing 1 locus hr
|
$385.95 |
$385.95 |
$385.95 |
$439.20
|
|
Hla i typing complete hr
|
$359.55 |
$359.55 |
$359.55 |
$607.86
|
|
Hla i typing complete lr
|
$983.70 |
$983.70 |
$983.70 |
$644.50
|
|
Hla i typing high res 1 allele grp ea
|
$165.60 |
$165.60 |
$165.60 |
$294.60
|
|
Hla i typing low res one locus ea
|
$195.00 |
$195.00 |
$195.00 |
$321.60
|
|
Hla typing a b or c
|
$101.55 |
$101.55 |
$101.55 |
$364.00
|
|
Hla typing dr/dq
|
$48.90 |
$48.90 |
$48.90 |
$190.45
|
|
Hocm 250-299mg/ml iodine,1ml
|
$13.64 |
$13.64 |
$13.64 |
$41.79
|
|
Hocm 350-399mg/ml iodine,1ml
|
$2.03 |
$2.03 |
$2.03 |
$79.78
|
|
Home health care supervision
|
$49.05 |
$49.05 |
$49.05 |
$101.60
|