|
Ghs protein, misc fluid
|
$12.60 |
$12.60 |
$12.60 |
$24.60
|
|
Ghs protoporphyrins fract
|
$118.20 |
$118.20 |
$118.20 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$22.80 |
$22.80 |
$22.80 |
$50.05
|
|
Ghs quinidine
|
$63.00 |
$63.00 |
$63.00 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$79.20 |
$79.20 |
$79.20 |
$71.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$22.80 |
$22.80 |
$22.80 |
$96.60
|
|
Ghs sedimentation rate
|
$66.00 |
$66.00 |
$66.00 |
$45.50
|
|
Ghs semen analysis fert
|
$286.80 |
$286.80 |
$286.80 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$54.60 |
$54.60 |
$54.60 |
$57.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$975.00 |
$975.00 |
$975.00 |
$861.75
|
|
Ghs urine, hydroxproline total
|
$52.20 |
$52.20 |
$52.20 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$96.60 |
$96.60 |
$96.60 |
$75.00
|
|
Giardia lamblia antibody
|
$70.80 |
$70.80 |
$70.80 |
$83.44
|
|
Gi inhouse confirmation
|
$174.00 |
$174.00 |
$174.00 |
$83.70
|
|
Gjb2 gene full sequence
|
$500.40 |
$500.40 |
$500.40 |
$502.80
|
|
Gjb2 gene known fam variants
|
$288.60 |
$288.60 |
$288.60 |
$84.90
|
|
Gjb6 gene com variants
|
$250.20 |
$250.20 |
$250.20 |
$106.40
|
|
Glassia injection
|
$2,554.20 |
$2,554.20 |
$2,554.20 |
$20.32
|
|
Glove finger flexion right lg xl
|
$835.25 |
$835.25 |
$835.25 |
$100.48
|
|
Glucagon 1 mg solution for injection
|
$3,276.00 |
$3,276.00 |
$3,276.00 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$2,956.38 |
$2,956.38 |
$2,956.38 |
$491.67
|
|
Glucagon plasma - sendout
|
$66.60 |
$66.60 |
$66.60 |
$63.00
|
|
Glucose 1 hr post dose
|
$88.80 |
$88.80 |
$88.80 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$2.40 |
$2.40 |
$2.40 |
$23.86
|
|
Glucose blood quantitative
|
$31.80 |
$31.80 |
$31.80 |
$40.00
|
|
Glucose body fluid
|
$45.00 |
$45.00 |
$45.00 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$179.40 |
$179.40 |
$179.40 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$28.80 |
$28.80 |
$28.80 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$76.08 |
$76.08 |
$76.08 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$7,736.88 |
$7,736.88 |
$7,736.88 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$263.40 |
$263.40 |
$263.40 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$203.40 |
$203.40 |
$203.40 |
$129.00
|
|
Goniotomy
|
$25,313.63 |
$25,313.63 |
$25,313.63 |
$4,452.74
|
|
Goserelin 10.8 mg subcutaneous implant
|
$4,484.58 |
$4,484.58 |
$4,484.58 |
$4,652.18
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$7,645.00 |
$7,645.00 |
$7,645.00 |
$672.50
|
|
Graft axiofill 1000mg
|
$9,873.18 |
$9,873.18 |
$9,873.18 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$46,628.14 |
$46,628.14 |
$46,628.14 |
$584.99
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$35,290.70 |
$35,290.70 |
$35,290.70 |
$24,469.57
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$7,072.61 |
$7,072.61 |
$7,072.61 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$85,865.62 |
$85,865.62 |
$85,865.62 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$64,972.80 |
$64,972.80 |
$64,972.80 |
$27,300.00
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$31,099.87 |
$31,099.87 |
$31,099.87 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$18,134.96 |
$18,134.96 |
$18,134.96 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$30,755.20 |
$30,755.20 |
$30,755.20 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$11,946.10 |
$11,946.10 |
$11,946.10 |
$373.00
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$6,729.75 |
$6,729.75 |
$6,729.75 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$64,026.64 |
$64,026.64 |
$64,026.64 |
$27,367.40
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$11,889.23 |
$11,889.23 |
$11,889.23 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$64,140.34 |
$64,140.34 |
