|
Ghs strapping shoulder - 29240
|
$810.72 |
$810.72 |
$810.72 |
$213.20
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,343.52 |
$1,343.52 |
$1,343.52 |
$897.96
|
|
Ghs superficial wnd dehis w packing12021
|
$975.60 |
$975.60 |
$975.60 |
$696.68
|
|
Ghs tx distal phalangeal fx with manipulation
|
$715.68 |
$715.68 |
$715.68 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$518.40 |
$518.40 |
$518.40 |
$490.00
|
|
Ghs urine, porphyrins quant
|
$165.60 |
$165.60 |
$165.60 |
$74.20
|
|
Ghs vaginal delivery only
|
$6,868.08 |
$6,868.08 |
$6,868.08 |
$3,217.00
|
|
Ghs veeg 12-26 hr intmt mont
|
$4,165.20 |
$4,165.20 |
$4,165.20 |
$1,932.00
|
|
Ghs windowing of cast
|
$437.04 |
$437.04 |
$437.04 |
$216.80
|
|
Giardia lamblia antibody
|
$140.40 |
$140.40 |
$140.40 |
$83.44
|
|
Gi inhouse confirmation
|
$210.24 |
$210.24 |
$210.24 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,995.20 |
$2,995.20 |
$2,995.20 |
$2,098.85
|
|
Gjb2 gene full sequence
|
$967.68 |
$967.68 |
$967.68 |
$502.80
|
|
Gjb6 gene com variants
|
$967.68 |
$967.68 |
$967.68 |
$105.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$800.14 |
$800.14 |
$800.14 |
$491.67
|
|
Glucagon plasma - sendout
|
$138.24 |
$138.24 |
$138.24 |
$63.00
|
|
Glucose 1 hr post dose
|
$151.20 |
$151.20 |
$151.20 |
$49.20
|
|
Glucose-6-phosphate dhydrogenase screen
|
$51.12 |
$51.12 |
$51.12 |
$53.95
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$42.48 |
$42.48 |
$42.48 |
$23.68
|
|
Glucose blood quantitative
|
$84.24 |
$84.24 |
$84.24 |
$41.40
|
|
Glucose body fluid
|
$120.24 |
$120.24 |
$120.24 |
$50.82
|
|
Glucose tolerance test (gtt) 3 specimens
|
$342.00 |
$342.00 |
$342.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$101.52 |
$101.52 |
$101.52 |
$35.52
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$58.95 |
$58.95 |
$58.95 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$95.18 |
$95.18 |
$95.18 |
$4,846.65
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$242.64 |
$242.64 |
$242.64 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$242.64 |
$242.64 |
$242.64 |
$129.89
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,781.17 |
$1,781.17 |
$1,781.17 |
$4,612.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$93.60 |
$93.60 |
$93.60 |
$159.99
|
|
Graft axiofill 1000mg
|
$396.14 |
$396.14 |
$396.14 |
$5,125.68
|
|
Graft nerve adv 3-4x70mm
|
$8,856.00 |
$8,856.00 |
$8,856.00 |
$19,838.44
|
|
Graft patch felt ptfe 2x2
|
$11,880.00 |
$11,880.00 |
$11,880.00 |
$27,435.60
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$443.52 |
$443.52 |
$443.52 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$8,856.00 |
$8,856.00 |
$8,856.00 |
$29,738.57
|
|
Graft xenmtrx sft rect 19x28cm
|
$270.00 |
$270.00 |
$270.00 |
$3,089.48
|
|
Guided cath fluid drainage 10030
|
$3,353.76 |
$3,353.76 |
$3,353.76 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$551.52 |
$551.52 |
$551.52 |
$536.00
|
|
Gw stiffened micro access kit
|
$4,968.00 |
$4,968.00 |
$4,968.00 |
$6,500.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$170.46 |
$170.46 |
$170.46 |
$86.70
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$48.46 |
$48.46 |
$48.46 |
$24.41
|
|
Hand X-ray
|
$565.20 |
$565.20 |
$565.20 |
$352.00
|
|
Haptoglobin quantitative
|
$136.08 |
$136.08 |
$136.08 |
$91.14
|
|
Hba1/hba2 gene dup/del vrnts
|
$681.12 |
$681.12 |
$681.12 |
$404.80
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$892.80 |
$892.80 |
$892.80 |
$726.00
|
|
Hcg qualitative
|
$178.56 |
$178.56 |
$178.56 |
$89.60
|
|
Hcg quantitative
|
$208.80 |
$208.80 |
$208.80 |
$137.70
|
|
Head CT scan (with and without contrast)
|
