|
Ghs urine, hydroxproline total
|
$61.60 |
$61.60 |
$61.60 |
$109.20
|
|
Ghs urine, porphyrins quant
|
$64.28 |
$64.28 |
$64.28 |
$73.80
|
|
Ghs vaginal delivery only
|
$5,598.74 |
$5,598.74 |
$5,598.74 |
$3,341.93
|
|
Ghs windowing of cast
|
$152.00 |
$152.00 |
$152.00 |
$212.55
|
|
Giardia ag if
|
$38.58 |
$38.58 |
$38.58 |
$38.58
|
|
Giardia lamblia antibody
|
$48.57 |
$48.57 |
$48.57 |
$83.44
|
|
Gi endoscopic ultrasound
|
$415.20 |
$415.20 |
$415.20 |
$582.31
|
|
Gi inhouse confirmation
|
$38.58 |
$38.58 |
$38.58 |
$87.20
|
|
Gingivoplasty each quadrant
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$4,296.60
|
|
Gi protein loss
|
$700.00 |
$700.00 |
$700.00 |
$700.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,981.60 |
$1,981.60 |
$1,981.60 |
$2,222.40
|
|
Gi trc img intral colon i&r
|
$2,124.80 |
$2,124.80 |
$2,124.80 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$1,844.80 |
$1,844.80 |
$1,844.80 |
$1,897.82
|
|
Gi wireless capsule measure
|
$3,660.00 |
$3,660.00 |
$3,660.00 |
$1,579.30
|
|
Gjb2 gene full sequence
|
$202.40 |
$202.40 |
$202.40 |
$502.80
|
|
Glassia injection
|
$10.48 |
$10.48 |
$10.48 |
$20.32
|
|
Glaucoma scrn hgh risk direc
|
$115.20 |
$115.20 |
$115.20 |
$116.17
|
|
Glaucoma scrn hgh risk direc
|
$88.00 |
$88.00 |
$88.00 |
$88.00
|
|
Glaucoma surgery
|
$4,344.00 |
$4,344.00 |
$4,344.00 |
$4,760.49
|
|
Glaucoma surgery
|
$4,340.80 |
$4,340.80 |
$4,340.80 |
$4,340.80
|
|
Glaucoma surgery
|
$4,896.00 |
$4,896.00 |
$4,896.00 |
$4,684.00
|
|
Glaucoma surgery
|
$5,425.60 |
$5,425.60 |
$5,425.60 |
$4,786.53
|
|
Glove finger flexion right lg xl
|
$259.20 |
$259.20 |
$259.20 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$344.56 |
$344.56 |
$344.56 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$474.32 |
$474.32 |
$474.32 |
$491.67
|
|
Glucagon plasma - sendout
|
$55.00 |
$55.00 |
$55.00 |
$64.35
|
|
Glucagon tolerance panel
|
$116.00 |
$116.00 |
$116.00 |
$115.70
|
|
Glucagon tolerance panel
|
$127.20 |
$127.20 |
$127.20 |
$69.69
|
|
Glucagon tolerance test
|
$36.00 |
$36.00 |
$36.00 |
$36.00
|
|
Glucose 1 hr post dose
|
$33.57 |
$33.57 |
$33.57 |
$48.25
|
|
Glucose-6-phosphate dhydrogenase screen
|
$33.57 |
$33.57 |
$33.57 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$33.57 |
$33.57 |
$33.57 |
$22.80
|
|
Glucose blood quantitative
|
$33.57 |
$33.57 |
$33.57 |
$42.14
|
|
Glucose body fluid
|
$33.57 |
$33.57 |
$33.57 |
$51.12
|
|
Glucose monitoring continual min 72hr pt
|
$138.87 |
$138.87 |
$138.87 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$64.28 |
$64.28 |
$64.28 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$33.57 |
$33.57 |
$33.57 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$42.56 |
$42.56 |
$42.56 |
$37.40
|
|
Gold sodium thiomaleate inj
|
$27.20 |
$27.20 |
$27.20 |
$27.20
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$64.44 |
$64.44 |
$64.44 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$55.00 |
$55.00 |
$55.00 |
$116.64
|
|
Gonadotropin hormone panel
|
$372.80 |
$372.80 |
$372.80 |
$372.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$55.00 |
$55.00 |
$55.00 |
$129.00
|
|
Gonioscopy
|
$58.40 |
$58.40 |
$58.40 |
$135.52
|
|
Goniotomy
|
$3,884.80 |
$3,884.80 |
$3,884.80 |
$4,396.50
|
|
Goserelin 10.8 mg subcutaneous implant
|
$667.20 |
$667.20 |
$667.20 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$61.60 |
$61.60 |
$61.60 |
$73.83
|
|
Graft hand or finger tendon
|
$2,196.80 |
$2,196.80 |
$2,196.80 |
$3,839.54
|
|
Graft nerve adv 3-4x70mm
|
$4,573.82 |
$4,573.82 |
$4,573.82 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$2,957.23 |
$2,957.23 |
$2,957.23 |
$29,289.67
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$76.00 |
$76.00 |
