|
Glaucoma surgery
|
$15,243.08 |
$15,243.08 |
$15,243.08 |
|
|
Glove finger flexion right lg xl
|
$22.75 |
$22.75 |
$22.75 |
|
|
Glucagon 1 mg solution for injection
|
$591.50 |
$846.30 |
$910.00 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$487.50 |
$763.73 |
$1,067.57 |
|
|
Glucagon plasma - sendout
|
$60.45 |
$82.55 |
$130.65 |
|
|
Glucose 1 hr post dose
|
$45.50 |
$61.10 |
$139.10 |
|
|
Glucose-6-phosphate dhydrogenase screen
|
$58.50 |
$74.75 |
$155.35 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$8.45 |
$12.75 |
$27.30 |
|
|
Glucose blood quantitative
|
$20.25 |
$50.70 |
$90.35 |
|
|
Glucose body fluid
|
$48.10 |
$73.45 |
$100.10 |
|
|
Glucose monitoring continual min 72hr pt
|
$63.00 |
$87.10 |
$96.85 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$61.75 |
$91.00 |
$133.25 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$26.00 |
$33.80 |
$104.00 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.15 |
$7.15 |
$21.92 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,689.91 |
$4,127.14 |
$5,231.04 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$49.50 |
$157.30 |
$223.60 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$52.50 |
$165.10 |
$195.00 |
|
|
Gonioscopy
|
$124.80 |
$124.80 |
$124.80 |
|
|
Goniotomy
|
$12,819.31 |
$12,819.31 |
$12,819.31 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,923.71 |
$3,087.94 |
$7,003.91 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$39.00 |
$39.00 |
$50.70 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,617.20 |
$1,617.20 |
$1,617.20 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$280.80 |
$280.80 |
$280.80 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$209.30 |
$258.05 |
$711.10 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$627.90 |
$627.90 |
$731.90 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$432.90 |
$432.90 |
$432.90 |
|
|
Granisetron hcl injection
|
$60.45 |
$60.45 |
$60.45 |
|
|
Great toe with reduction 28495
|
$358.15 |
$453.05 |
$575.25 |
|
|
Gstrst open wo constj tube
|
$9,386.10 |
$9,386.10 |
$9,386.10 |
|
|
G-tube reposition
|
$397.80 |
$397.80 |
$1,737.45 |
|
|
Gu dilat ureter/urethra s&i
|
$16,588.65 |
$16,588.65 |
$16,588.65 |
|
|
Guided cath fluid drainage 10030
|
$562.90 |
$562.90 |
$562.90 |
|
|
Guid loc target vol rad tx
|
$26,517.40 |
$26,517.40 |
$29,322.80 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$77.80 |
$77.80 |
$77.80 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
|
|
Hand-held pefr meter a4614
|
$17.25 |
$17.25 |
$17.25 |
|
|
Handle/convey/speciman/office-lab 99000
|
$12.75 |
$12.75 |
$18.20 |
|
|
Hand X-ray
|
$98.25 |
$369.20 |
$609.05 |
|
|
Haptoglobin quantitative
|
$28.50 |
$126.10 |
$148.20 |
|
|
Hast w/i&r phys/qhp
|
$226.85 |
$226.85 |
$226.85 |
|
|
Hast w/oxygen titrate
|
$274.30 |
$274.30 |
$274.30 |
|
|
Hba1/hba2 full gene sequence
|
$442.00 |
$443.95 |
$477.10 |
|
|
Hba1/hba2 gene dup/del vrnts
|
$310.70 |
$380.90 |
$508.30 |
|
|
Hbb full gene sequence
|
$426.40 |
$426.40 |
$477.10 |
|
|
Hbb gene dup/del variants
|
$442.00 |
$450.45 |
$647.40 |
|
|
Hbot, full body chamber, 30m
|
$455.00 |
$693.55 |
$734.50 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,157.65 |
$1,157.65 |
$1,157.65 |
|
|
Hcg qualitative
|
$23.25 |
$79.30 |
$170.95 |
|
|
Hcg quantitative
|
$57.00 |
$152.10 |
$215.80 |
|
|
Hc i-131 sodium iodide cap dx per mci
|
$248.95 |
$248.95 |
