|
Glassia injection
|
$40.24 |
$40.24 |
$40.24 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$509.77 |
$509.77 |
$509.77 |
$613.79
|
|
Glucagon plasma - sendout
|
$217.20 |
$217.20 |
$228.60 |
$64.35
|
|
Glucose 1 hr post dose
|
$35.40 |
$35.40 |
$40.20 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$25.80 |
$25.80 |
$29.40 |
$22.80
|
|
Glucose blood quantitative
|
$76.20 |
$76.20 |
$80.40 |
$42.14
|
|
Glucose body fluid
|
$46.80 |
$46.80 |
$49.20 |
$51.12
|
|
Glucose monitoring continual min 72hr pt
|
$171.00 |
$171.00 |
$179.40 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$67.20 |
$67.20 |
$75.00 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$64.20 |
$64.20 |
$67.80 |
$36.00
|
|
Gold sodium thiomaleate inj
|
$62.81 |
$62.81 |
$62.81 |
$27.20
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$914.85 |
$914.85 |
$3,570.58 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$101.40 |
$101.40 |
$106.80 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$102.60 |
$102.60 |
$114.60 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$4,289.09 |
$4,289.09 |
$5,489.50 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,391.60 |
$2,391.60 |
$2,868.60 |
$73.83
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$31,054.80 |
$31,054.80 |
$31,054.80 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$26,257.80 |
$26,257.80 |
$26,257.80 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$10,269.00 |
$10,269.00 |
$10,371.60 |
$29,289.67
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$3,762.00 |
$3,762.00 |
$3,950.40 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$11,542.80 |
$11,542.80 |
$11,542.80 |
$886.17
|
|
Graft repair of spine defect 63710
|
$1,956.60 |
$1,956.60 |
$2,054.40 |
$2,054.40
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$2,767.80 |
$2,767.80 |
$6,142.80 |
$1,132.47
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,983.00 |
$4,983.00 |
$5,232.60 |
$1,114.96
|
|
Graft xenmtrx sft rect 15x20cm
|
$27,657.00 |
$27,657.00 |
$53,325.60 |
$29,113.43
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,876.40 |
$5,876.40 |
$5,876.40 |
$2,923.86
|
|
Granisetron 1 mg tab
|
$94.60 |
$94.60 |
$94.60 |
$53.15
|
|
Granisetron hcl injection
|
$300.53 |
$300.53 |
$300.53 |
$45.03
|
|
Great toe with reduction 28495
|
$322.20 |
$322.20 |
$338.40 |
$495.00
|
|
Grfg autol fat lipo 25 cc/<
|
$930.00 |
$930.00 |
$930.00 |
$5,110.00
|
|
Grfg autol fat lipo 50 cc/<
|
$907.20 |
$907.20 |
$907.20 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$291.00 |
$291.00 |
$291.00 |
$4,026.40
|
|
Group mnt 2 or more 30 mins
|
$37.80 |
$37.80 |
$39.60 |
$43.12
|
|
Growth hormone antibody
|
$73.20 |
$73.20 |
$81.60 |
$72.81
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$3,432.60 |
$3,432.60 |
$3,604.20 |
$3,604.20
|
|
Gstrst open wo constj tube
|
$1,252.80 |
$1,252.80 |
$1,315.20 |
$2,756.00
|
|
G-tube reposition
|
$313.20 |
$313.20 |
$361.80 |
$760.80
|
|
Gu dilat ureter/urethra s&i
|
$4,414.20 |
$4,414.20 |
$4,820.40 |
$2,057.58
|
|
Guided cath fluid drainage 10030
|
$704.40 |
$704.40 |
$739.80 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$4,200.60 |
$4,200.60 |
$4,200.60 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$4,939.20 |
$4,939.20 |
$4,939.20 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$695.40 |
$695.40 |
$695.40 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$264.60 |
$264.60 |
$289.20 |
$535.60
|
|
Gw stiffened micro access kit
|
$370.80 |
$370.80 |
$1,428.60 |
$6,836.20
|
|
Gynecomastia (males) 19300
|
$926.40 |
$926.40 |
$972.60 |
$3,735.20
|
|
Hair removal by electrolysis 17380
|
$107.40 |
$107.40 |
$112.80 |
$849.50
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$103.60 |
$103.60 |
$187.24 |
$90.97
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$32.08 |
$32.08 |
$32.08 |
$24.25
|
|
Hand-held pefr meter a4614
|
$2.40 |
$2.40 |
$2.40 |
$26.40
|
|
