|
Glucagon hcl 1 mg/ml solution for injection
|
$261.33 |
$1,210.25 |
$1,210.25 |
|
|
Glucagon plasma - sendout
|
$18.65 |
$205.92 |
$765.88 |
|
|
Glucose 1 hr post dose
|
$24.00 |
$77.61 |
$254.58 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$5.46 |
$5.46 |
$56.00 |
|
|
Glucose blood quantitative
|
$10.07 |
$83.85 |
$226.16 |
|
|
Glucose body fluid
|
$18.00 |
$118.57 |
$310.64 |
|
|
Glucose monitoring continual min 72hr pt
|
$73.32 |
$73.32 |
$140.00 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$17.17 |
$189.54 |
$689.77 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$20.00 |
$48.36 |
$210.09 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$148.32 |
$169.43 |
$169.66 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$98.90 |
$98.90 |
$8,055.34 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$61.47 |
$219.18 |
$1,488.65 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$34.04 |
$253.11 |
$1,431.46 |
|
|
Gonioscopy
|
$145.86 |
$145.86 |
$145.86 |
|
|
Goniotomy
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,268.86 |
$2,268.86 |
$9,839.55 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$23.68 |
$23.68 |
$334.46 |
|
|
Graft axiofill 1000mg
|
$2,017.20 |
$8,746.17 |
$8,746.17 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$5,979.15 |
$17,618.72 |
$17,618.72 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$15,480.90 |
$15,480.90 |
$15,480.90 |
|
|
Graft nerve adv 3-4x70mm
|
$12,643.82 |
$24,646.06 |
$24,646.06 |
|
|
Graft patch felt ptfe 2x2
|
$3,705.04 |
$22,107.92 |
$44,279.60 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$131.43 |
$1,413.85 |
$1,413.85 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$251.15 |
$5,089.62 |
$13,133.38 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$133.27 |
$208.78 |
$1,401.29 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$42.50 |
$42.50 |
$42.50 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$164.47 |
$164.47 |
$2,820.96 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$11,457.72 |
$55,695.63 |
$55,695.63 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$128.47 |
$1,587.50 |
$25,834.81 |
|
|
Granisetron 1 mg tab
|
$6.26 |
$212.97 |
$212.97 |
|
|
Granisetron hcl injection
|
$8.40 |
$8.65 |
$20.63 |
|
|
Granulocyte pheresis ea unit
|
$1,967.55 |
$1,967.55 |
$1,967.55 |
|
|
Great toe with reduction 28495
|
$858.00 |
$900.51 |
$1,371.94 |
|
|
Grfg autol fat lipo 25 cc/<
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Grfg autol fat lipo 50 cc/<
|
$9,325.00 |
$9,325.00 |
$9,325.00 |
|
|
Grfg autol fat lipo ea addl
|
$9,325.00 |
$9,325.00 |
$9,325.00 |
|
|
Grfg autol soft tiss dir exc
|
$4,128.93 |
$4,128.93 |
$9,435.00 |
|
|
Ground mileage
|
$10.07 |
$17.55 |
$110.38 |
|
|
Group mnt 2 or more 30 mins
|
$52.00 |
$52.00 |
$52.00 |
|
|
Growth stimulation gene 2
|
$24.00 |
$223.47 |
$227.00 |
|
|
G-tube reposition
|
$352.24 |
$4,273.00 |
$4,334.85 |
|
|
Gu dilat ureter/urethra s&i
|
$381.25 |
$821.73 |
$9,508.00 |
|
|
Guided cath fluid drainage 10030
|
$418.55 |
$7,100.34 |
$10,480.38 |
|
|
Guide endoanchr sg-64 aaa 62cm
|
$22,107.92 |
$22,107.92 |
$22,107.92 |
|
|
Guide wire threaded 1.4x150mm
|
$479.52 |
$3,234.00 |
$3,531.94 |
|
|
Guide worley csg 9fx50cm std
|
$72.52 |
$945.75 |
$945.75 |
|
|
Guid loc target vol rad tx
|
$137.64 |
$1,034.00 |
$1,051.44 |
|
|
Gw stiffened micro access kit
|
$2,040.92 |
$13,326.50 |
$29,414.00 |
|
|
Gynecomastia (males) 19300
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$30.46 |
$117.20 |
