|
Gi protein loss
|
$486.72 |
$793.63 |
$793.63 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,552.00 |
$2,552.00 |
$2,599.20 |
|
|
Glassia injection
|
$940.00 |
$940.00 |
$940.00 |
|
|
Glove finger flexion right lg xl
|
$54.62 |
$177.70 |
$207.31 |
|
|
Glucagon 1 mg solution for injection
|
$279.39 |
$434.80 |
$525.04 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$185.88 |
$246.93 |
$481.83 |
|
|
Glucagon plasma - sendout
|
$48.80 |
$48.80 |
$48.80 |
|
|
Glucose 1 hr post dose
|
$27.20 |
$66.70 |
$101.60 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$28.80 |
$28.80 |
$29.60 |
|
|
Glucose blood quantitative
|
$44.80 |
$80.86 |
$96.66 |
|
|
Glucose body fluid
|
$23.46 |
$25.68 |
$80.80 |
|
|
Glucose monitoring continual min 72hr pt
|
$60.59 |
$62.33 |
$160.00 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$25.09 |
$27.50 |
$232.00 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$24.00 |
$66.70 |
$96.66 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$22.76 |
$60.33 |
$90.63 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,034.40 |
$3,657.21 |
$3,851.60 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$83.20 |
$170.06 |
$247.20 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$73.60 |
$162.58 |
$243.20 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,167.44 |
$2,621.70 |
$5,068.23 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$43.73 |
$51.02 |
$244.00 |
|
|
Graft axiofill 1000mg
|
$1,543.88 |
$1,821.51 |
$5,988.40 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$440.98 |
$514.47 |
$660.00 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$180.60 |
$2,975.67 |
$3,461.42 |
|
|
Graft nerve adv 3-4x70mm
|
$6,512.00 |
$14,525.28 |
$16,946.16 |
|
|
Graft patch felt ptfe 2x2
|
$4,175.08 |
$45,726.72 |
$53,347.84 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$124.20 |
$269.08 |
$297.81 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$315.20 |
$581.28 |
$678.16 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$348.00 |
$596.00 |
$682.40 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$62.72 |
$563.47 |
$563.47 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$43.73 |
$49.60 |
$88.00 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$243.20 |
$243.20 |
$633.60 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,171.20 |
$31,191.20 |
$58,544.64 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$344.00 |
$6,888.05 |
$8,036.06 |
|
|
Granisetron 1 mg tab
|
$1.20 |
$33.57 |
$33.57 |
|
|
Granisetron hcl injection
|
$40.83 |
$61.52 |
$64.57 |
|
|
Granulocyte pheresis ea unit
|
$4,481.86 |
$5,216.68 |
$5,216.68 |
|
|
Great toe with reduction 28495
|
$466.40 |
$520.00 |
$600.80 |
|
|
Ground mileage
|
$23.20 |
$24.00 |
$29.60 |
|
|
Group health education
|
$11.95 |
$23.52 |
$23.52 |
|
|
Group mnt 2 or more 30 mins
|
$11.47 |
$21.62 |
$21.62 |
|
|
Group train without patient
|
$50.40 |
$54.40 |
$59.20 |
|
|
G-tube reposition
|
$530.32 |
$530.32 |
$1,484.80 |
|
|
Gu dilat ureter/urethra s&i
|
$431.38 |
$431.38 |
$2,719.20 |
|
|
Guided cath fluid drainage 10030
|
$756.00 |
$1,046.30 |
$2,044.80 |
|
|
Guide endoanchr sg-64 aaa 62cm
|
$2,385.60 |
$2,385.60 |
$2,385.60 |
|
|
Guide wire threaded 1.4x150mm
|
$195.20 |
$3,583.54 |
$4,600.00 |
|
|
Guide worley csg 9fx50cm std
|
$241.60 |
$3,480.40 |
$4,048.58 |
|
|
Guid loc target vol rad tx
|
$566.98 |
$873.60 |
$989.91 |
|
|
Gw stiffened micro access kit
|
$104.80 |
$4,503.74 |
$5,254.37 |
|
|
