|
Gonadotropin luteinizing hormone (lh)
|
$182.65 |
$182.65 |
$182.65 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$10,024.27 |
$10,024.27 |
$10,024.27 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$39.14 |
$39.14 |
$39.14 |
$73.83
|
|
Graft axiofill 1000mg
|
$390.00 |
$390.00 |
$390.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$150.80 |
$150.80 |
$150.80 |
$605.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$207.47 |
$207.47 |
$207.47 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$572.00 |
$572.00 |
$572.00 |
$1,132.47
|
|
Granisetron hcl injection
|
$21.06 |
$21.06 |
$21.06 |
$45.03
|
|
Great toe with reduction 28495
|
$896.35 |
$896.35 |
$896.35 |
$495.00
|
|
Grfg autol fat lipo 25 cc/<
|
$643.50 |
$643.50 |
$643.50 |
$5,419.00
|
|
Grfg autol fat lipo 50 cc/<
|
$1,924.65 |
$1,924.65 |
$1,924.65 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$715.00 |
$715.00 |
$715.00 |
$4,026.40
|
|
Grfg autol soft tiss dir exc
|
$1,736.80 |
$1,736.80 |
$1,736.80 |
$4,627.00
|
|
Group behave couns 2-10
|
$65.65 |
$65.65 |
$65.65 |
$94.87
|
|
Group mnt 2 or more 30 mins
|
$71.50 |
$71.50 |
$71.50 |
$43.12
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$8,616.40 |
$8,616.40 |
$8,616.40 |
$3,604.20
|
|
Gstrst open wo constj tube
|
$2,821.00 |
$2,821.00 |
$2,821.00 |
$2,756.00
|
|
G-tube reposition
|
$909.35 |
$909.35 |
$909.35 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$215.80 |
$215.80 |
$215.80 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$70.20 |
$70.20 |
$70.20 |
$3,284.36
|
|
Guid loc target vol rad tx
|
$318.50 |
$318.50 |
$318.50 |
$535.60
|
|
Gw stiffened micro access kit
|
$103.35 |
$103.35 |
$103.35 |
$6,893.38
|
|
Gynecomastia (males) 19300
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$3,735.20
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$120.47 |
$120.47 |
$120.47 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$14.02 |
$14.02 |
$14.02 |
$24.30
|
|
Handle/convey/speciman/office-lab 99000
|
$25.35 |
$25.35 |
$25.35 |
$23.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$195.65 |
$195.65 |
$195.65 |
$105.30
|
|
Hand X-ray
|
$494.00 |
$494.00 |
$494.00 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$596.70 |
$596.70 |
$596.70 |
$294.90
|
|
Haptoglobin quantitative
|
$70.85 |
$70.85 |
$70.85 |
$92.80
|
|
Harvest cultured skin graft 15040
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,164.64
|
|
Hast w/i&r phys/qhp
|
$481.65 |
$481.65 |
$481.65 |
$301.95
|
|
Hast w/oxygen titrate
|
$481.65 |
$481.65 |
$481.65 |
$347.20
|
|
Hba1/hba2 gene dup/del vrnts
|
$437.45 |
$437.45 |
$437.45 |
$403.25
|
|
Hbot, full body chamber, 30m
|
$448.50 |
$448.50 |
$448.50 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$304.20 |
$304.20 |
$304.20 |
$726.00
|
|
Hcg qualitative
|
$61.10 |
$61.10 |
$61.10 |
$90.10
|
|
Hcg quantitative
|
$161.85 |
$161.85 |
$161.85 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$128.70 |
$128.70 |
$128.70 |
$113.12
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$858.00 |
$858.00 |
$858.00 |
$858.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$562.25 |
$562.25 |
$562.25 |
$564.00
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$874.90 |
$874.90 |
$874.90 |
$845.60
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$1,070.00
|
|
Hc nm fusion spect CT unlisted
|
$397.15 |
$397.15 |
$397.15 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$127.40 |
$127.40 |
$127.40 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$460.20 |
$460.20 |
$460.20 |
$3,958.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$2,546.70 |
