|
Ghs veeg 12-26 hr intmt mont
|
$1,908.85 |
$1,908.85 |
$1,908.85 |
$1,843.00
|
|
Ghs windowing of cast
|
$1,741.99 |
$1,741.99 |
$1,741.99 |
$204.00
|
|
Giardia lamblia antibody
|
$33.48 |
$227.20 |
$227.20 |
$81.60
|
|
Gi inhouse confirmation
|
$297.14 |
$297.14 |
$1,839.97 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,223.68 |
$3,223.68 |
$5,203.87 |
$2,382.90
|
|
Gjb2 gene full sequence
|
$686.43 |
$686.43 |
$1,560.78 |
$386.10
|
|
Glove finger flexion right lg xl
|
$644.43 |
$644.43 |
$644.43 |
$69.99
|
|
Glucagon 1 mg solution for injection
|
$971.60 |
$971.60 |
$982.00 |
$655.20
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$600.11 |
$600.11 |
$600.11 |
$496.93
|
|
Glucagon plasma - sendout
|
$22.89 |
$220.56 |
$220.56 |
$58.56
|
|
Glucose 1 hr post dose
|
$73.32 |
$73.32 |
$73.32 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$50.63 |
$50.63 |
$50.63 |
$22.00
|
|
Glucose blood quantitative
|
$66.62 |
$66.62 |
$1,065.17 |
$44.76
|
|
Glucose body fluid
|
$278.39 |
$278.39 |
$278.39 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$440.69 |
$440.69 |
$3,626.07 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$60.50 |
$60.50 |
$141.95 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$91.33 |
$91.33 |
$98.40 |
$49.20
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,932.31 |
$3,932.31 |
$4,370.08 |
$4,573.83
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$93.35 |
$93.35 |
$93.35 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$142.05 |
$142.05 |
$142.05 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$180.29 |
$217.24 |
$4,833.53 |
$1,339.92
|
|
Graft bone flex 2.5cm x 5cm grafton-cost per sq cm
|
$1,510.38 |
$1,510.38 |
$1,510.38 |
$1.41
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$507.05 |
$507.05 |
$799.55 |
$1,261.41
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$287.96 |
$287.96 |
$293.05 |
$19,838.44
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$8,048.48 |
$8,048.48 |
$8,785.92 |
$1,585.80
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$338.03 |
$338.03 |
$401.70 |
$2,643.60
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$811.26 |
$811.26 |
$964.07 |
$1,219.88
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$689.57 |
$1,357.75 |
$3,677.76 |
$1,123.34
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$196.06 |
$232.98 |
$10,785.40 |
$349.41
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$265.11 |
$265.11 |
$265.11 |
$3,431.03
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$224.95 |
$224.95 |
$238.40 |
$33,626.36
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$730.14 |
$730.14 |
$867.67 |
$958.73
|
|
Granisetron 1 mg tab
|
$943.00 |
$943.00 |
$943.00 |
$26.75
|
|
Granisetron hcl injection
|
$2,685.00 |
$2,685.00 |
$2,685.00 |
$41.81
|
|
Granulocyte pheresis ea unit
|
$7,594.27 |
$7,594.27 |
$7,594.27 |
$3,770.50
|
|
Great toe with reduction 28495
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$577.03
|
|
G-tube reposition
|
$1,824.22 |
$1,824.22 |
$1,824.22 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$5,559.71 |
$19,964.47 |
$21,633.90 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$5,322.16 |
$5,322.16 |
$5,322.16 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$1,074.61 |
$1,074.61 |
$1,074.61 |
$2,582.48
|
|
Guid loc target vol rad tx
|
$483.51 |
$483.51 |
$483.51 |
$503.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$150.95 |
$164.62 |
$748.42 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$28.06 |
$29.15 |
$144.00 |
$36.10
|
|
Hand X-ray
|
$1,231.66 |
$1,231.66 |
$1,231.66 |
$338.58
|
|
Haptoglobin quantitative
|
$194.18 |
$194.18 |
$194.18 |
$89.95
|
|
Harvest allogeneic stem cell
|
$45,698.85 |
$45,698.85 |
$45,698.85 |
$3,766.50
|
|
Harvest auto stem cells
|
$1,795.72 |
$1,795.72 |
$1,795.72 |
$3,914.00
|
|
Harvest stem cell concentrte
|
$3,921.67 |
$3,921.67 |
$3,921.67 |
$1,287.78
|
|
Hast w/i&r phys/qhp
