|
Gonioscopy
|
$182.95 |
$182.95 |
$182.95 |
|
|
Goniotomy
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,072.95 |
$1,072.95 |
$1,072.95 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$36.96 |
$70.97 |
$171.12 |
|
|
Graft bone flex 2.5cm x 5cm grafton-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$108.64 |
$171.12 |
$1,920.00 |
|
|
Graft hand or finger tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$36.96 |
$171.12 |
$5,169.92 |
|
|
Graft nerve adv 3-4x70mm
|
$14,674.24 |
$14,674.24 |
$14,674.24 |
|
|
Graft patch felt ptfe 2x2
|
$19,883.36 |
$19,883.36 |
$19,883.36 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$85.07 |
$171.12 |
$2,687.44 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$171.12 |
$236.46 |
$1,935.36 |
|
|
Graft repair of spine defect 63710
|
$1,571.76 |
$1,571.76 |
$1,571.76 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$171.12 |
$576.69 |
$1,904.00 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$98.70 |
$171.12 |
$679.62 |
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$58.80 |
$94.40 |
$171.12 |
|
|
Graft viashield 2layer amnion patch 2x2cm-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$171.12 |
$320.32 |
$510.16 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$20,497.12 |
$20,497.12 |
$20,497.12 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$17,094.56 |
$17,094.56 |
$17,094.56 |
|
|
Granisetron 1 mg tab
|
$40.18 |
$40.18 |
$40.18 |
|
|
Granisetron hcl injection
|
$0.20 |
$0.20 |
$0.20 |
|
|
Granulocyte pheresis ea unit
|
$967.73 |
$1,476.16 |
$1,736.00 |
|
|
Great toe-hand transfer
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Great toe with reduction 28495
|
$339.18 |
$520.00 |
$907.20 |
|
|
Grfg autol fat lipo 25 cc/<
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Grfg autol fat lipo 50 cc/<
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Grfg autol fat lipo ea addl
|
$187.03 |
$187.03 |
$187.03 |
|
|
Grfg autol soft tiss dir exc
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Group behave couns 2-10
|
$51.52 |
$51.52 |
$51.52 |
|
|
Group mnt 2 or more 30 mins
|
$14.56 |
$17.19 |
$17.19 |
|
|
Group train without patient
|
$39.77 |
$39.77 |
$39.77 |
|
|
Growth hormone antibody
|
$21.72 |
$21.72 |
$21.72 |
|
|
Growth hormone panel
|
$92.05 |
$173.00 |
$488.00 |
|
|
Growth hormone panel
|
$60.63 |
$178.48 |
$178.48 |
|
|
Growth stimulation gene 2
|
$35.72 |
$104.33 |
$104.33 |
|
|
Grp adapt bhv tx by phy/qhp
|
$51.52 |
$51.52 |
$51.52 |
|
|
Grp adapt bhv tx by tech
|
$51.52 |
$51.52 |
$51.52 |
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$2,689.97 |
$2,689.97 |
$2,689.97 |
|
|
Gstr rstcv oth/thn v-band
|
$1,823.75 |
$1,823.75 |
$1,823.75 |
|
|
Gstr rstcv px shrt roux-en-y
|
$2,341.82 |
$2,341.82 |
$2,341.82 |
|
|
Gstr rstcv px sm int rcnstj
|
$2,558.19 |
$2,558.19 |
$2,558.19 |
|
|
Gstrst open wo constj tube
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
|
|
G-tube reposition
|
$343.55 |
$1,029.00 |
$2,052.00 |
|
|
Gu dilat ureter/urethra s&i
|
$215.60 |
$2,874.36 |
$3,983.20 |
|
|
Guided cath fluid drainage 10030
|
$834.40 |
$1,637.00 |
$2,525.00 |
|
|
Guide endoanchr sg-64 aaa 62cm
|
$940.46 |
$1,171.52 |
$1,814.40 |
|
|
Guide wire threaded 1.4x150mm
|
$1,058.40 |
$1,058.40 |
$3,028.48 |
|
|
Guide worley csg 9fx50cm std
|
$684.32 |
$684.32 |
$21,403.20 |
|
|
Guid loc target vol rad tx
|
