|
Ghs nerve block suprascapular
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$1,155.60 |
$1,155.60 |
$1,155.60 |
$478.50
|
|
Ghs o2 saturation
|
$113.40 |
$113.40 |
$113.40 |
$70.80
|
|
Ghs ob unlisted IV or art inj or infusion
|
$73.80 |
$73.80 |
$73.80 |
$75.00
|
|
Ghs opcc repair cvp without subq port
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$2,194.40
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$6,959.58 |
$6,959.58 |
$6,959.58 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$4,979.94 |
$4,979.94 |
$4,979.94 |
$962.00
|
|
Ghs phenylketonurid
|
$111.00 |
$111.00 |
$111.00 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,523.60 |
$2,523.60 |
$2,523.60 |
$2,019.50
|
|
Ghs plt ct-manual
|
$24.60 |
$24.60 |
$24.60 |
$37.96
|
|
Ghs ppd (tb intradermal)
|
$16.20 |
$16.20 |
$16.20 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$17.40 |
$17.40 |
$17.40 |
$43.55
|
|
Ghs protoporphyrins fract
|
$86.40 |
$86.40 |
$86.40 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$54.00 |
$54.00 |
$54.00 |
$50.05
|
|
Ghs quinidine
|
$280.80 |
$280.80 |
$280.80 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$79.20 |
$79.20 |
$79.20 |
$71.20
|
|
Ghs reticulocyte count
|
$28.20 |
$28.20 |
$28.20 |
$34.45
|
|
Ghs sedimentation rate
|
$42.00 |
$42.00 |
$42.00 |
$45.50
|
|
Ghs semen analysis fert
|
$273.00 |
$273.00 |
$273.00 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$63.00 |
$63.00 |
$63.00 |
$57.60
|
|
Ghs urine, hydroxproline total
|
$49.80 |
$49.80 |
$49.80 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$47.40 |
$47.40 |
$47.40 |
$75.00
|
|
Giardia lamblia antibody
|
$48.60 |
$48.60 |
$48.60 |
$83.44
|
|
Gi inhouse confirmation
|
$82.20 |
$82.20 |
$82.20 |
$83.70
|
|
Gjb2 gene full sequence
|
$500.40 |
$500.40 |
$500.40 |
$502.80
|
|
Glassia injection
|
$3,108.60 |
$3,108.60 |
$3,108.60 |
$20.32
|
|
Glove finger flexion right lg xl
|
$343.52 |
$343.52 |
$343.52 |
$100.48
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,288.68 |
$1,288.68 |
$1,288.68 |
$491.67
|
|
Glucagon plasma - sendout
|
$27.00 |
$27.00 |
$27.00 |
$63.00
|
|
Glucose 1 hr post dose
|
$54.60 |
$54.60 |
$54.60 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$12,721.80 |
$12,721.80 |
$12,721.80 |
$23.86
|
|
Glucose blood quantitative
|
$54.60 |
$54.60 |
$54.60 |
$40.00
|
|
Glucose body fluid
|
$50.40 |
$50.40 |
$50.40 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$163.20 |
$163.20 |
$163.20 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$54.60 |
$54.60 |
$54.60 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$25,526.32 |
$25,526.32 |
$25,526.32 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$9,416.22 |
$9,416.22 |
$9,416.22 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$84.60 |
$84.60 |
$84.60 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$100.20 |
$100.20 |
$100.20 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$5,631.00 |
$5,631.00 |
$5,631.00 |
$4,652.18
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$6,771.15 |
$6,771.15 |
$6,771.15 |
$672.50
|
|
Graft axiofill 1000mg
|
$67,150.50 |
$67,150.50 |
$67,150.50 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$91,255.56 |
$91,255.56 |
$91,255.56 |
$584.99
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$65,776.33 |
$65,776.33 |
$65,776.33 |
$24,469.57
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$5,907.99 |
$5,907.99 |
$5,907.99 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$168,046.93 |
$168,046.93 |
$168,046.93 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$127,157.76 |
$127,157.76 |
$127,157.76 |
$27,300.00
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$55,631.52 |
$55,631.52 |