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$301.95
|
|
Hast w/oxygen titrate
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$310.40
|
|
Hba1/hba2 full gene sequence
|
$2,100.00 |
$2,100.00 |
$9,261.00 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$3,124.04 |
$3,124.04 |
$3,124.04 |
$406.25
|
|
Hbb full gene sequence
|
$1,519.50 |
$1,519.50 |
$5,009.90 |
$633.25
|
|
Hbb gene dup/del variants
|
$3,124.04 |
$3,124.04 |
$3,124.04 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$3,056.16 |
$3,056.16 |
$7,121.38 |
$558.35
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$4,934.02 |
$4,934.02 |
$4,934.02 |
$759.72
|
|
Hcg free betachain test
|
$236.00 |
$236.00 |
$236.00 |
$54.59
|
|
Hcg qualitative
|
$400.94 |
$400.94 |
$2,299.97 |
$77.50
|
|
Hcg quantitative
|
$367.62 |
$367.62 |
$367.62 |
$124.80
|
|
Hc metata joint dislocation anes
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,423.85
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$1,206.41 |
$1,206.41 |
$1,206.41 |
$827.08
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,107.48
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$701.76 |
$701.76 |
$701.76 |
$366.60
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$1,293.79 |
$1,293.79 |
$1,293.79 |
$874.90
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$3,654.02 |
$3,654.02 |
$3,654.02 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$1,521.22 |
$1,521.22 |
$17,007.76 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$4,228.74 |
$4,228.74 |
$11,292.03 |
$1,186.80
|
|
Hc pet myocardial imaging metabolic eval single study
|
$11,728.14 |
$11,728.14 |
$11,728.14 |
$3,309.00
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$13,423.63 |
$13,423.63 |
$13,423.63 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,519.18 |
$3,519.18 |
$3,519.18 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,552.89 |
$4,552.89 |
$4,552.89 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$9,093.19 |
$9,093.19 |
$9,093.19 |
$3,410.55
|
|
Hdr rdncl skn surf brachytx
|
$3,082.61 |
$3,082.61 |
$3,082.61 |
$449.60
|
|
Hdr rdncl skn surf brachytx
|
$3,082.61 |
$3,082.61 |
$3,082.61 |
$657.60
|
|
Head CT scan (with and without contrast)
|
$9,524.76 |
$9,524.76 |
$15,819.19 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$8,189.96 |
$8,189.96 |
$14,204.99 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$7,113.12 |
$7,113.12 |
$14,204.99 |
$1,268.90
|
|
Heart first pass add-on
|
$1,191.82 |
$1,191.82 |
$1,191.82 |
$445.54
|
|
Heart first pass multiple
|
$5,467.49 |
$5,467.49 |
$5,467.49 |
$1,100.00
|
|
Heart infarct image
|
$3,951.75 |
$3,951.75 |
$9,423.48 |
$840.74
|
|
Heinz bodies direct
|
$27.53 |
$27.53 |
$27.53 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$260.09 |
$260.09 |
$260.09 |
$84.80
|
|
Hematocrit
|
$117.82 |
$117.82 |
$117.82 |
$33.57
|
|
Hematopoietic nuclear tx
|
$3,246.03 |
$3,246.03 |
$3,246.03 |
$918.60
|
|
Hemodialysis one evaluation
|
$2,063.03 |
$2,063.03 |
$2,237.43 |
$1,329.90
|
|
Hemoglobin
|
$94.17 |
$94.17 |
$316.25 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$123.48 |
$123.48 |
$794.37 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$12.26 |
$165.77 |
$191.18 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$96.32 |
$126.57 |
$126.57 |
$49.40
|
|
Hemoglobin-oxygen affinity
|
$205.91 |
$205.91 |
$266.51 |
$73.00
|
|
Hemoglobin plasma
|
$11.09 |
$112.83 |
$286.06 |
$40.56
|
|
Hemoglobin urine
|
$60.97 |
$60.97 |
$150.93 |
$23.31
|
|
Hemolysin acid
|
$134.07 |
$134.07 |
$134.07 |
$31.74
|
|
Hemolysins/agglutinins auto
|
$29.43 |
$29.43 |
$29.43 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$134.07 |
$134.07 |
$134.07 |
$67.50
|
|
Hemophilus influenza antibdy
|
$67.00 |
$67.00 |
$67.00 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,141.40
|
|
Heparin assay
|
$295.39 |
$295.39 |
$295.39 |
$130.20
|
|
Heparin bolus from bag
|
$179.26 |
$179.26 |
$195.81 |
$76.34
|
