|
Gallbladder Function Scan (HIDA with Medication)
|
$2,216.00 |
$2,216.00 |
$2,216.00 |
$1,615.00
|
|
Gallbladder Removal (Laparoscopic)
|
$20,239.50 |
$20,239.50 |
$20,239.50 |
$13,208.00
|
|
Gammaglobulin iga
|
$126.00 |
$126.00 |
$126.00 |
$69.60
|
|
Gammaglobulin ige
|
$129.00 |
$129.00 |
$129.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$93.00 |
$93.00 |
$93.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$3,559.50 |
$3,559.50 |
$3,559.50 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$138.00 |
$138.00 |
$138.00 |
$197.40
|
|
Gel-one
|
$5,750.00 |
$5,750.00 |
$5,750.00 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$1,784.45 |
$1,784.45 |
$1,784.45 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$540.20 |
$540.20 |
$540.20 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$31,504.65 |
$31,504.65 |
$31,504.65 |
$19,305.62
|
|
General health panel
|
$405.00 |
$405.00 |
$405.00 |
$262.44
|
|
Generator barostim neo2 2014
|
$68,971.44 |
$68,971.44 |
$68,971.44 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$34,380.00 |
$34,380.00 |
$34,380.00 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$57,801.38 |
$57,801.38 |
$57,801.38 |
$66,636.36
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$17.40 |
$17.40 |
$17.40 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$150.00 |
$150.00 |
$150.00 |
$123.84
|
|
Ghs change cysto/gastrost
|
$833.00 |
$833.00 |
$833.00 |
$594.55
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,663.00 |
$1,663.00 |
$1,663.00 |
$1,592.00
|
|
Ghs clsd red med malleolus fx without manip
|
$3,707.00 |
$3,707.00 |
$3,707.00 |
$513.80
|
|
Ghs ed rmvl or bivalving cast
|
$473.00 |
$473.00 |
$473.00 |
$338.40
|
|
Ghs excision ingrown nail
|
$687.00 |
$687.00 |
$687.00 |
$449.25
|
|
Ghs fb removal - incisional
|
$3,021.00 |
$3,021.00 |
$3,021.00 |
$2,323.75
|
|
Ghs histoplasma antigen
|
$321.00 |
$321.00 |
$321.00 |
$142.00
|
|
Ghs HIV antibody
|
$99.00 |
$99.00 |
$99.00 |
$89.70
|
|
Ghs i and d pilonidal cyst simple
|
$2,111.00 |
$2,111.00 |
$2,111.00 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$761.00 |
$761.00 |
$761.00 |
$526.50
|
|
Ghs inj neurolytic other perph nerve
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$799.00 |
$799.00 |
$799.00 |
$434.12
|
|
Ghs insertion of needle - bone
|
$799.00 |
$799.00 |
$799.00 |
$431.28
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$12,764.43 |
$12,764.43 |
$12,764.43 |
$591.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$384.00 |
$384.00 |
$384.00 |
$672.00
|
|
Ghs myocardial strain img spckl track
|
$123.00 |
$123.00 |
$123.00 |
$457.80
|
|
Ghs nerve block axillary nerve
|
$540.00 |
$540.00 |
$540.00 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$500.00 |
$500.00 |
$500.00 |
$1,710.80
|
|
Ghs nerve block suprascapular
|
$188.00 |
$188.00 |
$188.00 |
$1,198.62
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$92.00 |
$92.00 |
$92.00 |
$58.00
|
|
Ghs ot dds rom
|
$75.00 |
$75.00 |
$75.00 |
$69.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$853.65
|
|
Ghs picc line insert < 5
|
$4,660.00 |
$4,660.00 |
$4,660.00 |
$2,019.50
|
|
Ghs ppd (tb intradermal)
|
$30.00 |
$30.00 |
$30.00 |
$37.44
|
|
Ghs pr without cont pulse ox
|
$242.00 |
$242.00 |
$242.00 |
$147.00
|
|
Ghs removal intranasal foreign body
|
$555.00 |
$555.00 |
$555.00 |
$283.24
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$424.00 |
$424.00 |
$424.00 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$434.00 |
$434.00 |
$434.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$479.00 |
$479.00 |
$479.00 |
$489.72
|
|
Glove finger flexion right lg xl
|
$81.59 |
$81.59 |
$81.59 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$655.40 |
$655.40 |
$655.40 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$567.40 |
$567.40 |
$567.40 |
$491.67
|
|
Glucose 1 hr post dose
|
$64.00 |
$64.00 |
$64.00 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$8.00 |