$248.95 |
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,780.35 |
$1,780.35 |
$1,780.35 |
|
|
Hc nm kidney imaging with flow
|
$1,082.90 |
$1,082.90 |
$1,082.90 |
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
|
|
Hc pet myocardial imaging metabolic eval single study
|
$3,703.70 |
$3,703.70 |
$4,478.50 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,461.90 |
$3,461.90 |
$3,461.90 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,031.95 |
$4,031.95 |
$4,031.95 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,963.10 |
$5,963.10 |
$5,963.10 |
|
|
Head CT scan (with and without contrast)
|
$74.25 |
$1,801.80 |
$2,357.55 |
|
|
Head CT scan (with contrast)
|
$59.25 |
$1,543.10 |
$2,139.15 |
|
|
Head CT scan (without contrast)
|
$49.50 |
$1,175.20 |
$1,935.05 |
|
|
Heart first pass add-on
|
$1,130.35 |
$1,130.35 |
$1,130.35 |
|
|
Heart image spect
|
$1,155.70 |
$1,155.70 |
$1,155.70 |
|
|
Heart infarct image
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
|
|
Helicobacter pylori antibody igm
|
$44.20 |
$133.90 |
$170.30 |
|
|
Hematocrit
|
$10.50 |
$31.20 |
$46.15 |
|
|
Hematopoietic nuclear tx
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
|
|
Hemodialysis one evaluation
|
$1,155.05 |
$1,155.05 |
$1,749.80 |
|
|
Hemoglobin
|
$15.75 |
$32.50 |
$53.95 |
|
|
Hemoglobin fetal qualitative
|
$54.60 |
$54.60 |
$109.20 |
|
|
Hemoglobin methemoglobin quantitative
|
$53.30 |
$79.30 |
$107.25 |
|
|
Hemoglobin plasma
|
$43.55 |
$47.45 |
$134.55 |
|
|
Hemolysins/agglutinins auto
|
$51.35 |
$51.35 |
$88.40 |
|
|
Hemolysins and agglutinins incubated
|
$51.35 |
$51.35 |
$68.90 |
|
|
Hemophilus influenza antibdy
|
$65.00 |
$109.85 |
$178.75 |
|
|
Hemorrhoidectomy intern transanal deater 2+ 46948
|
$16,027.91 |
$16,027.91 |
$16,027.91 |
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,897.62 |
$2,897.62 |
$15,613.52 |
|
|
Hemorrhoidopexy stapling 46947
|
$16,846.06 |
$16,846.06 |
$16,846.06 |
|
|
Heparin assay
|
$172.25 |
$185.25 |
$289.25 |
|
|
Heparin bolus from bag
|
$49.87 |
$53.62 |
$391.42 |
|
|
Heparin neutralization
|
$16.50 |
$64.35 |
$87.10 |
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$7.15 |
$7.15 |
$11.73 |
|
|
Hepatitis a antibody igm
|
$12.35 |
$92.95 |
$180.70 |
|
|
Hepatitis b core antibody igm
|
$14.30 |
$100.75 |
$161.20 |
|
|
Hepatitis b core antibody total
|
$22.75 |
$92.95 |
$180.70 |
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$275.35 |
$519.24 |
$3,339.32 |
|
|
Hepatitis b surface antibody
|
$27.00 |
$113.75 |
$199.55 |
|
|
Hepatitis c antibody
|
$42.75 |
$138.45 |
$159.90 |
|
|
Hepatobiliary system imaging
|
$34.50 |
$1,538.55 |
$2,292.55 |
|
|
Hereditary colon ca dsordrs
|
$1,619.15 |
$2,553.85 |
$2,588.30 |
|
|
Hernia Repair (Inguinal)
|
$1,300.65 |
$12,111.26 |
$21,631.67 |
|
|
Herpes simplex 1 ag if
|
$68.25 |
$68.25 |
$68.25 |
|
|
Herpes simplex 2 ag if
|
$60.45 |
$60.45 |
$66.30 |
|
|
Herpes simplex type 1 antibody igg
|
$32.25 |
$81.25 |
$117.00 |
|
|
Herpes simplex type 2 antibody igg
|
$32.25 |
$113.75 |
$139.10 |
|
|
Herpes simplex virus isolation
|
$115.05 |
$138.00 |
$139.75 |
|
|
Heterophile antibodies screening
|
$20.25 |
$70.85 |
$113.75 |
|
|
Hexa gene
|
$129.35 |
$129.35 |
$258.70 |
|
|
Hip arthro w/femoroplasty
|
$36,553.69 |
$36,553.69 |
$36,553.69 |
|
|
Hip arthro w/labral repair
|
$36,458.25 |
$36,458.25 |
$36,458.25 |
|
|
Hip X-ray
|
$10.50 |
$237.90 |
$314.60 |
|
