|
Ghs inj tendon origin/insertion
|
$496.50 |
$496.50 |
$496.50 |
$431.07
|
|
Ghs IV inf sq injection, on-body injector
|
$171.68 |
$171.68 |
$171.68 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$655.64 |
$655.64 |
$655.64 |
$657.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$5.18 |
$5.18 |
$5.18 |
$59.40
|
|
Ghs mbp
|
$12.81 |
$12.81 |
$12.81 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$79.57 |
$79.57 |
$79.57 |
$261.80
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$79.57 |
$79.57 |
$79.57 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$470.34 |
$470.34 |
$470.34 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$75.76 |
$75.76 |
$75.76 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$74.12 |
$74.12 |
$74.12 |
$503.85
|
|
Ghs ng placement w fluoro guidance
|
$438.73 |
$438.73 |
$438.73 |
$468.75
|
|
Ghs o2 saturation
|
$323.73 |
$323.73 |
$323.73 |
$72.45
|
|
Ghs picc line insert < 5
|
$2,933.74 |
$2,933.74 |
$2,933.74 |
$2,060.40
|
|
Ghs ppd (tb intradermal)
|
$277.41 |
$277.41 |
$277.41 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$5.74 |
$5.74 |
$5.74 |
$40.56
|
|
Ghs protein, misc fluid
|
$8.13 |
$8.13 |
$8.13 |
$24.60
|
|
Ghs protoporphyrins fract
|
$8.72 |
$8.72 |
$8.72 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$172.77 |
$172.77 |
$172.77 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$5.98 |
$5.98 |
$5.98 |
$45.05
|
|
Ghs reticulocyte count
|
$90.47 |
$90.47 |
$90.47 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$163.50 |
$163.50 |
$163.50 |
$101.15
|
|
Ghs sedimentation rate
|
$129.71 |
$129.71 |
$129.71 |
$45.50
|
|
Ghs semen analysis fert
|
$210.92 |
$210.92 |
$210.92 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$51.23 |
$51.23 |
$51.23 |
$59.90
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,737.54 |
$2,737.54 |
$2,737.54 |
$2,225.73
|
|
Ghs urine, hydroxproline total
|
$14.65 |
$14.65 |
$14.65 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$13.08 |
$13.08 |
$13.08 |
$70.20
|
|
Gi inhouse confirmation
|
$328.09 |
$328.09 |
$328.09 |
$87.00
|
|
Glassia injection
|
$991.90 |
$991.90 |
$991.90 |
$1,023.81
|
|
Glucagon 1 mg solution for injection
|
$640.92 |
$640.92 |
$640.92 |
$613.00
|
|
Glucagon plasma - sendout
|
$10.89 |
$10.89 |
$10.89 |
$58.56
|
|
Glucose 1 hr post dose
|
$272.50 |
$272.50 |
$272.50 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$140.07 |
$140.07 |
$140.07 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$82.84 |
$82.84 |
$82.84 |
$22.00
|
|
Glucose blood quantitative
|
$49.60 |
$49.60 |
$49.60 |
$44.76
|
|
Glucose body fluid
|
$99.74 |
$99.74 |
$99.74 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$212.55 |
$212.55 |
$212.55 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$141.70 |
$141.70 |
$141.70 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$61.59 |
$61.59 |
$61.59 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,162.71 |
$4,162.71 |
$4,162.71 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$5.45 |
$5.45 |
$5.45 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$4.98 |
$4.98 |
$4.98 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$4,736.60 |
$4,736.60 |
$4,736.60 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$5,332.28 |
$5,332.28 |
$5,332.28 |
$2,648.81
|
|
Graft axiofill 1000mg
|
$6,935.67 |
$6,935.67 |
$6,935.67 |
$5,278.73
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$25,762.70 |
$25,762.70 |
$25,762.70 |
$25,762.70
|
|
Graft nerve adv 3-4x70mm
|
$25,762.70 |
$25,762.70 |
$25,762.70 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$25,762.70 |
$25,762.70 |
$25,762.70 |
$25,728.84
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$9,018.12 |
$9,018.12 |
