|
Glycopyrrolate 0.2 mg/ml injection solution
|
$13.68 |
$13.68 |
$13.68 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,262.68 |
$3,262.68 |
$3,262.68 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$225.08 |
$225.08 |
$225.08 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$233.75 |
$233.75 |
$233.75 |
$129.00
|
|
Gonioscopy
|
$11.73 |
$11.73 |
$11.73 |
$135.52
|
|
Goniotomy
|
$490.62 |
$490.62 |
$490.62 |
$4,456.60
|
|
Goserelin 10.8 mg subcutaneous implant
|
$4,857.38 |
$4,857.38 |
$4,857.38 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$35.19 |
$35.19 |
$35.19 |
$143.50
|
|
Graft axiofill 1000mg
|
$171.15 |
$171.15 |
$171.15 |
$5,125.68
|
|
Graft hand or finger tendon
|
$551.14 |
$551.14 |
$551.14 |
$3,839.54
|
|
Graft nerve adv 3-4x70mm
|
$9,674.28 |
$9,674.28 |
$9,674.28 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$1,351.50 |
$1,351.50 |
$1,351.50 |
$29,995.44
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$100.64 |
$100.64 |
$100.64 |
$892.38
|
|
Graft repair of spine defect 63710
|
$627.98 |
$627.98 |
$627.98 |
$2,054.40
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$872.10 |
$872.10 |
$872.10 |
$1,132.47
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$136.34 |
$136.34 |
$136.34 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$8,026.21 |
$8,026.21 |
$8,026.21 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,574.84 |
$1,574.84 |
$1,574.84 |
$3,076.20
|
|
Great toe with reduction 28495
|
$117.30 |
$117.30 |
$117.30 |
$495.00
|
|
Grfg autol soft tiss dir exc
|
$284.07 |
$284.07 |
$284.07 |
$4,332.25
|
|
Group health education
|
$3.57 |
$3.57 |
$3.57 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$21.59 |
$21.59 |
$21.59 |
$40.14
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$1,084.26 |
$1,084.26 |
$1,084.26 |
$3,604.20
|
|
Gstrst open wo constj tube
|
$404.26 |
$404.26 |
$404.26 |
$2,756.00
|
|
G-tube reposition
|
$163.03 |
$163.03 |
$163.03 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$477.19 |
$477.19 |
$477.19 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$383.35 |
$383.35 |
$383.35 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$1,014.90 |
$1,014.90 |
$1,014.90 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$568.82 |
$568.82 |
$568.82 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$230.18 |
$230.18 |
$230.18 |
$535.60
|
|
Gw stiffened micro access kit
|
$899.64 |
$899.64 |
$899.64 |
$6,600.00
|
|
Gynecomastia (males) 19300
|
$257.38 |
$257.38 |
$257.38 |
$3,735.20
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$17.66 |
$17.66 |
$17.66 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$3.40 |
$3.40 |
$3.40 |
$23.30
|
|
Hand tendon reconstruction
|
$416.33 |
$416.33 |
$416.33 |
$5,023.20
|
|
Hand tendon reconstruction
|
$455.09 |
$455.09 |
$455.09 |
$4,454.10
|
|
Hand X-ray
|
$169.32 |
$169.32 |
$169.32 |
$345.87
|
|
Haptoglobin quantitative
|
$1.82 |
$1.82 |
$1.82 |
$91.80
|
|
Harness chest/shlder saddle
|
$114.75 |
$114.75 |
$114.75 |
$254.80
|
|
Harvest cultured skin graft 15040
|
$72.93 |
$72.93 |
$72.93 |
$2,164.64
|
|
Harvest femoropopliteal vein 35572
|
$183.77 |
$183.77 |
$183.77 |
$844.00
|
|
Harvest vein for bypass 35500
|
$169.49 |
$169.49 |
$169.49 |
$780.00
|
|
Hba1/hba2 full gene sequence
|
$79.48 |
$79.48 |
$79.48 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$27.53 |
$27.53 |
$27.53 |
$403.25
|
|
Hbb full gene sequence
|
$153.00 |
$153.00 |
$153.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$27.53 |
$27.53 |
$27.53 |
$404.80
|
|
Hb glycosylated a1c home dev
|
$7.82 |
$7.82 |
$7.82 |
$24.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$261.63 |
$261.63 |
$261.63 |
