|
Gonadotropin follicle stimulating hormone (fsh)
|
$231.70 |
$231.70 |
$231.70 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$214.20 |
$214.20 |
$214.20 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$14,777.70 |
$14,777.70 |
$14,777.70 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$3,831.06 |
$3,831.06 |
$3,831.06 |
$143.50
|
|
Graft axiofill 1000mg
|
$10,615.32 |
$10,615.32 |
$10,615.32 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$27,678.87 |
$27,678.87 |
$27,678.87 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$40,713.14 |
$40,713.14 |
$40,713.14 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$97,654.37 |
$97,654.37 |
$97,654.37 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$64,737.34 |
$64,737.34 |
$64,737.34 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$24,425.91 |
$24,425.91 |
$24,425.91 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$37,340.80 |
$37,340.80 |
$37,340.80 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$2,053.80 |
$2,053.80 |
$2,053.80 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$599.90 |
$599.90 |
$599.90 |
$427.89
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$44,055.65 |
$44,055.65 |
$44,055.65 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$1,532.30 |
$1,532.30 |
$1,532.30 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$47,324.82 |
$47,324.82 |
$47,324.82 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,923.86 |
$2,923.86 |
$2,923.86 |
$3,076.20
|
|
Granisetron hcl injection
|
$13.82 |
$13.82 |
$13.82 |
$47.04
|
|
Granulocyte pheresis ea unit
|
$4,925.20 |
$4,925.20 |
$4,925.20 |
$2,698.02
|
|
Great toe with reduction 28495
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$495.00
|
|
Ground mileage
|
$37.80 |
$37.80 |
$37.80 |
$17.60
|
|
G-tube reposition
|
$417.20 |
$417.20 |
$417.20 |
$745.80
|
|
Guided cath fluid drainage 10030
|
$1,087.10 |
$1,087.10 |
$1,087.10 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$1,494.07 |
$1,494.07 |
$1,494.07 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$90,142.50 |
$90,142.50 |
$90,142.50 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$1,487.35 |
$1,487.35 |
$1,487.35 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$26,455.80 |
$26,455.80 |
$26,455.80 |
$535.60
|
|
Gw stiffened micro access kit
|
$10,349.64 |
$10,349.64 |
$10,349.64 |
$6,600.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$48.47 |
$48.47 |
$48.47 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$4.02 |
$4.02 |
$4.02 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$41.30 |
$41.30 |
$41.30 |
$23.30
|
|
Hand X-ray
|
$547.40 |
$547.40 |
$547.40 |
$345.87
|
|
Haptoglobin quantitative
|
$133.00 |
$133.00 |
$133.00 |
$91.80
|
|
Harvest allogeneic stem cell
|
$3,938.90 |
$3,938.90 |
$3,938.90 |
$3,067.50
|
|
Harvest auto stem cells
|
$5,121.20 |
$5,121.20 |
$5,121.20 |
$3,379.00
|
|
Hast w/oxygen titrate
|
$1,220.10 |
$1,220.10 |
$1,220.10 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$869.40 |
$869.40 |
$869.40 |
$403.25
|
|
Hbb full gene sequence
|
$749.70 |
$749.70 |
$749.70 |
$633.25
|
|
Hbb gene com variants
|
$427.00 |
$427.00 |
$427.00 |
$345.95
|
|
Hbb gene dup/del variants
|
$713.30 |
$713.30 |
$713.30 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$747.60 |
$747.60 |
$747.60 |
$526.90
|
|
Hcg free betachain test
|
$43.40 |
$43.40 |
$43.40 |
$68.90
|
|
Hcg qualitative
|
$146.30 |
$146.30 |
$146.30 |
$88.00
|
|
Hcg quantitative
|
$235.90 |
$235.90 |
$235.90 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$666.40 |
$666.40 |
$666.40 |
$117.00
|
|
Hc pet myocardial imaging metabolic eval single study
|
$1,990.10 |
$1,990.10 |
$1,990.10 |
$3,840.40
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$5,548.90 |
$5,548.90 |
$5,548.90 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,818.00 |
