|
Gi tract capsule endoscopy (pillcam) 91110
|
$767.24 |
$767.24 |
$832.83 |
$2,382.90
|
|
Glove finger flexion right lg xl
|
$191.48 |
$191.48 |
$224.83 |
$93.10
|
|
Glucagon 1 mg solution for injection
|
$375.96 |
$375.96 |
$711.23 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$283.72 |
$283.72 |
$536.85 |
$509.06
|
|
Glucagon plasma - sendout
|
$6.66 |
$6.66 |
$7.82 |
$58.56
|
|
Glucose 1 hr post dose
|
$92.25 |
$92.25 |
$107.92 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$6.00 |
$6.00 |
$7.04 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$21.32 |
$21.32 |
$23.86 |
$22.00
|
|
Glucose blood quantitative
|
$75.47 |
$75.47 |
$105.57 |
$44.76
|
|
Glucose body fluid
|
$80.55 |
$80.55 |
$95.91 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$184.56 |
$184.56 |
$342.66 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$8.66 |
$8.66 |
$44.58 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$125.55 |
$125.55 |
$552.10 |
$56.70
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$34.97 |
$34.97 |
$36.76 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$38.32 |
$38.32 |
$39.96 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,672.33 |
$2,672.33 |
$3,137.78 |
$2,648.81
|
|
Graft axiofill 1000mg
|
$3,452.53 |
$3,452.53 |
$3,452.53 |
$5,278.73
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$9,931.73 |
$9,931.73 |
$11,661.58 |
$25,762.70
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$4,518.81 |
$4,518.81 |
$5,305.87 |
$2,274.83
|
|
Graft nerve adv 3-4x70mm
|
$39,580.38 |
$39,580.38 |
$46,474.26 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$18,464.85 |
$18,464.85 |
$21,680.95 |
$25,728.84
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$5,875.79 |
$5,875.79 |
$6,899.20 |
$10,989.38
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$12,912.08 |
$12,912.08 |
$15,161.03 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$5,875.79 |
$5,875.79 |
$6,899.20 |
$2,369.10
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$2,054.61 |
$2,054.61 |
$2,412.47 |
$3,431.03
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$16,786.53 |
$16,786.53 |
$19,710.31 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,518.81 |
$4,518.81 |
$5,305.87 |
$3,070.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$29,738.57 |
$29,738.57 |
$34,918.26 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,054.61 |
$2,054.61 |
$2,412.47 |
$2,653.10
|
|
Granisetron hcl injection
|
$21.98 |
$21.98 |
$41.45 |
$41.65
|
|
Granulocyte pheresis ea unit
|
$1,501.84 |
$1,501.84 |
$1,877.79 |
$2,950.30
|
|
Gu dilat ureter/urethra s&i
|
$1,432.24 |
$1,432.24 |
$1,600.37 |
$1,793.00
|
|
Guide wire threaded 1.4x150mm
|
$3,474.86 |
$3,474.86 |
$4,080.09 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$717.62 |
$717.62 |
$842.61 |
$2,229.99
|
|
Gw stiffened micro access kit
|
$7,639.02 |
$7,639.02 |
$8,969.54 |
$6,285.56
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$86.92 |
$86.92 |
$164.22 |
$35.40
|
|
Handpiece aquabeam hp2000
|
$7,639.02 |
$7,639.02 |
$8,969.54 |
$6,605.63
|
|
Haptoglobin quantitative
|
$35.97 |
$35.97 |
$39.10 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$155.68 |
$155.68 |
$182.80 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$116.55 |
$116.55 |
$136.85 |
$406.25
|
|
Hbb full gene sequence
|
$299.70 |
$299.70 |
$351.90 |
$633.25
|
|
Hbb gene dup/del variants
|
$153.45 |
$153.45 |
$180.17 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$369.97 |
$369.97 |
$369.97 |
$494.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$468.54 |
$468.54 |
$633.03 |
$759.72
|
|
Hcg qualitative
|
$109.09 |
$109.09 |
$312.36 |
$77.50
|
|
Hcg quantitative
|
$344.08 |
$344.08 |
