|
Ghs subcutaneous infus. for therapy init 1 hr
|
$276.90 |
$276.90 |
$276.90 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$199.55 |
$199.55 |
$199.55 |
$976.98
|
|
Ghs tracheostomy emergency - transtracheal
|
$809.90 |
$809.90 |
$809.90 |
$2,225.73
|
|
Ghs urine, porphyrins quant
|
$202.80 |
$202.80 |
$202.80 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$5,049.85 |
$5,049.85 |
$5,049.85 |
$1,843.00
|
|
Giardia lamblia antibody
|
$130.65 |
$130.65 |
$130.65 |
$81.60
|
|
Gi inhouse confirmation
|
$167.70 |
$167.70 |
$167.70 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,151.85 |
$3,151.85 |
$3,151.85 |
$2,382.90
|
|
Gi trc img intral colon i&r
|
$3,151.85 |
$3,151.85 |
$3,151.85 |
$2,124.80
|
|
Gjb2 gene full sequence
|
$747.50 |
$747.50 |
$747.50 |
$386.10
|
|
Gjb2 gene known fam variants
|
$921.05 |
$921.05 |
$921.05 |
$67.67
|
|
Gjb6 gene com variants
|
$922.35 |
$922.35 |
$922.35 |
$38.50
|
|
Glucagon 1 mg solution for injection
|
$540.81 |
$540.81 |
$540.81 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$401.01 |
$401.01 |
$401.01 |
$509.06
|
|
Glucagon plasma - sendout
|
$92.95 |
$92.95 |
$92.95 |
$58.56
|
|
Glucose 1 hr post dose
|
$12.35 |
$12.35 |
$12.35 |
$46.28
|
|
Glucose blood quantitative
|
$6.50 |
$6.50 |
$6.50 |
$44.76
|
|
Glucose body fluid
|
$45.50 |
$45.50 |
$45.50 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$27.95 |
$27.95 |
$27.95 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$27.95 |
$27.95 |
$27.95 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$28.89 |
$28.89 |
$28.89 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$131.91 |
$131.91 |
$131.91 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$27.30 |
$27.30 |
$27.30 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$175.50 |
$175.50 |
$175.50 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,099.30 |
$3,099.30 |
$3,099.30 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$62.56 |
$62.56 |
$62.56 |
$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
|
$533.09 |
$533.09 |
$533.09 |
$1,679.75
|
|
Graft nerve adv 3-4x70mm
|
$4,627.19 |
$4,627.19 |
$4,627.19 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$3,850.65 |
$3,850.65 |
$3,850.65 |
$25,728.84
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$599.64 |
$599.64 |
$599.64 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$658.88 |
$658.88 |
$658.88 |
$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 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
|
$1,961.52 |
$1,961.52 |
$1,961.52 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,262.16 |
$2,262.16 |
$2,262.16 |
$2,653.10
|
|
Granulocyte pheresis ea unit
|
$7,912.45 |
$7,912.45 |
$7,912.45 |
$2,950.30
|
|
G-tube reposition
|
$1,922.05 |
$1,922.05 |
$1,922.05 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$4,702.75 |
$4,702.75 |
$4,702.75 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$365.95 |
$365.95 |
$365.95 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$164.29 |
$164.29 |
$164.29 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$107.59 |
$107.59 |
$107.59 |
$2,229.99
|
|
Guid loc target vol rad tx
|
$1,738.10 |
$1,738.10 |
$1,738.10 |
$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
|
$37.15 |
$37.15 |
$37.15 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$24.41 |
$24.41 |
$24.41 |
$35.40
|
|
Hand X-ray
|
$703.30 |
$703.30 |
$703.30 |
$338.58
|
|
Haptoglobin quantitative
|
$44.20 |
$44.20 |
$44.20 |
$89.95
|
|
Hast w/i&r phys/qhp
|
$2,886.65 |
$2,886.65 |
$2,886.65 |
$301.95
|
|
Hast w/oxygen titrate
|
$1,122.55 |
$1,122.55 |
$1,122.55 |
