|
Ghs subcutaneous infus. for therapy init 1 hr
|
$294.72 |
$294.72 |
$294.72 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$906.24 |
$906.24 |
$906.24 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$701.76 |
$701.76 |
$701.76 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$2,225.73
|
|
Ghs tx distal phalangeal fx with manipulation
|
$489.60 |
$489.60 |
$489.60 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$462.24 |
$462.24 |
$462.24 |
$540.00
|
|
Ghs urine, porphyrins quant
|
$63.00 |
$63.00 |
$63.00 |
$70.20
|
|
Ghs vaginal delivery only
|
$2,981.76 |
$2,981.76 |
$2,981.76 |
$3,525.06
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,752.32 |
$2,752.32 |
$2,752.32 |
$1,843.00
|
|
Ghs windowing of cast
|
$290.40 |
$290.40 |
$290.40 |
$204.00
|
|
Gi inhouse confirmation
|
$87.84 |
$87.84 |
$87.84 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,608.96 |
$1,608.96 |
$1,608.96 |
$2,382.90
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$380.05 |
$380.05 |
$380.05 |
$496.93
|
|
Glucagon plasma - sendout
|
$65.24 |
$65.24 |
$65.24 |
$58.56
|
|
Glucose 1 hr post dose
|
$70.08 |
$70.08 |
$70.08 |
$46.28
|
|
Glucose blood quantitative
|
$86.40 |
$86.40 |
$86.40 |
$44.76
|
|
Glucose body fluid
|
$69.60 |
$69.60 |
$69.60 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$132.00 |
$132.00 |
$132.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$35.52 |
$35.52 |
$35.52 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$49.20
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$43.10 |
$43.10 |
$43.10 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$45.60 |
$45.60 |
$45.60 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$4,652.18 |
$4,652.18 |
$4,652.18 |
$3,340.44
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$3,873.96 |
$3,873.96 |
$3,873.96 |
$1,356.08
|
|
Graft axiofill 1000mg
|
$10,410.88 |
$10,410.88 |
$10,410.88 |
$3,456.79
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$18,726.12 |
$18,726.12 |
$18,726.12 |
$1,261.41
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$29,839.25 |
$29,839.25 |
$29,839.25 |
$20,559.61
|
|
Graft nerve adv 3-4x70mm
|
$36,480.00 |
$36,480.00 |
$36,480.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$35,001.26 |
$35,001.26 |
$35,001.26 |
$24,228.59
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$30,287.13 |
$30,287.13 |
$30,287.13 |
$2,687.44
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$9,504.86 |
$9,504.86 |
$9,504.86 |
$1,297.48
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$15,379.20 |
$15,379.20 |
$15,379.20 |
$1,126.25
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$37,230.35 |
$37,230.35 |
$37,230.35 |
$34,036.43
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$6,350.40 |
$6,350.40 |
$6,350.40 |
$894.63
|
|
Graft xenmtrx sft rect 15x20cm
|
$39,602.30 |
$39,602.30 |
$39,602.30 |
$31,871.81
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,207.52 |
$5,207.52 |
$5,207.52 |
$2,677.50
|
|
Great toe with reduction 28495
|
$489.60 |
$489.60 |
$489.60 |
$577.03
|
|
G-tube reposition
|
$974.40 |
$974.40 |
$974.40 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$524.64 |
$524.64 |
$524.64 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$8,864.35 |
$8,864.35 |
$8,864.35 |
$7,499.50
|
|
Guide wire threaded 1.4x150mm
|
$5,995.25 |
$5,995.25 |
$5,995.25 |
$2,582.48
|
|
Guide worley csg 9fx50cm std
|
$13,243.20 |
$13,243.20 |
$13,243.20 |
$946.28
|
|
Guid loc target vol rad tx
|
$766.56 |
$766.56 |
$766.56 |
$503.80
|
|
Gw stiffened micro access kit
|
$15,293.76 |
$15,293.76 |
$15,293.76 |
$5,743.95
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$44.76 |
$44.76 |
$44.76 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$35.65
|
|
Handpiece aquabeam hp2000
|
$7,254.00 |
$7,254.00 |
$7,254.00 |
$6,628.05
|
|
Hand tendon reconstruction
