|
Ghs insertion of needle - bone
|
$551.00 |
$551.00 |
$551.00 |
$431.28
|
|
Ghs musc test done w/n test comp
|
$712.00 |
$712.00 |
$712.00 |
$331.20
|
|
Ghs nailbed repair/nail removal
|
$13,952.85 |
$13,952.85 |
$13,952.85 |
$724.37
|
|
Ghs nerve block celiac plexus
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$1,661.40
|
|
Ghs o2 saturation
|
$86.00 |
$86.00 |
$86.00 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$10,978.00 |
$10,978.00 |
$10,978.00 |
$1,236.67
|
|
Ghs picc line insert < 5
|
$5,648.00 |
$5,648.00 |
$5,648.00 |
$2,019.50
|
|
Ghs strapping shoulder - 29240
|
$347.00 |
$347.00 |
$347.00 |
$217.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$192.00 |
$192.00 |
$192.00 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$860.00 |
$860.00 |
$860.00 |
$360.80
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,891.00 |
$3,891.00 |
$3,891.00 |
$2,215.20
|
|
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
|
$172.00 |
$172.00 |
$172.00 |
$49.00
|
|
Glucose blood quantitative
|
$120.00 |
$120.00 |
$120.00 |
$42.25
|
|
Glucose body fluid
|
$119.00 |
$119.00 |
$119.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$114.00 |
$114.00 |
$114.00 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$76.00 |
$76.00 |
$76.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$31,106.81 |
$31,106.81 |
$31,106.81 |
$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)
|
$242.00 |
$242.00 |
$242.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$232.00 |
$232.00 |
$232.00 |
$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
|
$143.60 |
$143.60 |
$143.60 |
$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
|
$612.24 |
$612.24 |
$612.24 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$756.96 |
$756.96 |
$756.96 |
$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
|
|
Granulocyte pheresis ea unit
|
$703.00 |
$703.00 |
$703.00 |
$2,698.02
|
|
Grfg autol fat lipo 50 cc/<
|
$33,546.03 |
$33,546.03 |
$33,546.03 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$33,546.03 |
$33,546.03 |
$33,546.03 |
$4,026.40
|
|
G-tube reposition
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$2,911.00 |
$2,911.00 |
$2,911.00 |
$1,372.15
|
|
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)
|
$179.00 |
$179.00 |
$179.00 |
$105.30
|
|
Hand X-ray
|
$935.00 |
$935.00 |
$935.00 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$479.00 |
$479.00 |
$479.00 |
$294.90
|
|
Haptoglobin quantitative
|
$294.00 |
$294.00 |
$294.00 |
$92.80
|
|
Hcg qualitative
|
$232.00 |
$232.00 |
$232.00 |
$90.10
|
|
Hcg quantitative
|
$369.00 |
$369.00 |
$369.00 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$3,602.00 |
$3,602.00 |
$3,602.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$3,708.00 |
$3,708.00 |
$3,708.00 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$3,530.00 |
$3,530.00 |
$3,530.00 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$690.00 |
$690.00 |
$690.00 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$139.00 |
$139.00 |
$139.00 |
$92.00
|
|
Hematocrit
|
$33,846.55 |
$33,846.55 |
$33,846.55 |
$33.80
|
|
Hemin 350 mg intravenous powder for solution
|
$34,281.50 |
$34,281.50 |
$34,281.50 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$2,657.00 |
$2,657.00 |
$2,657.00 |
$1,364.27
|
|
Hemodialysis repeated eval
|
$3,039.00 |
$3,039.00 |
$3,039.00 |
$1,209.60
|
|
Hemoglobin
|
$33,111.77 |
$33,111.77 |
$33,111.77 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$305.00 |
$305.00 |
$305.00 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$236.00 |
$236.00 |
$236.00 |
$52.32
|
|
Hemoglobin plasma
|
$131.00 |
$131.00 |
$131.00 |
$41.40
|
|
Heparin assay
|
$155.00 |
$155.00 |
$155.00 |
$139.15
|
|
Heparin bolus from bag
|
$45.00 |
$45.00 |
$45.00 |
$66.06
|
|
Heparin neutralization
|
$120.00 |
$120.00 |
$120.00 |
$37.10
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$3.00 |
$3.00 |
$3.00 |
$12.00
|
|
Hepatitis a antibody igm
|
$208.00 |
$208.00 |
$208.00 |
$89.44
|
|
Hepatitis b core antibody igm
|
$244.00 |
$244.00 |
$244.00 |
$89.60
|
|
Hepatitis b core antibody total
|
$143.00 |
$143.00 |
$143.00 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$387.75 |
$387.75 |
$387.75 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$216.00 |
$216.00 |
$216.00 |
$82.32
|
|
Hepatitis c antibody
|
$243.00 |
$243.00 |
$243.00 |
$108.25
|
|
Hernia Repair (Inguinal)
|
$27,748.96 |
$27,748.96 |
$27,748.96 |
$6,906.90
|
|
Herpes simplex type 1 antibody igg
|
$124.00 |
$124.00 |
$124.00 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$106.00 |
$106.00 |
$106.00 |
$87.36
|
|
Heterophile antibodies screening
|
$146.00 |
$146.00 |
$146.00 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$557.00 |
$557.00 |
$557.00 |
$374.40
|
|
Hip and Pelvis X-ray (single view, left side)
|
$461.00 |
$461.00 |
$461.00 |
$233.50
|
|
Hip X-ray
|
$47,217.57 |
$47,217.57 |
$47,217.57 |
$294.75
|
|
Histochemical stains add-on
|
$86.00 |
$86.00 |
$86.00 |
$152.75
|
|
HIV prep, ftc/tdf 200/300mg
|
$1.00 |
$1.00 |
$1.00 |
$31.80
|
|
Hla class i high defin qual
|
$554.00 |
$554.00 |
$554.00 |
$631.15
|
|
Hla class ii high defin qual
|
$554.00 |
$554.00 |
$554.00 |
$569.25
|
|
Hldr trach tb tie ad
|
$1,626.99 |
$1,626.99 |
$1,626.99 |
$940.87
|
|
Holder tube cath-secure nonstrl lf disp
|
$1.20 |
$1.20 |
$1.20 |
$1.94
|
|
Home sleep test/type 4 porta
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$613.60
|
|
Homocysteine
|
$247.00 |
$247.00 |
$247.00 |
$125.40
|
|
Homogenization tissue
|
$100.00 |
$100.00 |
$100.00 |
$41.30
|
|
Human epididymis protein 4 (he4)
|
$282.00 |
$282.00 |
$282.00 |
$157.32
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$1,829.90 |
$1,829.90 |
$1,829.90 |
$5,568.57
|
