|
Ghs sedimentation rate
|
$3.60 |
$3.60 |
$3.60 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$7.73 |
$7.73 |
$52.59 |
$57.60
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$229.95 |
$229.95 |
$229.95 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$203.95 |
$203.95 |
$203.95 |
$436.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$578.08 |
$578.08 |
$578.08 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$96.30 |
$96.30 |
$96.30 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$94.80 |
$94.80 |
$94.80 |
$252.75
|
|
Ghs st - eval for alt comm
|
$25.46 |
$25.46 |
$25.46 |
$96.40
|
|
Ghs st - re-eval for alt comm
|
$133.43 |
$133.43 |
$133.43 |
$309.60
|
|
Ghs urine, porphyrins quant
|
$12.15 |
$12.15 |
$15.77 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$467.06 |
$467.06 |
$485.89 |
$1,932.00
|
|
Giardia ag if
|
$20.50 |
$20.50 |
$20.50 |
$38.58
|
|
Giardia lamblia antibody
|
$23.25 |
$23.25 |
$138.29 |
$83.44
|
|
Gi inhouse confirmation
|
$21.17 |
$21.17 |
$110.15 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$962.93 |
$962.93 |
$962.93 |
$2,215.20
|
|
Glassia injection
|
$1,184.56 |
$1,184.56 |
$1,184.56 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$354.30 |
$354.30 |
$354.30 |
$613.79
|
|
Glucagon plasma - sendout
|
$13.13 |
$13.13 |
$24.39 |
$64.35
|
|
Glucose 1 hr post dose
|
$2.94 |
$2.94 |
$101.04 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$17.69 |
$17.69 |
$17.69 |
$23.12
|
|
Glucose blood quantitative
|
$44.76 |
$44.76 |
$44.76 |
$42.25
|
|
Glucose body fluid
|
$11.96 |
$11.96 |
$68.61 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$7.64 |
$7.64 |
$82.28 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$2.35 |
$2.35 |
$26.80 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$156.78 |
$156.78 |
$156.78 |
$37.40
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$11.37 |
$11.37 |
$336.34 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$11.37 |
$11.37 |
$250.05 |
$129.03
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,285.86 |
$4,285.86 |
$4,285.86 |
$73.83
|
|
Graft axiofill 1000mg
|
$14.91 |
$14.91 |
$2,533.68 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$38.63 |
$38.63 |
$43,538.21 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$29,750.09 |
$29,750.09 |
$47,890.80 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$16,734.92 |
$16,734.92 |
$98,958.20 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$9,422.08 |
$9,422.08 |
$9,422.08 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$4,285.86 |
$4,285.86 |
$4,285.86 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$592.46 |
$592.46 |
$5,573.06 |
$1,132.47
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$1,498.39 |
$1,498.39 |
$1,498.39 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$25.27 |
$25.27 |
$57,946.70 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$20,478.45 |
$20,478.45 |
$57,946.70 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,520.56 |
$1,520.56 |
$2,533.68 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$1,023.15 |
$1,023.15 |
$1,023.15 |
$2,698.02
|
|
G-tube reposition
|
$604.79 |
$604.79 |
$604.79 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$524.48 |
$524.48 |
$524.48 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$1,164.93 |
$1,164.93 |
$1,639.90 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$2,973.53 |
$2,973.53 |
$12,249.75 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,306.47 |
$1,306.47 |
$3,295.60 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$2,441.44 |
$2,441.44 |
$43,538.21 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$59.23 |
$59.23 |
$59.23 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$21.98 |