$721.00
|
|
Hcg free betachain test
|
$2.27 |
$2.27 |
$2.27 |
$68.90
|
|
Hcg qualitative
|
$97.75 |
$97.75 |
$97.75 |
$88.00
|
|
Hcg quantitative
|
$181.05 |
$181.05 |
$181.05 |
$137.15
|
|
Hc metata joint dislocation anes
|
$79.05 |
$79.05 |
$79.05 |
$2,383.09
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$258.06 |
$258.06 |
$258.06 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$187.00 |
$187.00 |
$187.00 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$28.73 |
$28.73 |
$28.73 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$1,028.67 |
$1,028.67 |
$1,028.67 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$981.24 |
$981.24 |
$981.24 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$939.25 |
$939.25 |
$939.25 |
$1,268.90
|
|
Heart infarct image
|
$340.17 |
$340.17 |
$340.17 |
$942.29
|
|
Heinz bodies direct
|
$9.65 |
$9.65 |
$9.65 |
$43.15
|
|
Heinz bodies induced
|
$9.65 |
$9.65 |
$9.65 |
$37.20
|
|
Helicobacter pylori antibody igm
|
$139.91 |
$139.91 |
$139.91 |
$92.23
|
|
Hematocrit
|
$38.59 |
$38.59 |
$38.59 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$13,128.37 |
$13,128.37 |
$13,128.37 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$615.57 |
$615.57 |
$615.57 |
$1,338.00
|
|
Hemoglobin
|
$36.89 |
$36.89 |
$36.89 |
$32.76
|
|
Hemoglobin plasma
|
$1.11 |
$1.11 |
$1.11 |
$41.25
|
|
Hemoglobin urine
|
$0.60 |
$0.60 |
$0.60 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$1.32 |
$1.32 |
$1.32 |
$57.28
|
|
Hemolysins and agglutinins incubated
|
$1.72 |
$1.72 |
$1.72 |
$59.80
|
|
Hemorrhoidectomy intern transanal deater 2+ 46948
|
$264.01 |
$264.01 |
$264.01 |
$3,816.64
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$374.34 |
$374.34 |
$374.34 |
$1,170.54
|
|
Hemorrhoidopexy stapling 46947
|
$228.14 |
$228.14 |
$228.14 |
$3,786.00
|
|
Heparin assay
|
$164.56 |
$164.56 |
$164.56 |
$138.84
|
|
Heparin bolus from bag
|
$41.69 |
$41.69 |
$41.69 |
$68.00
|
|
Heparin neutralization
|
$5.95 |
$5.95 |
$5.95 |
$36.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$13.06 |
$13.06 |
$13.06 |
$12.91
|
|
Hepatectomy removal of liver 47120
|
$1,319.37 |
$1,319.37 |
$1,319.37 |
$4,363.20
|
|
Hepatitis a antibody igm
|
$120.19 |
$120.19 |
$120.19 |
$88.92
|
|
Hepatitis b core antibody igm
|
$125.46 |
$125.46 |
$125.46 |
$88.80
|
|
Hepatitis b core antibody total
|
$29.41 |
$29.41 |
$29.41 |
$77.50
|
|
Hepatitis b surface antibody
|
$24.31 |
$24.31 |
$24.31 |
$81.12
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$59.84 |
$59.84 |
$59.84 |
$210.40
|
|
Hepatitis c antibody
|
$151.13 |
$151.13 |
$151.13 |
$108.00
|
|
Hepatitis d quantification
|
$38.25 |
$38.25 |
$38.25 |
$91.28
|
|
Hepatobiliary system imaging
|
$153.85 |
$153.85 |
$153.85 |
$1,438.99
|
|
Hereditary colon ca dsordrs
|
$397.80 |
$397.80 |
$397.80 |
$1,901.23
|
|
Hered neuroend tum-rlt do 5+
|
$255.00 |
$255.00 |
$255.00 |
$870.60
|
|
Hernia Repair (Inguinal)
|
$454.24 |
$454.24 |
$454.24 |
$6,739.98
|
|
Herpes simplex 1 ag if
|
$1.72 |
$1.72 |
$1.72 |
$38.58
|
|
Herpes simplex 2 ag if
|
$1.72 |
$1.72 |
$1.72 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$1.99 |
$1.99 |
$1.99 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$34.02 |
$34.02 |
$34.02 |
$87.10
|
|
Herpes simplex virus isolation
|
$4.60 |
$4.60 |
$4.60 |
$106.21
|
|
Heterophile antibodies screening
|
$100.81 |
$100.81 |
$100.81 |
$72.00
|
|
Heterophile antibodies titer
|
$0.98 |
$0.98 |
$0.98 |
$29.25
|
|
Hexa gene
|
$8.75 |
$8.75 |
$8.75 |
$150.82
|
|
Hfo nontorsion jnts pre cst
|
$31.79 |
$31.79 |
$31.79 |
$110.88
|
|
Hhv-6 dna quant
|
$6.31 |
$6.31 |
$6.31 |
$250.80
|
|
Hib-hepb vaccine im
|
$32.98 |
$32.98 |
$32.98 |
$85.80
|
