|
Gi protein loss
|
$997.50 |
$997.50 |
$997.50 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$89.60 |
$89.60 |
$3,174.75 |
|
|
Gi trc img intral esophagus
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
|
|
Gi wireless capsule measure
|
$3,575.25 |
$3,575.25 |
$3,575.25 |
|
|
Glassia injection
|
$27.21 |
$27.21 |
$27.21 |
|
|
Glucagon 1 mg solution for injection
|
$723.77 |
$723.77 |
$723.77 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$271.68 |
$271.68 |
$658.49 |
|
|
Glucagon plasma - sendout
|
$13.12 |
$13.12 |
$90.00 |
|
|
Glucagon tolerance panel
|
$279.75 |
$279.75 |
$279.75 |
|
|
Glucagon tolerance panel
|
$307.50 |
$307.50 |
$307.50 |
|
|
Glucagon tolerance test
|
$91.50 |
$91.50 |
$91.50 |
|
|
Glucose 1 hr post dose
|
$21.76 |
$21.76 |
$23.25 |
|
|
Glucose-6-phosphate dhydrogenase screen
|
$36.75 |
$36.75 |
$36.75 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$27.00 |
$27.00 |
$43.20 |
|
|
Glucose blood quantitative
|
$44.80 |
$44.80 |
$55.50 |
|
|
Glucose body fluid
|
$43.20 |
$43.20 |
$45.75 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$53.76 |
$53.76 |
$64.50 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$6.40 |
$6.40 |
$19.50 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$12.16 |
$12.16 |
$21.35 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$1,612.15 |
$1,612.15 |
$17,081.47 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$84.16 |
$84.16 |
$117.00 |
|
|
Gonadotropin hormone panel
|
$903.00 |
$903.00 |
$903.00 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$83.52 |
$83.52 |
$116.25 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$927.93 |
$927.93 |
$7,551.96 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$0.75 |
$0.75 |
$0.75 |
|
|
Graft axiofill 1000mg
|
$49.73 |
$49.73 |
$52,009.23 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$2,223.75 |
$2,223.75 |
$4,128.00 |
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$2.25 |
$2.25 |
$2.25 |
|
|
Graft nerve adv 3-4x70mm
|
$748.80 |
$748.80 |
$23,911.04 |
|
|
Graft patch felt ptfe 2x2
|
$749.93 |
$749.93 |
$21,838.40 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$732.72 |
$732.72 |
$732.72 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$12.75 |
$12.75 |
$12.75 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$705.38 |
$705.38 |
$705.38 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$734.40 |
$734.40 |
$734.40 |
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$2.25 |
$2.25 |
$2.25 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$3,417.60 |
$3,417.60 |
$3,426.75 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$675.00 |
$675.00 |
$675.00 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$747.59 |
$747.59 |
$15,679.04 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$608.04 |
$608.04 |
$5,398.72 |
|
|
Granisetron hcl injection
|
$64.95 |
$64.95 |
$320.72 |
|
|
Great toe with reduction 28495
|
$626.25 |
$626.25 |
$626.25 |
|
|
Group mnt 2 or more 30 mins
|
$11.52 |
$11.52 |
$11.52 |
|
|
Growth hormone antibody
|
$95.25 |
$95.25 |
$95.25 |
|
|
Growth hormone panel
|
$405.75 |
$405.75 |
$405.75 |
|
|
Growth hormone panel
|
$638.25 |
$638.25 |
$638.25 |
|
|
Growth stimulation gene 2
|
$233.25 |
$233.25 |
$233.25 |
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
|
|
Gstr rstcv px shrt roux-en-y
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
|
|
G-tube reposition
