|
Ghs pt - work hardening/int 2hrs
|
$162.50 |
$162.50 |
$162.50 |
$233.70
|
|
Ghs quinidine
|
$117.11 |
$117.11 |
$117.11 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$203.24 |
$203.24 |
$203.24 |
$320.00
|
|
Ghs removal pharyngeal foreign body
|
$329.25 |
$329.25 |
$329.25 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,089.56 |
$1,089.56 |
$1,089.56 |
$2,055.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,059.43 |
$1,059.43 |
$1,059.43 |
$3,839.54
|
|
Ghs respiratory syncytical virus igg/m
|
$100.56 |
$100.56 |
$100.56 |
$42.40
|
|
Ghs reticulocyte count
|
$86.13 |
$86.13 |
$86.13 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$59.40 |
$59.40 |
$59.40 |
$101.15
|
|
Ghs sedimentation rate
|
$48.37 |
$48.37 |
$48.37 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$61.53 |
$61.53 |
$61.53 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$419.62 |
$419.62 |
$419.62 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$303.37 |
$303.37 |
$303.37 |
$652.80
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$381.86 |
$381.86 |
$381.86 |
$625.60
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$332.22 |
$332.22 |
$332.22 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$295.30 |
$295.30 |
$295.30 |
$472.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$419.62 |
$419.62 |
$419.62 |
$447.70
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$495.99 |
$495.99 |
$495.99 |
$510.15
|
|
Ghs simple repair over 30 cm - 12007
|
$594.00 |
$594.00 |
$594.00 |
$620.00
|
|
Ghs simple repair over 30 cm - 12018
|
$709.40 |
$709.40 |
$709.40 |
$452.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$95.89 |
$95.89 |
$95.89 |
$118.20
|
|
Ghs sp train/fitting sp device - kx
|
$177.35 |
$177.35 |
$177.35 |
$249.60
|
|
Ghs strapping shoulder - 29240
|
$103.95 |
$103.95 |
$103.95 |
$240.35
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$49.65 |
$49.65 |
$49.65 |
$90.40
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$250.76 |
$250.76 |
$250.76 |
$342.40
|
|
Ghs superficial wnd dehiscence simp12020
|
$368.71 |
$368.71 |
$368.71 |
$972.40
|
|
Ghs superficial wnd dehis w packing12021
|
$368.71 |
$368.71 |
$368.71 |
$765.68
|
|
Ghs trypsin (fecal)
|
$55.59 |
$55.59 |
$55.59 |
$21.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$540.54 |
$540.54 |
$540.54 |
$562.80
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$586.36 |
$586.36 |
$586.36 |
$628.80
|
|
Ghs urine, porphyrins quant
|
$72.13 |
$72.13 |
$72.13 |
$72.60
|
|
Ghs vaginal delivery only
|
$1,392.07 |
$1,392.07 |
$1,392.07 |
$3,433.76
|
|
Gi inhouse confirmation
|
$99.71 |
$99.71 |
$99.71 |
$83.85
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$920.27 |
$920.27 |
$920.27 |
$2,418.92
|
|
Gi wireless capsule measure
|
$920.27 |
$920.27 |
$920.27 |
$1,247.13
|
|
Glove finger flexion right lg xl
|
$131.53 |
$131.53 |
$131.53 |
$96.51
|
|
Glucagon 1 mg solution for injection
|
$171.65 |
$171.65 |
$171.65 |
$591.50
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$195.49 |
$195.49 |
$195.49 |
$509.06
|
|
Glucagon plasma - sendout
|
$81.04 |
$81.04 |
$81.04 |
$58.00
|
|
Glucose 1 hr post dose
|
$65.77 |
$65.77 |
$65.77 |
$45.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$29.70 |
$29.70 |
$29.70 |
$21.18
|
|
Glucose blood quantitative
|
$68.31 |
$68.31 |
$68.31 |
$44.40
|
|
Glucose body fluid
|
$75.53 |
$75.53 |
$75.53 |
$50.04
|
|
Glucose tolerance test (gtt) 3 specimens
|
$202.81 |
$202.81 |
$202.81 |
$97.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$82.74 |
$82.74 |
$82.74 |
$33.57
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$5,438.33 |
$5,438.33 |
$5,438.33 |
$4,236.56
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$27.58 |
$27.58 |
$27.58 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$18.67 |
$18.67 |
$18.67 |
