|
Ghs ppd (tb intradermal)
|
$32.00 |
$32.00 |
$32.00 |
$37.44
|
|
Ghs pt - work hardening/int 2hrs
|
$348.00 |
$348.00 |
$348.00 |
$285.60
|
|
Ghs removal intranasal foreign body
|
$349.60 |
$349.60 |
$349.60 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$412.00 |
$412.00 |
$412.00 |
$441.68
|
|
Ghs sedimentation rate
|
$61.60 |
$61.60 |
$61.60 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$48.80 |
$48.80 |
$48.80 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$590.40 |
$590.40 |
$590.40 |
$570.60
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$807.20 |
$807.20 |
$807.20 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$569.60 |
$569.60 |
$569.60 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$527.20 |
$527.20 |
$527.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$644.00 |
$644.00 |
$644.00 |
$489.72
|
|
Ghs speech-gen aug dev eval iii, st
|
$190.40 |
$190.40 |
$190.40 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$294.40 |
$294.40 |
$294.40 |
$252.75
|
|
Ghs st - eval for alt comm
|
$96.80 |
$96.80 |
$96.80 |
$96.40
|
|
Ghs st - re-eval for alt comm
|
$439.20 |
$439.20 |
$439.20 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,283.20 |
$1,283.20 |
$1,283.20 |
$953.27
|
|
Ghs tx distal phalangeal fx with manipulation
|
$572.00 |
$572.00 |
$572.00 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$50.40 |
$50.40 |
$50.40 |
$73.80
|
|
Ghs vaginal delivery only
|
$2,749.60 |
$2,749.60 |
$2,749.60 |
$3,341.93
|
|
Giardia lamblia antibody
|
$194.40 |
$194.40 |
$194.40 |
$83.44
|
|
Gi inhouse confirmation
|
$116.00 |
$116.00 |
$116.00 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,552.00 |
$2,552.00 |
$2,552.00 |
$2,215.20
|
|
Glucagon 1 mg solution for injection
|
$434.80 |
$434.80 |
$434.80 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$481.83 |
$481.83 |
$481.83 |
$491.67
|
|
Glucagon plasma - sendout
|
$48.80 |
$48.80 |
$48.80 |
$64.35
|
|
Glucose 1 hr post dose
|
$62.40 |
$62.40 |
$62.40 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$28.80 |
$28.80 |
$28.80 |
$23.12
|
|
Glucose blood quantitative
|
$62.40 |
$62.40 |
$62.40 |
$42.25
|
|
Glucose body fluid
|
$64.00 |
$64.00 |
$64.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$84.00 |
$84.00 |
$84.00 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$36.80 |
$36.80 |
$36.80 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$37.56 |
$37.56 |
$37.56 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,851.60 |
$3,851.60 |
$3,851.60 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$132.00 |
$132.00 |
$132.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$124.00 |
$124.00 |
$124.00 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,167.44 |
$1,167.44 |
$1,167.44 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$142.40 |
$142.40 |
$142.40 |
$73.83
|
|
Graft nerve adv 3-4x70mm
|
$6,538.40 |
$6,538.40 |
$6,538.40 |
$20,782.10
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$315.20 |
$315.20 |
$315.20 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$348.00 |
$348.00 |
$348.00 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$49.60 |
$49.60 |
$49.60 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$11,716.00 |
$11,716.00 |
$11,716.00 |
$29,676.26
|
|
Granisetron hcl injection
|
$40.83 |
$40.83 |
$40.83 |
$45.03
|
|
Group train without patient
|
$56.00 |
$56.00 |
$56.00 |
$47.60
|
|
Guide wire threaded 1.4x150mm
|
$718.40 |
$718.40 |
$718.40 |
$3,284.36
|
|
Gw stiffened micro access kit
|
$157.60 |
$157.60 |
$157.60 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$82.83 |
$82.83 |
$82.83 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$36.10 |
$36.10 |
$36.10 |
