|
Golimumab 12.5 mg/ml intravenous solution
|
$12,754.16 |
$12,754.16 |
$12,754.16 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$138.32 |
$138.32 |
$138.32 |
$115.80
|
|
Gonadotropin hormone panel
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$372.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$182.00 |
$182.00 |
$182.00 |
$129.00
|
|
Gonioscopy
|
$135.52 |
$135.52 |
$135.52 |
$135.52
|
|
Goniotomy
|
$5,476.80 |
$5,476.80 |
$5,476.80 |
$4,456.60
|
|
Goserelin 10.8 mg subcutaneous implant
|
$5,638.80 |
$5,638.80 |
$5,638.80 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$3,360.75 |
$3,360.75 |
$3,360.75 |
$143.50
|
|
Graft axiofill 1000mg
|
$38,833.55 |
$38,833.55 |
$38,833.55 |
$5,125.68
|
|
Graft hand or finger tendon
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$3,839.54
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$15,819.72 |
$15,819.72 |
$15,819.72 |
$23,288.44
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$3,696.00 |
$3,696.00 |
$3,696.00 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$17,682.00 |
$17,682.00 |
$17,682.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$10,620.71 |
$10,620.71 |
$10,620.71 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$9,979.20 |
$9,979.20 |
$9,979.20 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$7,140.00 |
$7,140.00 |
$7,140.00 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$5,018.16 |
$5,018.16 |
$5,018.16 |
$427.89
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$3,822.00 |
$3,822.00 |
$3,822.00 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$20,022.24 |
$20,022.24 |
$20,022.24 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,452.00 |
$4,452.00 |
$4,452.00 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$36,640.80 |
$36,640.80 |
$36,640.80 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$3,076.20
|
|
Granisetron 1 mg tab
|
$72.80 |
$72.80 |
$72.80 |
$53.15
|
|
Granisetron hcl injection
|
$48.50 |
$48.50 |
$48.50 |
$47.04
|
|
Granulocyte pheresis ea unit
|
$1,650.88 |
$1,650.88 |
$1,650.88 |
$2,698.02
|
|
Great toe with reduction 28495
|
$1,282.40 |
$1,282.40 |
$1,282.40 |
$495.00
|
|
Grfg autol fat lipo 25 cc/<
|
$8,932.00 |
$8,932.00 |
$8,932.00 |
$4,627.00
|
|
Grfg autol fat lipo 50 cc/<
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$4,026.40 |
$4,026.40 |
$4,026.40 |
$4,026.40
|
|
Grfg autol soft tiss dir exc
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,332.25
|
|
Group behave couns 2-10
|
$230.72 |
$230.72 |
$230.72 |
$100.17
|
|
Group health education
|
$27.44 |
$27.44 |
$27.44 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$43.12 |
$43.12 |
$43.12 |
$40.14
|
|
Group train without patient
|
$47.60 |
$47.60 |
$47.60 |
$47.60
|
|
Growth hormone antibody
|
$192.64 |
$192.64 |
$192.64 |
$73.10
|
|
Growth hormone panel
|
$644.00 |
$644.00 |
$644.00 |
$173.00
|
|
Growth hormone panel
|
$756.00 |
$756.00 |
$756.00 |
$259.20
|
|
Growth stimulation gene 2
|
$205.52 |
$205.52 |
$205.52 |
$180.50
|
|
Grp adapt bhv tx by phy/qhp
|
$89.04 |
$89.04 |
$89.04 |
$51.52
|
|
Grp adapt bhv tx by tech
|
$89.04 |
$89.04 |
$89.04 |
$61.71
|
|
Gstr rstcv px v-banded gstp
|
$2,917.60 |
$2,917.60 |
$2,917.60 |
$2,917.60
|
|
Gstrst open wo constj tube
|
$4,418.40 |
$4,418.40 |
$4,418.40 |
$2,756.00
|
|
G-tube reposition
|
$3,186.40 |
$3,186.40 |
$3,186.40 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$5,510.40 |
$5,510.40 |
$5,510.40 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$3,315.20 |
$3,315.20 |
$3,315.20 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$10,945.20 |
$10,945.20 |
$10,945.20 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$840.00 |
$840.00 |
$840.00 |
$535.60
|
|
Gum graft
|
$8,181.60 |
$8,181.60 |
$8,181.60 |
