|
Ghs repair extensor tendon hand, ea tendon
|
$5,763.00 |
$5,763.00 |
$5,763.00 |
$2,517.00
|
|
Ghs reticulocyte count
|
$20.00 |
$20.00 |
$20.00 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$64.00 |
$64.00 |
$64.00 |
$99.00
|
|
Ghs sensitivity (per antimicro)
|
$34.00 |
$34.00 |
$34.00 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$726.00 |
$726.00 |
$726.00 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$726.00 |
$726.00 |
$726.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$726.00 |
$726.00 |
$726.00 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$726.00 |
$726.00 |
$726.00 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$726.00 |
$726.00 |
$726.00 |
$537.60
|
|
Ghs strapping shoulder - 29240
|
$466.00 |
$466.00 |
$466.00 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$695.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$858.00 |
$858.00 |
$858.00 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$858.00 |
$858.00 |
$858.00 |
$513.80
|
|
Ghs urine, porphyrins quant
|
$68.00 |
$68.00 |
$68.00 |
$73.80
|
|
Ghs vaginal delivery only
|
$11,441.00 |
$11,441.00 |
$11,441.00 |
$3,341.93
|
|
Gi inhouse confirmation
|
$44.00 |
$44.00 |
$44.00 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,754.00 |
$2,754.00 |
$2,754.00 |
$2,215.20
|
|
Glucagon 1 mg solution for injection
|
$1,179.36 |
$1,179.36 |
$1,179.36 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,175.16 |
$1,175.16 |
$1,175.16 |
$491.67
|
|
Glucagon plasma - sendout
|
$74.00 |
$74.00 |
$74.00 |
$64.35
|
|
Glucose 1 hr post dose
|
$24.00 |
$24.00 |
$24.00 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$15.00 |
$15.00 |
$15.00 |
$23.12
|
|
Glucose blood quantitative
|
$20.00 |
$20.00 |
$20.00 |
$42.25
|
|
Glucose body fluid
|
$18.00 |
$18.00 |
$18.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$64.00 |
$64.00 |
$64.00 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$20.00 |
$20.00 |
$20.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$148.32 |
$148.32 |
$148.32 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$7,413.00 |
$7,413.00 |
$7,413.00 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$92.00 |
$92.00 |
$92.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$92.00 |
$92.00 |
$92.00 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$9,839.55 |
$9,839.55 |
$9,839.55 |
$4,417.13
|
|
Graft axiofill 1000mg
|
$8,746.17 |
$8,746.17 |
$8,746.17 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$5,979.15 |
$5,979.15 |
$5,979.15 |
$605.00
|
|
Graft nerve adv 3-4x70mm
|
$12,643.82 |
$12,643.82 |
$12,643.82 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$22,107.92 |
$22,107.92 |
$22,107.92 |
$29,293.39
|
|
Graft xenmtrx sft rect 15x20cm
|
$11,457.72 |
$11,457.72 |
$11,457.72 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,383.55 |
$1,383.55 |
$1,383.55 |
$2,905.40
|
|
Granisetron 1 mg tab
|
$206.69 |
$206.69 |
$206.69 |
$53.15
|
|
Granisetron hcl injection
|
$8.40 |
$8.40 |
$8.40 |
$45.03
|
|
Great toe with reduction 28495
|
$858.00 |
$858.00 |
$858.00 |
$495.00
|
|
Growth stimulation gene 2
|
$24.00 |
$24.00 |
$24.00 |
$180.50
|
|
G-tube reposition
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$9,508.00 |
$9,508.00 |
$9,508.00 |
$2,000.16
|
|
Guide endoanchr sg-64 aaa 62cm
|
$22,107.92 |
$22,107.92 |
$22,107.92 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$2,595.60 |
$2,595.60 |
$2,595.60 |
$3,284.36
|