$297.35 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$22.21 |
$22.99 |
$40.31 |
|
|
Hand-held pefr meter a4614
|
$33.10 |
$33.10 |
$33.10 |
|
|
Handle/convey/speciman/office-lab 99000
|
$92.00 |
$92.00 |
$92.00 |
|
|
Handpiece aquabeam hp2000
|
$5,220.60 |
$6,104.40 |
$6,104.40 |
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$82.59 |
$144.00 |
$512.22 |
|
|
Hand tendon reconstruction
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
|
|
Hand tendon reconstruction
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
|
|
Hand X-ray
|
$212.53 |
$402.00 |
$1,426.23 |
|
|
Hand X-ray (2 views, both hands)
|
$55.36 |
$388.00 |
$1,023.73 |
|
|
Haptoglobin quantitative
|
$26.05 |
$157.26 |
$755.58 |
|
|
Harvest allogeneic stem cell
|
$7,429.00 |
$7,429.00 |
$7,429.00 |
|
|
Harvest auto stem cells
|
$4,212.00 |
$4,212.00 |
$13,353.00 |
|
|
Harvest stem cell concentrte
|
$1,287.78 |
$1,287.78 |
$1,287.78 |
|
|
Hast w/i&r phys/qhp
|
$336.00 |
$336.00 |
$336.00 |
|
|
Hast w/oxygen titrate
|
$154.05 |
$154.05 |
$154.05 |
|
|
Hba1/hba2 full gene sequence
|
$847.86 |
$847.86 |
$4,601.14 |
|
|
Hba1/hba2 gene dup/del vrnts
|
$190.32 |
$190.32 |
$2,319.13 |
|
|
Hbb full gene sequence
|
$384.80 |
$459.42 |
$1,493.00 |
|
|
Hbb gene com variants
|
$228.54 |
$228.54 |
$228.54 |
|
|
Hbb gene dup/del variants
|
$228.54 |
$228.54 |
$228.54 |
|
|
Hbot, full body chamber, 30m
|
$257.82 |
$969.54 |
$1,025.00 |
|
|
Hc ea ha check monaural
|
$35.10 |
$35.10 |
$35.10 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$759.72 |
$759.72 |
$1,761.00 |
|
|
Hcg qualitative
|
$38.00 |
$173.16 |
$1,053.67 |
|
|
Hcg quantitative
|
$65.42 |
$182.52 |
$1,341.33 |
|
|
Hc hearing aid chck binaurl
|
$55.77 |
$55.77 |
$55.77 |
|
|
Hc hearing aid chck monarl
|
$35.10 |
$35.10 |
$35.10 |
|
|
Hc hearing aid exam both ears
|
$98.67 |
$98.67 |
$98.67 |
|
|
Hc hearing aid exam one ear
|
$48.36 |
$48.36 |
$48.36 |
|
|
Hc i-131 sodium iodide cap dx per mci
|
$45.10 |
$459.22 |
$536.00 |
|
|
Hc metata joint dislocation anes
|
$8,713.38 |
$8,713.38 |
$8,713.38 |
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$577.98 |
$577.98 |
$577.98 |
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$584.61 |
$584.61 |
$584.61 |
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$730.08 |
$730.08 |
$730.08 |
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$366.60 |
$366.60 |
$366.60 |
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$617.76 |
$617.76 |
$617.76 |
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$645.06 |
$645.06 |
$645.06 |
|
|
Hc nm fusion spect CT unlisted
|
$239.85 |
$239.85 |
$7,519.00 |
|
|
Hc nm kidney imaging with flow
|
$755.43 |
$755.43 |
$755.43 |
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$693.24 |
$834.21 |
$834.21 |
|
|
Hc pet myocardial imaging metabolic eval single study
|
$1,044.29 |
$2,460.12 |
$6,256.00 |
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$6,654.57 |
$6,654.57 |
$11,732.00 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$651.80 |
$3,781.83 |
$4,667.00 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$762.80 |
$4,046.25 |
$4,667.00 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$847.45 |
$4,184.70 |
$4,667.00 |
|
|
Hdr rdncl skn surf brachytx
|
$198.62 |
$1,545.18 |
$1,545.18 |
|
|
Hdr rdncl skn surf brachytx
|
$222.60 |
$2,264.34 |
$2,264.34 |
|
|
Head CT scan (with and without contrast)
|
$1,157.00 |
$1,881.36 |
$13,970.17 |
|
|
Head CT scan (with contrast)
|
$1,020.61 |
$1,587.69 |
$4,893.42 |
|
|
Head CT scan (without contrast)
|
$927.67 |
$1,418.82 |
$9,621.45 |
|
