|
Ghs tx distal phalangeal fx with manipulation
|
$218.06 |
$218.06 |
$218.06 |
$562.80
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$288.06 |
$288.06 |
$288.06 |
$628.80
|
|
Ghs urine, hydroxproline total
|
$146.23 |
$146.23 |
$146.23 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$106.28 |
$106.28 |
$106.28 |
$72.60
|
|
Ghs vaginal delivery only
|
$1,202.43 |
$1,202.43 |
$1,202.43 |
$3,433.76
|
|
Gi inhouse confirmation
|
$59.37 |
$59.37 |
$59.37 |
$83.85
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$794.90 |
$794.90 |
$794.90 |
$2,418.92
|
|
Gi wireless capsule measure
|
$794.90 |
$794.90 |
$794.90 |
$1,247.13
|
|
Glove finger flexion right lg xl
|
$113.61 |
$113.61 |
$113.61 |
$96.51
|
|
Glucagon 1 mg solution for injection
|
$148.27 |
$148.27 |
$148.27 |
$591.50
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$168.86 |
$168.86 |
$168.86 |
$509.06
|
|
Glucagon plasma - sendout
|
$42.88 |
$42.88 |
$42.88 |
$58.00
|
|
Glucose 1 hr post dose
|
$51.31 |
$51.31 |
$51.31 |
$45.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$13.20 |
$13.20 |
$13.20 |
$21.18
|
|
Glucose blood quantitative
|
$50.58 |
$50.58 |
$50.58 |
$44.40
|
|
Glucose body fluid
|
$43.62 |
$43.62 |
$43.62 |
$50.04
|
|
Glucose tolerance test (gtt) 3 specimens
|
$59.01 |
$59.01 |
$59.01 |
$97.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$12.83 |
$12.83 |
$12.83 |
$33.57
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,697.46 |
$4,697.46 |
$4,697.46 |
$4,236.56
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$116.55 |
$116.55 |
$116.55 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$116.55 |
$116.55 |
$116.55 |
$124.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,923.23 |
$1,923.23 |
$1,923.23 |
$2,506.56
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$26.76 |
$26.76 |
$26.76 |
$63.51
|
|
Graft axiofill 1000mg
|
$621.19 |
$621.19 |
$621.19 |
$3,111.49
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$56.44 |
$56.44 |
$56.44 |
$827.26
|
|
Graft nerve adv 3-4x70mm
|
$1,426.35 |
$1,426.35 |
$1,426.35 |
$16,281.99
|
|
Graft patch felt ptfe 2x2
|
$6,439.06 |
$6,439.06 |
$6,439.06 |
$16,712.63
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$223.19 |
$223.19 |
$223.19 |
$608.58
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$886.89 |
$886.89 |
$886.89 |
$886.89
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$28.59 |
$28.59 |
$28.59 |
$336.78
|
|
Graft xenmtrx sft rect 15x20cm
|
$3,458.44 |
$3,458.44 |
$3,458.44 |
$25,824.49
|
|
Graft xenmtrx sft rect 19x28cm
|
$364.65 |
$364.65 |
$364.65 |
$1,928.17
|
|
Granisetron hcl injection
|
$30.73 |
$30.73 |
$30.73 |
$36.78
|
|
Great toe with reduction 28495
|
$190.21 |
$190.21 |
$190.21 |
$577.03
|
|
G-tube reposition
|
$247.38 |
$247.38 |
$247.38 |
$727.35
|
|
Guide wire threaded 1.4x150mm
|
$217.93 |
$217.93 |
$217.93 |
$1,087.31
|
|
Guide worley csg 9fx50cm std
|
$415.23 |
$415.23 |
$415.23 |
$576.41
|
|
Gw stiffened micro access kit
|
$5,240.67 |
$5,240.67 |
$5,240.67 |
$2,745.36
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$185.30 |
$185.30 |
$185.30 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$21.46 |
$21.46 |
$21.46 |
$27.12
|
|
Handpiece aquabeam hp2000
|
$1,242.37 |
$1,242.37 |
$1,242.37 |
$5,507.21
|
|
Hand X-ray
|
$196.80 |
$196.80 |
$196.80 |
$324.80
|
|
Haptoglobin quantitative
|
$89.43 |
$89.43 |
$89.43 |
$80.24
|
|
Hba1/hba2 full gene sequence
|
$194.61 |
$194.61 |
$194.61 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$194.61 |
$194.61 |
$194.61 |
$404.80
|
|
Hbb full gene sequence
|
$312.25 |
$312.25 |
$312.25 |
$633.25
|
|
Hbb gene dup/del variants
|
$194.61 |
$194.61 |
$194.61 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$298.32 |
