|
Glycopyrrolate 0.2 mg/ml injection solution
|
$72.24 |
$72.24 |
$72.24 |
$37.40
|
|
Gold sodium thiomaleate inj
|
$27.20 |
$27.20 |
$27.20 |
$27.20
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$64.38 |
$64.38 |
$64.38 |
$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
|
$1,880.82 |
$1,880.82 |
$1,880.82 |
$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 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
|
$104.00 |
$104.00 |
$104.00 |
$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
|
$277.60 |
$277.60 |
$277.60 |
$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
|
$1,649.42 |
$1,649.42 |
$1,649.42 |
$29,113.43
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,876.52 |
$3,876.52 |
$3,876.52 |
$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
|
$28.86 |
$28.86 |
$28.86 |
$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
|
$304.00 |
$304.00 |
$304.00 |
$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
|
$248.66 |
$248.66 |
$248.66 |
$3,284.36
|
|
Guid loc target vol rad tx
|
$216.00 |
$216.00 |
$216.00 |
$535.60
|
|
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
|
$79.60 |
$79.60 |
$79.60 |
$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)
|
$140.04 |
$140.04 |
$140.04 |
$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
|
$295.63 |
$295.63 |
$295.63 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$251.48 |
$251.48 |
$251.48 |
$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
|
|
Harvest cultured skin graft 15040
|
$636.80 |
$636.80 |
$636.80 |
$2,164.64
|
|
Harvest eye tissue alograft
|
$2,044.80 |
$2,044.80 |
$2,044.80 |
$2,760.73
|
|
Harvest femoropopliteal vein 35572
|
$844.00 |
$844.00 |
$844.00 |
$844.00
|
|
Harvest vein for bypass 35500
|
$780.00 |
$780.00 |
$780.00 |
$780.00
|
|
Hast w/i&r phys/qhp
|
$113.60 |
$113.60 |
$113.60 |
$301.95
|
|
Hast w/oxygen titrate
|
$156.00 |
$156.00 |
$156.00 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$404.80 |
$404.80 |
$404.80 |
$403.25
|
|
Hba1/hba2 gene fam vrnt
|
$751.20 |
$751.20 |
$751.20 |
$568.65
|
|
Hbb full gene sequence
|
$649.60 |
$649.60 |
$649.60 |
$633.25
|
|
Hbb gene com variants
|
$350.40 |
$350.40 |
$350.40 |
$345.95
|
|
Hbb gene dup/del variants
|
$404.80 |
$404.80 |
$404.80 |
$404.80
|
|
Hbb gene known fam variant
|
$751.20 |
$751.20 |
$751.20 |
$751.20
|
|
Hb glycosylated a1c home dev
|
$33.57 |
$33.57 |
$33.57 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$309.60 |
$309.60 |
$309.60 |
$526.90
|
|
Hc ea ha check monaural
|
$45.60 |
$45.60 |
$45.60 |
$57.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$913.60 |
$913.60 |
$913.60 |
$726.00
|
|
Hcg free betachain test
|
$64.28 |
$64.28 |
$64.28 |
$64.74
|
|
Hcg qualitative
|
$33.57 |
$33.57 |
$33.57 |
$89.60
|
|
Hcg quantitative
|
$55.00 |
$55.00 |
$55.00 |
$137.70
|
|
Hc hearing aid chck binaurl
|
$78.40 |
$78.40 |
$78.40 |
$78.40
|
|
Hc hearing aid chck monarl
|
$48.00 |
$48.00 |
$48.00 |
$48.75
|
|
Hc hearing aid exam both ears
|
$175.20 |
$175.20 |
$175.20 |
$175.20
|
|
Hc hearing aid exam one ear
|
$175.20 |
$175.20 |
$175.20 |
$150.00
|
|
Hc metata joint dislocation anes
|
$436.80 |
$436.80 |
$436.80 |
$2,383.09
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$978.40 |
$978.40 |
$978.40 |
$840.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$1,531.20 |
$1,531.20 |
$1,531.20 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$192.80 |
$192.80 |
$192.80 |
$562.25
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$935.20 |
$935.20 |
$935.20 |
$845.60
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,170.52 |
$1,170.52 |
$1,170.52 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$464.80 |
$464.80 |
$464.80 |
$865.60
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$509.60 |
$509.60 |
$509.60 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,528.80 |
$2,528.80 |
$2,528.80 |
$3,958.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$332.00 |
$332.00 |
$332.00 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$629.60 |
$629.60 |
$629.60 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,640.80 |
$1,640.80 |
$1,640.80 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$449.60 |
$449.60 |
$449.60 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$657.60 |
$657.60 |
$657.60 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$2,276.88 |
$2,276.88 |
$2,276.88 |
$1,822.95
|
