|
Ghs plt ct-manual
|
$61.75 |
$61.75 |
$61.75 |
$39.20
|
|
Ghs pos nystagmus
|
$197.60 |
$197.60 |
$197.60 |
$211.90
|
|
Ghs ppd (tb intradermal)
|
$53.95 |
$53.95 |
$53.95 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$46.80 |
$46.80 |
$46.80 |
$40.56
|
|
Ghs protoporphyrins fract
|
$296.40 |
$296.40 |
$296.40 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$143.00 |
$143.00 |
$143.00 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$101.40 |
$101.40 |
$101.40 |
$45.05
|
|
Ghs pt - work hardening/int 2hrs
|
$128.05 |
$128.05 |
$128.05 |
$255.60
|
|
Ghs quinidine
|
$81.90 |
$81.90 |
$81.90 |
$68.40
|
|
Ghs refill of implantable pump
|
$798.85 |
$798.85 |
$798.85 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$200.85 |
$200.85 |
$200.85 |
$324.35
|
|
Ghs rsv eia (respir synctial vrs)
|
$52.65 |
$52.65 |
$52.65 |
$101.15
|
|
Ghs semen analysis fert
|
$121.55 |
$121.55 |
$121.55 |
$123.20
|
|
Ghs sleep study unattended
|
$1,292.85 |
$1,292.85 |
$1,292.85 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,211.60 |
$1,211.60 |
$1,211.60 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,453.75 |
$2,453.75 |
$2,453.75 |
$1,435.00
|
|
Ghs speech-gen aug dev eval iii, st
|
$100.10 |
$100.10 |
$100.10 |
$124.80
|
|
Ghs sphenopalatine ganglion block
|
$492.70 |
$492.70 |
$492.70 |
$706.56
|
|
Ghs spont nystagmus
|
$197.60 |
$197.60 |
$197.60 |
$217.57
|
|
Ghs sp train/fitting sp device - kx
|
$254.15 |
$254.15 |
$254.15 |
$261.95
|
|
Ghs st - re-eval for alt comm
|
$193.70 |
$193.70 |
$193.70 |
$309.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$221.00 |
$221.00 |
$221.00 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$443.30 |
$443.30 |
$443.30 |
$976.98
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,324.70 |
$1,324.70 |
$1,324.70 |
$2,225.73
|
|
Ghs urine, porphyrins quant
|
$261.30 |
$261.30 |
$261.30 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$5,276.70 |
$5,276.70 |
$5,276.70 |
$1,843.00
|
|
Giardia lamblia antibody
|
$148.85 |
$148.85 |
$148.85 |
$81.60
|
|
Gi inhouse confirmation
|
$87.75 |
$87.75 |
$87.75 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,471.30 |
$2,471.30 |
$2,471.30 |
$2,382.90
|
|
Gi trc img intral colon i&r
|
$2,284.10 |
$2,284.10 |
$2,284.10 |
$2,124.80
|
|
Gjb2 gene full sequence
|
$837.20 |
$837.20 |
$837.20 |
$386.10
|
|
Gjb2 gene known fam variants
|
$633.10 |
$633.10 |
$633.10 |
$67.67
|
|
Gjb6 gene com variants
|
$669.50 |
$669.50 |
$669.50 |
$38.50
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$393.28 |
$393.28 |
$393.28 |
$509.06
|
|
Glucagon plasma - sendout
|
$81.90 |
$81.90 |
$81.90 |
$58.56
|
|
Glucose 1 hr post dose
|
$16.25 |
$16.25 |
$16.25 |
$46.28
|
|
Glucose blood quantitative
|
$9.75 |
$9.75 |
$9.75 |
$44.76
|
|
Glucose body fluid
|
$47.45 |
$47.45 |
$47.45 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$35.10 |
$35.10 |
$35.10 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$35.10 |
$35.10 |
$35.10 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$28.89 |
$28.89 |
$28.89 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$6,354.72 |
$6,354.72 |
$6,354.72 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$39.00 |
$39.00 |
$39.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$195.00 |
$195.00 |
$195.00 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,889.66 |
$2,889.66 |
$2,889.66 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$60.56 |
$60.56 |
$60.56 |
$2,648.81
|
|
Graft axiofill 1000mg
|
$83.99 |
$83.99 |
$83.99 |
$5,278.73
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$514.46 |
$514.46 |
$514.46 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$86.87 |
$86.87 |
$86.87 |
$25,762.70
|
|
Graft nerve adv 3-4x70mm
