|
Ghs sp train/fitting sp device - kx
|
$316.80 |
$316.80 |
$316.80 |
$252.75
|
|
Ghs superficial wnd dehiscence simp12020
|
$736.00 |
$736.00 |
$736.00 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$620.80 |
$620.80 |
$620.80 |
$695.93
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,379.20 |
$2,379.20 |
$2,379.20 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$487.20 |
$487.20 |
$487.20 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$467.20 |
$467.20 |
$467.20 |
$513.80
|
|
Ghs urine, porphyrins quant
|
$50.40 |
$50.40 |
$50.40 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,452.80 |
$3,452.80 |
$3,452.80 |
$3,341.93
|
|
Ghs windowing of cast
|
$219.20 |
$219.20 |
$219.20 |
$212.55
|
|
Giardia lamblia antibody
|
$112.80 |
$112.80 |
$112.80 |
$83.44
|
|
Gi inhouse confirmation
|
$50.40 |
$50.40 |
$50.40 |
$87.75
|
|
Glove finger flexion right lg xl
|
$96.80 |
$96.80 |
$96.80 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$316.80 |
$316.80 |
$316.80 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$246.10 |
$246.10 |
$246.10 |
$491.67
|
|
Glucose 1 hr post dose
|
$36.00 |
$36.00 |
$36.00 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$28.80 |
$28.80 |
$28.80 |
$23.12
|
|
Glucose blood quantitative
|
$48.80 |
$48.80 |
$48.80 |
$42.25
|
|
Glucose body fluid
|
$37.60 |
$37.60 |
$37.60 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$99.20 |
$99.20 |
$99.20 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$31.20 |
$31.20 |
$31.20 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$64.84 |
$64.84 |
$64.84 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,142.82 |
$2,142.82 |
$2,142.82 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$135.20 |
$135.20 |
$135.20 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$135.20 |
$135.20 |
$135.20 |
$129.03
|
|
Graft axiofill 1000mg
|
$2,763.61 |
$2,763.61 |
$2,763.61 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$83.84 |
$83.84 |
$83.84 |
$23,233.80
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$695.20 |
$695.20 |
$695.20 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$4,860.80 |
$4,860.80 |
$4,860.80 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$403.20 |
$403.20 |
$403.20 |
$2,905.40
|
|
Granisetron hcl injection
|
$74.97 |
$74.97 |
$74.97 |
$45.03
|
|
Great toe with reduction 28495
|
$481.60 |
$481.60 |
$481.60 |
$495.00
|
|
Group train without patient
|
$52.00 |
$52.00 |
$52.00 |
$47.60
|
|
Guide wire threaded 1.4x150mm
|
$704.00 |
$704.00 |
$704.00 |
$3,284.36
|
|
Gw stiffened micro access kit
|
$314.40 |
$314.40 |
$314.40 |
$6,893.38
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$64.76 |
$64.76 |
$64.76 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$128.00 |
$128.00 |
$128.00 |
$105.30
|
|
Hand X-ray
|
$346.40 |
$346.40 |
$346.40 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$312.00 |
$312.00 |
$312.00 |
$294.90
|
|
Haptoglobin quantitative
|
$100.80 |
$100.80 |
$100.80 |
$92.80
|
|
Hcg qualitative
|
$61.60 |
$61.60 |
$61.60 |
$90.10
|
|
Hcg quantitative
|
$108.80 |
$108.80 |
$108.80 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,455.20 |
$2,455.20 |
$2,455.20 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,536.00 |
$2,536.00 |
$2,536.00 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$284.80 |
$284.80 |
$284.80 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$108.00 |
$108.00 |
$108.00 |
$92.00
|
|
Hematocrit
|
$19.20 |
$19.20 |
$19.20 |
$33.80
|
|
Hemoglobin
|
$20.80 |
$20.80 |
$20.80 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$89.60 |
$89.60 |
$89.60 |
$52.32
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$1,178.02
|
|
Heparin assay
|
$235.20 |
$235.20 |
$235.20 |
