|
Ghs rsv eia (respir synctial vrs)
|
$72.85 |
$72.85 |
$72.85 |
$99.00
|
|
Ghs sedimentation rate
|
$76.95 |
$76.95 |
$76.95 |
$45.50
|
|
Ghs semen analysis fert
|
$376.60 |
$376.60 |
$376.60 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$94.50 |
$94.50 |
$94.50 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$340.20 |
$340.20 |
$340.20 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$377.95 |
$377.95 |
$377.95 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$352.25 |
$352.25 |
$352.25 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$340.20 |
$340.20 |
$340.20 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$340.20 |
$340.20 |
$340.20 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$309.05 |
$309.05 |
$309.05 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$340.20 |
$340.20 |
$340.20 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$404.85 |
$404.85 |
$404.85 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$340.20 |
$340.20 |
$340.20 |
$537.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$423.80 |
$423.80 |
$423.80 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$249.45 |
$249.45 |
$249.45 |
$630.24
|
|
Ghs spont nystagmus
|
$247.00 |
$247.00 |
$247.00 |
$246.50
|
|
Ghs st - eval for alt comm
|
$97.15 |
$97.15 |
$97.15 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$116.05 |
$116.05 |
$116.05 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$692.45 |
$692.45 |
$692.45 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$590.45 |
$590.45 |
$590.45 |
$953.27
|
|
Ghs tx distal phalangeal fx with manipulation
|
$668.35 |
$668.35 |
$668.35 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$53.45 |
$53.45 |
$53.45 |
$73.80
|
|
Gi inhouse confirmation
|
$222.70 |
$222.70 |
$222.70 |
$87.75
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,045.19 |
$1,045.19 |
$1,045.19 |
$491.67
|
|
Glucagon plasma - sendout
|
$123.60 |
$123.60 |
$123.60 |
$64.35
|
|
Glucose 1 hr post dose
|
$36.50 |
$36.50 |
$36.50 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$7.00 |
$7.00 |
$7.00 |
$23.12
|
|
Glucose blood quantitative
|
$102.90 |
$102.90 |
$102.90 |
$42.25
|
|
Glucose body fluid
|
$29.50 |
$29.50 |
$29.50 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$172.70 |
$172.70 |
$172.70 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$63.45 |
$63.45 |
$63.45 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$49.94 |
$49.94 |
$49.94 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$8,706.29 |
$8,706.29 |
$8,706.29 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$171.40 |
$171.40 |
$171.40 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$319.65 |
$319.65 |
$319.65 |
$129.03
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$79.64 |
$79.64 |
$79.64 |
$73.83
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$4,675.00 |
$4,675.00 |
$4,675.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$577.00 |
$577.00 |
$577.00 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$7,578.00 |
$7,578.00 |
$7,578.00 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$534.83 |
$534.83 |
$534.83 |
$886.17
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$20,691.00 |
$20,691.00 |
$20,691.00 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$2,437.82 |
$2,437.82 |
$2,437.82 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$7,748.80 |
$7,748.80 |
$7,748.80 |
$2,905.40
|
|
Granisetron hcl injection
|
$133.55 |
$133.55 |
$133.55 |
$45.03
|
|
Great toe with reduction 28495
|
$332.00 |
$332.00 |
$332.00 |
$495.00
|
|
Ground mileage
|
$16.00 |
$16.00 |
$16.00 |
$17.60
|
|
G-tube reposition
|
$276.70 |
$276.70 |
$276.70 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$917.80 |
$917.80 |