$8.00 |
$8.00 |
$23.12
|
|
Glucose blood quantitative
|
$56.00 |
$56.00 |
$56.00 |
$42.25
|
|
Glucose body fluid
|
$70.00 |
$70.00 |
$70.00 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$242.00 |
$242.00 |
$242.00 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$142.00 |
$142.00 |
$142.00 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$83.00 |
$83.00 |
$83.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$3.15 |
$3.15 |
$3.15 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$5,516.60 |
$5,516.60 |
$5,516.60 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$205.00 |
$205.00 |
$205.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$208.00 |
$208.00 |
$208.00 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$16,064.55 |
$16,064.55 |
$16,064.55 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$145.45 |
$145.45 |
$145.45 |
$73.83
|
|
Graft axiofill 1000mg
|
$9,693.53 |
$9,693.53 |
$9,693.53 |
$5,125.68
|
|
Graft bone flex 2.5cm x 5cm grafton-cost per sq cm
|
$2.17 |
$2.17 |
$2.17 |
$1.00
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$2,901.33 |
$2,901.33 |
$2,901.33 |
$605.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$7,647.47 |
$7,647.47 |
$7,647.47 |
$23,233.80
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$2,382.88 |
$2,382.88 |
$2,382.88 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$25,786.25 |
$25,786.25 |
$25,786.25 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$55,008.00 |
$55,008.00 |
$55,008.00 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$468.37 |
$468.37 |
$468.37 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$611.54 |
$611.54 |
$611.54 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$637.00 |
$637.00 |
$637.00 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$733.52 |
$733.52 |
$733.52 |
$349.41
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$89.31 |
$89.31 |
$89.31 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$2,624.09 |
$2,624.09 |
$2,624.09 |
$28,894.71
|
|
Graft viashield 2layer amnion patch 2x2cm-cost per sq cm
|
$913.25 |
$913.25 |
$913.25 |
$1.00
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$480.03 |
$480.03 |
$480.03 |
$1,103.05
|
|
Graft xenmtrx sft rect 15x20cm
|
$39,241.14 |
$39,241.14 |
$39,241.14 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$26,268.04 |
$26,268.04 |
$26,268.04 |
$2,905.40
|
|
Granisetron hcl injection
|
$46.00 |
$46.00 |
$46.00 |
$45.03
|
|
Guide endoanchr sg-64 aaa 62cm
|
$3,919.83 |
$3,919.83 |
$3,919.83 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$7,046.99 |
$7,046.99 |
$7,046.99 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,150.70 |
$1,150.70 |
$1,150.70 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$15,124.43 |
$15,124.43 |
$15,124.43 |
$6,893.38
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$3.65 |
$3.65 |
$3.65 |
$24.30
|
|
Handpiece aquabeam hp2000
|
$22,886.61 |
$22,886.61 |
$22,886.61 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$198.00 |
$198.00 |
$198.00 |
$105.30
|
|
Hand X-ray
|
$470.00 |
$470.00 |
$470.00 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$363.00 |
$363.00 |
$363.00 |
$294.90
|
|
Haptoglobin quantitative
|
$194.00 |
$194.00 |
$194.00 |
$92.80
|
|
Hcg qualitative
|
$131.00 |
$131.00 |
$131.00 |
$90.10
|
|
Hcg quantitative
|
$168.00 |
$168.00 |
$168.00 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$1,818.96
|
|
Head CT scan (without contrast)
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$423.00 |
$423.00 |
$423.00 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$123.00 |
$123.00 |
$123.00 |
$92.00
|
|
Hematocrit
|
$983.00 |
$983.00 |
$983.00 |
$33.80
|
|
Hemin 350 mg intravenous powder for solution
|
$34,281.50 |
$34,281.50 |
$34,281.50 |
$20,618.46
|
|
Hemoglobin
|
$750.00 |
$750.00 |
$750.00 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$198.00 |
$198.00 |
$198.00 |
$51.75
|