$55,631.52 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$20,384.98 |
$20,384.98 |
$20,384.98 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$34,571.02 |
$34,571.02 |
$34,571.02 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$13,428.26 |
$13,428.26 |
$13,428.26 |
$373.00
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$5,960.52 |
$5,960.52 |
$5,960.52 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$125,306.03 |
$125,306.03 |
$125,306.03 |
$27,367.40
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$10,530.25 |
$10,530.25 |
$10,530.25 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$125,528.55 |
$125,528.55 |
$125,528.55 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$59,456.19 |
$59,456.19 |
$59,456.19 |
$2,701.58
|
|
Grfg autol fat lipo 25 cc/<
|
$22,412.64 |
$22,412.64 |
$22,412.64 |
$4,627.00
|
|
Grfg autol fat lipo 50 cc/<
|
$20,471.48 |
$20,471.48 |
$20,471.48 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$20,471.48 |
$20,471.48 |
$20,471.48 |
$4,026.40
|
|
Growth hormone antibody
|
$166.20 |
$166.20 |
$166.20 |
$72.60
|
|
Gu dilat ureter/urethra s&i
|
$4,690.80 |
$4,690.80 |
$4,690.80 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$2,322.60 |
$2,322.60 |
$2,322.60 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$20,599.56 |
$20,599.56 |
$20,599.56 |
$7,728.17
|
|
Guide wire threaded 1.4x150mm
|
$31,709.96 |
$31,709.96 |
$31,709.96 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$1,836.95 |
$1,836.95 |
$1,836.95 |
$1,105.00
|
|
Gw stiffened micro access kit
|
$17,912.93 |
$17,912.93 |
$17,912.93 |
$6,696.00
|
|
Gynecomastia (males) 19300
|
$17,220.79 |
$17,220.79 |
$17,220.79 |
$3,735.20
|
|
Hallus-valgus nt dyn pre ots
|
$155.02 |
$155.02 |
$155.02 |
$102.37
|
|
Halo cervical into jckt vest
|
$17,713.49 |
$17,713.49 |
$17,713.49 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$66.06 |
$66.06 |
$66.06 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.50 |
$7.50 |
$7.50 |
$23.06
|
|
Halo repl liner/interface
|
$3,002.11 |
$3,002.11 |
$3,002.11 |
$1,931.10
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$344.32 |
$344.32 |
$344.32 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$8,528.72 |
$8,528.72 |
$8,528.72 |
$6,628.05
|
|
Hand X-ray
|
$510.60 |
$510.60 |
$510.60 |
$356.00
|
|
Haptoglobin quantitative
|
$49.80 |
$49.80 |
$49.80 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$496.20 |
$496.20 |
$496.20 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$402.00 |
$402.00 |
$402.00 |
$404.80
|
|
Hbb full gene sequence
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$633.25
|
|
Hbb gene dup/del variants
|
$463.20 |
$463.20 |
$463.20 |
$455.00
|
|
Hb glycosylated a1c home dev
|
$26.40 |
$26.40 |
$26.40 |
$23.00
|
|
Hcg free betachain test
|
$124.80 |
$124.80 |
$124.80 |
$68.90
|
|
Hcg qualitative
|
$60.00 |
$60.00 |
$60.00 |
$89.70
|
|
Hcg quantitative
|
$127.20 |
$127.20 |
$127.20 |
$139.20
|
|
Hc nm kidney imaging with flow
|
$633.00 |
$633.00 |
$633.00 |
$822.60
|
|
Head CT scan (with and without contrast)
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$854.40 |
$854.40 |
$854.40 |
$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
|
$1,285.80 |
$1,285.80 |
$1,285.80 |
$940.55
|
|
Heel leather reinforced
|
$273.39 |
$273.39 |
$273.39 |
$180.55
|
|
Heinz bodies direct
|
$51.00 |
$51.00 |
$51.00 |
$37.44
|
|
Heinz bodies induced
|
$60.00 |
$60.00 |
$60.00 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$37.20 |
$37.20 |
$37.20 |
$91.98
|
|
Hematocrit
|
$16.20 |
$16.20 |
$16.20 |
$33.57
|
|
Hemoglobin
|
$16.20 |
$16.20 |
$16.20 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$28.20 |
$28.20 |
$28.20 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$29.40 |
$29.40 |
$29.40 |
$42.00
|
