|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$143.50
|
|
Graft axiofill 1000mg
|
$4,335.30 |
$4,335.30 |
$4,335.30 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$23,288.44
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$2,866.00 |
$2,866.00 |
$2,866.00 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$526.00 |
$526.00 |
$526.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$2,660.00 |
$2,660.00 |
$2,660.00 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$3,591.00 |
$3,591.00 |
$3,591.00 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,492.50 |
$1,492.50 |
$1,492.50 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$427.89
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,472.50 |
$1,472.50 |
$1,472.50 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$405.40 |
$405.40 |
$405.40 |
$3,076.20
|
|
Granisetron hcl injection
|
$6.48 |
$6.48 |
$6.48 |
$47.04
|
|
Grfg autol fat lipo 50 cc/<
|
$3,216.75 |
$3,216.75 |
$3,216.75 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$3,216.75 |
$3,216.75 |
$3,216.75 |
$4,026.40
|
|
Grfg autol soft tiss dir exc
|
$4,760.17 |
$4,760.17 |
$4,760.17 |
$4,332.25
|
|
Group mnt 2 or more 30 mins
|
$35.00 |
$35.00 |
$35.00 |
$40.14
|
|
Gu dilat ureter/urethra s&i
|
$4,937.50 |
$4,937.50 |
$4,937.50 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$729.50 |
$729.50 |
$729.50 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$436.75 |
$436.75 |
$436.75 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$536.50 |
$536.50 |
$536.50 |
$535.60
|
|
Gw stiffened micro access kit
|
$1,891.00 |
$1,891.00 |
$1,891.00 |
$6,600.00
|
|
Gynecomastia (males) 19300
|
$14,149.83 |
$14,149.83 |
$14,149.83 |
$3,735.20
|
|
Hair removal by electrolysis 17380
|
$849.50 |
$849.50 |
$849.50 |
$849.50
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$2.00 |
$2.00 |
$2.00 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$16.00 |
$16.00 |
$16.00 |
$23.30
|
|
Hand X-ray
|
$405.00 |
$405.00 |
$405.00 |
$345.87
|
|
Haptoglobin quantitative
|
$80.50 |
$80.50 |
$80.50 |
$91.80
|
|
Harvest allogeneic stem cell
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$3,067.50
|
|
Hba1/hba2 full gene sequence
|
$827.50 |
$827.50 |
$827.50 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$279.50 |
$279.50 |
$279.50 |
$403.25
|
|
Hbb full gene sequence
|
$1,241.00 |
$1,241.00 |
$1,241.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$675.00 |
$675.00 |
$675.00 |
$404.80
|
|
Hb glycosylated a1c home dev
|
$15.50 |
$15.50 |
$15.50 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$747.50 |
$747.50 |
$747.50 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,014.50 |
$1,014.50 |
$1,014.50 |
$721.00
|
|
Hcg qualitative
|
$46.00 |
$46.00 |
$46.00 |
$88.00
|
|
Hcg quantitative
|
$91.00 |
$91.00 |
$91.00 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$38.00 |
$38.00 |
$38.00 |
$117.00
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$1,315.50 |
$1,315.50 |
$1,315.50 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$768.00 |
$768.00 |
$768.00 |
$858.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$1,227.50 |
$1,227.50 |
$1,227.50 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$733.50 |
$733.50 |
$733.50 |
$845.60
|
|
Hc nm kidney imaging with flow
|
$1,586.50 |
$1,586.50 |
$1,586.50 |
$849.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$3,694.80
|
|
Head CT scan (with and without contrast)
|
$1,916.50 |
