|
Glaucoma scrn hgh risk direc
|
$106.60 |
$106.60 |
$106.60 |
$88.00
|
|
Glaucoma surgery
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$4,672.80
|
|
Glucagon 1 mg solution for injection
|
$501.81 |
$501.81 |
$501.81 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$456.55 |
$456.55 |
$456.55 |
$491.67
|
|
Glucagon plasma - sendout
|
$122.20 |
$122.20 |
$122.20 |
$63.20
|
|
Glucagon tolerance test
|
$117.00 |
$117.00 |
$117.00 |
$36.00
|
|
Glucose 1 hr post dose
|
$52.00 |
$52.00 |
$52.00 |
$48.25
|
|
Glucose-6-phosphate dhydrogenase screen
|
$79.56 |
$79.56 |
$79.56 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$38.48 |
$38.48 |
$38.48 |
$22.75
|
|
Glucose blood quantitative
|
$26.52 |
$26.52 |
$26.52 |
$41.40
|
|
Glucose body fluid
|
$42.64 |
$42.64 |
$42.64 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$137.28 |
$137.28 |
$137.28 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$39.00 |
$39.00 |
$39.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$14.80 |
$14.80 |
$14.80 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$11,843.15 |
$11,843.15 |
$11,843.15 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$117.00 |
$117.00 |
$117.00 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$141.96 |
$141.96 |
$141.96 |
$129.00
|
|
Gonioscopy
|
$76.44 |
$76.44 |
$76.44 |
$135.52
|
|
Goniotomy
|
$4,175.60 |
$4,175.60 |
$4,175.60 |
$4,456.60
|
|
Goserelin 10.8 mg subcutaneous implant
|
$5,236.03 |
$5,236.03 |
$5,236.03 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,755.48 |
$2,755.48 |
$2,755.48 |
$143.50
|
|
Graft axiofill 1000mg
|
$36,059.73 |
$36,059.73 |
$36,059.73 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$14,689.74 |
$14,689.74 |
$14,689.74 |
$23,288.44
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$3,432.00 |
$3,432.00 |
$3,432.00 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$16,419.00 |
$16,419.00 |
$16,419.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$27,300.00 |
$27,300.00 |
$27,300.00 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$9,862.09 |
$9,862.09 |
$9,862.09 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$9,266.40 |
$9,266.40 |
$9,266.40 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$6,630.00 |
$6,630.00 |
$6,630.00 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$4,659.72 |
$4,659.72 |
$4,659.72 |
$427.89
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$3,549.00 |
$3,549.00 |
$3,549.00 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$18,592.08 |
$18,592.08 |
$18,592.08 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,134.00 |
$4,134.00 |
$4,134.00 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$34,023.60 |
$34,023.60 |
$34,023.60 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,172.23 |
$5,172.23 |
$5,172.23 |
$3,076.20
|
|
Granisetron hcl injection
|
$45.03 |
$45.03 |
$45.03 |
$47.04
|
|
Granulocyte pheresis ea unit
|
$1,532.96 |
$1,532.96 |
$1,532.96 |
$2,698.02
|
|
Great toe with reduction 28495
|
$535.60 |
$535.60 |
$535.60 |
$495.00
|
|
Grfg autol fat lipo 25 cc/<
|
$5,548.40 |
$5,548.40 |
$5,548.40 |
$4,627.00
|
|
Grfg autol fat lipo 50 cc/<
|
$7,321.60 |
$7,321.60 |
$7,321.60 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$5,548.40 |
$5,548.40 |
$5,548.40 |
$4,026.40
|
|
Grfg autol soft tiss dir exc
|
$7,321.60 |
$7,321.60 |
$7,321.60 |
$4,332.25
|
|
Group behave couns 2-10
|
$147.16 |
$147.16 |
$147.16 |
$100.17
|
|
Group health education
|
$137.28 |
$137.28 |
$137.28 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$61.88 |
$61.88 |
$61.88 |
$40.14
|
|
Growth hormone antibody
|
$139.88 |
$139.88 |
$139.88 |
$73.10
|
|
Growth stimulation gene 2
|
$170.04 |
$170.04 |
$170.04 |
$180.50
|
|
Gstrst open wo constj tube
|
