|
Ghs semen analysis fert
|
$250.80 |
$250.80 |
$250.80 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$172.80 |
$172.80 |
$172.80 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,341.00 |
$1,341.00 |
$1,341.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,147.80 |
$1,147.80 |
$1,147.80 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,147.80 |
$1,147.80 |
$1,147.80 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$1,341.00 |
$1,341.00 |
$1,341.00 |
$537.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$821.40 |
$821.40 |
$821.40 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$500.40 |
$500.40 |
$500.40 |
$616.00
|
|
Ghs sp train/fitting sp device - kx
|
$685.20 |
$685.20 |
$685.20 |
$244.80
|
|
Ghs strapping shoulder - 29240
|
$529.80 |
$529.80 |
$529.80 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$29,661.86 |
$29,661.86 |
$29,661.86 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$634.80 |
$634.80 |
$634.80 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$525.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$394.20 |
$394.20 |
$394.20 |
$493.68
|
|
Ghs urine, hydroxproline total
|
$166.80 |
$166.80 |
$166.80 |
$107.99
|
|
Ghs urine, porphyrins quant
|
$180.00 |
$180.00 |
$180.00 |
$73.71
|
|
Ghs vaginal delivery only
|
$4,746.60 |
$4,746.60 |
$4,746.60 |
$3,338.40
|
|
Giardia lamblia antibody
|
$100.80 |
$100.80 |
$100.80 |
$83.44
|
|
Gi endoscopic ultrasound
|
$657.60 |
$657.60 |
$657.60 |
$582.31
|
|
Gi inhouse confirmation
|
$163.80 |
$163.80 |
$163.80 |
$85.20
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$11,113.56 |
$11,113.56 |
$11,113.56 |
$2,179.25
|
|
Gjb2 gene full sequence
|
$502.80 |
$502.80 |
$502.80 |
$502.80
|
|
Gjb6 gene com variants
|
$502.80 |
$502.80 |
$502.80 |
$84.70
|
|
Glassia injection
|
$5,821.20 |
$5,821.20 |
$5,821.20 |
$20.32
|
|
Glove finger flexion right lg xl
|
$261.05 |
$261.05 |
$261.05 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$5,090.40 |
$5,090.40 |
$5,090.40 |
$611.62
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$4,593.78 |
$4,593.78 |
$4,593.78 |
$491.67
|
|
Glucagon plasma - sendout
|
$152.40 |
$152.40 |
$152.40 |
$63.00
|
|
Glucose 1 hr post dose
|
$84.60 |
$84.60 |
$84.60 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$42.00 |
$42.00 |
$42.00 |
$22.75
|
|
Glucose blood quantitative
|
$48,706.79 |
$48,706.79 |
$48,706.79 |
$41.34
|
|
Glucose body fluid
|
$114.00 |
$114.00 |
$114.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$157.80 |
$157.80 |
$157.80 |
$103.35
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$54.60 |
$54.60 |
$54.60 |
$35.31
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$21.36 |
$21.36 |
$21.36 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$32,147.04 |
$32,147.04 |
$32,147.04 |
$4,959.63
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$280.20 |
$280.20 |
$280.20 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$279.60 |
$279.60 |
$279.60 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$26,346.42 |
$26,346.42 |
$26,346.42 |
$4,524.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$5,145.64 |
$5,145.64 |
$5,145.64 |
$167.20
|
|
Graft axiofill 1000mg
|
$41,023.32 |
$41,023.32 |
$41,023.32 |
$5,857.92
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$69,348.33 |
$69,348.33 |
$69,348.33 |
$605.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$49,985.75 |
$49,985.75 |
$49,985.75 |
$23,253.65
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$4,489.69 |
$4,489.69 |
$4,489.69 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$127,704.80 |
$127,704.80 |
$127,704.80 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$96,631.68 |
$96,631.68 |
$96,631.68 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$42,276.36 |
$42,276.36 |
$42,276.36 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$15,491.27 |
