|
Ghs histoplasma antigen
|
$25.88 |
$25.88 |
$50.25 |
$137.80
|
|
Ghs HIV antibody
|
$57.92 |
$57.92 |
$112.49 |
$91.00
|
|
Ghs inf midline insertion
|
$3,687.94 |
$3,687.94 |
$3,687.94 |
$1,234.20
|
|
Ghs inhibitor screen
|
$44.76 |
$44.76 |
$86.92 |
$143.32
|
|
Ghs inj neurolytic other perph nerve
|
$1,455.30 |
$1,455.30 |
$1,455.30 |
$1,972.69
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,040.76 |
$1,040.76 |
$1,040.76 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$1,697.56 |
$1,697.56 |
$1,697.56 |
$1,861.60
|
|
Ghs intro needle/intracath vein - 36000
|
$142.01 |
$142.01 |
$142.01 |
$213.75
|
|
Ghs IV thrombolytics - cerebral
|
$594.77 |
$594.77 |
$594.77 |
$657.60
|
|
Ghs mbp
|
$6.91 |
$6.91 |
$13.42 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$292.53 |
$292.53 |
$292.53 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$218.45 |
$218.45 |
$218.45 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$162.29 |
$162.29 |
$162.29 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$148.18 |
$148.18 |
$340.89 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$190.22 |
$190.22 |
$190.22 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$103.49 |
$103.49 |
$103.49 |
$503.85
|
|
Ghs nerve block axillary nerve
|
$942.86 |
$942.86 |
$942.86 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$1,858.97 |
$1,858.97 |
$1,858.97 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$578.89 |
$578.89 |
$578.89 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$720.30 |
$720.30 |
$720.30 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$961.38 |
$961.38 |
$961.38 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$727.36 |
$727.36 |
$727.36 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$626.52 |
$626.52 |
$626.52 |
$468.75
|
|
Ghs o2 saturation
|
$171.41 |
$171.41 |
$288.93 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$591.83 |
$591.83 |
$591.83 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$3,027.91 |
$3,027.91 |
$3,027.91 |
$2,430.56
|
|
Ghs ot work hardening-additional hours
|
$100.85 |
$100.85 |
$100.85 |
$121.54
|
|
Ghs pacing - transcutaneous
|
$244.91 |
$244.91 |
$244.91 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$326.64 |
$326.64 |
$326.64 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$2,226.76 |
$2,226.76 |
$2,226.76 |
$1,003.00
|
|
Ghs picc line insert < 5
|
$1,055.46 |
$1,055.46 |
$1,055.46 |
$2,060.40
|
|
Ghs ppd (tb intradermal)
|
$89.09 |
$89.09 |
$172.45 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$3.46 |
$3.46 |
$6.71 |
$40.56
|
|
Ghs protoporphyrins fract
|
$15.56 |
$15.56 |
$30.22 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$142.89 |
$142.89 |
$142.89 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$3.55 |
$3.55 |
$6.89 |
$45.05
|
|
Ghs pt - work hardening/int 2hrs
|
$201.39 |
$201.39 |
$315.20 |
$255.60
|
|
Ghs reticulocyte count
|
$112.61 |
$112.61 |
$254.67 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$156.46 |
$156.46 |
$250.20 |
$101.15
|
|
Ghs sedimentation rate
|
$61.74 |
$61.74 |
$119.34 |
$45.50
|
|
Ghs semen analysis fert
|
$158.76 |
$158.76 |
$306.06 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$108.20 |
$108.20 |
$109.07 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$1,181.30 |
$1,181.30 |
$1,181.30 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,172.48 |
$1,172.48 |
$1,172.48 |
$1,435.00
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,500.47 |
$2,500.47 |
$2,500.47 |
$2,225.73
|
|
Ghs urine, porphyrins quant
|
$7.65 |
$7.65 |
$14.85 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$371.33 |
$371.33 |
$821.10 |
$1,843.00
|
|
Gi inhouse confirmation
|
$147.89 |
$147.89 |
$194.14 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,274.79 |
$1,274.79 |
$1,274.79 |
$2,382.90
|
|
Glucagon 1 mg solution for injection
|
$321.05 |
$321.05 |
$585.28 |
$655.20
|
|
Glucagon plasma - sendout
|
$5.88 |
$5.88 |
$11.41 |
$58.56
|
|
Glucose 1 hr post dose
