|
Ghs subcutaneous infus. for therapy init 1 hr
|
$310.05 |
$310.05 |
$310.05 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$596.70 |
$596.70 |
$596.70 |
$976.98
|
|
Ghs urine, porphyrins quant
|
$204.10 |
$204.10 |
$204.10 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$4,909.45 |
$4,909.45 |
$4,909.45 |
$1,843.00
|
|
Giardia lamblia antibody
|
$108.55 |
$108.55 |
$108.55 |
$81.60
|
|
Gi inhouse confirmation
|
$235.30 |
$235.30 |
$235.30 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,051.75 |
$3,051.75 |
$3,051.75 |
$2,382.90
|
|
Gi trc img intral colon i&r
|
$3,051.75 |
$3,051.75 |
$3,051.75 |
$2,124.80
|
|
Gjb2 gene full sequence
|
$775.45 |
$775.45 |
$775.45 |
$386.10
|
|
Gjb2 gene known fam variants
|
$827.45 |
$827.45 |
$827.45 |
$67.67
|
|
Gjb6 gene com variants
|
$861.90 |
$861.90 |
$861.90 |
$38.50
|
|
Glassia injection
|
$26.88 |
$2,603.74 |
$2,603.74 |
$1,023.81
|
|
Glucagon 1 mg solution for injection
|
$459.28 |
$459.28 |
$459.28 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$397.56 |
$397.56 |
$397.56 |
$509.06
|
|
Glucagon plasma - sendout
|
$92.95 |
$92.95 |
$92.95 |
$58.56
|
|
Glucose 1 hr post dose
|
$13.65 |
$13.65 |
$13.65 |
$46.28
|
|
Glucose blood quantitative
|
$5.85 |
$5.85 |
$5.85 |
$44.76
|
|
Glucose body fluid
|
$46.15 |
$46.15 |
$46.15 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$29.90 |
$29.90 |
$29.90 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$29.25 |
$29.25 |
$29.25 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$23.27 |
$24.08 |
$24.34 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$112.63 |
$112.63 |
$6,354.72 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$25.35 |
$25.35 |
$25.35 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$214.50 |
$214.50 |
$214.50 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,099.30 |
$3,099.30 |
$10,151.76 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$61.77 |
$61.77 |
$61.77 |
$2,648.81
|
|
Graft axiofill 1000mg
|
$7,317.21 |
$7,317.21 |
$7,317.21 |
$5,278.73
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$528.07 |
$528.07 |
$528.07 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$83.23 |
$83.23 |
$83.23 |
$25,762.70
|
|
Graft nerve adv 3-4x70mm
|
$3,836.57 |
$3,836.57 |
$3,836.57 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$1,628.11 |
$1,628.11 |
$1,628.11 |
$25,728.84
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$595.15 |
$595.15 |
$595.15 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$644.40 |
$644.40 |
$644.40 |
$2,369.10
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$349.41 |
$349.41 |
$349.41 |
$336.78
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$68.43 |
$68.43 |
$68.43 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$658.88 |
$658.88 |
$658.88 |
$3,070.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,148.98 |
$1,148.98 |
$1,148.98 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,195.12 |
$2,195.12 |
$2,195.12 |
$2,653.10
|
|
Granulocyte pheresis ea unit
|
$8,396.70 |
$8,396.70 |
$8,396.70 |
$2,950.30
|
|
G-tube reposition
|
$2,005.25 |
$2,005.25 |
$2,005.25 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$2,193.75 |
$2,193.75 |
$2,193.75 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$1,060.15 |
$1,060.15 |
$1,060.15 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$1,353.87 |
$1,353.87 |
$1,353.87 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$123.36 |
$123.36 |
$123.36 |
$2,229.99
|
|
Guid loc target vol rad tx
|
$1,074.45 |
$1,074.45 |
$1,074.45 |
$503.80
|
|
Gw stiffened micro access kit
|
$1,219.26 |
$1,219.26 |
$1,219.26 |
$6,285.56
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$32.81 |
$40.69 |
$58.60 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$22.91 |
$24.41 |
$24.41 |
$35.40
|
|
Hand X-ray
|
$416.00 |