$5,289.89
|
|
Gw stiffened micro access kit
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$6,600.00
|
|
Gynecomastia (males) 19300
|
$3,735.20 |
$3,735.20 |
$3,735.20 |
$3,735.20
|
|
Hair removal by electrolysis 17380
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$849.50
|
|
Hair trnspl 1-15 punch grfts
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$908.00
|
|
Hair trnspl >15 punch grafts
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$1,108.80
|
|
Hallus-valgus nt dyn pre ots
|
$50.40 |
$50.40 |
$50.40 |
$80.16
|
|
Halo cervical into body jack
|
$2,861.60 |
$2,861.60 |
$2,861.60 |
$3,051.31
|
|
Halo cervical into jckt vest
|
$3,631.60 |
$3,631.60 |
$3,631.60 |
$5,015.12
|
|
Halo cerv into milwaukee typ
|
$4,412.80 |
$4,412.80 |
$4,412.80 |
$5,529.64
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$61.61 |
$61.61 |
$61.61 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$11.94 |
$11.94 |
$11.94 |
$24.41
|
|
Halo repl liner/interface
|
$238.00 |
$238.00 |
$238.00 |
$1,931.10
|
|
Handle/convey/speciman/office-lab 99000
|
$46.48 |
$46.48 |
$46.48 |
$23.30
|
|
Handpiece aquabeam hp2000
|
$4,550.00 |
$4,550.00 |
$4,550.00 |
$6,628.05
|
|
Hand restoration multiple fi
|
$2,200.80 |
$2,200.80 |
$2,200.80 |
$2,200.80
|
|
Hand restoration no fingers
|
$2,144.80 |
$2,144.80 |
$2,144.80 |
$2,144.80
|
|
Hand restoration replacmnt g
|
$910.00 |
$910.00 |
$910.00 |
$910.00
|
|
Hand restorat thumb/1 finger
|
$2,256.80 |
$2,256.80 |
$2,256.80 |
$2,256.80
|
|
Hand tendon/muscle transfer
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Hand tendon reconstruction
|
$5,023.20 |
$5,023.20 |
$5,023.20 |
$5,023.20
|
|
Hand tendon reconstruction
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$4,454.10
|
|
Hand X-ray
|
$565.60 |
$565.60 |
$565.60 |
$345.87
|
|
Haptoglobin quantitative
|
$106.96 |
$106.96 |
$106.96 |
$91.80
|
|
Harness chest/shlder saddle
|
$254.80 |
$254.80 |
$254.80 |
$254.80
|
|
Harness figure of 8 dual con
|
$182.00 |
$182.00 |
$182.00 |
$182.00
|
|
Harness figure of 8 sing con
|
$173.60 |
$173.60 |
$173.60 |
$173.60
|
|
Harvest allogeneic stem cell
|
$2,839.20 |
$2,839.20 |
$2,839.20 |
$3,067.50
|
|
Harvest auto stem cells
|
$6,473.60 |
$6,473.60 |
$6,473.60 |
$3,379.00
|
|
Harvest cultured skin graft 15040
|
$4,844.00 |
$4,844.00 |
$4,844.00 |
$2,164.64
|
|
Harvest eye tissue alograft
|
$6,871.20 |
$6,871.20 |
$6,871.20 |
$3,269.14
|
|
Harvest femoropopliteal vein 35572
|
$862.40 |
$862.40 |
$862.40 |
$844.00
|
|
Harvest stem cell concentrte
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$1,355.25
|
|
Harvest vein for bypass 35500
|
$5,062.40 |
$5,062.40 |
$5,062.40 |
$780.00
|
|
Hast w/i&r phys/qhp
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$301.95
|
|
Hast w/oxygen titrate
|
$347.20 |
$347.20 |
$347.20 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$459.20 |
$459.20 |
$459.20 |
$403.25
|
|
Hba1/hba2 gene fam vrnt
|
$856.80 |
$856.80 |
$856.80 |
$633.10
|
|
Hbb full gene sequence
|
$744.80 |
$744.80 |
$744.80 |
$633.25
|
|
Hbb gene com variants
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$345.95
|
|
Hbb gene dup/del variants
|
$459.20 |
$459.20 |
$459.20 |
$404.80
|
|
Hbb gene known fam variant
|
$856.80 |
$856.80 |
$856.80 |
$751.20
|
|
Hb glycosylated a1c home dev
|
$119.84 |
$119.84 |
$119.84 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$453.60 |
$453.60 |
$453.60 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$2,464.00 |
$2,464.00 |
$2,464.00 |
$721.00
|
|
Hcg free betachain test
|
$183.68 |
$183.68 |
$183.68 |
$68.90
|
|
Hcg qualitative
|
$174.16 |
$174.16 |
$174.16 |
$88.00
|
|
Hcg quantitative
|
$291.20 |
$291.20 |
$291.20 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$174.16 |
$174.16 |
$174.16 |
$117.00
|
