|
Ghs urine, porphyrins quant
|
$5.24 |
$5.24 |
$6.92 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$464.13 |
$464.13 |
$613.16 |
$1,843.00
|
|
Gi inhouse confirmation
|
$28.34 |
$28.34 |
$37.44 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,302.77 |
$1,302.77 |
$1,721.09 |
$2,382.90
|
|
Gi wireless capsule measure
|
$458.68 |
$458.68 |
$605.96 |
$1,247.13
|
|
Glove finger flexion right lg xl
|
$52.98 |
$52.98 |
$69.99 |
$69.99
|
|
Glucagon 1 mg solution for injection
|
$293.87 |
$293.87 |
$387.08 |
$655.20
|
|
Glucagon plasma - sendout
|
$4.36 |
$4.36 |
$5.76 |
$58.56
|
|
Glucose 1 hr post dose
|
$32.49 |
$32.49 |
$42.92 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$21.59 |
$21.59 |
$28.52 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$37.50 |
$37.50 |
$49.54 |
$22.00
|
|
Glucose blood quantitative
|
$27.91 |
$27.91 |
$36.87 |
$44.76
|
|
Glucose body fluid
|
$32.92 |
$32.92 |
$43.49 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$28.78 |
$28.78 |
$38.02 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$10.25 |
$10.25 |
$13.54 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$59.95 |
$59.95 |
$5,843.81 |
$49.20
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$1,902.93 |
$1,902.93 |
$1,902.93 |
$4,573.83
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$2.18 |
$2.18 |
$2.88 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$1.99 |
$1.99 |
$2.63 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,994.27 |
$1,994.27 |
$2,634.63 |
$3,414.56
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,274.83 |
$2,274.83 |
$3,005.28 |
$1,339.92
|
|
Graft axiofill 1000mg
|
$2,958.26 |
$2,958.26 |
$3,908.16 |
$3,456.79
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,034.41 |
$1,034.41 |
$1,366.56 |
$1,261.41
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$19,468.49 |
$19,468.49 |
$25,719.84 |
$19,838.44
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$2,274.83 |
$2,274.83 |
$3,005.28 |
$1,585.80
|
|
Graft nerve adv 3-4x70mm
|
$14,626.71 |
$14,626.71 |
$19,323.36 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$13,296.91 |
$13,296.91 |
$17,566.56 |
$25,018.02
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$10,989.38 |
$10,989.38 |
$14,518.08 |
$2,643.60
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$6,501.85 |
$6,501.85 |
$8,589.60 |
$1,219.88
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$10,989.38 |
$10,989.38 |
$14,518.08 |
$1,123.34
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$28,502.41 |
$28,502.41 |
$37,654.56 |
$33,626.36
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$3,846.61 |
$3,846.61 |
$5,081.76 |
$958.73
|
|
Graft xenmtrx sft rect 15x20cm
|
$19,468.49 |
$19,468.49 |
$25,719.84 |
$33,720.69
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,345.06 |
$1,345.06 |
$1,776.96 |
$2,677.50
|
|
G-tube reposition
|
$123.61 |
$123.61 |
$163.30 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$696.95 |
$696.95 |
$920.74 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$825.35 |
$825.35 |
$1,090.37 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$17,698.33 |
$17,698.33 |
$23,381.28 |
$2,582.48
|
|
Guide worley csg 9fx50cm std
|
$1,749.45 |
$1,749.45 |
$2,311.20 |
$946.28
|
|
Gw stiffened micro access kit
|
$5,000.92 |
$5,000.92 |
$6,606.72 |
$5,951.40
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$75.65 |
$75.65 |
$99.94 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$230.21 |
$230.21 |
$304.13 |
$36.10
|
|
Haptoglobin quantitative
|
$75.21 |
$75.21 |
$99.36 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$101.92 |
$101.92 |
$134.64 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$76.30 |
$76.30 |
$100.80 |
$406.25
|
|
Hbb full gene sequence
|
$196.20 |