$21.98 |
$21.98 |
$24.30
|
|
Handpiece aquabeam hp2000
|
$9,422.08 |
$9,422.08 |
$9,422.08 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$33.12 |
$33.12 |
$33.12 |
$105.30
|
|
Hand X-ray
|
$111.60 |
$111.60 |
$111.60 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$101.06 |
$101.06 |
$101.06 |
$294.90
|
|
Haptoglobin quantitative
|
$11.56 |
$11.56 |
$105.06 |
$92.80
|
|
Hba1/hba2 full gene sequence
|
$643.20 |
$643.20 |
$881.76 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$876.36 |
$876.36 |
$876.36 |
$403.25
|
|
Hbb full gene sequence
|
$347.95 |
$347.95 |
$347.95 |
$633.25
|
|
Hbb gene dup/del variants
|
$216.98 |
$216.98 |
$216.98 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$318.12 |
$318.12 |
$318.12 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$612.56 |
$612.56 |
$612.56 |
$726.00
|
|
Hcg qualitative
|
$49.00 |
$49.00 |
$138.83 |
$90.10
|
|
Hcg quantitative
|
$59.78 |
$59.78 |
$499.29 |
$139.20
|
|
Hc nm kidney imaging with flow
|
$848.76 |
$848.76 |
$865.60 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$603.52 |
$603.52 |
$603.52 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$470.73 |
$470.73 |
$1,425.50 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$392.37 |
$392.37 |
$1,208.95 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$313.82 |
$313.82 |
$902.09 |
$1,268.90
|
|
Heart first pass add-on
|
$403.20 |
$403.20 |
$403.20 |
$485.27
|
|
Heart image spect
|
$401.28 |
$401.28 |
$401.28 |
$1,135.68
|
|
Heart infarct image
|
$543.04 |
$543.04 |
$543.04 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$88.97 |
$88.97 |
$88.97 |
$276.00
|
|
Heinz bodies direct
|
$53.54 |
$53.54 |
$53.54 |
$43.15
|
|
Heinz bodies induced
|
$53.54 |
$53.54 |
$53.54 |
$53.54
|
|
Helicobacter pylori antibody igm
|
$27.07 |
$27.07 |
$30.56 |
$92.00
|
|
Hematocrit
|
$2.22 |
$2.22 |
$29.75 |
$33.80
|
|
Hemin 350 mg intravenous powder for solution
|
$9,695.17 |
$9,695.17 |
$9,695.17 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$505.02 |
$505.02 |
$592.55 |
$1,364.27
|
|
Hemoglobin
|
$15.51 |
$15.51 |
$27.34 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$11.56 |
$11.56 |
$17.16 |
$52.32
|
|
Hemoglobin plasma
|
$7.84 |
$7.84 |
$11.56 |
$41.40
|
|
Hemoglobin urine
|
$2.35 |
$2.35 |
$2.35 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$68.07 |
$68.07 |
$170.03 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$12.84 |
$12.84 |
$68.07 |
$61.79
|
|
Hemophilus influenza antibdy
|
$21.51 |
$21.51 |
$21.51 |
$62.70
|
|
Heparin assay
|
$70.76 |
$70.76 |
$96.95 |
$139.15
|
|
Heparin bolus from bag
|
$2.12 |
$2.12 |
$93.80 |
$66.06
|
|
Heparin neutralization
|
$9.97 |
$9.97 |
$18.50 |
$37.10
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$93.80 |
$93.80 |
$93.80 |
$12.00
|
|
Heparin-protamine tolerance
|
$11.08 |
$11.08 |
$11.08 |
$37.75
|
|
Hepatitis a antibody igm
|
$58.30 |
$58.30 |
$59.77 |
$89.44
|
|
Hepatitis b core antibody igm
|
$61.42 |
$61.42 |
$73.70 |
$89.60
|
|
Hepatitis b core antibody total
|
$19.08 |
$19.08 |
$73.97 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,847.33 |
$1,847.33 |
$1,847.33 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$19.08 |
$19.08 |
$56.55 |
$82.32
|
|
Hepatitis c antibody
|
$64.19 |
$64.19 |
$101.31 |
$108.25
|
|
Herpes simplex 1 ag if
|
$20.16 |
$20.16 |
$52.00 |
$38.58
|
|
Herpes simplex 2 ag if
|
$20.16 |
$20.16 |
$52.00 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$15.55 |
$15.55 |
$18.39 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$20.47 |
$20.47 |
$20.75 |
$87.36
|
|
Herpes simplex virus isolation
|
$34.27 |
$34.27 |
$46.64 |
$110.00
|
|
Heterophile antibodies screening
|
$5.55 |
$5.55 |
$95.95 |
$73.87
|