|
$1,811.36 |
$1,811.36 |
$1,811.36 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$1,494.91 |
$1,494.91 |
$1,494.91 |
$25,728.84
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$579.01 |
$579.01 |
$579.01 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$636.25 |
$636.25 |
$636.25 |
$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
|
$69.26 |
$69.26 |
$69.26 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$636.25 |
$636.25 |
$636.25 |
$3,070.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,532.68 |
$1,532.68 |
$1,532.68 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,255.17 |
$2,255.17 |
$2,255.17 |
$2,653.10
|
|
Granulocyte pheresis ea unit
|
$6,425.25 |
$6,425.25 |
$6,425.25 |
$2,950.30
|
|
G-tube reposition
|
$910.00 |
$910.00 |
$910.00 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$4,607.20 |
$4,607.20 |
$4,607.20 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$495.30 |
$495.30 |
$495.30 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$161.61 |
$161.61 |
$161.61 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$86.77 |
$86.77 |
$86.77 |
$2,229.99
|
|
Guid loc target vol rad tx
|
$1,296.75 |
$1,296.75 |
$1,296.75 |
$503.80
|
|
Gw stiffened micro access kit
|
$1,176.67 |
$1,176.67 |
$1,176.67 |
$6,285.56
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$92.41 |
$92.41 |
$92.41 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$24.41 |
$24.41 |
$24.41 |
$35.40
|
|
Hand X-ray
|
$587.60 |
$587.60 |
$587.60 |
$338.58
|
|
Haptoglobin quantitative
|
$57.85 |
$57.85 |
$57.85 |
$89.95
|
|
Harvest stem cell concentrte
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$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
|
$990.60 |
$990.60 |
$990.60 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$633.75 |
$633.75 |
$633.75 |
$406.25
|
|
Hba1/hba2 gene fam vrnt
|
$633.10 |
$633.10 |
$633.10 |
$517.85
|
|
Hbb full gene sequence
|
$696.15 |
$696.15 |
$696.15 |
$633.25
|
|
Hbb gene dup/del variants
|
$682.50 |
$682.50 |
$682.50 |
$404.80
|
|
Hbb gene known fam variant
|
$633.10 |
$633.10 |
$633.10 |
$626.88
|
|
Hbot, full body chamber, 30m
|
$687.70 |
$687.70 |
$687.70 |
$494.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$580.45 |
$580.45 |
$580.45 |
$759.72
|
|
Hcg qualitative
|
$30.55 |
$30.55 |
$30.55 |
$77.50
|
|
Hcg quantitative
|
$384.15 |
$384.15 |
$384.15 |
$124.80
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,513.85 |
$1,513.85 |
$1,513.85 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$1,420.25 |
$1,420.25 |
$1,420.25 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,327.95 |
$1,327.95 |
$1,327.95 |
$1,186.80
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$373.75 |
$373.75 |
$373.75 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$9,842.30 |
$9,842.30 |
$9,842.30 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$9,842.30 |
$9,842.30 |
$9,842.30 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$9,842.30 |
$9,842.30 |
$9,842.30 |
$3,410.55
|
|
Head CT scan (with and without contrast)
|
$1,654.25 |
$1,654.25 |
$1,654.25 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,370.20 |
$1,370.20 |
$1,370.20 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,268.90
|
|
Heart image spect
|
$1,352.65 |
$1,352.65 |
$1,352.65 |
$566.74
|
|
Heart infarct image
|
$1,231.75 |
$1,231.75 |
$1,231.75 |
$840.74
|
|
Heart infarct image (ef)
|
$1,327.95 |
$1,327.95 |
$1,327.95 |
$636.97
|
|
Heinz bodies direct
|
$38.35 |
$38.35 |
$38.35 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$153.40 |
$153.40 |
$153.40 |
$84.80
|
|
Hematocrit
|
$6.50 |
$6.50 |
$6.50 |
$33.57
|
|
Hematopoietic nuclear tx
|
$3,854.50 |
$3,854.50 |
$3,854.50 |
$918.60
|
