|
Ghs rsv eia (respir synctial vrs)
|
$92.34 |
$92.34 |
$92.34 |
$101.15
|
|
Ghs sedimentation rate
|
$121.66 |
$121.66 |
$121.66 |
$45.50
|
|
Ghs semen analysis fert
|
$53.43 |
$53.43 |
$53.43 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$23.02 |
$23.02 |
$23.02 |
$59.90
|
|
Ghs somatosensory testing upper & lower limbs
|
$609.93 |
$609.93 |
$609.93 |
$1,435.00
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,376.31 |
$1,376.31 |
$1,376.31 |
$2,225.73
|
|
Ghs urine, hydroxproline total
|
$7.37 |
$7.37 |
$7.37 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$6.58 |
$6.58 |
$6.58 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$583.35 |
$583.35 |
$583.35 |
$1,843.00
|
|
Gi inhouse confirmation
|
$35.62 |
$35.62 |
$35.62 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,637.43 |
$1,637.43 |
$1,637.43 |
$2,382.90
|
|
Gi wireless capsule measure
|
$576.50 |
$576.50 |
$576.50 |
$1,247.13
|
|
Glassia injection
|
$569.92 |
$569.92 |
$569.92 |
$1,023.81
|
|
Glove finger flexion right lg xl
|
$66.59 |
$66.59 |
$66.59 |
$93.10
|
|
Glucagon 1 mg solution for injection
|
$369.36 |
$369.36 |
$369.36 |
$613.00
|
|
Glucagon plasma - sendout
|
$5.48 |
$5.48 |
$5.48 |
$58.56
|
|
Glucose 1 hr post dose
|
$40.83 |
$40.83 |
$40.83 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$27.13 |
$27.13 |
$27.13 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$47.13 |
$47.13 |
$47.13 |
$22.00
|
|
Glucose blood quantitative
|
$35.08 |
$35.08 |
$35.08 |
$44.76
|
|
Glucose body fluid
|
$41.38 |
$41.38 |
$41.38 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$36.17 |
$36.17 |
$36.17 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$12.88 |
$12.88 |
$12.88 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$75.35 |
$75.35 |
$75.35 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,391.75 |
$2,391.75 |
$2,391.75 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$2.74 |
$2.74 |
$2.74 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$2.50 |
$2.50 |
$2.50 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,506.56 |
$2,506.56 |
$2,506.56 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,859.19 |
$2,859.19 |
$2,859.19 |
$2,648.81
|
|
Graft axiofill 1000mg
|
$3,718.18 |
$3,718.18 |
$3,718.18 |
$5,278.73
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,300.13 |
$1,300.13 |
$1,300.13 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$24,469.57 |
$24,469.57 |
$24,469.57 |
$25,762.70
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$2,859.19 |
$2,859.19 |
$2,859.19 |
$2,274.83
|
|
Graft nerve adv 3-4x70mm
|
$18,384.03 |
$18,384.03 |
$18,384.03 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$16,712.63 |
$16,712.63 |
$16,712.63 |
$25,728.84
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$13,812.34 |
$13,812.34 |
$13,812.34 |
$10,989.38
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$8,172.05 |
$8,172.05 |
$8,172.05 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$13,812.34 |
$13,812.34 |
$13,812.34 |
$2,369.10
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$35,824.13 |
$35,824.13 |
$35,824.13 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,834.73 |
$4,834.73 |
$4,834.73 |
$3,070.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$24,469.57 |
$24,469.57 |
$24,469.57 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,690.58 |
$1,690.58 |
$1,690.58 |
$2,653.10
|
|
G-tube reposition
|
$155.36 |
$155.36 |
$155.36 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$875.98 |
$875.98 |
$875.98 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$1,037.37 |
$1,037.37 |
$1,037.37 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$22,244.69 |
$22,244.69 |
$22,244.69 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$2,198.85 |
$2,198.85 |
$2,198.85 |
