|
Ghs removal intranasal foreign body
|
$241.00 |
$241.00 |
$241.00 |
$294.00
|
|
Ghs sensitivity (per antimicro)
|
$63.50 |
$63.50 |
$63.50 |
$58.95
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$352.00 |
$352.00 |
$352.00 |
$558.97
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$528.50 |
$528.50 |
$528.50 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$372.00 |
$372.00 |
$372.00 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$294.00 |
$294.00 |
$294.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$381.50 |
$381.50 |
$381.50 |
$492.80
|
|
Ghs sleep study unattended
|
$722.50 |
$722.50 |
$722.50 |
$503.38
|
|
Ghs sp train/fitting sp device - kx
|
$252.00 |
$252.00 |
$252.00 |
$243.60
|
|
Ghs st - eval for alt comm
|
$142.50 |
$142.50 |
$142.50 |
$93.60
|
|
Ghs st - re-eval for alt comm
|
$266.00 |
$266.00 |
$266.00 |
$301.60
|
|
Ghs tx distal phalangeal fx with manipulation
|
$615.00 |
$615.00 |
$615.00 |
$526.35
|
|
Ghs vaginal delivery only
|
$965.50 |
$965.50 |
$965.50 |
$3,142.35
|
|
Gi inhouse confirmation
|
$77.50 |
$77.50 |
$77.50 |
$84.80
|
|
Glassia injection
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$20.32
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$550.23 |
$550.23 |
$550.23 |
$491.67
|
|
Glucagon plasma - sendout
|
$458.50 |
$458.50 |
$458.50 |
$63.00
|
|
Glucose 1 hr post dose
|
$41.00 |
$41.00 |
$41.00 |
$50.40
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$17.00 |
$17.00 |
$17.00 |
$24.26
|
|
Glucose blood quantitative
|
$26.00 |
$26.00 |
$26.00 |
$41.50
|
|
Glucose body fluid
|
$16.50 |
$16.50 |
$16.50 |
$51.12
|
|
Glucose tolerance test (gtt) 3 specimens
|
$72.50 |
$72.50 |
$72.50 |
$103.35
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$15.00 |
$15.00 |
$15.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$37.04 |
$37.04 |
$37.04 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,846.65 |
$4,846.65 |
$4,846.65 |
$4,846.65
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$101.50 |
$101.50 |
$101.50 |
$117.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$141.00 |
$141.00 |
$141.00 |
$131.20
|
|
Goserelin 10.8 mg subcutaneous implant
|
$6,985.08 |
$6,985.08 |
$6,985.08 |
$4,653.16
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$359.00
|
|
Graft axiofill 1000mg
|
$17,496.00 |
$17,496.00 |
$17,496.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$13,408.34 |
$13,408.34 |
$13,408.34 |
$657.62
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$2,482.00 |
$2,482.00 |
$2,482.00 |
$23,253.65
|
|
Graft nerve adv 3-4x70mm
|
$14,136.40 |
$14,136.40 |
$14,136.40 |
$19,658.53
|
|
Graft patch felt ptfe 2x2
|
$24,626.00 |
$24,626.00 |
$24,626.00 |
$27,317.20
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$14,364.00 |
$14,364.00 |
$14,364.00 |
$1,181.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$35,369.55 |
$35,369.55 |
$35,369.55 |
$28,666.90
|
|
Graft xenmtrx sft rect 15x20cm
|
$27,409.50 |
$27,409.50 |
$27,409.50 |
$30,586.01
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,531.55 |
$5,531.55 |
$5,531.55 |
$3,076.20
|
|
Granisetron 1 mg tab
|
$4.64 |
$4.64 |
$4.64 |
$53.15
|
|
Granisetron hcl injection
|
$192.55 |
$192.55 |
$192.55 |
$46.00
|
|
Guided cath fluid drainage 10030
|
$2,152.00 |
$2,152.00 |
$2,152.00 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$3,284.36 |
$3,284.36 |
$3,284.36 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$1,117.40 |
$1,117.40 |
$1,117.40 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$5,760.00 |
$5,760.00 |
$5,760.00 |
$6,500.00
|
|
Halo cervical into jckt vest
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$58.95 |
$58.95 |
$58.95 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$26.86 |
$26.86 |
$26.86 |
$24.30
|
|
Handpiece aquabeam hp2000
|
$10,295.50 |