$2,756.00 |
$2,756.00 |
$2,756.00 |
$2,756.00
|
|
G-tube reposition
|
$780.00 |
$780.00 |
$780.00 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$4,508.40 |
$4,508.40 |
$4,508.40 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$10,136.10 |
$10,136.10 |
$10,136.10 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$6,360.12 |
$6,360.12 |
$6,360.12 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$1,261.00 |
$1,261.00 |
$1,261.00 |
$535.60
|
|
Gw stiffened micro access kit
|
$11,203.92 |
$11,203.92 |
$11,203.92 |
$6,600.00
|
|
Gynecomastia (males) 19300
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$3,735.20
|
|
Hair removal by electrolysis 17380
|
$1,138.80 |
$1,138.80 |
$1,138.80 |
$849.50
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$57.21 |
$57.21 |
$57.21 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$11.09 |
$11.09 |
$11.09 |
$24.41
|
|
Handpiece aquabeam hp2000
|
$4,225.00 |
$4,225.00 |
$4,225.00 |
$6,628.05
|
|
Hand X-ray
|
$421.20 |
$421.20 |
$421.20 |
$345.87
|
|
Haptoglobin quantitative
|
$66.04 |
$66.04 |
$66.04 |
$91.80
|
|
Harvest auto stem cells
|
$3,224.00 |
$3,224.00 |
$3,224.00 |
$3,379.00
|
|
Harvest stem cell concentrte
|
$1,315.60 |
$1,315.60 |
$1,315.60 |
$1,355.25
|
|
Hb glycosylated a1c home dev
|
$86.32 |
$86.32 |
$86.32 |
$24.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$837.20 |
$837.20 |
$837.20 |
$721.00
|
|
Hcg free betachain test
|
$135.20 |
$135.20 |
$135.20 |
$68.90
|
|
Hcg qualitative
|
$180.44 |
$180.44 |
$180.44 |
$88.00
|
|
Hcg quantitative
|
$202.80 |
$202.80 |
$202.80 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$29.12 |
$29.12 |
$29.12 |
$117.00
|
|
Hc metata joint dislocation anes
|
$3,135.60 |
$3,135.60 |
$3,135.60 |
$2,383.09
|
|
Hc nm fusion spect CT unlisted
|
$884.00 |
$884.00 |
$884.00 |
$463.68
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$3,369.60 |
$3,369.60 |
$3,369.60 |
$1,327.95
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,212.44 |
$6,212.44 |
$6,212.44 |
$3,694.80
|
|
Head CT scan (with and without contrast)
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,704.00 |
$2,704.00 |
$2,704.00 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,268.90
|
|
Heart first pass multiple
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
$1,422.05
|
|
Heart infarct image
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$942.29
|
|
Heart infarct image (ef)
|
$2,012.40 |
$2,012.40 |
$2,012.40 |
$865.98
|
|
Heavy metal qual any number
|
$152.36 |
$152.36 |
$152.36 |
$68.88
|
|
Heinz bodies direct
|
$37.44 |
$37.44 |
$37.44 |
$43.15
|
|
Heinz bodies induced
|
$60.84 |
$60.84 |
$60.84 |
$37.20
|
|
Helicobacter pylori antibody igm
|
$113.88 |
$113.88 |
$113.88 |
$92.23
|
|
Hemagglutination inhibition
|
$73.84 |
$73.84 |
$73.84 |
$54.75
|
|
Hematocrit
|
$51.48 |
$51.48 |
$51.48 |
$33.57
|
|
Hematopoietic nuclear tx
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$16,763.93 |
$16,763.93 |
$16,763.93 |
$20,618.46
|
|
Hemodialysis access study
|
$301.60 |
$301.60 |
$301.60 |
$302.40
|
|
Hemodialysis one evaluation
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$1,338.00
|
|
Hemoglobin
|
$50.96 |
$50.96 |
$50.96 |
$32.76
|
|
Hemoglobin copper sulfate
|
$28.08 |
$28.08 |
$28.08 |
$8.80
|
|
Hemoglobin fetal qualitative
|
$53.56 |
$53.56 |
$53.56 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$74.36 |
$74.36 |
$74.36 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$61.88 |
$61.88 |
$61.88 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$84.76 |
$84.76 |
$84.76 |
$89.13
|
|
Hemoglobin plasma
|
$58.24 |
$58.24 |
$58.24 |
$41.25
|
|
Hemoglobin thermolabile
|
$61.88 |
$61.88 |
$61.88 |
$18.40
|
|
Hemoglobin urine
|
$32.76 |
$32.76 |
$32.76 |
$17.50
|
