|
Ghs pt - work hardening/int 2hrs
|
$327.03 |
$327.03 |
$327.03 |
$255.60
|
|
Ghs reticulocyte count
|
$211.67 |
$211.67 |
$211.67 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$151.41 |
$151.41 |
$151.41 |
$101.15
|
|
Ghs sedimentation rate
|
$40.69 |
$40.69 |
$40.69 |
$45.50
|
|
Ghs semen analysis fert
|
$63.35 |
$63.35 |
$63.35 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$92.70 |
$92.70 |
$92.70 |
$59.90
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$570.11 |
$570.11 |
$570.11 |
$585.90
|
|
Ghs somatosensory testing lower extremit
|
$2,088.84 |
$2,088.84 |
$2,088.84 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,282.48 |
$2,282.48 |
$2,282.48 |
$1,435.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$953.27 |
$953.27 |
$953.27 |
$976.98
|
|
Ghs urine, porphyrins quant
|
$13.39 |
$13.39 |
$13.39 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$656.63 |
$656.63 |
$656.63 |
$1,843.00
|
|
Gi inhouse confirmation
|
$179.22 |
$179.22 |
$179.22 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,254.16 |
$2,254.16 |
$2,254.16 |
$2,382.90
|
|
Glucagon 1 mg solution for injection
|
$677.23 |
$677.23 |
$677.23 |
$655.20
|
|
Glucagon plasma - sendout
|
$10.29 |
$10.29 |
$10.29 |
$58.56
|
|
Glucose 1 hr post dose
|
$78.80 |
$78.80 |
$78.80 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$86.01 |
$86.01 |
$86.01 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$27.81 |
$27.81 |
$27.81 |
$22.00
|
|
Glucose blood quantitative
|
$275.53 |
$275.53 |
$275.53 |
$44.76
|
|
Glucose body fluid
|
$114.33 |
$114.33 |
$114.33 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$87.55 |
$87.55 |
$87.55 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$75.71 |
$75.71 |
$75.71 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$138.54 |
$138.54 |
$138.54 |
$49.20
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$167.89 |
$167.89 |
$167.89 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$167.89 |
$167.89 |
$167.89 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$3,358.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$1,462.60 |
$1,462.60 |
$1,462.60 |
$1,339.92
|
|
Graft axiofill 1000mg
|
$1,813.32 |
$1,813.32 |
$1,813.32 |
$3,456.79
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$14,993.20 |
$14,993.20 |
$14,993.20 |
$20,559.61
|
|
Graft nerve adv 3-4x70mm
|
$19,316.62 |
$19,316.62 |
$19,316.62 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$19,316.62 |
$19,316.62 |
$19,316.62 |
$25,728.84
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$4,180.77 |
$4,180.77 |
$4,180.77 |
$2,643.60
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$15,963.97 |
$15,963.97 |
$15,963.97 |
$1,233.60
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$11,994.35 |
$11,994.35 |
$11,994.35 |
$1,103.05
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$9,186.57 |
$9,186.57 |
$9,186.57 |
$3,431.03
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$29,215.95 |
$29,215.95 |
$29,215.95 |
$33,626.36
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$3,215.66 |
$3,215.66 |
$3,215.66 |
$867.67
|
|
Graft xenmtrx sft rect 15x20cm
|
$31,871.81 |
$31,871.81 |
$31,871.81 |
$33,720.69
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,124.76 |
$1,124.76 |
$1,124.76 |
$2,677.50
|
|
Granulocyte pheresis ea unit
|
$2,430.29 |
$2,430.29 |
$2,430.29 |
$3,660.00
|
|
G-tube reposition
|
$1,444.58 |
$1,444.58 |
$1,444.58 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$2,433.38 |
$2,433.38 |
$2,433.38 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$1,110.34 |
$1,110.34 |
$1,110.34 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$36,338.40 |
$36,338.40 |
$36,338.40 |
$2,582.48
|
|
Guide worley csg 9fx50cm std
|
$4,328.06 |
$4,328.06 |
$4,328.06 |
$946.28
|
|
Guid loc target vol rad tx
|
$410.46 |
$410.46 |
$410.46 |
$503.80
|
|
Gw stiffened micro access kit
|