Hallus-valgus nt dyn pre ots
|
$14.04 |
$80.16 |
$93.52 |
|
|
Halo cervical into body jack
|
$3,327.24 |
$4,419.58 |
$4,419.58 |
|
|
Halo cervical into jckt vest
|
$2,410.55 |
$4,540.51 |
$5,297.26 |
|
|
Halo cerv into milwaukee typ
|
$4,921.45 |
$6,376.22 |
$6,376.22 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$28.06 |
$46.05 |
$89.33 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$24.74 |
$60.58 |
$104.84 |
|
|
Halo repl liner/interface
|
$341.10 |
$465.98 |
$465.98 |
|
|
Handle/convey/speciman/office-lab 99000
|
$35.20 |
$44.80 |
$44.80 |
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$61.20 |
$71.40 |
$71.40 |
|
|
Handpiece aquabeam hp2000
|
$4,981.68 |
$5,811.96 |
$5,811.96 |
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$65.46 |
$108.80 |
$132.80 |
|
|
Hand X-ray
|
$138.43 |
$218.40 |
$505.60 |
|
|
Hand X-ray (2 views, both hands)
|
$172.00 |
$257.66 |
$368.00 |
|
|
Haptoglobin quantitative
|
$37.63 |
$42.62 |
$143.20 |
|
|
Harvest auto stem cells
|
$1,189.49 |
$1,189.49 |
$1,189.49 |
|
|
Hba1/hba2 full gene sequence
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
|
|
Hba1/hba2 gene dup/del vrnts
|
$403.25 |
$460.60 |
$495.49 |
|
|
Hbot, full body chamber, 30m
|
$370.40 |
$380.02 |
$380.02 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$571.15 |
$605.86 |
$605.86 |
|
|
Hcg qualitative
|
$30.18 |
$32.98 |
$90.40 |
|
|
Hcg quantitative
|
$56.35 |
$81.14 |
$191.20 |
|
|
Hc i-131 sodium iodide cap dx per mci
|
$21.22 |
$24.75 |
$24.75 |
|
|
Hc metata joint dislocation anes
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$448.22 |
$858.20 |
$858.20 |
|
|
Hc nm fusion spect CT unlisted
|
$735.39 |
$735.39 |
$735.39 |
|
|
Hc nm kidney imaging with flow
|
$746.88 |
$1,071.67 |
$1,071.67 |
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$896.16 |
$1,552.94 |
$1,552.94 |
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$1,661.71 |
$1,661.71 |
$1,661.71 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$333.02 |
$581.84 |
$581.84 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$333.02 |
$581.84 |
$581.84 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$331.68 |
$581.84 |
$581.84 |
|
|
Head CT scan (with and without contrast)
|
$863.71 |
$2,056.80 |
$2,852.00 |
|
|
Head CT scan (with contrast)
|
$647.76 |
$1,870.40 |
$2,716.80 |
|
|
Head CT scan (without contrast)
|
$431.81 |
$1,663.20 |
$2,126.40 |
|
|
Heart first pass add-on
|
$597.46 |
$968.69 |
$968.69 |
|
|
Heart first pass multiple
|
$448.22 |
$949.03 |
$949.03 |
|
|
Heart image spect
|
$896.16 |
$1,298.25 |
$1,298.25 |
|
|
Heart infarct image
|
$597.46 |
$1,098.61 |
$1,098.61 |
|
|
Heart infarct image (ef)
|
$597.46 |
$1,098.61 |
$1,098.61 |
|
|
Heavy duty control cable
|
$162.51 |
$222.04 |
$222.04 |
|
|
Heel (Calcaneus) X-ray (both feet)
|
$138.43 |
$184.00 |
$408.00 |
|
|
Heel leather reinforced
|
$120.74 |
$164.98 |
$164.98 |
|
|
Heinz bodies direct
|
$69.72 |
$69.72 |
$93.02 |
|
|
Helicobacter pylori antibody igm
|
$75.71 |
$128.00 |
$196.00 |
|
|
Hematocrit
|
$14.40 |
$43.01 |
$51.35 |
|
|
Hematopoietic nuclear tx
|
$1,140.72 |
$1,140.72 |
$1,140.72 |
|
|
Hemin 350 mg intravenous powder for solution
|
$15,601.05 |
$15,601.05 |
$15,601.05 |
|
|
Hemipelvect canad sing axis
|
$9,281.05 |
$12,024.54 |
$12,024.54 |
|
|
Hemipelvectomy canadian sach
|
$8,524.88 |
$11,044.77 |
$11,044.77 |
|
|
Hemodialysis one evaluation
|
$1,652.00 |
$1,652.00 |
$1,652.00 |
|
|
Hemoglobin
|
$15.20 |
$43.01 |
$59.47 |
|