$298.32 |
$298.32 |
$479.75
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$616.06 |
$616.06 |
$616.06 |
$757.08
|
|
Hcg free betachain test
|
$46.18 |
$46.18 |
$46.18 |
$60.44
|
|
Hcg qualitative
|
$71.47 |
$71.47 |
$71.47 |
$77.50
|
|
Hcg quantitative
|
$98.22 |
$98.22 |
$98.22 |
$124.80
|
|
Head CT scan (with and without contrast)
|
$948.82 |
$948.82 |
$948.82 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$770.71 |
$770.71 |
$770.71 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$713.54 |
$713.54 |
$713.54 |
$1,268.90
|
|
Heart infarct image
|
$323.61 |
$323.61 |
$323.61 |
$840.74
|
|
Helicobacter pylori antibody igm
|
$71.84 |
$71.84 |
$71.84 |
$82.50
|
|
Hemagglutination inhibition
|
$89.06 |
$89.06 |
$89.06 |
$17.60
|
|
Hematocrit
|
$17.23 |
$17.23 |
$17.23 |
$33.57
|
|
Hemodialysis one evaluation
|
$621.19 |
$621.19 |
$621.19 |
$1,257.76
|
|
Hemoglobin
|
$17.23 |
$17.23 |
$17.23 |
$32.50
|
|
Hemoglobin fetal qualitative
|
$25.29 |
$25.29 |
$25.29 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$45.82 |
$45.82 |
$45.82 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$462.87 |
$462.87 |
$462.87 |
$47.49
|
|
Hemoglobin plasma
|
$59.01 |
$59.01 |
$59.01 |
$38.20
|
|
Hemolysins/agglutinins auto
|
$50.58 |
$50.58 |
$50.58 |
$53.96
|
|
Hemolysins and agglutinins incubated
|
$47.28 |
$47.28 |
$47.28 |
$67.50
|
|
Hemophilus influenza antibdy
|
$33.72 |
$33.72 |
$33.72 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$779.51 |
$779.51 |
$779.51 |
$1,078.88
|
|
Hepagam b intravenous, inj
|
$1,294.23 |
$1,294.23 |
$1,294.23 |
$386.40
|
|
Heparin assay
|
$156.13 |
$156.13 |
$156.13 |
$129.80
|
|
Heparin bolus from bag
|
$37.89 |
$37.89 |
$37.89 |
$69.71
|
|
Heparin neutralization
|
$11.73 |
$11.73 |
$11.73 |
$45.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$372.48 |
$372.48 |
$372.48 |
$24.26
|
|
Hepatitis a antibody igm
|
$54.98 |
$54.98 |
$54.98 |
$83.91
|
|
Hepatitis b core antibody igm
|
$35.55 |
$35.55 |
$35.55 |
$83.91
|
|
Hepatitis b core antibody total
|
$31.89 |
$31.89 |
$31.89 |
$79.34
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,206.04 |
$1,206.04 |
$1,206.04 |
$774.99
|
|
Hepatitis b surface antibody
|
$76.23 |
$76.23 |
$76.23 |
$81.12
|
|
Hepatitis c antibody
|
$16.50 |
$16.50 |
$16.50 |
$108.00
|
|
Hepatitis d quantification
|
$39.95 |
$39.95 |
$39.95 |
$144.18
|
|
Hepatobiliary system imaging
|
$505.01 |
$505.01 |
$505.01 |
$1,521.10
|
|
Hereditary colon ca dsordrs
|
$337.90 |
$337.90 |
$337.90 |
$1,956.00
|
|
Herpes simplex type 1 antibody igg
|
$30.79 |
$30.79 |
$30.79 |
$71.20
|
|
Herpes simplex type 2 antibody igg
|
$30.79 |
$30.79 |
$30.79 |
$87.10
|
|
Herpes simplex virus isolation
|
$131.57 |
$131.57 |
$131.57 |
$97.06
|
|
Heterophile antibodies screening
|
$36.29 |
$36.29 |
$36.29 |
$72.00
|
|
Heterophile antibodies titer
|
$45.08 |
$45.08 |
$45.08 |
$16.80
|
|
Heterophile antibody absrbj
|
$24.19 |
$24.19 |
$24.19 |
$19.20
|
|
Hhv-6 dna quant
|
$40.32 |
$40.32 |
$40.32 |
$200.25
|
|
Hip X-ray
|
$234.92 |
$234.92 |
$234.92 |
$283.20
|
|
Histamine
|
$93.82 |
$93.82 |
$93.82 |
$125.45
|
|
Histochemical stains add-on
|
$101.52 |
$101.52 |
$101.52 |
$169.65
|
|
Hiv-1 ag ia
|
$141.83 |
$141.83 |
$141.83 |
$77.95
|
|
Hla class i&ii antibody qual
|
$77.33 |
$77.33 |
$77.33 |
$206.21
|
|
Hla ii typing 1 loc hr
|
$421.46 |
$421.46 |
$421.46 |
$330.60
|
|
Hla i low res one antigen equiv ea
|
$164.92 |
$164.92 |
$164.92 |
$164.00
|
|
Hla i typing 1 locus hr
|
$259.47 |
$259.47 |
$259.47 |
$398.40
|
|
Hla i typing high res 1 allele grp ea
|
$187.28 |
$187.28 |
$187.28 |
$314.05
|
|
Hla typing a b or c
|
$267.17 |
$267.17 |
$267.17 |
$322.80
|