|
Ghs prostatic acid phosphatase (mayo)
|
$106.74 |
$106.74 |
$106.74 |
$43.55
|
|
Ghs protoporphyrins fract
|
$2.30 |
$2.30 |
$2.30 |
$60.75
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$1.96 |
$1.96 |
$1.96 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$239.04 |
$239.04 |
$239.04 |
$285.60
|
|
Ghs refill of implantable pump
|
$199.08 |
$199.08 |
$199.08 |
$539.13
|
|
Ghs rsv eia (respir synctial vrs)
|
$70.56 |
$70.56 |
$70.56 |
$99.00
|
|
Ghs sedimentation rate
|
$54.54 |
$54.54 |
$54.54 |
$45.50
|
|
Ghs semen analysis fert
|
$83.16 |
$83.16 |
$83.16 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$67.68 |
$67.68 |
$67.68 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$212.58 |
$212.58 |
$212.58 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$222.84 |
$222.84 |
$222.84 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$225.00 |
$225.00 |
$225.00 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$252.00 |
$252.00 |
$252.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$159.66 |
$159.66 |
$159.66 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$151.20 |
$151.20 |
$151.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$212.04 |
$212.04 |
$212.04 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$247.50 |
$247.50 |
$247.50 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$297.00 |
$297.00 |
$297.00 |
$537.60
|
|
Ghs somatosensory testing upper & lower limbs
|
$20.88 |
$20.88 |
$20.88 |
$1,405.20
|
|
Ghs sp train/fitting sp device - kx
|
$210.42 |
$210.42 |
$210.42 |
$249.60
|
|
Ghs st - eval for alt comm
|
$88.02 |
$88.02 |
$88.02 |
$94.60
|
|
Ghs st - re-eval for alt comm
|
$265.68 |
$265.68 |
$265.68 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$41.94 |
$41.94 |
$41.94 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$145.98 |
$145.98 |
$145.98 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$496.26 |
$496.26 |
$496.26 |
$909.00
|
|
Ghs tx distal phalangeal fx with manipulation
|
$195.84 |
$195.84 |
$195.84 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$2.35 |
$2.35 |
$2.35 |
$73.80
|
|
Ghs windowing of cast
|
$28.98 |
$28.98 |
$28.98 |
$212.55
|
|
Giardia ag if
|
$35.10 |
$35.10 |
$35.10 |
$38.58
|
|
Giardia lamblia antibody
|
$11.34 |
$11.34 |
$11.34 |
$83.44
|
|
Gi inhouse confirmation
|
$122.58 |
$122.58 |
$122.58 |
$86.40
|
|
Gjb6 gene com variants
|
$6.30 |
$6.30 |
$6.30 |
$84.70
|
|
Glucagon 1 mg solution for injection
|
$98.70 |
$98.70 |
$98.70 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$327.16 |
$327.16 |
$327.16 |
$491.67
|
|
Glucagon plasma - sendout
|
$2.29 |
$2.29 |
$2.29 |
$63.20
|
|
Glucose 1 hr post dose
|
$57.96 |
$57.96 |
$57.96 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$35.64 |
$35.64 |
$35.64 |
$22.75
|
|
Glucose blood quantitative
|
$59.04 |
$59.04 |
$59.04 |
$41.40
|
|
Glucose body fluid
|
$106.92 |
$106.92 |
$106.92 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$141.12 |
$141.12 |
$141.12 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$18.00 |
$18.00 |
$18.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$38.01 |
$38.01 |
$38.01 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$590.54 |
$590.54 |
$590.54 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$80.28 |
$80.28 |
$80.28 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$80.28 |
$80.28 |
$80.28 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$343.68 |
$343.68 |
$343.68 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$20.52 |
$20.52 |
$20.52 |
$143.50
|
|
Graft axiofill 1000mg
|
$1,268.70 |
$1,268.70 |
$1,268.70 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$9,090.00 |
$9,090.00 |
$9,090.00 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$20,868.84 |
$20,868.84 |