$1,916.50 |
$1,916.50 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,916.50 |
$1,916.50 |
$1,916.50 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$982.50 |
$982.50 |
$982.50 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$95.50 |
$95.50 |
$95.50 |
$92.23
|
|
Hematocrit
|
$15.50 |
$15.50 |
$15.50 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$1,338.00
|
|
Hemoglobin
|
$16.00 |
$16.00 |
$16.00 |
$32.76
|
|
Hemoglobin f (fetal) chemical
|
$121.50 |
$121.50 |
$121.50 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$154.00 |
$154.00 |
$154.00 |
$52.32
|
|
Hemoglobin plasma
|
$18.50 |
$18.50 |
$18.50 |
$41.25
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,687.50 |
$1,687.50 |
$1,687.50 |
$1,170.54
|
|
Hepagam b im injection
|
$841.34 |
$841.34 |
$841.34 |
$1,118.05
|
|
Heparin assay
|
$40.50 |
$40.50 |
$40.50 |
$138.84
|
|
Heparin bolus from bag
|
$8.07 |
$8.07 |
$8.07 |
$68.00
|
|
Heparin neutralization
|
$21.00 |
$21.00 |
$21.00 |
$36.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$9.94 |
$9.94 |
$9.94 |
$12.91
|
|
Hepatitis a antibody igm
|
$82.00 |
$82.00 |
$82.00 |
$88.92
|
|
Hepatitis b core antibody igm
|
$85.00 |
$85.00 |
$85.00 |
$88.80
|
|
Hepatitis b core antibody total
|
$77.50 |
$77.50 |
$77.50 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$373.50 |
$373.50 |
$373.50 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$78.00 |
$78.00 |
$78.00 |
$81.12
|
|
Hepatitis c antibody
|
$96.00 |
$96.00 |
$96.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,416.50 |
$1,416.50 |
$1,416.50 |
$1,438.99
|
|
Hernia Repair (Inguinal)
|
$18,669.50 |
$18,669.50 |
$18,669.50 |
$6,739.98
|
|
Herpes simplex 1 ag if
|
$30.00 |
$30.00 |
$30.00 |
$38.58
|
|
Herpes simplex 2 ag if
|
$59.00 |
$59.00 |
$59.00 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$96.00 |
$96.00 |
$96.00 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$140.50 |
$140.50 |
$140.50 |
$87.10
|
|
Herpes simplex virus isolation
|
$30.00 |
$30.00 |
$30.00 |
$106.21
|
|
Heterophile antibodies screening
|
$38.50 |
$38.50 |
$38.50 |
$72.00
|
|
Hhv-6 dna quant
|
$200.00 |
$200.00 |
$200.00 |
$250.80
|
|
Hinge ext/flex wrist finger
|
$904.00 |
$904.00 |
$904.00 |
$3,276.85
|
|
Hip X-ray
|
$348.50 |
$348.50 |
$348.50 |
$296.05
|
|
Histamine
|
$188.00 |
$188.00 |
$188.00 |
$114.84
|
|
Histochemical stains add-on
|
$180.00 |
$180.00 |
$180.00 |
$152.75
|
|
HIV prep, inj, cabotegravir
|
$15.50 |
$15.50 |
$15.50 |
$7,320.13
|
|
Hla class i/ii antibody qual
|
$289.00 |
$289.00 |
$289.00 |
$171.92
|
|
Hla i & ii typing hr
|
$804.00 |
$804.00 |
$804.00 |
$871.65
|
|
Hla ii typing 1 loc hr
|
$1,002.50 |
$1,002.50 |
$1,002.50 |
$290.94
|
|
Hla i typing 1 locus hr
|
$401.00 |
$401.00 |
$401.00 |
$436.80
|
|
Hla i typing high res 1 allele grp ea
|
$629.00 |
$629.00 |
$629.00 |
$304.20
|
|
Hla i typing low res one locus ea
|
$535.50 |
$535.50 |
$535.50 |
$340.00
|
|
Hlth bhv assmt/reassessment
|
$281.50 |
$281.50 |
$281.50 |
$181.00
|
|
Hocm 200-249mg/ml iodine,1ml
|
$8.69 |
$8.69 |
$8.69 |
$236.25
|
|
Hocm 350-399mg/ml iodine,1ml
|
$12.04 |
$12.04 |
$12.04 |
$79.78
|
|
Home sleep test/type 2 porta
|
$243.00 |
$243.00 |
$243.00 |
$503.13
|
|
Home sleep test/type 3 porta
|
$339.00 |
$339.00 |
$339.00 |
$570.00
|
|
Homocysteine
|
$107.00 |
$107.00 |
$107.00 |
$125.00
|
|
Homogenization tissue
|
$35.00 |
$35.00 |
$35.00 |
$41.00
|
|
Homovanillic acid (hva)
|
$111.50 |
$111.50 |
$111.50 |
$59.95
|