$917.80 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$76.00 |
$76.00 |
$76.00 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$73.00 |
$73.00 |
$73.00 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$896.00 |
$896.00 |
$896.00 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$313.75 |
$313.75 |
$313.75 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$88.26 |
$88.26 |
$88.26 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$159.35 |
$159.35 |
$159.35 |
$105.30
|
|
Hand X-ray
|
$400.85 |
$400.85 |
$400.85 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$332.00 |
$332.00 |
$332.00 |
$294.90
|
|
Haptoglobin quantitative
|
$147.10 |
$147.10 |
$147.10 |
$92.80
|
|
Hbb gene com variants
|
$323.50 |
$323.50 |
$323.50 |
$345.95
|
|
Hb glycosylated a1c home dev
|
$28.00 |
$28.00 |
$28.00 |
$24.00
|
|
Hcg qualitative
|
$103.90 |
$103.90 |
$103.90 |
$90.10
|
|
Hcg quantitative
|
$156.00 |
$156.00 |
$156.00 |
$139.20
|
|
Hc hearing aid chck binaurl
|
$57.00 |
$57.00 |
$57.00 |
$78.40
|
|
Hc hearing aid chck monarl
|
$40.00 |
$40.00 |
$40.00 |
$48.75
|
|
Hc metata joint dislocation anes
|
$357.65 |
$357.65 |
$357.65 |
$2,383.09
|
|
Hc pet myocardial imaging metabolic eval single study
|
$5,242.15 |
$5,242.15 |
$5,242.15 |
$3,958.50
|
|
Head CT scan (with and without contrast)
|
$2,409.20 |
$2,409.20 |
$2,409.20 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,073.15 |
$2,073.15 |
$2,073.15 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,715.45 |
$1,715.45 |
$1,715.45 |
$1,268.90
|
|
Heart infarct image
|
$1,680.35 |
$1,680.35 |
$1,680.35 |
$942.29
|
|
Heart infarct image (ef)
|
$1,198.55 |
$1,198.55 |
$1,198.55 |
$865.98
|
|
Heel (Calcaneus) X-ray (both feet)
|
$391.40 |
$391.40 |
$391.40 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$255.10 |
$255.10 |
$255.10 |
$92.00
|
|
Hematocrit
|
$21.55 |
$21.55 |
$21.55 |
$33.80
|
|
Hemin 350 mg intravenous powder for solution
|
$28,586.41 |
$28,586.41 |
$28,586.41 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$804.45 |
$804.45 |
$804.45 |
$1,364.27
|
|
Hemoglobin
|
$25.20 |
$25.20 |
$25.20 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$139.00 |
$139.00 |
$139.00 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$338.80 |
$338.80 |
$338.80 |
$89.13
|
|
Hemophilus influenza antibdy
|
$25.20 |
$25.20 |
$25.20 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$441.25 |
$441.25 |
$441.25 |
$1,178.02
|
|
Heparin assay
|
$182.25 |
$182.25 |
$182.25 |
$139.15
|
|
Heparin bolus from bag
|
$114.53 |
$114.53 |
$114.53 |
$66.06
|
|
Hepatitis a antibody igm
|
$197.05 |
$197.05 |
$197.05 |
$89.44
|
|
Hepatitis b core antibody igm
|
$252.40 |
$252.40 |
$252.40 |
$89.60
|
|
Hepatitis b core antibody total
|
$171.45 |
$171.45 |
$171.45 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$3,717.23 |
$3,717.23 |
$3,717.23 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$133.65 |
$133.65 |
$133.65 |
$82.32
|
|
Hepatitis c antibody
|
$205.20 |
$205.20 |
$205.20 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$137.85 |
$137.85 |
$137.85 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$137.85 |
$137.85 |
$137.85 |
$87.36
|
|
Heterophile antibodies screening
|
$93.15 |
$93.15 |
$93.15 |
$73.87
|
|
Hexa gene
|
$94.80 |
$94.80 |
$94.80 |
$150.82
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$662.70 |
$662.70 |
$662.70 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$718.05 |
$718.05 |
$718.05 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$286.10 |
$286.10 |
$286.10 |
$233.50
|
|
Hip X-ray
|
$495.40 |
$495.40 |
$495.40 |
$294.75
|
|
Histamine
|
$248.80 |
$248.80 |
$248.80 |
$115.00
|
|
HIV prep, ftc/tdf 200/300mg
|
$641.83 |
$641.83 |
$641.83 |
$31.80
|
|
Hla class i high defin qual
|
$608.30 |
$608.30 |
$608.30 |
$631.15
|
