|
Ghs urine, porphyrins quant
|
$76.90 |
$76.90 |
$76.90 |
$73.80
|
|
Gi inhouse confirmation
|
$17.28 |
$17.28 |
$17.28 |
$87.75
|
|
Gi protein loss
|
$486.72 |
$486.72 |
$486.72 |
$700.00
|
|
Glove finger flexion right lg xl
|
$177.70 |
$177.70 |
$177.70 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$481.05 |
$481.05 |
$481.05 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$223.32 |
$223.32 |
$223.32 |
$491.67
|
|
Glucose 1 hr post dose
|
$88.51 |
$88.51 |
$88.51 |
$49.00
|
|
Glucose blood quantitative
|
$88.51 |
$88.51 |
$88.51 |
$42.25
|
|
Glucose body fluid
|
$25.68 |
$25.68 |
$25.68 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$27.50 |
$27.50 |
$27.50 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$88.51 |
$88.51 |
$88.51 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$25.69 |
$25.69 |
$25.69 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,239.07 |
$3,239.07 |
$3,239.07 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$170.06 |
$170.06 |
$170.06 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$162.58 |
$162.58 |
$162.58 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$5,068.23 |
$5,068.23 |
$5,068.23 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$43.73 |
$43.73 |
$43.73 |
$73.83
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$440.98 |
$440.98 |
$440.98 |
$605.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$2,966.93 |
$2,966.93 |
$2,966.93 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$14,525.28 |
$14,525.28 |
$14,525.28 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$45,726.72 |
$45,726.72 |
$45,726.72 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$255.26 |
$255.26 |
$255.26 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$581.28 |
$581.28 |
$581.28 |
$886.17
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$482.98 |
$482.98 |
$482.98 |
$349.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$43.73 |
$43.73 |
$43.73 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$50,181.12 |
$50,181.12 |
$50,181.12 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$6,888.05 |
$6,888.05 |
$6,888.05 |
$2,905.40
|
|
Granisetron 1 mg tab
|
$33.57 |
$33.57 |
$33.57 |
$53.15
|
|
Granisetron hcl injection
|
$54.30 |
$54.30 |
$54.30 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$4,481.86 |
$4,481.86 |
$4,481.86 |
$2,698.02
|
|
Group health education
|
$11.95 |
$11.95 |
$11.95 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$11.47 |
$11.47 |
$11.47 |
$43.12
|
|
G-tube reposition
|
$632.40 |
$632.40 |
$632.40 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$431.38 |
$431.38 |
$431.38 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$1,429.44 |
$1,429.44 |
$1,429.44 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$3,583.54 |
$3,583.54 |
$3,583.54 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$3,470.21 |
$3,470.21 |
$3,470.21 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$566.98 |
$566.98 |
$566.98 |
$535.60
|
|
Gw stiffened micro access kit
|
$4,503.74 |
$4,503.74 |
$4,503.74 |
$6,893.38
|
|
Hallus-valgus nt dyn pre ots
|
$80.16 |
$80.16 |
$80.16 |
$80.16
|
|
Halo cervical into body jack
|
$3,788.21 |
$3,788.21 |
$3,788.21 |
$3,051.31
|
|
Halo cervical into jckt vest
|
$4,540.51 |
$4,540.51 |
$4,540.51 |
$5,015.12
|
|
Halo cerv into milwaukee typ
|
$5,465.33 |
$5,465.33 |
$5,465.33 |
$5,529.64
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$28.06 |
$28.06 |
$28.06 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$33.04 |
$33.04 |
$33.04 |
$24.30
|
|
Halo repl liner/interface
|
$399.41 |
$399.41 |
$399.41 |
$1,931.10
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$61.20 |
$61.20 |
$61.20 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$4,981.68 |
$4,981.68 |