$64,140.34 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$30,379.86 |
$30,379.86 |
$30,379.86 |
$2,701.58
|
|
Grfg autol fat lipo 50 cc/<
|
$41,033.52 |
$41,033.52 |
$41,033.52 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$41,033.52 |
$41,033.52 |
$41,033.52 |
$4,026.40
|
|
Growth hormone antibody
|
$174.60 |
$174.60 |
$174.60 |
$72.60
|
|
Growth stimulation gene 2
|
$228.00 |
$228.00 |
$228.00 |
$170.04
|
|
G-tube reposition
|
$2,193.60 |
$2,193.60 |
$2,193.60 |
$759.36
|
|
Gu dilat ureter/urethra s&i
|
$1,460.40 |
$1,460.40 |
$1,460.40 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$4,492.20 |
$4,492.20 |
$4,492.20 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$18,325.85 |
$18,325.85 |
$18,325.85 |
$7,728.17
|
|
Guide wire threaded 1.4x150mm
|
$28,209.94 |
$28,209.94 |
$28,209.94 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$5,516.24 |
$5,516.24 |
$5,516.24 |
$1,105.00
|
|
Gw stiffened micro access kit
|
$24,130.46 |
$24,130.46 |
$24,130.46 |
$6,696.00
|
|
Gynecomastia (males) 19300
|
$13,656.72 |
$13,656.72 |
$13,656.72 |
$3,735.20
|
|
Hallus-valgus nt dyn pre ots
|
$400.06 |
$400.06 |
$400.06 |
$102.37
|
|
Halo cervical into jckt vest
|
$23,861.79 |
$23,861.79 |
$23,861.79 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$164.28 |
$164.28 |
$164.28 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$14.04 |
$14.04 |
$14.04 |
$23.06
|
|
Halo repl liner/interface
|
$5,132.56 |
$5,132.56 |
$5,132.56 |
$1,931.10
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$837.18 |
$837.18 |
$837.18 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$11,489.01 |
$11,489.01 |
$11,489.01 |
$6,628.05
|
|
Hand X-ray
|
$368.40 |
$368.40 |
$368.40 |
$356.00
|
|
Haptoglobin quantitative
|
$66.00 |
$66.00 |
$66.00 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$658.20 |
$658.20 |
$658.20 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$502.20 |
$502.20 |
$502.20 |
$404.80
|
|
Hbb full gene sequence
|
$591.60 |
$591.60 |
$591.60 |
$633.25
|
|
Hbb gene com variants
|
$324.60 |
$324.60 |
$324.60 |
$345.95
|
|
Hbb gene dup/del variants
|
$598.80 |
$598.80 |
$598.80 |
$455.00
|
|
Hcg free betachain test
|
$175.80 |
$175.80 |
$175.80 |
$68.90
|
|
Hcg qualitative
|
$69.60 |
$69.60 |
$69.60 |
$89.70
|
|
Hcg quantitative
|
$259.20 |
$259.20 |
$259.20 |
$139.20
|
|
Hc nm kidney imaging with flow
|
$2,002.80 |
$2,002.80 |
$2,002.80 |
$822.60
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$1,327.95
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$11,551.80 |
$11,551.80 |
$11,551.80 |
$3,046.80
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,789.40 |
$2,789.40 |
$2,789.40 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,789.40 |
$2,789.40 |
$2,789.40 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,789.40 |
$2,789.40 |
$2,789.40 |
$3,727.65
|
|
Head CT scan (with and without contrast)
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,668.60 |
$1,668.60 |
$1,668.60 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$1,009.20 |
$1,009.20 |
$1,009.20 |
$1,268.90
|
|
Hearing loss dup/del analys
|
$1,124.40 |
$1,124.40 |
$1,124.40 |
$937.81
|
|
Hearing loss sequence analys
|
$2,687.40 |
$2,687.40 |
$2,687.40 |
$2,687.40
|
|
Heart infarct image
|
$930.60 |
$930.60 |
$930.60 |
$940.55
|
|
Heel leather reinforced
|
$664.72 |
$664.72 |
$664.72 |
$180.55
|
|
Heinz bodies direct
|
$53.40 |
$53.40 |
$53.40 |
$37.44
|
|
Heinz bodies induced
|
$60.00 |
$60.00 |
$60.00 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$174.00 |
$174.00 |
$174.00 |
$91.98
|
|
Hematocrit
|
$37.80 |
$37.80 |
$37.80 |
$33.57
|
|
Hemoglobin
|
$37.80 |
$37.80 |
$37.80 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$35.40 |
$35.40 |
$35.40 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$30.60 |
$30.60 |
$30.60 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$22.80 |
$22.80 |
$22.80 |
$53.60
|