|
Gw stiffened micro access kit
|
$3,263.04 |
$3,263.04 |
$3,263.04 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$100.80 |
$100.80 |
$100.80 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$22.21 |
$22.21 |
$22.21 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$144.00 |
$144.00 |
$144.00 |
$105.30
|
|
Hand X-ray
|
$881.00 |
$881.00 |
$881.00 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$566.00 |
$566.00 |
$566.00 |
$294.90
|
|
Haptoglobin quantitative
|
$58.00 |
$58.00 |
$58.00 |
$92.80
|
|
Hbb full gene sequence
|
$1,493.00 |
$1,493.00 |
$1,493.00 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$440.00 |
$440.00 |
$440.00 |
$526.90
|
|
Hcg qualitative
|
$38.00 |
$38.00 |
$38.00 |
$90.10
|
|
Hcg quantitative
|
$69.00 |
$69.00 |
$69.00 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$536.00 |
$536.00 |
$536.00 |
$113.12
|
|
Head CT scan (with and without contrast)
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$1,268.90
|
|
Heart first pass add-on
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$485.27
|
|
Heart infarct image
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$440.00 |
$440.00 |
$440.00 |
$276.00
|
|
Hematocrit
|
$12.00 |
$12.00 |
$12.00 |
$33.80
|
|
Hemin 350 mg intravenous powder for solution
|
$25,666.84 |
$25,666.84 |
$25,666.84 |
$20,618.46
|
|
Hemoglobin
|
$12.00 |
$12.00 |
$12.00 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$38.00 |
$38.00 |
$38.00 |
$52.32
|
|
Hemoglobin plasma
|
$115.00 |
$115.00 |
$115.00 |
$41.40
|
|
Hemolysins/agglutinins auto
|
$35.00 |
$35.00 |
$35.00 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$48.00 |
$48.00 |
$48.00 |
$61.79
|
|
Hemophilus influenza antibdy
|
$73.00 |
$73.00 |
$73.00 |
$62.70
|
|
Hepagam b intravenous, inj
|
$373.78 |
$373.78 |
$373.78 |
$386.40
|
|
Heparin assay
|
$60.00 |
$60.00 |
$60.00 |
$139.15
|
|
Heparin bolus from bag
|
$705.00 |
$705.00 |
$705.00 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$13.27 |
$13.27 |
$13.27 |
$12.00
|
|
Hepatitis a antibody igm
|
$52.00 |
$52.00 |
$52.00 |
$89.44
|
|
Hepatitis b core antibody igm
|
$54.00 |
$54.00 |
$54.00 |
$89.60
|
|
Hepatitis b core antibody total
|
$55.00 |
$55.00 |
$55.00 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,967.27 |
$2,967.27 |
$2,967.27 |
$1,154.13
|
|
Hepatitis b surface ag quan
|
$161.00 |
$161.00 |
$161.00 |
$54.88
|
|
Hepatitis b surface antibody
|
$52.00 |
$52.00 |
$52.00 |
$82.32
|
|
Hepatitis c antibody
|
$71.00 |
$71.00 |
$71.00 |
$108.25
|
|
Hepb vacc 3 dose immunsup im
|
$302.89 |
$302.89 |
$302.89 |
$319.52
|
|
Herpes simplex type 1 antibody igg
|
$61.00 |
$61.00 |
$61.00 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$89.00 |
$89.00 |
$89.00 |
$87.36
|
|
Herpes simplex virus isolation
|
$156.00 |
$156.00 |
$156.00 |
$110.00
|
|
Heterophile antibodies screening
|
$25.00 |
$25.00 |
$25.00 |
$73.87
|
|
Hhv-6 dna quant
|
$214.00 |
$214.00 |
$214.00 |
$253.68
|
|
Hip and Pelvis X-ray (single view, left side)
|
$440.00 |
$440.00 |
$440.00 |
$233.50
|
|
Hip X-ray
|
$440.00 |
$440.00 |
$440.00 |
$294.75
|
|
Histamine
|
$136.00 |
$136.00 |
$136.00 |
$115.00
|
|
Histochemical stains add-on
|
$459.00 |
$459.00 |
$459.00 |
$152.75
|
|
HIV prep, ftc/taf 200/25mg
|
$308.32 |
$308.32 |
$308.32 |
$88.39
|
|
Hla class i high defin qual
|
$1,489.00 |
$1,489.00 |
$1,489.00 |
$631.15
|
|
Hla class ii high defin qual
|
$1,499.00 |
$1,499.00 |
$1,499.00 |
$569.25
|
