|
Golimumab 12.5 mg/ml intravenous solution
|
$404.45 |
$404.45 |
$5,877.66 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$101.40 |
$101.40 |
$377.59 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$229.80 |
$229.80 |
$295.97 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$9,814.98 |
$9,814.98 |
$19,188.64 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$428.21 |
$428.21 |
$5,402.36 |
$143.50
|
|
Graft axiofill 1000mg
|
$7,500.54 |
$7,500.54 |
$17,594.10 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$72,808.24 |
$72,808.24 |
$72,808.24 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$276.71 |
$276.71 |
$52,479.63 |
$23,288.44
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$4,713.69 |
$4,713.69 |
$4,713.69 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$75,253.82 |
$75,253.82 |
$134,076.22 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$75,658.50 |
$75,658.50 |
$101,452.80 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$2,015.19 |
$2,015.19 |
$44,385.60 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$4,366.61 |
$4,366.61 |
$16,264.15 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$23,515.72 |
$23,515.72 |
$27,582.48 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$767.42 |
$767.42 |
$10,713.73 |
$427.89
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$4,755.60 |
$4,755.60 |
$4,755.60 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$99,975.40 |
$99,975.40 |
$184,844.27 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$918.13 |
$918.13 |
$8,401.56 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$100,152.94 |
$100,152.94 |
$190,237.14 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$13,152.26 |
$13,152.26 |
$47,437.11 |
$3,076.20
|
|
Granisetron hcl injection
|
$96.12 |
$96.12 |
$96.12 |
$47.04
|
|
Granulocyte pheresis ea unit
|
$10,163.27 |
$10,163.27 |
$10,163.27 |
$2,698.02
|
|
Great toe with reduction 28495
|
$439.80 |
$439.80 |
$439.80 |
$495.00
|
|
Grfg autol fat lipo 50 cc/<
|
$22,768.97 |
$22,768.97 |
$22,768.97 |
$5,102.99
|
|
Ground mileage
|
$15.00 |
$15.00 |
$15.00 |
$17.60
|
|
Group behave couns 2-10
|
$294.06 |
$294.06 |
$294.06 |
$100.17
|
|
Growth hormone antibody
|
$174.60 |
$174.60 |
$174.60 |
$73.10
|
|
Growth hormone panel
|
$317.54 |
$317.54 |
$317.54 |
$173.00
|
|
Gu dilat ureter/urethra s&i
|
$1,798.20 |
$1,798.20 |
$6,375.16 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$16,435.36 |
$16,435.36 |
$16,435.36 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$25,299.79 |
$25,299.79 |
$233,365.26 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$1,246.56 |
$1,246.56 |
$6,474.96 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$6,100.97 |
$6,100.97 |
$6,100.97 |
$535.60
|
|
Gw stiffened micro access kit
|
$12,155.74 |
$12,155.74 |
$395,887.50 |
$6,600.00
|
|
Gynecomastia (males) 19300
|
$16,335.52 |
$16,335.52 |
$16,335.52 |
$3,735.20
|
|
Hallus-valgus nt dyn pre ots
|
$130.55 |
$130.55 |
$130.55 |
$80.16
|
|
Halo cervical into jckt vest
|
$12,020.40 |
$12,020.40 |
$12,020.40 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$63.72 |
$63.72 |
$188.84 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$49.33 |
$24.41
|
|
Halo repl liner/interface
|
$2,037.23 |
$2,037.23 |
$2,078.15 |
$1,931.10
|
|
Handle/convey/speciman/office-lab 99000
|
$23.30 |
$23.30 |
$23.30 |
$23.30
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$141.99 |
$141.99 |
$141.99 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$5,787.60 |
$5,787.60 |
$28,591.88 |
$6,628.05
|
|
Hand X-ray
|
$585.00 |
$585.00 |
$1,998.26 |
$345.87
|
|
Haptoglobin quantitative
|
$93.60 |
$93.60 |
$156.12 |
$91.80
|
|
Hba1/hba2 full gene sequence
|
$992.40 |
$992.40 |
$2,999.27 |
$769.95
|
|
Hbb full gene sequence
|
$380.40 |
$380.40 |
$1,784.09 |
$633.25
|
|
Hbb gene com variants
|
$1,664.14 |
$1,664.14 |