$4,180.77 |
$4,180.77 |
$4,180.77 |
$5,743.95
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$41.20 |
$41.20 |
$41.20 |
$36.10
|
|
Handpiece aquabeam hp2000
|
$3,215.66 |
$3,215.66 |
$3,215.66 |
$6,628.05
|
|
Haptoglobin quantitative
|
$29.87 |
$29.87 |
$29.87 |
$89.95
|
|
Hast w/i&r phys/qhp
|
$142.66 |
$142.66 |
$142.66 |
$301.95
|
|
Hast w/oxygen titrate
|
$142.66 |
$142.66 |
$142.66 |
$310.40
|
|
Hba1/hba2 gene dup/del vrnts
|
$180.25 |
$180.25 |
$180.25 |
$406.25
|
|
Hbb full gene sequence
|
$463.50 |
$463.50 |
$463.50 |
$633.25
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$2,131.07 |
$2,131.07 |
$2,131.07 |
$759.72
|
|
Hcg qualitative
|
$180.25 |
$180.25 |
$180.25 |
$77.50
|
|
Hcg quantitative
|
$221.97 |
$221.97 |
$221.97 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$76.22 |
$76.22 |
$76.22 |
$136.50
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$737.48 |
$737.48 |
$737.48 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$1,144.85 |
$1,144.85 |
$1,144.85 |
$1,008.39
|
|
Hc pet myocardial imaging metabolic eval single study
|
$1,957.00 |
$1,957.00 |
$1,957.00 |
$3,309.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,269.48 |
$1,269.48 |
$1,269.48 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,269.48 |
$1,269.48 |
$1,269.48 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,269.48 |
$1,269.48 |
$1,269.48 |
$3,410.55
|
|
Hdr rdncl skn surf brachytx
|
$351.75 |
$351.75 |
$351.75 |
$449.60
|
|
Hdr rdncl skn surf brachytx
|
$351.75 |
$351.75 |
$351.75 |
$657.60
|
|
Head CT scan (with and without contrast)
|
$7,179.10 |
$7,179.10 |
$7,179.10 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$5,734.01 |
$5,734.01 |
$5,734.01 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$4,377.50 |
$4,377.50 |
$4,377.50 |
$1,268.90
|
|
Heart image spect
|
$573.20 |
$573.20 |
$573.20 |
$566.74
|
|
Heart infarct image (ef)
|
$737.48 |
$737.48 |
$737.48 |
$636.97
|
|
Hematocrit
|
$76.74 |
$76.74 |
$76.74 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$10,646.08 |
$10,646.08 |
$10,646.08 |
$21,893.50
|
|
Hemodialysis one evaluation
|
$1,050.09 |
$1,050.09 |
$1,050.09 |
$1,329.90
|
|
Hemoglobin
|
$69.53 |
$69.53 |
$69.53 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$90.64 |
$90.64 |
$90.64 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$68.50 |
$68.50 |
$68.50 |
$49.40
|
|
Hemoglobin plasma
|
$31.42 |
$31.42 |
$31.42 |
$40.56
|
|
Hemoglobin urine
|
$7.89 |
$7.89 |
$7.89 |
$23.31
|
|
Hemolysins/agglutinins auto
|
$48.67 |
$48.67 |
$48.67 |
$53.90
|
|
Heparin assay
|
$176.65 |
$176.65 |
$176.65 |
$130.20
|
|
Heparin bolus from bag
|
$223.00 |
$223.00 |
$223.00 |
$77.14
|
|
Heparin neutralization
|
$15.87 |
$15.87 |
$15.87 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$13.39 |
$13.39 |
$13.39 |
$27.56
|
|
Hepatitis a antibody igm
|
$184.37 |
$184.37 |
$184.37 |
$85.15
|
|
Hepatitis b core antibody igm
|
$142.66 |
$142.66 |
$142.66 |
$87.98
|
|
Hepatitis b core antibody total
|
$104.55 |
$104.55 |
$104.55 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,628.95 |
$1,628.95 |
$1,628.95 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$116.39 |
$116.39 |
$116.39 |
$83.79
|
|
Hepatitis c antibody
|
$173.56 |
$173.56 |
$173.56 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,639.89 |
$2,639.89 |
$2,639.89 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$6.96 |
$6.96 |
$6.96 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$6.96 |
$6.96 |
$6.96 |
$87.10
|
|
Herpes simplex virus isolation
|
$12.86 |
$12.86 |
$12.86 |
$93.32
|
|
Heterophile antibodies screening
|
$118.97 |
$118.97 |
$118.97 |
$73.60
|
|
Hhv-6 dna quant
|
$38.63 |
$38.63 |
$38.63 |
$200.25
|
|
Histamine
|
$35.02 |
$35.02 |
$35.02 |
$125.40
|
|
Histochemical stains add-on
|
$39.46 |
$39.46 |
$39.46 |
$169.65
|
|
Histoplasmosis skin test
|
$162.74 |
$162.74 |
$162.74 |
$46.22
|