$2,546.70 |
$2,546.70 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,889.60 |
$3,889.60 |
$3,889.60 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,889.60 |
$3,889.60 |
$3,889.60 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$1,474.85 |
$1,474.85 |
$1,474.85 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$1,474.85 |
$1,474.85 |
$1,474.85 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$997.75 |
$997.75 |
$997.75 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$997.75 |
$997.75 |
$997.75 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$789.75 |
$789.75 |
$789.75 |
$1,268.90
|
|
Heart first pass multiple
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$1,422.05
|
|
Heart infarct image
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$942.29
|
|
Heart infarct image (ef)
|
$208.00 |
$208.00 |
$208.00 |
$865.98
|
|
Heel (Calcaneus) X-ray (both feet)
|
$494.00 |
$494.00 |
$494.00 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$81.25 |
$81.25 |
$81.25 |
$92.00
|
|
Hematocrit
|
$28.60 |
$28.60 |
$28.60 |
$33.80
|
|
Hematopoietic nuclear tx
|
$585.00 |
$585.00 |
$585.00 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$26,739.55 |
$26,739.55 |
$26,739.55 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$3,922.75 |
$3,922.75 |
$3,922.75 |
$1,364.27
|
|
Hemodialysis repeated eval
|
$603.20 |
$603.20 |
$603.20 |
$1,209.60
|
|
Hemoglobin
|
$28.60 |
$28.60 |
$28.60 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$12.35 |
$12.35 |
$12.35 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$42.25 |
$42.25 |
$42.25 |
$52.32
|
|
Hemoglobin plasma
|
$22.75 |
$22.75 |
$22.75 |
$41.40
|
|
Hemoperfusion
|
$526.50 |
$526.50 |
$526.50 |
$202.40
|
|
Hemophilus influenza antibdy
|
$26.00 |
$26.00 |
$26.00 |
$62.70
|
|
Hemorrhoidectomy intern transanal deater 2+ 46948
|
$1,448.20 |
$1,448.20 |
$1,448.20 |
$4,062.50
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,178.02
|
|
Hemorrhoidopexy stapling 46947
|
$1,448.20 |
$1,448.20 |
$1,448.20 |
$3,816.64
|
|
Heparin assay
|
$41.60 |
$41.60 |
$41.60 |
$139.15
|
|
Heparin bolus from bag
|
$39.21 |
$39.21 |
$39.21 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$3.76 |
$3.76 |
$3.76 |
$12.00
|
|
Hepatitis a antibody igm
|
$40.30 |
$40.30 |
$40.30 |
$89.44
|
|
Hepatitis b core antibody igm
|
$41.60 |
$41.60 |
$41.60 |
$89.60
|
|
Hepatitis b core antibody total
|
$42.25 |
$42.25 |
$42.25 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$726.70 |
$726.70 |
$726.70 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$37.05 |
$37.05 |
$37.05 |
$82.32
|
|
Hepatitis c antibody
|
$49.40 |
$49.40 |
$49.40 |
$108.25
|
|
Hepatitis d quantification
|
$321.75 |
$321.75 |
$321.75 |
$91.28
|
|
Hepb vacc 3 dose immunsup im
|
$457.10 |
$457.10 |
$457.10 |
$319.52
|
|
Hernia Repair (Inguinal)
|
$13,190.45 |
$13,190.45 |
$13,190.45 |
$6,906.90
|
|
Herpes simplex type 1 antibody igg
|
$56.55 |
$56.55 |
$56.55 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$36.40 |
$36.40 |
$36.40 |
$87.36
|
|
Herpes simplex virus isolation
|
$70.85 |
$70.85 |
$70.85 |
$110.00
|
|
Heterophile antibodies screening
|
$142.35 |
$142.35 |
$142.35 |
$73.87
|
|
High inten beh couns std 30m
|
$518.70 |
$518.70 |
$518.70 |
$108.93
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$596.70 |
$596.70 |
$596.70 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$596.70 |
$596.70 |
$596.70 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$494.00 |
$494.00 |
$494.00 |
$233.50
|
|
Hip X-ray
|
$494.00 |
$494.00 |
$494.00 |
$294.75
|
|
Histamine
|
$40.30 |
$40.30 |
$40.30 |
$115.00
|