$20,868.84 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$17,463.96 |
$17,463.96 |
$17,463.96 |
$29,995.44
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$2,916.00 |
$2,916.00 |
$2,916.00 |
$1,132.47
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$112.14 |
$112.14 |
$112.14 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$8,977.50 |
$8,977.50 |
$8,977.50 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$6,985.62 |
$6,985.62 |
$6,985.62 |
$3,076.20
|
|
Granisetron 1 mg tab
|
$52.77 |
$52.77 |
$52.77 |
$53.15
|
|
Granisetron hcl injection
|
$12.96 |
$12.96 |
$12.96 |
$47.04
|
|
Group mnt 2 or more 30 mins
|
$51.30 |
$51.30 |
$51.30 |
$40.14
|
|
Gu dilat ureter/urethra s&i
|
$1,152.18 |
$1,152.18 |
$1,152.18 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$973.44 |
$973.44 |
$973.44 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$18,545.76 |
$18,545.76 |
$18,545.76 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$1,316.34 |
$1,316.34 |
$1,316.34 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$830.16 |
$830.16 |
$830.16 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$694.08 |
$694.08 |
$694.08 |
$535.60
|
|
Gw stiffened micro access kit
|
$905.58 |
$905.58 |
$905.58 |
$6,600.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$29.22 |
$29.22 |
$29.22 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$10.44 |
$10.44 |
$10.44 |
$24.41
|
|
Handpiece aquabeam hp2000
|
$3,834.00 |
$3,834.00 |
$3,834.00 |
$6,628.05
|
|
Hand X-ray
|
$305.64 |
$305.64 |
$305.64 |
$345.87
|
|
Haptoglobin quantitative
|
$87.66 |
$87.66 |
$87.66 |
$91.80
|
|
Harvest femoropopliteal vein 35572
|
$176.58 |
$176.58 |
$176.58 |
$844.00
|
|
Hba1/hba2 full gene sequence
|
$84.15 |
$84.15 |
$84.15 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$29.15 |
$29.15 |
$29.15 |
$403.25
|
|
Hbb gene dup/del variants
|
$29.15 |
$29.15 |
$29.15 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$111.60 |
$111.60 |
$111.60 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$229.14 |
$229.14 |
$229.14 |
$721.00
|
|
Hcg free betachain test
|
$2.41 |
$2.41 |
$2.41 |
$68.90
|
|
Hcg qualitative
|
$85.68 |
$85.68 |
$85.68 |
$88.00
|
|
Hcg quantitative
|
$113.94 |
$113.94 |
$113.94 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$103.86 |
$103.86 |
$103.86 |
$117.00
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$814.68 |
$814.68 |
$814.68 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,081.98 |
$1,081.98 |
$1,081.98 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,049.66 |
$2,049.66 |
$2,049.66 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$722.88 |
$722.88 |
$722.88 |
$3,694.80
|
|
Head CT scan (with and without contrast)
|
$2,044.80 |
$2,044.80 |
$2,044.80 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,858.86 |
$1,858.86 |
$1,858.86 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$1,487.16 |
$1,487.16 |
$1,487.16 |
$1,268.90
|
|
Heart infarct image
|
$447.48 |
$447.48 |
$447.48 |
$942.29
|
|
Heinz bodies direct
|
$10.22 |
$10.22 |
$10.22 |
$43.15
|
|
Heinz bodies induced
|
$10.22 |
$10.22 |
$10.22 |
$37.20
|
|
Helicobacter pylori antibody igm
|
$55.80 |
$55.80 |
$55.80 |
$92.23
|
|
Hematocrit
|
$23.76 |
$23.76 |
$23.76 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,335.06 |
$1,335.06 |
$1,335.06 |
$1,338.00
|
|
Hemoglobin
|
$32.76 |
$32.76 |
$32.76 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$29.70 |
$29.70 |
$29.70 |
$52.32
|
|
Hemoglobin plasma
|
$23.22 |
$23.22 |
$23.22 |
$41.25
|
|
Hemoglobin urine
|
$0.63 |
$0.63 |
$0.63 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$1.40 |
$1.40 |
$1.40 |
$57.28
|
|
Hemolysins and agglutinins incubated
|
$1.82 |
$1.82 |
$1.82 |
$59.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$208.80 |
$208.80 |
$208.80 |
$1,170.54
|