|
Giardia lamblia antibody
|
$185.29 |
$185.29 |
$228.00 |
|
|
Gi endoscopic ultrasound
|
$419.40 |
$419.40 |
$419.40 |
|
|
Gi inhouse confirmation
|
$43.20 |
$115.36 |
$312.00 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,105.00 |
$3,570.60 |
$4,679.62 |
|
|
Gjb2 gene full sequence
|
$2,986.79 |
$2,986.79 |
$2,986.79 |
|
|
Glassia injection
|
$65.65 |
$1,226.00 |
$1,226.00 |
|
|
Glove finger flexion right lg xl
|
$154.76 |
$154.76 |
$154.76 |
|
|
Glucagon 1 mg solution for injection
|
$351.53 |
$351.53 |
$3,050.18 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$550.23 |
$550.23 |
$1,441.16 |
|
|
Glucagon plasma - sendout
|
$68.76 |
$177.60 |
$478.50 |
|
|
Glucose 1 hr post dose
|
$41.00 |
$73.20 |
$144.60 |
|
|
Glucose-6-phosphate dhydrogenase screen
|
$120.00 |
$120.00 |
$120.00 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$13.20 |
$47.40 |
$72.00 |
|
|
Glucose blood quantitative
|
$25.50 |
$57.60 |
$84.00 |
|
|
Glucose body fluid
|
$16.00 |
$76.80 |
$116.40 |
|
|
Glucose monitoring continual min 72hr pt
|
$94.50 |
$258.75 |
$269.00 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$67.20 |
$153.79 |
$282.60 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$13.80 |
$17.40 |
$87.60 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$37.04 |
$120.40 |
$171.89 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$61.21 |
$404.45 |
$4,846.65 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$101.00 |
$240.60 |
$457.80 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$119.38 |
$264.00 |
$474.60 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,577.10 |
$6,985.08 |
$19,188.64 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$428.21 |
$4,080.00 |
$4,080.00 |
|
|
Graft axiofill 1000mg
|
$2,890.20 |
$17,496.00 |
$25,290.59 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$4,783.20 |
$13,408.34 |
$17,933.40 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$216.00 |
$2,482.00 |
$23,233.80 |
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$3,636.00 |
$3,636.00 |
$5,002.20 |
|
|
Graft nerve adv 3-4x70mm
|
$14,136.40 |
$14,136.40 |
$75,253.82 |
|
|
Graft patch felt ptfe 2x2
|
$24,626.00 |
$24,626.00 |
$75,658.50 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$1,728.00 |
$2,643.60 |
$15,476.40 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$4,366.61 |
$14,364.00 |
$14,364.00 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$3,468.00 |
$5,781.00 |
$23,515.72 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$767.42 |
$3,368.40 |
$5,176.20 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$2,407.20 |
$35,369.50 |
$184,844.27 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$918.13 |
$2,754.00 |
$9,120.60 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$27,409.50 |
$27,409.50 |
$190,237.14 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,531.50 |
$5,531.55 |
$13,152.26 |
|
|
Granisetron 1 mg tab
|
$4.64 |
$4.64 |
$10.04 |
|
|
Granisetron hcl injection
|
$41.81 |
$192.55 |
$192.55 |
|
|
Granulocyte pheresis ea unit
|
$10,163.27 |
$10,163.27 |
$10,163.27 |
|
|
Ground mileage
|
$2.40 |
$25.50 |
$37.80 |
|
|
Group behave couns 2-10
|
$294.06 |
$294.06 |
$294.06 |
|
|
Growth hormone panel
|
$317.54 |
$317.54 |
$317.54 |
|
|
G-tube reposition
|
$1,095.00 |
$1,395.00 |
$1,660.80 |
|
|
Gu dilat ureter/urethra s&i
|
$6,375.16 |
$6,375.16 |
$6,375.16 |
|
|
Guided cath fluid drainage 10030
|
$1,249.88 |
$2,246.50 |
$3,744.00 |
|
|
Guide endoanchr sg-64 aaa 62cm
|
$314.40 |
$5,511.60 |
$23,215.80 |
|
|
Guide wire threaded 1.4x150mm
|
$3,284.36 |
$3,284.36 |
$233,365.26 |
|
|