$310.40
|
|
Hba1/hba2 full gene sequence
|
$1,127.10 |
$1,127.10 |
$1,127.10 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$722.15 |
$722.15 |
$722.15 |
$406.25
|
|
Hba1/hba2 gene fam vrnt
|
$921.05 |
$921.05 |
$921.05 |
$517.85
|
|
Hbb full gene sequence
|
$792.35 |
$792.35 |
$792.35 |
$633.25
|
|
Hbb gene dup/del variants
|
$776.75 |
$776.75 |
$776.75 |
$404.80
|
|
Hbb gene known fam variant
|
$921.05 |
$921.05 |
$921.05 |
$626.88
|
|
Hbot, full body chamber, 30m
|
$538.85 |
$538.85 |
$538.85 |
$494.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,235.65 |
$1,235.65 |
$1,235.65 |
$759.72
|
|
Hcg qualitative
|
$19.50 |
$19.50 |
$19.50 |
$77.50
|
|
Hcg quantitative
|
$486.20 |
$486.20 |
$486.20 |
$124.80
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,735.50 |
$1,735.50 |
$1,735.50 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$1,626.30 |
$1,626.30 |
$1,626.30 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,521.65 |
$1,521.65 |
$1,521.65 |
$1,186.80
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$380.25 |
$380.25 |
$380.25 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$10,562.50 |
$10,562.50 |
$10,562.50 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$10,562.50 |
$10,562.50 |
$10,562.50 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$10,562.50 |
$10,562.50 |
$10,562.50 |
$3,410.55
|
|
Head CT scan (with and without contrast)
|
$1,493.05 |
$1,493.05 |
$1,493.05 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,357.20 |
$1,357.20 |
$1,357.20 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,233.05 |
$1,233.05 |
$1,233.05 |
$1,268.90
|
|
Heart image spect
|
$1,550.25 |
$1,550.25 |
$1,550.25 |
$566.74
|
|
Heart infarct image
|
$1,521.65 |
$1,521.65 |
$1,521.65 |
$840.74
|
|
Heart infarct image (ef)
|
$1,521.65 |
$1,521.65 |
$1,521.65 |
$636.97
|
|
Heinz bodies direct
|
$40.30 |
$40.30 |
$40.30 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$146.90 |
$146.90 |
$146.90 |
$84.80
|
|
Hematocrit
|
$6.50 |
$6.50 |
$6.50 |
$33.57
|
|
Hematopoietic nuclear tx
|
$4,540.90 |
$4,540.90 |
$4,540.90 |
$918.60
|
|
Hemodialysis one evaluation
|
$1,946.75 |
$1,946.75 |
$1,946.75 |
$1,329.90
|
|
Hemoglobin
|
$6.50 |
$6.50 |
$6.50 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$46.15 |
$46.15 |
$46.15 |
$49.40
|
|
Hemoglobin plasma
|
$117.65 |
$117.65 |
$117.65 |
$40.56
|
|
Hemophilus influenza antibdy
|
$54.60 |
$54.60 |
$54.60 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,745.25 |
$1,745.25 |
$1,745.25 |
$1,141.40
|
|
Heparin assay
|
$962.00 |
$962.00 |
$962.00 |
$130.20
|
|
Heparin bolus from bag
|
$65.42 |
$65.42 |
$65.42 |
$79.04
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.48 |
$0.48 |
$0.48 |
$32.27
|
|
Hepatitis a antibody igm
|
$68.25 |
$68.25 |
$68.25 |
$85.15
|
|
Hepatitis b core antibody igm
|
$83.20 |
$83.20 |
$83.20 |
$87.98
|
|
Hepatitis b core antibody total
|
$77.35 |
$77.35 |
$77.35 |
$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
|
$63.70 |
$63.70 |
$63.70 |
$83.79
|
|
Hepatitis c antibody
|
$36.40 |
$36.40 |
$36.40 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,382.25 |
$2,382.25 |
$2,382.25 |
$1,521.10
|
|
Hereditary colon ca dsordrs
|
$7,092.80 |
$7,092.80 |
$7,092.80 |
$1,956.00
|
|
Herpes simplex type 1 antibody igg
|
$90.35 |
$90.35 |
$90.35 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$90.35 |
$90.35 |
$90.35 |
$87.10
|
|
Herpes simplex virus isolation
|
$206.05 |
$206.05 |
$206.05 |
$93.32
|
|
Heterophile antibodies screening
|
$103.35 |
$103.35 |
$103.35 |
$73.60
|
|
Heterophile antibody absrbj
|
$37.70 |
$37.70 |
$37.70 |
$19.20
|