$6,818.00 |
$6,818.00 |
$3,694.80
|
|
Head CT scan (with and without contrast)
|
$3,756.90 |
$3,756.90 |
$3,756.90 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,921.80 |
$2,921.80 |
$2,921.80 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$2,474.50 |
$2,474.50 |
$2,474.50 |
$1,268.90
|
|
Heinz bodies direct
|
$134.40 |
$134.40 |
$134.40 |
$43.15
|
|
Heinz bodies induced
|
$211.40 |
$211.40 |
$211.40 |
$37.20
|
|
Helicobacter pylori antibody igm
|
$401.80 |
$401.80 |
$401.80 |
$92.23
|
|
Hematocrit
|
$57.40 |
$57.40 |
$57.40 |
$33.57
|
|
Hematopoietic nuclear tx
|
$2,400.30 |
$2,400.30 |
$2,400.30 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$52,897.25 |
$52,897.25 |
$52,897.25 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$2,696.40 |
$2,696.40 |
$2,696.40 |
$1,338.00
|
|
Hemoglobin
|
$49.00 |
$49.00 |
$49.00 |
$32.76
|
|
Hemoglobin fetal qualitative
|
$312.90 |
$312.90 |
$312.90 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$119.70 |
$119.70 |
$119.70 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$463.40 |
$463.40 |
$463.40 |
$89.13
|
|
Hemoglobin plasma
|
$97.30 |
$97.30 |
$97.30 |
$41.25
|
|
Hemoglobin urine
|
$19.60 |
$19.60 |
$19.60 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$72.10 |
$72.10 |
$72.10 |
$57.28
|
|
Hemolysins and agglutinins incubated
|
$74.20 |
$74.20 |
$74.20 |
$59.80
|
|
Hemophilus influenza antibdy
|
$112.00 |
$112.00 |
$112.00 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$14,595.79 |
$14,595.79 |
$14,595.79 |
$1,170.54
|
|
Hemorrhoidopexy stapling 46947
|
$20,395.77 |
$20,395.77 |
$20,395.77 |
$3,786.00
|
|
Heparin assay
|
$276.50 |
$276.50 |
$276.50 |
$138.84
|
|
Heparin bolus from bag
|
$63.35 |
$63.35 |
$63.35 |
$68.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$5.25 |
$5.25 |
$5.25 |
$12.91
|
|
Hepatitis a antibody igm
|
$259.00 |
$259.00 |
$259.00 |
$88.92
|
|
Hepatitis b core antibody igm
|
$269.50 |
$269.50 |
$269.50 |
$88.80
|
|
Hepatitis b core antibody total
|
$247.80 |
$247.80 |
$247.80 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$396.37 |
$396.37 |
$396.37 |
$1,174.30
|
|
Hepatitis b surface ag quan
|
$679.00 |
$679.00 |
$679.00 |
$54.88
|
|
Hepatitis b surface antibody
|
$255.50 |
$255.50 |
$255.50 |
$81.12
|
|
Hepatitis c antibody
|
$253.40 |
$253.40 |
$253.40 |
$108.00
|
|
Hepatitis d quantification
|
$90.30 |
$90.30 |
$90.30 |
$91.28
|
|
Hepatobiliary system imaging
|
$1,880.20 |
$1,880.20 |
$1,880.20 |
$1,438.99
|
|
Hepb vacc 3 dose immunsup im
|
$392.70 |
$392.70 |
$392.70 |
$319.52
|
|
Hereditary colon ca dsordrs
|
$3,011.40 |
$3,011.40 |
$3,011.40 |
$1,901.23
|
|
Hered neuroend tum-rlt do 5+
|
$1,014.30 |
$1,014.30 |
$1,014.30 |
$870.60
|
|
Hernia Repair (Inguinal)
|
$27,070.37 |
$27,070.37 |
$27,070.37 |
$6,739.98
|
|
Herpes simplex type 1 antibody igg
|
$205.10 |
$205.10 |
$205.10 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$205.10 |
$205.10 |
$205.10 |
$87.10
|
|
Herpes simplex virus isolation
|
$141.40 |
$141.40 |
$141.40 |
$106.21
|
|
Heterophile antibodies screening
|
$162.40 |
$162.40 |
$162.40 |
$72.00
|
|
Hexa gene
|
$460.60 |
$460.60 |
$460.60 |
$150.82
|
|
Hfo nontorsion jnts pre cst
|
$86.10 |
$86.10 |
$86.10 |
$110.88
|
|
Hhv-6 dna quant
|
$394.10 |
$394.10 |
$394.10 |
$250.80
|
|
Hinge extension/flex wrist/f
|
$2,165.10 |
$2,165.10 |
$2,165.10 |
$1,653.00
|
|
Hip arthro acetabuloplasty
|
$69,842.25 |
$69,842.25 |
$69,842.25 |
$5,043.20
|
|
Hip arthro w/femoroplasty
|
$78,027.19 |
$78,027.19 |
$78,027.19 |
$6,223.52
|
|
Hip arthro w/labral repair
|
$72,083.68 |
$72,083.68 |
$72,083.68 |
$6,920.22
|
|
Hip X-ray
|
$522.90 |
$522.90 |
$522.90 |
$296.05
|
|
Histamine
|
$143.50 |
$143.50 |
$143.50 |
$114.84
|
|
Histochemical stains add-on
|
$19,538.47 |
$19,538.47 |
$19,538.47 |
$152.75
|