|
$36.17 |
$36.17 |
$81.66 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$45.57 |
$45.57 |
$102.78 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$36.55 |
$36.55 |
$46.75 |
$22.00
|
|
Glucose blood quantitative
|
$169.94 |
$169.94 |
$316.34 |
$44.76
|
|
Glucose body fluid
|
$112.49 |
$112.49 |
$167.58 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$54.39 |
$54.39 |
$89.65 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$40.58 |
$40.58 |
$78.23 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$4,846.89 |
$4,846.89 |
$4,846.89 |
$49.20
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,085.35 |
$2,085.35 |
$2,085.35 |
$4,035.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$89.09 |
$89.09 |
$172.45 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$89.09 |
$89.09 |
$172.45 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,185.31 |
$2,185.31 |
$2,185.31 |
$3,340.44
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$1,043.70 |
$1,043.70 |
$1,043.70 |
$1,356.08
|
|
Graft axiofill 1000mg
|
$868.48 |
$868.48 |
$868.48 |
$3,456.79
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$6,555.62 |
$6,555.62 |
$6,555.62 |
$20,559.61
|
|
Graft nerve adv 3-4x70mm
|
$16,541.03 |
$16,541.03 |
$16,541.03 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$16,541.03 |
$16,541.03 |
$16,541.03 |
$24,228.59
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$2,983.52 |
$2,983.52 |
$2,983.52 |
$2,687.44
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$11,391.92 |
$11,391.92 |
$11,391.92 |
$1,297.48
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$8,559.23 |
$8,559.23 |
$8,559.23 |
$1,126.25
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$6,555.62 |
$6,555.62 |
$6,555.62 |
$3,431.03
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$16,678.62 |
$16,678.62 |
$16,678.62 |
$34,036.43
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$2,294.67 |
$2,294.67 |
$2,294.67 |
$894.63
|
|
Graft xenmtrx sft rect 15x20cm
|
$20,014.35 |
$20,014.35 |
$20,014.35 |
$31,871.81
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,123.67 |
$1,123.67 |
$1,123.67 |
$2,677.50
|
|
Granisetron hcl injection
|
$74.39 |
$74.39 |
$74.39 |
$41.45
|
|
Granulocyte pheresis ea unit
|
$1,112.50 |
$1,112.50 |
$1,112.50 |
$3,660.00
|
|
G-tube reposition
|
$1,594.95 |
$1,594.95 |
$1,594.95 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$1,140.43 |
$1,140.43 |
$1,140.43 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$692.67 |
$692.67 |
$692.67 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$1,132.87 |
$1,132.87 |
$20,744.64 |
$2,582.48
|
|
Guide worley csg 9fx50cm std
|
$2,470.78 |
$2,470.78 |
$2,470.78 |
$946.28
|
|
Guid loc target vol rad tx
|
$294.30 |
$294.30 |
$294.30 |
$503.80
|
|
Gw stiffened micro access kit
|
$4,176.86 |
$4,176.86 |
$4,176.86 |
$5,743.95
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$82.91 |
$82.91 |
$82.91 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$252.26 |
$252.26 |
$460.23 |
$35.65
|
|
Handpiece aquabeam hp2000
|
$2,294.67 |
$2,294.67 |
$2,294.67 |
$6,628.05
|
|
Haptoglobin quantitative
|
$31.41 |
$31.41 |
$238.14 |
$89.95
|
|
Hast w/i&r phys/qhp
|
$166.11 |
$166.11 |
$166.11 |
$301.95
|
|
Hast w/oxygen titrate
|
$231.09 |
$231.09 |
$231.09 |
$310.40
|
|
Hba1/hba2 gene dup/del vrnts
|
$102.90 |
$102.90 |
$199.85 |
$406.25
|
|
Hbb full gene sequence
|
$264.60 |
$264.60 |
$513.90 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$183.75 |
$183.75 |
$183.75 |
$558.35
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,071.34 |
$1,071.34 |
$1,071.34 |
$759.72
|
|
Hcg qualitative
|
$133.77 |
$133.77 |
$194.72 |
$77.50
|
|
Hcg quantitative
|
$117.60 |
$117.60 |
$198.71 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$19.41 |
$19.41 |
$19.41 |
$136.50
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$361.62 |
$361.62 |
$361.62 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$695.61 |
$695.61 |
$695.61 |
$1,008.39
|