$4,981.68 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$77.47 |
$77.47 |
$77.47 |
$105.30
|
|
Hand X-ray
|
$138.43 |
$138.43 |
$138.43 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$207.79 |
$207.79 |
$207.79 |
$294.90
|
|
Haptoglobin quantitative
|
$42.62 |
$42.62 |
$42.62 |
$92.80
|
|
Harvest auto stem cells
|
$1,189.49 |
$1,189.49 |
$1,189.49 |
$3,624.31
|
|
Hba1/hba2 gene dup/del vrnts
|
$403.25 |
$403.25 |
$403.25 |
$403.25
|
|
Hbot, full body chamber, 30m
|
$380.02 |
$380.02 |
$380.02 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$571.15 |
$571.15 |
$571.15 |
$726.00
|
|
Hcg qualitative
|
$32.98 |
$32.98 |
$32.98 |
$90.10
|
|
Hcg quantitative
|
$56.35 |
$56.35 |
$56.35 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$21.22 |
$21.22 |
$21.22 |
$113.12
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$448.22 |
$448.22 |
$448.22 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$746.88 |
$746.88 |
$746.88 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$896.16 |
$896.16 |
$896.16 |
$1,327.95
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$1,661.71 |
$1,661.71 |
$1,661.71 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$333.02 |
$333.02 |
$333.02 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$333.02 |
$333.02 |
$333.02 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$331.68 |
$331.68 |
$331.68 |
$3,706.29
|
|
Head CT scan (with and without contrast)
|
$863.71 |
$863.71 |
$863.71 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$647.76 |
$647.76 |
$647.76 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$431.81 |
$431.81 |
$431.81 |
$1,268.90
|
|
Heart first pass add-on
|
$597.46 |
$597.46 |
$597.46 |
$485.27
|
|
Heart first pass multiple
|
$448.22 |
$448.22 |
$448.22 |
$1,422.05
|
|
Heart image spect
|
$896.16 |
$896.16 |
$896.16 |
$1,135.68
|
|
Heart infarct image
|
$597.46 |
$597.46 |
$597.46 |
$942.29
|
|
Heart infarct image (ef)
|
$597.46 |
$597.46 |
$597.46 |
$865.98
|
|
Heavy duty control cable
|
$190.32 |
$190.32 |
$190.32 |
$140.00
|
|
Heel (Calcaneus) X-ray (both feet)
|
$138.43 |
$138.43 |
$138.43 |
$276.00
|
|
Heel leather reinforced
|
$141.41 |
$141.41 |
$141.41 |
$164.98
|
|
Heinz bodies direct
|
$93.02 |
$93.02 |
$93.02 |
$43.15
|
|
Hematocrit
|
$46.99 |
$46.99 |
$46.99 |
$33.80
|
|
Hematopoietic nuclear tx
|
$1,140.72 |
$1,140.72 |
$1,140.72 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$15,601.05 |
$15,601.05 |
$15,601.05 |
$20,618.46
|
|
Hemipelvect canad sing axis
|
$10,306.75 |
$10,306.75 |
$10,306.75 |
$7,632.80
|
|
Hemipelvectomy canadian sach
|
$9,466.94 |
$9,466.94 |
$9,466.94 |
$7,576.80
|
|
Hemoglobin
|
$59.47 |
$59.47 |
$59.47 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$42.48 |
$42.48 |
$42.48 |
$52.32
|
|
Hemoglobin plasma
|
$102.29 |
$102.29 |
$102.29 |
$41.40
|
|
Hepagam b im injection
|
$936.12 |
$936.12 |
$936.12 |
$1,118.05
|
|
Heparin assay
|
$76.90 |
$76.90 |
$76.90 |
$139.15
|
|
Heparin bolus from bag
|
$65.11 |
$65.11 |
$65.11 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$25.58 |
$25.58 |
$25.58 |
$12.00
|
|
Hepatitis a antibody igm
|
$40.27 |
$40.27 |
$40.27 |
$89.44
|
|
Hepatitis b core antibody igm
|
$40.27 |
$40.27 |
$40.27 |
$89.60
|
|
Hepatitis b core antibody total
|
$62.40 |
$62.40 |
$62.40 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,379.67 |
$1,379.67 |
$1,379.67 |
$1,154.13
|
|
Hepatitis b surface ag quan
|
$34.51 |
$34.51 |
$34.51 |
$54.88
|
|
Hepatitis b surface antibody
|
$34.08 |
$34.08 |
$34.08 |
$82.32
|
|
Hepatitis c antibody
|
$76.61 |
$76.61 |
$76.61 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$46.90 |
$46.90 |
$46.90 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$489.74 |
$489.74 |
$489.74 |
$87.36
|
|
Heterophile antibodies screening
|
$49.82 |
$49.82 |
$49.82 |
$73.87
|