$24.30
|
|
Handle/convey/speciman/office-lab 99000
|
$44.80 |
$44.80 |
$44.80 |
$23.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$123.20 |
$123.20 |
$123.20 |
$105.30
|
|
Hand X-ray
|
$324.80 |
$324.80 |
$324.80 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$267.20 |
$267.20 |
$267.20 |
$294.90
|
|
Haptoglobin quantitative
|
$108.00 |
$108.00 |
$108.00 |
$92.80
|
|
Hba1/hba2 full gene sequence
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$493.60 |
$493.60 |
$493.60 |
$403.25
|
|
Hcg qualitative
|
$90.40 |
$90.40 |
$90.40 |
$90.10
|
|
Hcg quantitative
|
$98.40 |
$98.40 |
$98.40 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,371.20 |
$2,371.20 |
$2,371.20 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,966.40 |
$1,966.40 |
$1,966.40 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,690.40 |
$1,690.40 |
$1,690.40 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$220.00 |
$220.00 |
$220.00 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$128.00 |
$128.00 |
$128.00 |
$92.00
|
|
Hematocrit
|
$35.20 |
$35.20 |
$35.20 |
$33.80
|
|
Hemoglobin
|
$36.00 |
$36.00 |
$36.00 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$61.60 |
$61.60 |
$61.60 |
$52.32
|
|
Hemoglobin plasma
|
$90.40 |
$90.40 |
$90.40 |
$41.40
|
|
Hemophilus influenza antibdy
|
$56.80 |
$56.80 |
$56.80 |
$62.70
|
|
Heparin assay
|
$166.40 |
$166.40 |
$166.40 |
$139.15
|
|
Heparin bolus from bag
|
$75.96 |
$75.96 |
$75.96 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$34.68 |
$34.68 |
$34.68 |
$12.00
|
|
Hepatitis a antibody igm
|
$60.80 |
$60.80 |
$60.80 |
$89.44
|
|
Hepatitis b core antibody igm
|
$63.20 |
$63.20 |
$63.20 |
$89.60
|
|
Hepatitis b core antibody total
|
$84.80 |
$84.80 |
$84.80 |
$77.50
|
|
Hepatitis b surface antibody
|
$88.80 |
$88.80 |
$88.80 |
$82.32
|
|
Hepatitis c antibody
|
$80.00 |
$80.00 |
$80.00 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$84.00 |
$84.00 |
$84.00 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$132.80 |
$132.80 |
$132.80 |
$87.36
|
|
Heterophile antibodies screening
|
$51.20 |
$51.20 |
$51.20 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$432.00 |
$432.00 |
$432.00 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$520.00 |
$520.00 |
$520.00 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$255.20 |
$255.20 |
$255.20 |
$233.50
|
|
Hip X-ray
|
$315.20 |
$315.20 |
$315.20 |
$294.75
|
|
Histamine
|
$130.40 |
$130.40 |
$130.40 |
$115.00
|
|
Histochemical stains add-on
|
$189.60 |
$189.60 |
$189.60 |
$152.75
|
|
Hla class i high defin qual
|
$404.80 |
$404.80 |
$404.80 |
$631.15
|
|
Hla class ii high defin qual
|
$371.20 |
$371.20 |
$371.20 |
$569.25
|
|
Hla ii typing 1 loc hr
|
$465.60 |
$465.60 |
$465.60 |
$299.20
|
|
Hla ii typing ag equiv lr
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$475.00
|
|
Hla i low res one antigen equiv ea
|
$148.00 |
$148.00 |
$148.00 |
$164.00
|
|
Hla i typing complete lr
|
$856.80 |
$856.80 |
$856.80 |
$720.00
|
|
Home vent mgmt supervision
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$161.28
|
|
Homocysteine
|
$96.00 |
$96.00 |
$96.00 |
$125.40
|
|
Homogenization tissue
|
$40.80 |
$40.80 |
$40.80 |
$41.30
|
|
Homovanillic acid (hva)
|
$60.80 |
$60.80 |
$60.80 |
$59.95
|
|
Hpv types 16 & 18 only
|
$170.40 |
$170.40 |
$170.40 |
$112.00
|
|
H pylori (c-13) breath
|
$252.00 |
$252.00 |
$252.00 |
$212.25
|
|
Htt gene detc abnor alleles
|
$373.60 |
$373.60 |
$373.60 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$56.80 |
$56.80 |
$56.80 |
$157.32
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$81.65 |
$81.65 |
$81.65 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$37.10 |
$37.10 |
$37.10 |
$48.00
|