$15,491.27 |
$15,491.27 |
$1,057.31
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$26,271.74 |
$26,271.74 |
$26,271.74 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$10,204.61 |
$10,204.61 |
$10,204.61 |
$408.01
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$4,529.61 |
$4,529.61 |
$4,529.61 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$95,224.48 |
$95,224.48 |
$95,224.48 |
$28,799.96
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$8,002.31 |
$8,002.31 |
$8,002.31 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$95,393.59 |
$95,393.59 |
$95,393.59 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$45,182.86 |
$45,182.86 |
$45,182.86 |
$3,076.20
|
|
Granisetron hcl injection
|
$90.00 |
$90.00 |
$90.00 |
$46.40
|
|
Great toe with reduction 28495
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$495.00
|
|
Grfg autol fat lipo 50 cc/<
|
$38,541.59 |
$38,541.59 |
$38,541.59 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$35,112.30 |
$35,112.30 |
$35,112.30 |
$4,026.40
|
|
Grfg autol soft tiss dir exc
|
$38,214.48 |
$38,214.48 |
$38,214.48 |
$4,332.25
|
|
Growth hormone antibody
|
$192.60 |
$192.60 |
$192.60 |
$73.10
|
|
G-tube reposition
|
$3,058.20 |
$3,058.20 |
$3,058.20 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$1,390.80 |
$1,390.80 |
$1,390.80 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$2,809.80 |
$2,809.80 |
$2,809.80 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$15,654.33 |
$15,654.33 |
$15,654.33 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$24,097.52 |
$24,097.52 |
$24,097.52 |
$3,402.00
|
|
Guide worley csg 9fx50cm std
|
$2,113.82 |
$2,113.82 |
$2,113.82 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$20,612.75 |
$20,612.75 |
$20,612.75 |
$6,600.00
|
|
Hallus-valgus nt dyn pre ots
|
$117.80 |
$117.80 |
$117.80 |
$80.16
|
|
Halo cervical into jckt vest
|
$20,383.25 |
$20,383.25 |
$20,383.25 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$154.98 |
$154.98 |
$154.98 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$17.40 |
$17.40 |
$17.40 |
$24.30
|
|
Halo repl liner/interface
|
$3,454.58 |
$3,454.58 |
$3,454.58 |
$1,931.10
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$261.66 |
$261.66 |
$261.66 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$9,814.16 |
$9,814.16 |
$9,814.16 |
$6,628.05
|
|
Hand X-ray
|
$822.00 |
$822.00 |
$822.00 |
$345.87
|
|
Haptoglobin quantitative
|
$243.60 |
$243.60 |
$243.60 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$347.40 |
$347.40 |
$347.40 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$381.60 |
$381.60 |
$381.60 |
$403.25
|
|
Hbb full gene sequence
|
$380.40 |
$380.40 |
$380.40 |
$633.25
|
|
Hbb gene dup/del variants
|
$298.20 |
$298.20 |
$298.20 |
$404.80
|
|
Hb glycosylated a1c home dev
|
$22.80 |
$22.80 |
$22.80 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$1,117.80 |
$1,117.80 |
$1,117.80 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,897.20 |
$1,897.20 |
$1,897.20 |
$705.00
|
|
Hcg qualitative
|
$114.60 |
$114.60 |
$114.60 |
$86.94
|
|
Hcg quantitative
|
$186.60 |
$186.60 |
$186.60 |
$134.40
|
|
Hc i-131 sodium iodide cap dx per mci
|
$237.00 |
$237.00 |
$237.00 |
$117.00
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$2,825.40 |
$2,825.40 |
$2,825.40 |
$1,070.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$2,825.40 |
$2,825.40 |
$2,825.40 |
$1,325.25
|
|
Hc pet myocardial imaging metabolic eval single study
|
$7,999.20 |
$7,999.20 |
$7,999.20 |
$3,840.40
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$9,874.20 |
$9,874.20 |
$9,874.20 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,185.80 |
$5,185.80 |
$5,185.80 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,185.80 |
$5,185.80 |
$5,185.80 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,185.80 |
$5,185.80 |
$5,185.80 |
$3,694.80
|