$124.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,226.56 |
$2,226.56 |
$2,226.56 |
$2,506.56
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$30.98 |
$30.98 |
$30.98 |
$63.51
|
|
Graft axiofill 1000mg
|
$719.16 |
$719.16 |
$719.16 |
$3,111.49
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$65.34 |
$65.34 |
$65.34 |
$827.26
|
|
Graft nerve adv 3-4x70mm
|
$1,651.31 |
$1,651.31 |
$1,651.31 |
$16,281.99
|
|
Graft patch felt ptfe 2x2
|
$7,454.62 |
$7,454.62 |
$7,454.62 |
$16,712.63
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$258.39 |
$258.39 |
$258.39 |
$608.58
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,026.76 |
$1,026.76 |
$1,026.76 |
$886.89
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$33.10 |
$33.10 |
$33.10 |
$336.78
|
|
Graft xenmtrx sft rect 15x20cm
|
$4,003.90 |
$4,003.90 |
$4,003.90 |
$25,824.49
|
|
Graft xenmtrx sft rect 19x28cm
|
$422.16 |
$422.16 |
$422.16 |
$1,928.17
|
|
Granisetron hcl injection
|
$35.58 |
$35.58 |
$35.58 |
$36.78
|
|
Great toe with reduction 28495
|
$365.31 |
$365.31 |
$365.31 |
$577.03
|
|
G-tube reposition
|
$333.07 |
$333.07 |
$333.07 |
$727.35
|
|
Guided cath fluid drainage 10030
|
$1,216.84 |
$1,216.84 |
$1,216.84 |
$1,454.66
|
|
Guide wire threaded 1.4x150mm
|
$252.30 |
$252.30 |
$252.30 |
$1,087.31
|
|
Guide worley csg 9fx50cm std
|
$480.72 |
$480.72 |
$480.72 |
$576.41
|
|
Guid loc target vol rad tx
|
$211.30 |
$211.30 |
$211.30 |
$500.00
|
|
Gw stiffened micro access kit
|
$6,067.22 |
$6,067.22 |
$6,067.22 |
$2,745.36
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$214.53 |
$214.53 |
$214.53 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$24.84 |
$24.84 |
$24.84 |
$27.12
|
|
Handpiece aquabeam hp2000
|
$1,438.32 |
$1,438.32 |
$1,438.32 |
$5,507.21
|
|
Hand X-ray
|
$383.13 |
$383.13 |
$383.13 |
$324.80
|
|
Haptoglobin quantitative
|
$89.95 |
$89.95 |
$89.95 |
$80.24
|
|
Hba1/hba2 full gene sequence
|
$636.43 |
$636.43 |
$636.43 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$257.97 |
$257.97 |
$257.97 |
$404.80
|
|
Hbb gene com variants
|
$208.33 |
$208.33 |
$208.33 |
$228.54
|
|
Hbot, full body chamber, 30m
|
$345.37 |
$345.37 |
$345.37 |
$479.75
|
|
Hcg free betachain test
|
$50.92 |
$50.92 |
$50.92 |
$60.44
|
|
Hcg qualitative
|
$102.68 |
$102.68 |
$102.68 |
$77.50
|
|
Hcg quantitative
|
$130.26 |
$130.26 |
$130.26 |
$124.80
|
|
Head CT scan (with and without contrast)
|
$1,267.33 |
$1,267.33 |
$1,267.33 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$725.53 |
$725.53 |
$725.53 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$967.37 |
$967.37 |
$967.37 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$110.74 |
$110.74 |
$110.74 |
$82.50
|
|
Hematocrit
|
$34.37 |
$34.37 |
$34.37 |
$33.57
|
|
Hemodialysis one evaluation
|
$745.04 |
$745.04 |
$745.04 |
$1,257.76
|
|
Hemoglobin
|
$34.37 |
$34.37 |
$34.37 |
$32.50
|
|
Hemoglobin methemoglobin quantitative
|
$282.15 |
$282.15 |
$282.15 |
$47.49
|
|
Hemoglobin plasma
|
$23.34 |
$23.34 |
$23.34 |
$38.20
|
|
Hemolysins/agglutinins auto
|
$57.28 |
$57.28 |
$57.28 |
$53.96
|
|
Hemolysins and agglutinins incubated
|
$57.28 |
$57.28 |
$57.28 |
$67.50
|
|
Hemophilus influenza antibdy
|
$82.74 |
$82.74 |
$82.74 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$902.45 |
$902.45 |
$902.45 |
$1,078.88
|
|
Hepagam b intravenous, inj
|
$1,498.35 |
$1,498.35 |
$1,498.35 |
$386.40
|
|
Heparin assay
|
$88.26 |
$88.26 |
$88.26 |
$129.80
|
|
Heparin bolus from bag
|
$43.87 |
$43.87 |
$43.87 |
$69.71
|
|
Heparin neutralization
|
$13.58 |
$13.58 |
$13.58 |
$45.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$431.23 |
$431.23 |
$431.23 |
$24.26
|
|
Hepatitis a antibody igm
|
$182.02 |
$182.02 |
$182.02 |
$83.91
|
|
Hepatitis b core antibody igm
|
$16.13 |
$16.13 |
$16.13 |
$83.91
|
|
Hepatitis b core antibody total
|
$20.37 |
$20.37 |
$20.37 |
$79.34
|