|
$78.72 |
$78.72 |
$793.50 |
|
|
Gu dilat ureter/urethra s&i
|
$784.64 |
$784.64 |
$5,172.75 |
|
|
Guided cath fluid drainage 10030
|
$795.52 |
$795.52 |
$2,059.50 |
|
|
Guide endoanchr sg-64 aaa 62cm
|
$14.25 |
$14.25 |
$9,799.36 |
|
|
Guide wire threaded 1.4x150mm
|
$742.50 |
$742.50 |
$2,227.20 |
|
|
Guide worley csg 9fx50cm std
|
$748.50 |
$748.50 |
$1,070.72 |
|
|
Guid loc target vol rad tx
|
$233.92 |
$233.92 |
$725.25 |
|
|
Gw stiffened micro access kit
|
$745.52 |
$745.52 |
$2,121.60 |
|
|
Hair analysis
|
$16.50 |
$16.50 |
$16.50 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$39.43 |
$39.43 |
$82.52 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$11.94 |
$11.94 |
$15.99 |
|
|
Hand-held pefr meter a4614
|
$21.75 |
$21.75 |
$21.75 |
|
|
Handle/convey/speciman/office-lab 99000
|
$8.00 |
$8.00 |
$8.00 |
|
|
Handpiece aquabeam hp2000
|
$3.00 |
$3.00 |
$3.00 |
|
|
Hand X-ray
|
$195.84 |
$195.84 |
$338.25 |
|
|
Haptoglobin quantitative
|
$71.36 |
$71.36 |
$113.25 |
|
|
Hast w/oxygen titrate
|
$158.08 |
$158.08 |
$158.08 |
|
|
Hba1/hba2 full gene sequence
|
$299.20 |
$299.20 |
$299.20 |
|
|
Hba1/hba2 gene dup/del vrnts
|
$168.32 |
$168.32 |
$168.32 |
|
|
Hbb full gene sequence
|
$576.00 |
$576.00 |
$576.00 |
|
|
Hbb gene com variants
|
$272.00 |
$272.00 |
$272.00 |
|
|
Hb glycosylated a1c home dev
|
$45.00 |
$45.00 |
$45.00 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$444.48 |
$444.48 |
$877.50 |
|
|
Hcg free betachain test
|
$9.92 |
$9.92 |
$69.00 |
|
|
Hcg qualitative
|
$43.84 |
$43.84 |
$71.25 |
|
|
Hcg quantitative
|
$71.36 |
$71.36 |
$77.25 |
|
|
Hc i-131 sodium iodide cap dx per mci
|
$47.36 |
$47.36 |
$155.25 |
|
|
Hc metata joint dislocation anes
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$367.04 |
$367.04 |
$1,335.00 |
|
|
Hc nm kidney imaging with flow
|
$412.16 |
$412.16 |
$997.50 |
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$514.88 |
$514.88 |
$1,335.00 |
|
|
Hc pet myocardial imaging metabolic eval single study
|
$3,811.50 |
$3,811.50 |
$3,811.50 |
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$690.00 |
$690.00 |
$690.00 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,070.75 |
$2,070.75 |
$2,070.75 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,070.75 |
$2,070.75 |
$2,070.75 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,460.50 |
$3,460.50 |
$3,460.50 |
|
|
Hdr rdncl skn surf brachytx
|
$755.25 |
$755.25 |
$755.25 |
|
|
Hdr rdncl skn surf brachytx
|
$1,068.75 |
$1,068.75 |
$1,068.75 |
|
|
Head CT scan (with and without contrast)
|
$738.56 |
$738.56 |
$1,747.50 |
|
|
Head CT scan (with contrast)
|
$600.96 |
$600.96 |
$1,530.00 |
|
|
Head CT scan (without contrast)
|
$501.76 |
$501.76 |
$1,380.00 |
|
|
Heart first pass add-on
|
$106.50 |
$106.50 |
$106.50 |
|
|
Heart first pass multiple
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
|
|
Heart image spect
|
$997.50 |
$997.50 |
$997.50 |
|
|
Heart infarct image
|
$430.08 |
$430.08 |
$997.50 |
|
|
Heart infarct image (ef)
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
|
|
Heavy metal qual any number
|
$114.75 |
$114.75 |
$114.75 |
|
|
Heinz bodies direct
|
$25.50 |
$25.50 |
$25.50 |
|
|
Heinz bodies induced
|
$41.25 |
$41.25 |
$41.25 |
|
|
Helicobacter pylori antibody igm
|
$51.84 |
$51.84 |
$99.75 |
|
|
Hemagglutination inhibition
|
$50.25 |
$50.25 |
$50.25 |
|
|
Hematocrit
|
$9.60 |
$9.60 |
$38.25 |
|