$196.20 |
$259.20 |
$633.25
|
|
Hbb gene dup/del variants
|
$100.46 |
$100.46 |
$132.71 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$217.79 |
$217.79 |
$287.72 |
$558.35
|
|
Hcg qualitative
|
$56.68 |
$56.68 |
$74.88 |
$77.50
|
|
Hcg quantitative
|
$110.75 |
$110.75 |
$146.31 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$11.78 |
$11.78 |
$15.56 |
$136.50
|
|
Hc nm kidney imaging with flow
|
$1,101.99 |
$1,101.99 |
$1,455.84 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,330.02 |
$1,330.02 |
$1,757.09 |
$1,186.80
|
|
Head CT scan (with and without contrast)
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,547.59 |
$1,547.59 |
$2,044.52 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,031.80 |
$1,031.80 |
$1,363.11 |
$1,268.90
|
|
Heart image spect
|
$1,106.57 |
$1,106.57 |
$1,461.89 |
$566.74
|
|
Heinz bodies direct
|
$12.38 |
$12.38 |
$16.35 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$20.71 |
$20.71 |
$27.36 |
$84.80
|
|
Hematocrit
|
$27.25 |
$27.25 |
$36.00 |
$33.57
|
|
Hemodialysis one evaluation
|
$988.63 |
$988.63 |
$1,306.08 |
$1,329.90
|
|
Hemoglobin
|
$23.11 |
$23.11 |
$30.53 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$1.42 |
$1.42 |
$1.87 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$34.23 |
$34.23 |
$45.22 |
$49.40
|
|
Hemoglobin plasma
|
$3.06 |
$3.06 |
$4.04 |
$40.56
|
|
Hemoglobin urine
|
$3.34 |
$3.34 |
$4.41 |
$23.31
|
|
Hemolysins/agglutinins auto
|
$21.80 |
$21.80 |
$28.80 |
$53.90
|
|
Heparin assay
|
$138.87 |
$138.87 |
$183.46 |
$130.20
|
|
Heparin bolus from bag
|
$127.88 |
$127.88 |
$436.00 |
$76.34
|
|
Heparin neutralization
|
$6.72 |
$6.72 |
$8.88 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$10.90 |
$10.90 |
$14.40 |
$26.68
|
|
Hepatitis a antibody igm
|
$28.13 |
$28.13 |
$37.16 |
$85.15
|
|
Hepatitis b core antibody igm
|
$29.43 |
$29.43 |
$38.88 |
$87.98
|
|
Hepatitis b core antibody total
|
$27.04 |
$27.04 |
$35.72 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$707.20 |
$707.20 |
$934.28 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$27.04 |
$27.04 |
$35.72 |
$83.79
|
|
Hepatitis c antibody
|
$34.23 |
$34.23 |
$45.22 |
$108.00
|
|
Hepatobiliary system imaging
|
$962.69 |
$962.69 |
$1,271.81 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$24.64 |
$24.64 |
$32.55 |
$40.28
|
|
Herpes simplex 2 ag if
|
$27.25 |
$27.25 |
$36.00 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$4.82 |
$4.82 |
$6.37 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$3.77 |
$3.77 |
$4.98 |
$87.10
|
|
Herpes simplex virus isolation
|
$5.45 |
$5.45 |
$7.20 |
$93.32
|
|
Heterophile antibodies screening
|
$37.72 |
$37.72 |
$49.83 |
$73.60
|
|
Heterophile antibodies titer
|
$1.54 |
$1.54 |
$2.04 |
$16.80
|
|
Hhv-6 dna quant
|
$16.35 |
$16.35 |
$21.60 |
$200.25
|
|
Histamine
|
$5.45 |
$5.45 |
$7.20 |
$125.40
|
|
Histochemical stains add-on
|
$37.28 |
$37.28 |
$49.25 |
$169.65
|
|
Hla class i/ii antibody qual
|
$23.98 |
$23.98 |
$31.68 |
$88.58
|
|
Hla ii typing 1 loc hr
|
$45.78 |
$45.78 |
$60.48 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$13.08 |
$13.08 |
$17.28 |
$164.00
|
|
Hla i typing complete hr
|
$137.34 |
$137.34 |
$181.44 |
$462.82
|
|
Hla i typing high res 1 allele grp ea
|
$7.91 |
$7.91 |
$10.45 |
$307.53
|
|
Hla typing a b or c
|
$51.23 |
$51.23 |
$67.68 |
$309.40
|
|
Hlth bhv assmt/reassessment
|
$46.87 |
$46.87 |
$61.92 |
$180.70
|
|
Hlth bhv ivntj fam 1st 30
|
$84.15 |
$84.15 |
$111.17 |
$151.00
|
|
Hlth bhv ivntj grp 1st 30
|
$21.15 |
$21.15 |
$27.94 |
$78.50
|
|
Hlth bhv ivntj indiv 1st 30
|
$65.84 |
$65.84 |
$86.98 |
$190.13
|
|
Hocm 250-299mg/ml iodine,1ml
|
$16.57 |
$16.57 |
$16.57 |
$29.25
|
|
Hocm 350-399mg/ml iodine,1ml
|
$218.88 |
$218.88 |
$289.16 |
$70.67
|