$10,295.50 |
$10,295.50 |
$6,628.05
|
|
Hand X-ray
|
$263.50 |
$263.50 |
$263.50 |
$358.40
|
|
Haptoglobin quantitative
|
$67.00 |
$67.00 |
$67.00 |
$91.14
|
|
Hba1/hba2 gene dup/del vrnts
|
$325.00 |
$325.00 |
$325.00 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$793.00 |
$793.00 |
$793.00 |
$538.85
|
|
Hcg qualitative
|
$57.50 |
$57.50 |
$57.50 |
$90.40
|
|
Hcg quantitative
|
$77.00 |
$77.00 |
$77.00 |
$140.00
|
|
Hc metata joint dislocation anes
|
$337.50 |
$337.50 |
$337.50 |
$2,423.85
|
|
Head CT scan (with and without contrast)
|
$721.50 |
$721.50 |
$721.50 |
$1,824.98
|
|
Head CT scan (with contrast)
|
$615.50 |
$615.50 |
$615.50 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$518.50 |
$518.50 |
$518.50 |
$1,268.90
|
|
Hematocrit
|
$26.50 |
$26.50 |
$26.50 |
$34.25
|
|
Hemin 350 mg intravenous powder for solution
|
$26,762.50 |
$26,762.50 |
$26,762.50 |
$20,618.46
|
|
Hemoglobin
|
$24.00 |
$24.00 |
$24.00 |
$33.00
|
|
Hemoglobin methemoglobin quantitative
|
$59.00 |
$59.00 |
$59.00 |
$53.95
|
|
Hemoglobin plasma
|
$68.50 |
$68.50 |
$68.50 |
$41.25
|
|
Hemophilus influenza antibdy
|
$80.50 |
$80.50 |
$80.50 |
$58.32
|
|
Heparin assay
|
$49.50 |
$49.50 |
$49.50 |
$139.15
|
|
Heparin bolus from bag
|
$99.80 |
$99.80 |
$99.80 |
$68.93
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$30.98 |
$30.98 |
$30.98 |
$12.79
|
|
Hepatitis a antibody igm
|
$123.00 |
$123.00 |
$123.00 |
$88.92
|
|
Hepatitis b core antibody igm
|
$126.50 |
$126.50 |
$126.50 |
$88.41
|
|
Hepatitis b core antibody total
|
$94.50 |
$94.50 |
$94.50 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,238.24 |
$2,238.24 |
$2,238.24 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$105.00 |
$105.00 |
$105.00 |
$82.55
|
|
Hepatitis c antibody
|
$121.00 |
$121.00 |
$121.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,324.00 |
$1,324.00 |
$1,324.00 |
$1,494.00
|
|
Herpes simplex type 1 antibody igg
|
$96.00 |
$96.00 |
$96.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$96.00 |
$96.00 |
$96.00 |
$87.36
|
|
Herpes simplex virus isolation
|
$117.50 |
$117.50 |
$117.50 |
$106.21
|
|
Heterophile antibodies screening
|
$104.50 |
$104.50 |
$104.50 |
$73.15
|
|
Hip X-ray
|
$199.00 |
$199.00 |
$199.00 |
$296.05
|
|
Histamine
|
$167.00 |
$167.00 |
$167.00 |
$115.00
|
|
Histochemical stains add-on
|
$143.00 |
$143.00 |
$143.00 |
$152.75
|
|
HIV prep, inj, cabotegravir
|
$9,840.63 |
$9,840.63 |
$9,840.63 |
$7,211.48
|
|
Hizentra injection
|
$1,351.25 |
$1,351.25 |
$1,351.25 |
$3,912.58
|
|
Hla class i high defin qual
|
$531.50 |
$531.50 |
$531.50 |
$574.86
|
|
Hla ii typing 1 loc hr
|
$1,014.50 |
$1,014.50 |
$1,014.50 |
$290.94
|
|
Hla i typing high res 1 allele grp ea
|
$258.50 |
$258.50 |
$258.50 |
$294.60
|
|
Hla i typing low res one locus ea
|
$470.50 |
$470.50 |
$470.50 |
$321.60
|
|
Home sleep test/type 3 porta
|
$913.00 |
$913.00 |
$913.00 |
$619.65
|
|
Homocysteine
|
$123.50 |
$123.50 |
$123.50 |
$121.92
|
|
Homogenization tissue
|
$42.50 |
$42.50 |
$42.50 |
$40.30
|
|
Ho post-op hip abduction
|
$2,878.24 |
$2,878.24 |
$2,878.24 |
$1,834.25
|
|
Hpa-1 genotyping
|
$226.50 |
$226.50 |
$226.50 |
$174.40
|
|
H pylori (c-13) breath
|
$230.50 |
$230.50 |
$230.50 |
$212.25
|
|
H pylori drug admin
|
$59.50 |
$59.50 |
$59.50 |
$28.56
|
|
Hyaluronidase 200 units/ml inj
|
$1,753.60 |
$1,753.60 |
$1,753.60 |
$239.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$221.86 |
$221.86 |
$221.86 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$95.54 |
$95.54 |
$95.54 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$134.00 |
$134.00 |
$134.00 |
$132.65
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$420.50 |
$420.50 |
$420.50 |
$385.16
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$696.80 |
$696.80 |
$696.80 |
$153.08
|