$1,664.14 |
$345.95
|
|
Hbb gene dup/del variants
|
$337.80 |
$337.80 |
$337.80 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$796.04 |
$796.04 |
$886.80 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,380.77 |
$1,380.77 |
$1,380.77 |
$721.00
|
|
Hcg free betachain test
|
$58.20 |
$58.20 |
$58.20 |
$68.90
|
|
Hcg qualitative
|
$93.23 |
$93.23 |
$115.20 |
$88.00
|
|
Hcg quantitative
|
$188.79 |
$188.79 |
$265.80 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$361.20 |
$361.20 |
$361.20 |
$117.00
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$2,800.79 |
$2,800.79 |
$2,800.79 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$987.60 |
$987.60 |
$1,486.39 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$6,018.59 |
$6,018.59 |
$6,018.59 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$6,222.41 |
$6,222.41 |
$6,222.41 |
$3,840.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$7,411.89 |
$7,411.89 |
$7,411.89 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$9,768.06 |
$9,768.06 |
$9,768.06 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$11,039.51 |
$11,039.51 |
$11,039.51 |
$3,694.80
|
|
Hdr rdncl skn surf brachytx
|
$6,998.94 |
$6,998.94 |
$6,998.94 |
$877.50
|
|
Hdr rdncl skn surf brachytx
|
$9,223.34 |
$9,223.34 |
$9,223.34 |
$992.50
|
|
Head CT scan (with and without contrast)
|
$2,304.60 |
$2,304.60 |
$3,902.99 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,048.40 |
$2,048.40 |
$3,682.09 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$1,525.20 |
$1,525.20 |
$2,842.00 |
$1,268.90
|
|
Hearing loss dup/del analys
|
$1,124.40 |
$1,124.40 |
$1,124.40 |
$872.10
|
|
Hearing loss sequence analys
|
$2,687.40 |
$2,687.40 |
$2,687.40 |
$2,687.40
|
|
Heart image spect
|
$2,121.22 |
$2,121.22 |
$2,121.22 |
$1,131.00
|
|
Heart infarct image
|
$722.40 |
$722.40 |
$2,800.79 |
$942.29
|
|
Heavy metal qual any number
|
$124.20 |
$124.20 |
$143.36 |
$68.88
|
|
Heel leather reinforced
|
$131.28 |
$131.28 |
$131.28 |
$164.98
|
|
Heinz bodies direct
|
$48.95 |
$48.95 |
$53.40 |
$43.15
|
|
Heinz bodies induced
|
$60.00 |
$60.00 |
$79.29 |
$37.20
|
|
Helicobacter pylori antibody igm
|
$184.11 |
$184.11 |
$259.80 |
$92.23
|
|
Hematocrit
|
$27.00 |
$27.00 |
$35.00 |
$33.57
|
|
Hematopoietic nuclear tx
|
$6,304.71 |
$6,304.71 |
$6,304.71 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$118,613.92 |
$118,613.92 |
$118,613.92 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$1,227.00 |
$1,227.00 |
$2,756.33 |
$1,338.00
|
|
Hemodialysis repeated eval
|
$1,227.00 |
$1,227.00 |
$1,227.00 |
$1,209.60
|
|
Hemoglobin
|
$26.83 |
$26.83 |
$27.00 |
$32.76
|
|
Hemoglobin fetal qualitative
|
$69.92 |
$69.92 |
$97.80 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$30.60 |
$30.60 |
$30.60 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$40.80 |
$40.80 |
$159.64 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$134.40 |
$134.40 |
$1,925.10 |
$89.13
|
|
Hemoglobin plasma
|
$48.00 |
$48.00 |
$92.06 |
$41.25
|
|
Hemolysins/agglutinins auto
|
$96.74 |
$96.74 |
$187.80 |
$57.28
|
|
Hemolysins and agglutinins incubated
|
$45.00 |
$45.00 |
$177.10 |
$59.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$6,937.62 |
$6,937.62 |
$6,937.62 |
$1,170.54
|
|
Hepagam b intravenous, inj
|
$5,789.45 |
$5,789.45 |
$5,789.45 |
$571.20
|
|
Heparin assay
|
$164.33 |
$164.33 |
$207.00 |
$138.84
|
|
Heparin bolus from bag
|
$77.52 |
$77.52 |
$186.84 |
$68.00
|
|
Heparin neutralization
|
$45.60 |
$45.60 |
$45.60 |
$36.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$9.00 |
$9.00 |
$26.98 |
$12.91
|
|
Heparin-protamine tolerance
|
$259.80 |
$259.80 |
$259.80 |
$37.75
|
|
Hepatitis a antibody igm
|
$82.20 |
$82.20 |
$138.67 |
$88.92
|
|
Hepatitis b core antibody igm
|
$99.60 |
$99.60 |
$148.03 |
$88.80
|
|
Hepatitis b core antibody total
|
$91.80 |
$91.80 |
$151.55 |
$77.50
|