$3,117.60 |
$3,117.60 |
$3,117.60 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,407.68 |
$2,407.68 |
$2,407.68 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$2,386.08 |
$2,386.08 |
$2,386.08 |
$1,267.56
|
|
Heart image spect
|
$1,436.40 |
$1,436.40 |
$1,436.40 |
$1,067.57
|
|
Helicobacter pylori antibody igm
|
$146.88 |
$146.88 |
$146.88 |
$92.66
|
|
Hematocrit
|
$51.84 |
$51.84 |
$51.84 |
$33.57
|
|
Hemoglobin
|
$47.52 |
$47.52 |
$47.52 |
$32.50
|
|
Hemoglobin methemoglobin quantitative
|
$93.60 |
$93.60 |
$93.60 |
$53.60
|
|
Hemoglobin plasma
|
$60.48 |
$60.48 |
$60.48 |
$41.16
|
|
Hemolysins/agglutinins auto
|
$46.08 |
$46.08 |
$46.08 |
$57.14
|
|
Hemophilus influenza antibdy
|
$133.20 |
$133.20 |
$133.20 |
$57.32
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$3,103.20 |
$3,103.20 |
$3,103.20 |
$1,170.54
|
|
Heparin assay
|
$296.64 |
$296.64 |
$296.64 |
$137.10
|
|
Heparin bolus from bag
|
$55.30 |
$55.30 |
$55.30 |
$67.74
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.14 |
$0.14 |
$0.14 |
$11.77
|
|
Hepatitis a antibody igm
|
$160.56 |
$160.56 |
$160.56 |
$87.75
|
|
Hepatitis b core antibody igm
|
$283.68 |
$283.68 |
$283.68 |
$87.98
|
|
Hepatitis b core antibody total
|
$118.08 |
$118.08 |
$118.08 |
$77.50
|
|
Hepatitis b surface antibody
|
$252.00 |
$252.00 |
$252.00 |
$81.12
|
|
Hepatitis c antibody
|
$344.88 |
$344.88 |
$344.88 |
$107.10
|
|
Hepatobiliary system imaging
|
$1,169.28 |
$1,169.28 |
$1,169.28 |
$1,446.00
|
|
Hereditary colon ca dsordrs
|
$1,702.08 |
$1,702.08 |
$1,702.08 |
$1,901.23
|
|
Herpes simplex type 1 antibody igg
|
$98.64 |
$98.64 |
$98.64 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$85.68 |
$85.68 |
$85.68 |
$87.10
|
|
Herpes simplex virus isolation
|
$244.08 |
$244.08 |
$244.08 |
$106.21
|
|
Heterophile antibodies screening
|
$202.32 |
$202.32 |
$202.32 |
$72.00
|
|
Hhv-6 dna quant
|
$638.64 |
$638.64 |
$638.64 |
$246.35
|
|
Hip X-ray
|
$478.80 |
$478.80 |
$478.80 |
$294.75
|
|
Histamine
|
$231.12 |
$231.12 |
$231.12 |
$114.84
|
|
Histochemical stains add-on
|
$303.84 |
$303.84 |
$303.84 |
$152.75
|
|
Hla class i high defin qual
|
$653.04 |
$653.04 |
$653.04 |
$574.86
|
|
Hla class i&ii antibody qual
|
$152.64 |
$152.64 |
$152.64 |
$247.50
|
|
Hla i low res one antigen equiv ea
|
$442.08 |
$442.08 |
$442.08 |
$164.00
|
|
Hla i typing complete lr
|
$1,080.72 |
$1,080.72 |
$1,080.72 |
$719.20
|
|
Hla i typing high res 1 allele grp ea
|
$608.40 |
$608.40 |
$608.40 |
$293.15
|
|
Hla typing dr/dq
|
$443.52 |
$443.52 |
$443.52 |
$178.11
|
|
Hocm 250-299mg/ml iodine,1ml
|
$1.59 |
$1.59 |
$1.59 |
$41.79
|
|
Hocm 350-399mg/ml iodine,1ml
|
$2.79 |
$2.79 |
$2.79 |
$79.78
|
|
Home sleep test/type 4 porta
|
$715.68 |
$715.68 |
$715.68 |
$613.60
|
|
Homocysteine
|
$189.36 |
$189.36 |
$189.36 |
$121.92
|
|
Homogenization tissue
|
$87.84 |
$87.84 |
$87.84 |
$39.00
|
|
Homovanillic acid (hva)
|
$164.88 |
$164.88 |
$164.88 |
$59.95
|
|
Hpv types 16 & 18 only
|
$215.28 |
$215.28 |
$215.28 |
$113.42
|
|
H pylori (c-13) breath
|
$182.88 |
$182.88 |
$182.88 |
$212.25
|
|
Hrdtry brst ca-rlatd do 5+
|
$4,577.04 |
$4,577.04 |
$4,577.04 |
$1,748.88
|
|
Htt gene detc abnor alleles
|
$838.08 |
$838.08 |
$838.08 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$220.32 |
$220.32 |
$220.32 |
$154.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$6.80 |
$6.80 |
$6.80 |
$5,836.20
|
|
Hydralazine 20 mg/ml injection solution
|
$139.07 |
$139.07 |
$139.07 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$207.36 |
$207.36 |
$207.36 |
$132.65
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$446.40 |
$446.40 |
$446.40 |
$385.16
|