$416.00 |
$416.00 |
$338.58
|
|
Haptoglobin quantitative
|
$50.05 |
$50.05 |
$50.05 |
$89.95
|
|
Harvest allogeneic stem cell
|
$35,847.50 |
$35,847.50 |
$35,847.50 |
$3,766.50
|
|
Harvest auto stem cells
|
$4,730.05 |
$4,730.05 |
$4,730.05 |
$3,914.00
|
|
Harvest stem cell concentrte
|
$1,783.60 |
$1,783.60 |
$1,783.60 |
$1,287.78
|
|
Hast w/i&r phys/qhp
|
$406.25 |
$406.25 |
$406.25 |
$301.95
|
|
Hast w/oxygen titrate
|
$406.25 |
$406.25 |
$406.25 |
$310.40
|
|
Hba1/hba2 full gene sequence
|
$891.15 |
$891.15 |
$891.15 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$570.05 |
$570.05 |
$570.05 |
$406.25
|
|
Hba1/hba2 gene fam vrnt
|
$827.45 |
$827.45 |
$827.45 |
$517.85
|
|
Hbb full gene sequence
|
$626.60 |
$626.60 |
$626.60 |
$633.25
|
|
Hbb gene dup/del variants
|
$614.25 |
$614.25 |
$614.25 |
$404.80
|
|
Hbb gene known fam variant
|
$827.45 |
$827.45 |
$827.45 |
$626.88
|
|
Hbot, full body chamber, 30m
|
$1,311.05 |
$1,311.05 |
$1,311.05 |
$494.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$620.10 |
$620.10 |
$620.10 |
$759.72
|
|
Hcg qualitative
|
$20.80 |
$20.80 |
$20.80 |
$77.50
|
|
Hcg quantitative
|
$384.15 |
$384.15 |
$384.15 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$33.48 |
$33.48 |
$33.48 |
$136.50
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$817.05 |
$817.05 |
$817.05 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$773.50 |
$773.50 |
$773.50 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,463.80 |
$1,463.80 |
$1,463.80 |
$1,186.80
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$268.45 |
$268.45 |
$268.45 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,654.70 |
$6,654.70 |
$6,654.70 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,654.70 |
$6,654.70 |
$6,654.70 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,654.70 |
$6,654.70 |
$6,654.70 |
$3,410.55
|
|
Head CT scan (with and without contrast)
|
$1,077.70 |
$1,077.70 |
$1,077.70 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$950.95 |
$950.95 |
$950.95 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$835.25 |
$835.25 |
$835.25 |
$1,268.90
|
|
Heart first pass add-on
|
$289.25 |
$289.25 |
$289.25 |
$445.54
|
|
Heart image spect
|
$1,490.45 |
$1,490.45 |
$1,490.45 |
$566.74
|
|
Heart infarct image
|
$1,463.80 |
$1,463.80 |
$1,463.80 |
$840.74
|
|
Heart infarct image (ef)
|
$1,463.80 |
$1,463.80 |
$1,463.80 |
$636.97
|
|
Heinz bodies direct
|
$43.55 |
$43.55 |
$43.55 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$107.25 |
$107.25 |
$107.25 |
$84.80
|
|
Hematocrit
|
$5.85 |
$5.85 |
$5.85 |
$33.57
|
|
Hematopoietic nuclear tx
|
$2,605.20 |
$2,605.20 |
$2,605.20 |
$918.60
|
|
Hemin 350 mg intravenous powder for solution
|
$101.93 |
$101.93 |
$36,320.18 |
$23,025.73
|
|
Hemodialysis one evaluation
|
$3,568.50 |
$3,568.50 |
$3,568.50 |
$1,329.90
|
|
Hemoglobin
|
$6.50 |
$6.50 |
$6.50 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$53.95 |
$53.95 |
$53.95 |
$49.40
|
|
Hemoglobin plasma
|
$130.65 |
$130.65 |
$130.65 |
$40.56
|
|
Hemophilus influenza antibdy
|
$44.20 |
$44.20 |
$44.20 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$4,278.95 |
$4,278.95 |
$4,278.95 |
$1,141.40
|
|
Heparin assay
|
$1,079.65 |
$1,079.65 |
$1,079.65 |
$130.20
|
|
Heparin bolus from bag
|
$79.04 |
$79.04 |
$79.04 |
$79.04
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.47 |
$0.47 |
$0.47 |
$32.27
|
|
Hepatitis a antibody igm
|
$49.40 |
$49.40 |
$49.40 |
$85.15
|
|
Hepatitis b core antibody igm
|
$61.10 |
$61.10 |
$61.10 |
$87.98
|
|
Hepatitis b core antibody total
|
$57.20 |
$57.20 |
$57.20 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,184.20 |
$2,184.20 |
$2,184.20 |
$1,116.61
|
|
Hepatitis b surface ag quan
|
$488.15 |
$488.15 |
$488.15 |
$40.95
|
|
Hepatitis b surface antibody
|
$46.80 |
$46.80 |
$46.80 |
$83.79
|