$139.15
|
|
Heparin bolus from bag
|
$97.79 |
$97.79 |
$97.79 |
$66.06
|
|
Hepatitis a antibody igm
|
$90.40 |
$90.40 |
$90.40 |
$89.44
|
|
Hepatitis b core antibody igm
|
$89.60 |
$89.60 |
$89.60 |
$89.60
|
|
Hepatitis b core antibody total
|
$90.40 |
$90.40 |
$90.40 |
$77.50
|
|
Hepatitis b surface antibody
|
$86.40 |
$86.40 |
$86.40 |
$82.32
|
|
Hepatitis c antibody
|
$135.20 |
$135.20 |
$135.20 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$113.60 |
$113.60 |
$113.60 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$116.80 |
$116.80 |
$116.80 |
$87.36
|
|
Heterophile antibodies screening
|
$49.60 |
$49.60 |
$49.60 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$439.20 |
$439.20 |
$439.20 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$499.20 |
$499.20 |
$499.20 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$272.80 |
$272.80 |
$272.80 |
$233.50
|
|
Hip X-ray
|
$352.00 |
$352.00 |
$352.00 |
$294.75
|
|
Histamine
|
$130.40 |
$130.40 |
$130.40 |
$115.00
|
|
Home sleep test/type 3 porta
|
$670.40 |
$670.40 |
$670.40 |
$570.00
|
|
Homocysteine
|
$96.00 |
$96.00 |
$96.00 |
$125.40
|
|
Homovanillic acid (hva)
|
$68.80 |
$68.80 |
$68.80 |
$59.95
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$89.61 |
$89.61 |
$89.61 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$63.64 |
$63.64 |
$63.64 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$85.22 |
$85.22 |
$85.22 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$60.37 |
$60.37 |
$60.37 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$189.40 |
$189.40 |
$189.40 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$60.29 |
$60.29 |
$60.29 |
$72.65
|
|
Hysterosalpingography s&i
|
$897.60 |
$897.60 |
$897.60 |
$669.12
|
|
I-123 sod iodide diag per 100 uci
|
$224.80 |
$224.80 |
$224.80 |
$147.46
|
|
Iaadi respiratory synctial virus
|
$68.00 |
$68.00 |
$68.00 |
$54.58
|
|
Ihc/icc per specimen each additional single antibody stain
|
$280.80 |
$280.80 |
$280.80 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$644.80 |
$644.80 |
$644.80 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$351.20 |
$351.20 |
$351.20 |
$277.90
|
|
Immobilizer shldr cntor adlt
|
$81.60 |
$81.60 |
$81.60 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$131.20 |
$131.20 |
$131.20 |
$118.43
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,359.52 |
$3,359.52 |
$3,359.52 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$101.60 |
$101.60 |
$101.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$101.60 |
$101.60 |
$101.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$69.60 |
$69.60 |
$69.60 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$166.40 |
$166.40 |
$166.40 |
$142.50
|
|
In-111 pentetate dtpa / 0.5 mci
|
$5,174.40 |
$5,174.40 |
$5,174.40 |
$2,598.17
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,856.80 |
$2,856.80 |
$2,856.80 |
$2,086.70
|
|
Incision of breast lesion
|
$2,817.60 |
$2,817.60 |
$2,817.60 |
$2,577.85
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$175.20 |
$175.20 |
$175.20 |
$140.80
|
|
Infect ag eia influenza a or b ea
|
$93.60 |
$93.60 |
$93.60 |
$71.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$859.20 |
$859.20 |
$859.20 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$71.20 |
$71.20 |
$71.20 |
$72.93
|
|
Infect ag if influenza a
|
$74.40 |
$74.40 |
$74.40 |
$41.30
|
|
Infect ag if influenza b
|
$72.00 |
$72.00 |
$72.00 |
$37.95
|
|
Infect ag if nos ea
|
$96.80 |
$96.80 |
$96.80 |
$74.88
|
|
Infect ag na hpv high-risk types
|
$175.20 |
$175.20 |
$175.20 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$248.80 |
$248.80 |
$248.80 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$145.60 |
$145.60 |
$145.60 |
$100.00
|