$76.00 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$464.36 |
$464.36 |
$464.36 |
$886.17
|
|
Graft repair of spine defect 63710
|
$2,615.20 |
$2,615.20 |
$2,615.20 |
$2,054.40
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$535.80 |
$535.80 |
$535.80 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$97.60 |
$97.60 |
$97.60 |
$349.41
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$326.40 |
$326.40 |
$326.40 |
$1,114.96
|
|
Graft xenmtrx sft rect 15x20cm
|
$4,049.78 |
$4,049.78 |
$4,049.78 |
$29,113.43
|
|
Graft xenmtrx sft rect 19x28cm
|
$190.42 |
$190.42 |
$190.42 |
$2,923.86
|
|
Great toe with reduction 28495
|
$883.20 |
$883.20 |
$883.20 |
$495.00
|
|
Grfg autol fat lipo 50 cc/<
|
$1,417.60 |
$1,417.60 |
$1,417.60 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$448.00 |
$448.00 |
$448.00 |
$4,026.40
|
|
Grfg autol soft tiss dir exc
|
$1,188.80 |
$1,188.80 |
$1,188.80 |
$4,562.50
|
|
Group behave couns 2-10
|
$65.84 |
$65.84 |
$65.84 |
$94.87
|
|
Group health education
|
$115.20 |
$115.20 |
$115.20 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$37.60 |
$37.60 |
$37.60 |
$43.12
|
|
Growth hormone antibody
|
$40.00 |
$40.00 |
$40.00 |
$72.81
|
|
Growth hormone panel
|
$168.00 |
$168.00 |
$168.00 |
$168.00
|
|
Growth hormone panel
|
$259.20 |
$259.20 |
$259.20 |
$259.20
|
|
Growth stimulation gene 2
|
$151.20 |
$151.20 |
$151.20 |
$180.50
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$4,717.60 |
$4,717.60 |
$4,717.60 |
$3,604.20
|
|
Gstr rstcv oth/thn v-band
|
$3,141.60 |
$3,141.60 |
$3,141.60 |
$3,141.60
|
|
Gstr rstcv px shrt roux-en-y
|
$3,987.20 |
$3,987.20 |
$3,987.20 |
$3,987.20
|
|
Gstr rstcv px sm int rcnstj
|
$4,424.00 |
$4,424.00 |
$4,424.00 |
$4,424.00
|
|
Gstr rstcv px v-banded gstp
|
$2,956.00 |
$2,956.00 |
$2,956.00 |
$2,917.60
|
|
Gstrst open wo constj tube
|
$1,722.40 |
$1,722.40 |
$1,722.40 |
$2,756.00
|
|
G-tube reposition
|
$330.25 |
$330.25 |
$330.25 |
$760.80
|
|
Gu dilat ureter/urethra s&i
|
$231.20 |
$231.20 |
$231.20 |
$2,057.58
|
|
Guided cath fluid drainage 10030
|
$1,507.20 |
$1,507.20 |
$1,507.20 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$297.76 |
$297.76 |
$297.76 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$129.80 |
$129.80 |
$129.80 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$333.56 |
$333.56 |
$333.56 |
$535.60
|
|
Gw stiffened micro access kit
|
$133.84 |
$133.84 |
$133.84 |
$6,836.20
|
|
Gynecomastia (males) 19300
|
$2,684.80 |
$2,684.80 |
$2,684.80 |
$3,735.20
|
|
Hair analysis
|
$60.80 |
$60.80 |
$60.80 |
$6.83
|
|
Hair removal by electrolysis 17380
|
$184.80 |
$184.80 |
$184.80 |
$849.50
|
|
Hair trnspl 1-15 punch grfts
|
$908.00 |
$908.00 |
$908.00 |
$908.00
|
|
Hair trnspl >15 punch grafts
|
$1,244.80 |
$1,244.80 |
$1,244.80 |
$1,108.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$22.40 |
$22.40 |
$22.40 |
$90.97
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$71.44 |
$71.44 |
$71.44 |
$24.25
|
|
Hand-held pefr meter a4614
|
$67.20 |
$67.20 |
$67.20 |
$26.40
|
|
Handle/convey/speciman/office-lab 99000
|
$18.57 |
$18.57 |
$18.57 |
$23.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$107.32 |
$107.32 |
$107.32 |
$105.30
|
|
Hand tendon/muscle transfer
|
$1,992.80 |
$1,992.80 |
$1,992.80 |
$3,839.54
|
|
Hand tendon reconstruction
|
$1,561.60 |
$1,561.60 |
$1,561.60 |
$5,023.20
|
|
Hand tendon reconstruction
|
$1,776.80 |
$1,776.80 |
$1,776.80 |
$4,498.52
|
|
Hand X-ray
|
$224.98 |
$224.98 |
$224.98 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$164.11 |
$164.11 |
$164.11 |
$294.90
|
|
Haptoglobin quantitative
|
$64.28 |
$64.28 |
$64.28 |
$92.64
|
|
Harvest allogeneic stem cell
|
$217.60 |
$217.60 |
$217.60 |
$3,766.50
|
|
Harvest auto stem cells
|
$216.80 |
$216.80 |
$216.80 |
$3,624.31
|
