|
Ghs HIV antibody
|
$68.91 |
$68.91 |
$68.91 |
$91.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,727.84 |
$1,727.84 |
$1,727.84 |
$1,572.00
|
|
Ghs inf midline insertion
|
$541.85 |
$541.85 |
$541.85 |
$1,234.20
|
|
Ghs inhibitor screen
|
$93.30 |
$93.30 |
$93.30 |
$143.32
|
|
Ghs inj neurolytic other perph nerve
|
$892.81 |
$892.81 |
$892.81 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$420.30 |
$420.30 |
$420.30 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,364.47 |
$1,364.47 |
$1,364.47 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$1,529.25 |
$1,529.25 |
$1,529.25 |
$1,861.60
|
|
Ghs intro needle/intracath vein - 36000
|
$168.21 |
$168.21 |
$168.21 |
$213.75
|
|
Ghs IV thrombolytics - cerebral
|
$1,214.24 |
$1,214.24 |
$1,214.24 |
$657.60
|
|
Ghs mbp
|
$10.06 |
$10.06 |
$10.06 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$197.74 |
$197.74 |
$197.74 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$174.63 |
$174.63 |
$174.63 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$174.63 |
$174.63 |
$174.63 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$197.74 |
$197.74 |
$197.74 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$174.63 |
$174.63 |
$174.63 |
$140.00
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,373.46 |
$1,373.46 |
$1,373.46 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,109.38 |
$1,109.38 |
$1,109.38 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$1,431.24 |
$1,431.24 |
$1,431.24 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$1,122.22 |
$1,122.22 |
$1,122.22 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$1,218.52 |
$1,218.52 |
$1,218.52 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$892.81 |
$892.81 |
$892.81 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$892.81 |
$892.81 |
$892.81 |
$2,042.60
|
|
Ghs nerve block suprascapular
|
$1,104.24 |
$1,104.24 |
$1,104.24 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$1,671.34 |
$1,671.34 |
$1,671.34 |
$468.75
|
|
Ghs o2 saturation
|
$36.81 |
$36.81 |
$36.81 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$1,135.06 |
$1,135.06 |
$1,135.06 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$1,834.41 |
$1,834.41 |
$1,834.41 |
$2,430.56
|
|
Ghs pacing - transcutaneous
|
$306.02 |
$306.02 |
$306.02 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$420.73 |
$420.73 |
$420.73 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$402.32 |
$402.32 |
$402.32 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$86.89 |
$86.89 |
$86.89 |
$90.15
|
|
Ghs picc line insert < 5
|
$1,683.33 |
$1,683.33 |
$1,683.33 |
$2,060.40
|
|
Ghs ppd (tb intradermal)
|
$86.03 |
$86.03 |
$86.03 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$5.03 |
$5.03 |
$5.03 |
$40.56
|
|
Ghs protein, misc fluid
|
$6.38 |
$6.38 |
$6.38 |
$24.60
|
|
Ghs protoporphyrins fract
|
$22.65 |
$22.65 |
$22.65 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$104.44 |
$104.44 |
$104.44 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$5.17 |
$5.17 |
$5.17 |
$45.05
|
|
Ghs respiratory syncytical virus igg/m
|
$33.13 |
$33.13 |
$33.13 |
$42.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$26.97 |
$26.97 |
$26.97 |
$101.15
|
|
Ghs semen analysis fert
|
$401.04 |
$401.04 |
$401.04 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$22.69 |
$22.69 |
$22.69 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$410.88 |
$410.88 |
$410.88 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$717.33 |
$717.33 |
$717.33 |
$1,435.00
|
|
Ghs strapping shoulder - 29240
|
$145.10 |
$145.10 |
$145.10 |
$243.07
|
|
Ghs superficial wnd dehis w packing12021
|
$440.84 |
$440.84 |
$440.84 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,982.50 |
$1,982.50 |
$1,982.50 |
$2,225.73
|
|
Ghs urine, porphyrins quant
|
$11.13 |
$11.13 |
$11.13 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$630.88 |
$630.88 |
$630.88 |
$1,843.00
|
|
Giardia lamblia antibody
|