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$4,192.86
|
|
Hand X-ray
|
$452.16 |
$452.16 |
$452.16 |
$338.58
|
|
Haptoglobin quantitative
|
$97.44 |
$97.44 |
$97.44 |
$89.95
|
|
Hbot, full body chamber, 30m
|
$588.48 |
$588.48 |
$588.48 |
$558.35
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$839.04 |
$839.04 |
$839.04 |
$759.72
|
|
Hcg free betachain test
|
$3.36 |
$3.36 |
$3.36 |
$54.59
|
|
Hcg qualitative
|
$70.08 |
$70.08 |
$70.08 |
$77.50
|
|
Hcg quantitative
|
$94.56 |
$94.56 |
$94.56 |
$124.80
|
|
Hc metata joint dislocation anes
|
$2,994.72 |
$2,994.72 |
$2,994.72 |
$2,423.85
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$788.64 |
$788.64 |
$788.64 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$1,008.39
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$12,468.00 |
$12,468.00 |
$12,468.00 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,194.72 |
$4,194.72 |
$4,194.72 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,661.28 |
$4,661.28 |
$4,661.28 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,592.00 |
$5,592.00 |
$5,592.00 |
$3,410.55
|
|
Hdr rdncl skn surf brachytx
|
$489.12 |
$489.12 |
$489.12 |
$449.60
|
|
Hdr rdncl skn surf brachytx
|
$522.24 |
$522.24 |
$522.24 |
$657.60
|
|
Head CT scan (with and without contrast)
|
$1,365.12 |
$1,365.12 |
$1,365.12 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,336.80 |
$1,336.80 |
$1,336.80 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,303.20 |
$1,303.20 |
$1,303.20 |
$1,268.90
|
|
Hematocrit
|
$55.20 |
$55.20 |
$55.20 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$16,537.56 |
$16,537.56 |
$16,537.56 |
$19,250.14
|
|
Hemodialysis one evaluation
|
$1,305.12 |
$1,305.12 |
$1,305.12 |
$1,329.90
|
|
Hemoglobin
|
$69.60 |
$69.60 |
$69.60 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$38.88 |
$38.88 |
$38.88 |
$49.40
|
|
Hemoglobin plasma
|
$35.54 |
$35.54 |
$35.54 |
$40.56
|
|
Hemophilus influenza antibdy
|
$31.20 |
$31.20 |
$31.20 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,403.04 |
$1,403.04 |
$1,403.04 |
$1,141.40
|
|
Hemorrhoidopexy stapling 46947
|
$1,872.48 |
$1,872.48 |
$1,872.48 |
$3,316.74
|
|
Hepagam b intravenous, inj
|
$403.20 |
$403.20 |
$403.20 |
$562.52
|
|
Heparin assay
|
$68.04 |
$68.04 |
$68.04 |
$130.20
|
|
Heparin bolus from bag
|
$120.24 |
$120.24 |
$120.24 |
$75.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$22.75
|
|
Hepatitis a antibody igm
|
$273.60 |
$273.60 |
$273.60 |
$85.15
|
|
Hepatitis b core antibody igm
|
$210.72 |
$210.72 |
$210.72 |
$87.98
|
|
Hepatitis b core antibody total
|
$210.72 |
$210.72 |
$210.72 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$259.43 |
$259.43 |
$259.43 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$223.68 |
$223.68 |
$223.68 |
$83.79
|
|
Hepatitis c antibody
|
$284.16 |
$284.16 |
$284.16 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,515.20 |
$2,515.20 |
$2,515.20 |
$1,521.10
|
|
Hernia Repair (Inguinal)
|
$2,145.12 |
$2,145.12 |
$2,145.12 |
$5,870.15
|
|
Herpes simplex type 1 antibody igg
|
$41.28 |
$41.28 |
$41.28 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$41.28 |
$41.28 |
$41.28 |
$87.10
|
|
Herpes simplex virus isolation
|
$32.16 |
$32.16 |
$32.16 |
$93.32
|
|
Heterophile antibodies screening
|
$108.00 |
$108.00 |
$108.00 |
$73.60
|
|
Hip X-ray
|
$437.28 |
$437.28 |
$437.28 |
$292.05
|
|
Histamine
|
$65.76 |
$65.76 |
$65.76 |
$125.40
|
|
Hla class i high defin qual
|
$168.00 |
$168.00 |
$168.00 |
$574.86
|
|
Hla class ii high defin qual
|
$180.00 |
$180.00 |
$180.00 |
$568.50
|
|
Hla class ii phenotype qual
|
$96.00 |
$96.00 |
$96.00 |
$341.64
|
|
Hla class i phenotype qual
|
$84.00 |
$84.00 |
$84.00 |
$335.40
|
|
Hla i & ii typing lr
|
$156.00 |
$156.00 |
$156.00 |
$1,178.15
|
|
Hla ii typing 1 loc hr
|
$24.60 |
$24.60 |
$24.60 |
$323.40
|