Guide worley csg 9fx50cm std
|
$1,117.40 |
$1,117.40 |
$6,474.96 |
|
|
Guid loc target vol rad tx
|
$370.80 |
$577.80 |
$6,100.97 |
|
|
Gw stiffened micro access kit
|
$5,760.00 |
$5,760.00 |
$395,887.50 |
|
|
Halo cervical into jckt vest
|
$6,240.00 |
$6,240.00 |
$8,149.80 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$51.04 |
$58.95 |
$188.84 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$26.86 |
$38.87 |
$49.33 |
|
|
Halo repl liner/interface
|
$2,078.15 |
$2,078.15 |
$2,078.15 |
|
|
Handle/convey/speciman/office-lab 99000
|
$23.30 |
$23.30 |
$23.30 |
|
|
Handpiece aquabeam hp2000
|
$10,295.50 |
$10,295.50 |
$28,591.88 |
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$65.12 |
$88.80 |
$303.49 |
|
|
Hand X-ray
|
$262.00 |
$403.20 |
$1,998.26 |
|
|
Hand X-ray (2 views, both hands)
|
$196.75 |
$343.20 |
$1,873.81 |
|
|
Haptoglobin quantitative
|
$28.38 |
$174.00 |
$268.80 |
|
|
Hba1/hba2 full gene sequence
|
$2,999.27 |
$2,999.27 |
$2,999.27 |
|
|
Hba1/hba2 gene dup/del vrnts
|
$323.00 |
$328.50 |
$339.50 |
|
|
Hbb full gene sequence
|
$1,784.09 |
$1,784.09 |
$1,784.09 |
|
|
Hbb gene com variants
|
$1,664.14 |
$1,664.14 |
$1,664.14 |
|
|
Hbb gene known fam variant
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
|
|
Hbot, full body chamber, 30m
|
$356.25 |
$788.50 |
$828.00 |
|
|
Hc ea ha check monaural
|
$90.00 |
$90.00 |
$90.00 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$258.00 |
$258.00 |
$1,380.77 |
|
|
Hcg qualitative
|
$57.00 |
$95.40 |
$208.80 |
|
|
Hcg quantitative
|
$76.50 |
$216.60 |
$349.20 |
|
|
Hc hearing aid chck binaurl
|
$42.00 |
$98.40 |
$98.40 |
|
|
Hc hearing aid chck monarl
|
$21.00 |
$73.20 |
$73.20 |
|
|
Hc hearing aid exam both ears
|
$192.00 |
$214.80 |
$214.80 |
|
|
Hc hearing aid exam one ear
|
$70.20 |
$131.40 |
$154.80 |
|
|
Hc i-131 sodium iodide cap dx per mci
|
$22.20 |
$22.20 |
$22.20 |
|
|
Hc metata joint dislocation anes
|
$337.50 |
$337.50 |
$337.50 |
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$2,135.40 |
$2,520.60 |
$2,800.79 |
|
|
Hc nm fusion spect CT unlisted
|
$2,244.60 |
$6,829.80 |
$6,829.80 |
|
|
Hc nm kidney imaging with flow
|
$802.80 |
$1,533.60 |
$1,617.60 |
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$6,018.59 |
$6,018.59 |
$6,018.59 |
|
|
Hc pet myocardial imaging metabolic eval single study
|
$6,222.41 |
$6,222.41 |
$6,222.41 |
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$18,754.80 |
$18,754.80 |
$18,754.80 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,171.80 |
$7,411.89 |
$8,271.00 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,295.40 |
$9,365.40 |
$9,925.20 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,662.60 |
$9,830.40 |
$11,039.51 |
|
|
Hdr rdncl skn surf brachytx
|
$6,998.94 |
$6,998.94 |
$6,998.94 |
|
|
Hdr rdncl skn surf brachytx
|
$9,223.34 |
$9,223.34 |
$9,223.34 |
|
|
Head CT scan (with and without contrast)
|
$496.50 |
$728.00 |
$3,902.99 |
|
|
Head CT scan (with contrast)
|
$470.00 |
$621.50 |
$3,682.09 |
|
|
Head CT scan (without contrast)
|
$437.25 |
$542.40 |
$2,842.00 |
|
|
Heart first pass add-on
|
$1,322.40 |
$1,322.40 |
$1,322.40 |
|
|
Heart first pass multiple
|
$3,453.60 |
$3,453.60 |
$3,453.60 |
|
|
Heart image spect
|
$1,335.60 |
$1,335.60 |
$2,121.22 |
|
|
Heart infarct image
|
$1,076.40 |
$1,331.40 |
$2,800.79 |
|
|
Heart infarct image (ef)
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
|
|
Heavy metal qual any number
|
$143.36 |
$400.80 |
$438.00 |
|
|
Heel (Calcaneus) X-ray (both feet)
|
$252.50 |
$444.00 |
$1,879.69 |
|
|
Heinz bodies direct
|
$48.95 |
$48.95 |
$48.95 |
|