$9,018.12 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$19,815.11 |
$19,815.11 |
$19,815.11 |
$2,369.10
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$72,100.23 |
$72,100.23 |
$72,100.23 |
$35,824.13
|
|
Graft xenmtrx sft rect 15x20cm
|
$44,769.03 |
$44,769.03 |
$44,769.03 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,154.46 |
$3,154.46 |
$3,154.46 |
$2,653.10
|
|
Granulocyte pheresis ea unit
|
$2,495.01 |
$2,495.01 |
$2,495.01 |
$2,950.30
|
|
Guided cath fluid drainage 10030
|
$2,850.35 |
$2,850.35 |
$2,850.35 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$3,154.46 |
$3,154.46 |
$3,154.46 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$1,245.87 |
$1,245.87 |
$1,245.87 |
$2,229.99
|
|
Guid loc target vol rad tx
|
$287.22 |
$287.22 |
$287.22 |
$503.80
|
|
Gw stiffened micro access kit
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
$6,285.56
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$165.14 |
$165.14 |
$165.14 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$39.24 |
$39.24 |
$39.24 |
$35.40
|
|
Haptoglobin quantitative
|
$150.97 |
$150.97 |
$150.97 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$254.79 |
$254.79 |
$254.79 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$190.75 |
$190.75 |
$190.75 |
$406.25
|
|
Hbb full gene sequence
|
$490.50 |
$490.50 |
$490.50 |
$633.25
|
|
Hbb gene dup/del variants
|
$251.14 |
$251.14 |
$251.14 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$321.01 |
$321.01 |
$321.01 |
$494.40
|
|
Hcg qualitative
|
$359.70 |
$359.70 |
$359.70 |
$77.50
|
|
Hcg quantitative
|
$182.03 |
$182.03 |
$182.03 |
$124.80
|
|
Head CT scan (with and without contrast)
|
$4,017.20 |
$4,017.20 |
$4,017.20 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$4,017.20 |
$4,017.20 |
$4,017.20 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$2,678.13 |
$2,678.13 |
$2,678.13 |
$1,268.90
|
|
Heinz bodies direct
|
$30.93 |
$30.93 |
$30.93 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$268.14 |
$268.14 |
$268.14 |
$84.80
|
|
Hematocrit
|
$70.31 |
$70.31 |
$70.31 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,566.33 |
$1,566.33 |
$1,566.33 |
$1,329.90
|
|
Hemoglobin
|
$53.41 |
$53.41 |
$53.41 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$3.54 |
$3.54 |
$3.54 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$65.40 |
$65.40 |
$65.40 |
$49.40
|
|
Hemoglobin plasma
|
$7.63 |
$7.63 |
$7.63 |
$40.56
|
|
Hemoglobin urine
|
$8.35 |
$8.35 |
$8.35 |
$23.31
|
|
Hemolysins/agglutinins auto
|
$54.50 |
$54.50 |
$54.50 |
$53.90
|
|
Heparin assay
|
$261.60 |
$261.60 |
$261.60 |
$130.20
|
|
Heparin bolus from bag
|
$498.68 |
$498.68 |
$498.68 |
$79.04
|
|
Heparin neutralization
|
$244.71 |
$244.71 |
$244.71 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$35.43 |
$35.43 |
$35.43 |
$32.27
|
|
Hepatitis a antibody igm
|
$57.23 |
$57.23 |
$57.23 |
$85.15
|
|
Hepatitis b core antibody igm
|
$55.05 |
$55.05 |
$55.05 |
$87.98
|
|
Hepatitis b core antibody total
|
$57.23 |
$57.23 |
$57.23 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,547.26 |
$1,547.26 |
$1,547.26 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$53.41 |
$53.41 |
$53.41 |
$83.79
|
|
Hepatitis c antibody
|
$85.02 |
$85.02 |
$85.02 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,093.89 |
$2,093.89 |
$2,093.89 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$62.13 |
$62.13 |
$62.13 |
$40.28
|
|
Herpes simplex 2 ag if
|
$62.13 |
$62.13 |
$62.13 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$12.05 |
$12.05 |
$12.05 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$9.42 |
$9.42 |
$9.42 |
$87.10
|
|
Herpes simplex virus isolation
|
$13.61 |
$13.61 |
$13.61 |
$93.32
|
|
Heterophile antibodies screening
|
$116.09 |
$116.09 |
$116.09 |
$73.60
|