$18.41 |
$18.41 |
$18.41 |
$81.60
|
|
Gi inhouse confirmation
|
$320.15 |
$320.15 |
$320.15 |
$87.00
|
|
Gjb2 gene full sequence
|
$192.60 |
$192.60 |
$192.60 |
$386.10
|
|
Glucagon 1 mg solution for injection
|
$881.68 |
$881.68 |
$881.68 |
$655.20
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$665.54 |
$665.54 |
$665.54 |
$496.93
|
|
Glucagon plasma - sendout
|
$8.56 |
$8.56 |
$8.56 |
$58.56
|
|
Glucose 1 hr post dose
|
$222.14 |
$222.14 |
$222.14 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$39.38 |
$39.38 |
$39.38 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$51.36 |
$51.36 |
$51.36 |
$22.00
|
|
Glucose blood quantitative
|
$108.72 |
$108.72 |
$108.72 |
$44.76
|
|
Glucose body fluid
|
$205.87 |
$205.87 |
$205.87 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$50.51 |
$50.51 |
$50.51 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$38.10 |
$38.10 |
$38.10 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$142.96 |
$142.96 |
$142.96 |
$49.20
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$1,625.12 |
$1,625.12 |
$1,625.12 |
$4,035.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$98.02 |
$98.02 |
$98.02 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$93.74 |
$93.74 |
$93.74 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,262.65 |
$3,262.65 |
$3,262.65 |
$3,340.44
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$3,555.40 |
$3,555.40 |
$3,555.40 |
$1,356.08
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$6,012.98 |
$6,012.98 |
$6,012.98 |
$1,261.41
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$32,836.59 |
$32,836.59 |
$32,836.59 |
$20,559.61
|
|
Graft nerve adv 3-4x70mm
|
$22,428.49 |
$22,428.49 |
$22,428.49 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$17,178.21 |
$17,178.21 |
$17,178.21 |
$24,228.59
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$13,212.36 |
$13,212.36 |
$13,212.36 |
$1,297.48
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$4,624.54 |
$4,624.54 |
$4,624.54 |
$1,126.25
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$24,670.35 |
$24,670.35 |
$24,670.35 |
$34,036.43
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,624.54 |
$4,624.54 |
$4,624.54 |
$894.63
|
|
Graft xenmtrx sft rect 15x20cm
|
$22,428.49 |
$22,428.49 |
$22,428.49 |
$31,871.81
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,103.20 |
$2,103.20 |
$2,103.20 |
$2,677.50
|
|
Granisetron hcl injection
|
$128.40 |
$128.40 |
$128.40 |
$41.45
|
|
G-tube reposition
|
$1,437.23 |
$1,437.23 |
$1,437.23 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$3,239.11 |
$3,239.11 |
$3,239.11 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$1,851.10 |
$1,851.10 |
$1,851.10 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$4,624.54 |
$4,624.54 |
$4,624.54 |
$2,582.48
|
|
Guide worley csg 9fx50cm std
|
$333.42 |
$333.42 |
$333.42 |
$946.28
|
|
Guid loc target vol rad tx
|
$1,424.82 |
$1,424.82 |
$1,424.82 |
$503.80
|
|
Gw stiffened micro access kit
|
$10,163.72 |
$10,163.72 |
$10,163.72 |
$5,743.95
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$203.73 |
$203.73 |
$203.73 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$30.82 |
$30.82 |
$30.82 |
$35.65
|
|
Handpiece aquabeam hp2000
|
$6,012.98 |
$6,012.98 |
$6,012.98 |
$6,628.05
|
|
Haptoglobin quantitative
|
$136.11 |
$136.11 |
$136.11 |
$89.95
|
|
Hast w/i&r phys/qhp
|
$107.00 |
$107.00 |
$107.00 |
$301.95
|
|
Hast w/oxygen titrate
|
$107.00 |
$107.00 |
$107.00 |
$310.40
|
|
Hba1/hba2 full gene sequence
|
$200.09 |
$200.09 |
$200.09 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$174.95 |
$174.95 |
$174.95 |
$406.25
|
|
Hbb full gene sequence
|
$385.20 |
$385.20 |
$385.20 |
$633.25
|
|
Hbb gene dup/del variants
|
$197.22 |
$197.22 |
$197.22 |
$404.80
|
|
Hcg qualitative
|
$29.54 |
$29.54 |
$29.54 |
$77.50
|
|
Hcg quantitative
|
$558.12 |
$558.12 |
$558.12 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$80.90 |
$80.90 |
$80.90 |
$136.50
|