$496.17 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$19.95 |
$19.95 |
$127.88 |
$136.50
|
|
Hc nm kidney imaging with flow
|
$392.94 |
$392.94 |
$1,503.40 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$554.78 |
$554.78 |
$1,839.27 |
$1,186.80
|
|
Head CT scan (with and without contrast)
|
$2,495.51 |
$2,495.51 |
$3,201.12 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$2,084.58 |
$2,084.58 |
$2,674.05 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,521.48 |
$1,521.48 |
$1,951.88 |
$1,268.90
|
|
Heart infarct image
|
$795.87 |
$795.87 |
$1,612.49 |
$840.74
|
|
Hematocrit
|
$16.04 |
$16.04 |
$57.61 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$5,162.84 |
$5,162.84 |
$5,162.84 |
$23,025.73
|
|
Hemodialysis one evaluation
|
$764.91 |
$764.91 |
$2,532.51 |
$1,329.90
|
|
Hemoglobin
|
$16.04 |
$16.04 |
$50.62 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$113.56 |
$113.56 |
$141.16 |
$49.40
|
|
Hemoglobin plasma
|
$4.67 |
$4.67 |
$5.48 |
$40.56
|
|
Hemoglobin urine
|
$5.10 |
$5.10 |
$5.99 |
$23.31
|
|
Hemolysins/agglutinins auto
|
$158.18 |
$158.18 |
$185.73 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$91.79 |
$91.79 |
$107.78 |
$67.50
|
|
Hepagam b intravenous, inj
|
$1,479.86 |
$1,479.86 |
$2,799.96 |
$569.70
|
|
Heparin assay
|
$57.09 |
$57.09 |
$125.55 |
$130.20
|
|
Heparin bolus from bag
|
$32.31 |
$32.31 |
$34.80 |
$79.04
|
|
Heparin neutralization
|
$10.26 |
$10.26 |
$12.05 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$12.91 |
$12.91 |
$18.32 |
$32.27
|
|
Hepatitis a antibody igm
|
$75.08 |
$75.08 |
$78.26 |
$85.15
|
|
Hepatitis b core antibody igm
|
$29.33 |
$29.33 |
$73.93 |
$87.98
|
|
Hepatitis b core antibody total
|
$73.93 |
$73.93 |
$83.29 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$320.35 |
$320.35 |
$639.29 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$58.61 |
$58.61 |
$80.16 |
$83.79
|
|
Hepatitis c antibody
|
$39.50 |
$39.50 |
$92.91 |
$108.00
|
|
Hepatobiliary system imaging
|
$956.38 |
$956.38 |
$1,086.59 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$8.08 |
$8.08 |
$9.49 |
$40.28
|
|
Herpes simplex 2 ag if
|
$8.08 |
$8.08 |
$9.49 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$7.37 |
$7.37 |
$8.65 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$7.37 |
$7.37 |
$8.65 |
$87.10
|
|
Herpes simplex virus isolation
|
$8.32 |
$8.32 |
$9.77 |
$93.32
|
|
Heterophile antibodies screening
|
$66.87 |
$66.87 |
$121.22 |
$73.60
|
|
Hhv-6 dna quant
|
$24.98 |
$24.98 |
$29.33 |
$200.25
|
|
Histamine
|
$8.33 |
$8.33 |
$9.78 |
$125.40
|
|
Hla class i&ii antibody qual
|
$57.28 |
$57.28 |
$67.26 |
$207.60
|
|
Hla ii typing 1 loc hr
|
$83.25 |
$83.25 |
$97.75 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$19.98 |
$19.98 |
$23.46 |
$164.00
|
|
Hla i typing complete hr
|
$209.79 |
$209.79 |
$246.33 |
$462.82
|
|
Hla i typing high res 1 allele grp ea
|
$121.22 |
$121.22 |
$142.33 |
$307.53
|
|
Hla typing a b or c
|
$133.20 |
$133.20 |
$156.40 |
$309.40
|
|
Hocm 250-299mg/ml iodine,1ml
|
$9.66 |
$9.66 |
$25.03 |
$33.91
|
|
Hocm 350-399mg/ml iodine,1ml
|
$22.32 |
$22.32 |
$26.20 |
$68.86
|
|
Homocysteine
|
$33.30 |
$33.30 |
$39.89 |
$113.10
|
|
Homogenization tissue
|
$32.07 |
$32.07 |
$38.63 |
$39.00
|
|
Homovanillic acid (hva)
|
$4.95 |
$4.95 |
$5.81 |
$56.00
|
|
Hpa-15 genotyping
|
$27.96 |
$27.96 |
$32.83 |
$147.17
|
|
Hpa-1 genotyping
|
$27.95 |
$27.95 |
$32.81 |
$147.17
|
|
Hpa-2 genotyping
|
$27.95 |
$27.95 |
$32.81 |
$147.17
|
|
Hpa-3 genotyping
|
$27.95 |
$27.95 |
$32.81 |
$147.17
|
|
Hpa-4 genotyping
|
$27.95 |
$27.95 |
$32.81 |
$147.17
|
|
Hpa-5 genotyping
|
$27.95 |
$27.95 |
$32.81 |
$148.20
|
|
Hpa-6 genotyping
|
$27.95 |
$27.95 |
$32.81 |
$147.17
|