Handle/convey/speciman/office-lab 99000
|
$66.60 |
$66.60 |
$70.20 |
$23.40
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$72.00 |
$72.00 |
$75.60 |
$115.00
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$79.80 |
$79.80 |
$92.40 |
$105.30
|
|
Hand X-ray
|
$242.40 |
$242.40 |
$264.60 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$192.60 |
$192.60 |
$210.60 |
$294.90
|
|
Haptoglobin quantitative
|
$116.40 |
$116.40 |
$130.20 |
$92.64
|
|
Harvest cultured skin graft 15040
|
$461.40 |
$461.40 |
$484.20 |
$2,164.64
|
|
Harvest femoropopliteal vein 35572
|
$655.20 |
$655.20 |
$688.20 |
$844.00
|
|
Harvest vein for bypass 35500
|
$470.40 |
$470.40 |
$493.80 |
$780.00
|
|
Hbot, full body chamber, 30m
|
$262.20 |
$262.20 |
$317.40 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$574.80 |
$574.80 |
$627.60 |
$726.00
|
|
Hcg qualitative
|
$62.40 |
$62.40 |
$69.60 |
$89.60
|
|
Hcg quantitative
|
$157.20 |
$157.20 |
$165.60 |
$137.70
|
|
Hc hearing aid chck binaurl
|
$59.40 |
$59.40 |
$62.40 |
$78.40
|
|
Hc hearing aid chck monarl
|
$39.60 |
$39.60 |
$42.00 |
$48.75
|
|
Hc hearing aid exam both ears
|
$118.80 |
$118.80 |
$132.60 |
$175.20
|
|
Hc hearing aid exam one ear
|
$79.20 |
$79.20 |
$88.20 |
$150.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$306.00 |
$306.00 |
$321.60 |
$113.12
|
|
Hc metata joint dislocation anes
|
$248.40 |
$248.40 |
$248.40 |
$2,383.09
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$1,000.20 |
$1,000.20 |
$1,000.20 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$606.60 |
$606.60 |
$606.60 |
$840.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$939.60 |
$939.60 |
$939.60 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$116.40 |
$116.40 |
$116.40 |
$562.25
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$581.40 |
$581.40 |
$581.40 |
$845.60
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$842.40 |
$842.40 |
$919.80 |
$1,070.00
|
|
Hc nm fusion spect CT unlisted
|
$167.40 |
$167.40 |
$233.40 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$636.60 |
$636.60 |
$695.40 |
$865.60
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,086.60 |
$1,086.60 |
$1,186.80 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,018.40 |
$2,018.40 |
$2,204.40 |
$3,958.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$202.80 |
$202.80 |
$202.80 |
$3,780.00
|
|
Head CT scan (with and without contrast)
|
$1,342.80 |
$1,342.80 |
$1,509.00 |
$1,822.95
|
|
Head CT scan (with contrast)
|
$1,124.40 |
$1,124.40 |
$1,263.60 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,066.80 |
$1,066.80 |
$1,198.80 |
$1,268.90
|
|
Heart infarct image
|
$486.60 |
$486.60 |
$531.60 |
$942.29
|
|
Heart tmr w/other procedure 33141
|
$345.00 |
$345.00 |
$362.40 |
$322.40
|
|
Heel (Calcaneus) X-ray (both feet)
|
$237.00 |
$237.00 |
$259.20 |
$276.45
|
|
Helicobacter pylori antibody igm
|
$174.60 |
$174.60 |
$194.40 |
$92.23
|
|
Hematocrit
|
$25.20 |
$25.20 |
$28.80 |
$33.60
|
|
Hematopoietic nuclear tx
|
$736.80 |
$736.80 |
$804.60 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$8,881.19 |
$8,881.19 |
$8,881.19 |
$20,618.46
|
|
Hemoglobin
|
$25.20 |
$25.20 |
$28.80 |
$33.02
|
|
Hemoglobin fetal qualitative
|
$27.60 |
$27.60 |
$31.20 |
$51.00
|
|
Hemoglobin methemoglobin quantitative
|
$68.40 |
$68.40 |
$76.80 |
$52.32
|
|
Hemoglobin plasma
|
$61.20 |
$61.20 |
$68.40 |
$41.40
|
|
Hemolysins and agglutinins incubated
|
$103.80 |
$103.80 |
$115.80 |
$61.79
|
|
Hemorrhoidectomy intern transanal deater 2+ 46948
|
$685.20 |
$685.20 |
$719.40 |
$3,986.00
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$477.60 |
$477.60 |
$501.60 |
$1,178.02
|
|
Hemorrhoidopexy stapling 46947
|
$684.60 |
$684.60 |
$718.80 |
$3,816.64
|
|
Heparin assay
|
$129.60 |
$129.60 |
$136.20 |
$138.84
|
|
Heparin bolus from bag
|
$84.16 |
$84.16 |
$84.16 |
$65.92
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$33.24 |
$33.24 |
$33.24 |
$11.77
|