$2,229.99
|
|
Gw stiffened micro access kit
|
$6,285.56 |
$6,285.56 |
$6,285.56 |
$6,285.56
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$289.35 |
$289.35 |
$289.35 |
$35.40
|
|
Haptoglobin quantitative
|
$94.53 |
$94.53 |
$94.53 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$128.10 |
$128.10 |
$128.10 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$95.90 |
$95.90 |
$95.90 |
$406.25
|
|
Hbb full gene sequence
|
$246.60 |
$246.60 |
$246.60 |
$633.25
|
|
Hbb gene dup/del variants
|
$126.26 |
$126.26 |
$126.26 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$273.73 |
$273.73 |
$273.73 |
$494.40
|
|
Hcg qualitative
|
$71.24 |
$71.24 |
$71.24 |
$77.50
|
|
Hcg quantitative
|
$139.20 |
$139.20 |
$139.20 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$14.80 |
$14.80 |
$14.80 |
$136.50
|
|
Hc nm kidney imaging with flow
|
$1,385.07 |
$1,385.07 |
$1,385.07 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,671.68 |
$1,671.68 |
$1,671.68 |
$1,186.80
|
|
Head CT scan (with and without contrast)
|
$1,945.13 |
$1,945.13 |
$1,945.13 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,945.13 |
$1,945.13 |
$1,945.13 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,296.85 |
$1,296.85 |
$1,296.85 |
$1,268.90
|
|
Heart image spect
|
$1,390.83 |
$1,390.83 |
$1,390.83 |
$566.74
|
|
Heinz bodies direct
|
$15.55 |
$15.55 |
$15.55 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$26.03 |
$26.03 |
$26.03 |
$84.80
|
|
Hematocrit
|
$34.25 |
$34.25 |
$34.25 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$11,328.26 |
$11,328.26 |
$11,328.26 |
$23,025.73
|
|
Hemodialysis one evaluation
|
$1,242.59 |
$1,242.59 |
$1,242.59 |
$1,329.90
|
|
Hemoglobin
|
$29.05 |
$29.05 |
$29.05 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$1.78 |
$1.78 |
$1.78 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$43.02 |
$43.02 |
$43.02 |
$49.40
|
|
Hemoglobin plasma
|
$3.84 |
$3.84 |
$3.84 |
$40.56
|
|
Hemoglobin urine
|
$4.20 |
$4.20 |
$4.20 |
$23.31
|
|
Hemolysins/agglutinins auto
|
$27.40 |
$27.40 |
$27.40 |
$53.90
|
|
Heparin assay
|
$174.54 |
$174.54 |
$174.54 |
$130.20
|
|
Heparin bolus from bag
|
$121.66 |
$121.66 |
$121.66 |
$79.04
|
|
Heparin neutralization
|
$8.44 |
$8.44 |
$8.44 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$13.70 |
$13.70 |
$13.70 |
$32.27
|
|
Hepatitis a antibody igm
|
$35.35 |
$35.35 |
$35.35 |
$85.15
|
|
Hepatitis b core antibody igm
|
$36.99 |
$36.99 |
$36.99 |
$87.98
|
|
Hepatitis b core antibody total
|
$33.98 |
$33.98 |
$33.98 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$888.86 |
$888.86 |
$888.86 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$33.98 |
$33.98 |
$33.98 |
$83.79
|
|
Hepatitis c antibody
|
$43.02 |
$43.02 |
$43.02 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,209.99 |
$1,209.99 |
$1,209.99 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$30.97 |
$30.97 |
$30.97 |
$40.28
|
|
Herpes simplex 2 ag if
|
$34.25 |
$34.25 |
$34.25 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$6.06 |
$6.06 |
$6.06 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$4.74 |
$4.74 |
$4.74 |
$87.10
|
|
Herpes simplex virus isolation
|
$6.85 |
$6.85 |
$6.85 |
$93.32
|
|
Heterophile antibodies screening
|
$47.41 |
$47.41 |
$47.41 |
$73.60
|
|
Heterophile antibodies titer
|
$1.94 |
$1.94 |
$1.94 |
$16.80
|
|
Hhv-6 dna quant
|
$20.55 |
$20.55 |
$20.55 |
$200.25
|
|
Histamine
|
$6.85 |
$6.85 |
$6.85 |
$125.40
|
|
Histochemical stains add-on
|
$46.86 |
$46.86 |
$46.86 |
$169.65
|
|
Hla class i/ii antibody qual
|
$30.14 |
$30.14 |
$30.14 |
$88.58
|
|
Hla ii typing 1 loc hr
|
$57.54 |
$57.54 |
$57.54 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$16.44 |
$16.44 |
$16.44 |
$164.00
|
|
Hla i typing complete hr
|
$172.62 |
$172.62 |
$172.62 |
$462.82
|