$137.20 |
$929.00 |
$1,959.00 |
|
|
Gum graft
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
|
|
Gw stiffened micro access kit
|
$1,680.00 |
$1,680.00 |
$2,016.00 |
|
|
Gynecomastia (males) 19300
|
$5,383.86 |
$5,383.86 |
$5,383.86 |
|
|
Hair analysis
|
$6.83 |
$6.83 |
$6.83 |
|
|
Hair removal by electrolysis 17380
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
|
|
Hair trnspl 1-15 punch grfts
|
$558.97 |
$558.97 |
$558.97 |
|
|
Hair trnspl >15 punch grafts
|
$558.97 |
$558.97 |
$558.97 |
|
|
Hallus-valgus nt dyn pre ots
|
$73.36 |
$73.36 |
$73.36 |
|
|
Halo cervical into body jack
|
$3,565.95 |
$3,565.95 |
$3,565.95 |
|
|
Halo cervical into jckt vest
|
$1,748.04 |
$4,533.18 |
$4,533.18 |
|
|
Halo cerv into milwaukee typ
|
$5,456.41 |
$5,456.41 |
$5,456.41 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$5.44 |
$5.44 |
$23.04 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$1.01 |
$1.01 |
$20.30 |
|
|
Halo repl liner/interface
|
$139.44 |
$365.55 |
$365.55 |
|
|
Hand-held pefr meter a4614
|
$46.77 |
$46.77 |
$46.77 |
|
|
Handle/convey/speciman/office-lab 99000
|
$11.00 |
$11.00 |
$11.00 |
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$162.99 |
$162.99 |
$162.99 |
|
|
Hand restoration multiple fi
|
$3,261.53 |
$3,261.53 |
$3,261.53 |
|
|
Hand restoration no fingers
|
$3,206.32 |
$3,206.32 |
$3,206.32 |
|
|
Hand restoration replacmnt g
|
$1,377.63 |
$1,377.63 |
$1,377.63 |
|
|
Hand restorat thumb/1 finger
|
$3,295.41 |
$3,295.41 |
$3,295.41 |
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$37.95 |
$97.58 |
$193.00 |
|
|
Hand tendon/muscle transfer
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Hand tendon reconstruction
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Hand tendon reconstruction
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Hand X-ray
|
$91.84 |
$452.12 |
$830.40 |
|
|
Hand X-ray (2 views, both hands)
|
$75.04 |
$392.52 |
$692.80 |
|
|
Haptoglobin quantitative
|
$17.36 |
$51.00 |
$281.60 |
|
|
Harness chest/shlder saddle
|
$371.81 |
$371.81 |
$371.81 |
|
|
Harness figure of 8 dual con
|
$212.27 |
$212.27 |
$212.27 |
|
|
Harness figure of 8 sing con
|
$202.89 |
$202.89 |
$202.89 |
|
|
Harvest allogeneic stem cell
|
$96.64 |
$96.64 |
$6,359.06 |
|
|
Harvest auto stem cells
|
$2,141.53 |
$2,141.53 |
$6,186.19 |
|
|
Harvest cultured skin graft 15040
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
|
|
Harvest eye tissue alograft
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
|
|
Harvest femoropopliteal vein 35572
|
$475.31 |
$475.31 |
$475.31 |
|
|
Harvest stem cell concentrte
|
$606.63 |
$606.63 |
$6,469.09 |
|
|
Harvest vein for bypass 35500
|
$444.72 |
$444.72 |
$444.72 |
|
|
Hast w/i&r phys/qhp
|
$182.95 |
$182.95 |
$182.95 |
|
|
Hast w/oxygen titrate
|
$182.95 |
$460.00 |
$460.00 |
|
|
Hba1/hba2 full gene sequence
|
$282.00 |
$828.00 |
$1,427.20 |
|
|
Hba1/hba2 gene dup/del vrnts
|
$94.94 |
$279.31 |
$1,483.20 |
|
|
Hba1/hba2 gene fam vrnt
|
$176.25 |
$517.85 |
$517.85 |
|
|
Hbb full gene sequence
|
$152.75 |
$447.92 |
$1,427.20 |
|
|
Hbb gene com variants
|
$82.25 |
$225.68 |
$241.24 |
|
|
Hbb gene dup/del variants
|
$94.94 |
$279.31 |
$1,332.00 |
|
|
Hbb gene known fam variant
|
$176.25 |
$517.85 |
$517.85 |
|
|
Hb glycosylated a1c home dev
|
$13.40 |
$13.40 |
$13.40 |
|
|
Hbot, full body chamber, 30m
|
$189.21 |
$688.00 |
$2,313.00 |
|
