|
Ghs myocardial strain img spckl track
|
$462.80 |
$462.80 |
$462.80 |
$503.85
|
|
Ghs nerve blk intercostal, ea addtl level
|
$3,561.83 |
$3,561.83 |
$3,561.83 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$2,989.05 |
$2,989.05 |
$2,989.05 |
$1,232.23
|
|
Ghs nerve block axillary nerve
|
$3,677.05 |
$3,677.05 |
$3,677.05 |
$1,271.25
|
|
Ghs nerve block brachial plexus
|
$18,856.58 |
$18,856.58 |
$18,856.58 |
$1,789.51
|
|
Ghs nerve block celiac plexus
|
$4,191.03 |
$4,191.03 |
$4,191.03 |
$1,681.24
|
|
Ghs nerve block interscaline
|
$2,407.60 |
$2,407.60 |
$2,407.60 |
$1,574.21
|
|
Ghs nerve block lumbar or thoracic symp
|
$4,096.65 |
$4,096.65 |
$4,096.65 |
$2,079.21
|
|
Ghs nerve block sciatic nerve
|
$18,486.83 |
$18,486.83 |
$18,486.83 |
$1,745.25
|
|
Ghs nerve block suprascapular
|
$665.60 |
$665.60 |
$665.60 |
$1,220.00
|
|
Ghs ng placement w fluoro guidance
|
$517.40 |
$517.40 |
$517.40 |
$423.76
|
|
Ghs ot dds rom
|
$196.30 |
$196.30 |
$196.30 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$102.05 |
$102.05 |
$102.05 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$119.60 |
$119.60 |
$119.60 |
$89.73
|
|
Ghs ot work hardening-additional hours
|
$208.00 |
$208.00 |
$208.00 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$842.40 |
$842.40 |
$842.40 |
$872.95
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$2,249.95 |
$2,249.95 |
$2,249.95 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,333.15 |
$1,333.15 |
$1,333.15 |
$849.47
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$58.50 |
$58.50 |
$58.50 |
$82.80
|
|
Ghs phenylketonurid
|
$41.60 |
$41.60 |
$41.60 |
$61.20
|
|
Ghs picc line insert < 5
|
$2,494.70 |
$2,494.70 |
$2,494.70 |
$1,990.40
|
|
Ghs polysom <6 yrs 4/> parameters
|
$5,128.50 |
$5,128.50 |
$5,128.50 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$46.15 |
$46.15 |
$46.15 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$63.05 |
$63.05 |
$63.05 |
$49.77
|
|
Ghs protein, misc fluid
|
$19.50 |
$19.50 |
$19.50 |
$24.60
|
|
Ghs protoporphyrins fract
|
$84.50 |
$84.50 |
$84.50 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$184.60 |
$184.60 |
$184.60 |
$165.60
|
|
Ghs pt - work hardening/int 2hrs
|
$267.15 |
$267.15 |
$267.15 |
$230.40
|
|
Ghs quinidine
|
$85.15 |
$85.15 |
$85.15 |
$70.85
|
|
Ghs reticulocyte count
|
$63.70 |
$63.70 |
$63.70 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$175.50 |
$175.50 |
$175.50 |
$117.60
|
|
Ghs sedimentation rate
|
$72.80 |
$72.80 |
$72.80 |
$36.57
|
|
Ghs semen analysis fert
|
$154.05 |
$154.05 |
$154.05 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$85.15 |
$85.15 |
$85.15 |
$55.12
|
|
Ghs sleep study unattended
|
$1,179.10 |
$1,179.10 |
$1,179.10 |
$503.38
|
|
Ghs sphenopalatine ganglion block
|
$1,966.90 |
$1,966.90 |
$1,966.90 |
$762.91
|
|
Ghs sp train/fitting sp device - kx
|
$177.45 |
$177.45 |
$177.45 |
$240.80
|
|
Ghs st - re-eval for alt comm
|
$395.85 |
$395.85 |
$395.85 |
$321.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$7,842.64 |
$7,842.64 |
$7,842.64 |
$1,016.25
|
|
Ghs urine, porphyrins quant
|
$94.90 |
$94.90 |
$94.90 |
$85.15
|
|
Ghs vaginal delivery only
|
$135.85 |
$135.85 |
$135.85 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,991.60 |
$1,991.60 |
$1,991.60 |
$1,990.20
|
|
Gi inhouse confirmation
|
$33.80 |
$33.80 |
$33.80 |
$79.50
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,701.70 |
$1,701.70 |
$1,701.70 |
$2,418.92
|
|
Glassia injection
|
$3,266.25 |
$3,266.25 |
$3,266.25 |
$2,551.28
|
|
Glucagon 1 mg solution for injection
|
$1,365.00 |
$1,365.00 |
$1,365.00 |
$351.53
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,231.81 |
$1,231.81 |
$1,231.81 |
$509.06
|
|
Glucagon plasma - sendout
|
$109.20 |
$109.20 |
$109.20 |
$67.50
|
|
Glucose 1 hr post dose
|
$52.00 |
$52.00 |
$52.00 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$32.50 |
$32.50 |
$32.50 |
$20.00
|
|
Glucose blood quantitative
|
$27.30 |
$27.30 |
$27.30 |
$40.80
|
|
Glucose body fluid
|
$14.30 |
$14.30 |
$14.30 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$107.90 |
$107.90 |
$107.90 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$29.25 |
$29.25 |
$29.25 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$71.50 |
$71.50 |
$71.50 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$114.40 |
$114.40 |
$114.40 |
$117.65
|
|
Goserelin 10.8 mg subcutaneous implant
|
$9,404.26 |
$9,404.26 |
$9,404.26 |
$1,598.97
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$75.40 |
$75.40 |
$75.40 |
$56.71
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,570.40 |
$1,570.40 |
$1,570.40 |
$9,693.72
|
|
Graft nerve adv 3-4x70mm
|
$14,852.50 |
$14,852.50 |
$14,852.50 |
$25,226.40
|
|
Graft patch felt ptfe 2x2
|
$13,642.20 |
$13,642.20 |
$13,642.20 |
$19,883.36
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$119.60 |
$119.60 |
$119.60 |
$3,735.34
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$365.95 |
$365.95 |
$365.95 |
$486.45
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$332.80 |
$332.80 |
$332.80 |
$1,123.34
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$139.10 |
$139.10 |
$139.10 |
$5,533.20
|
|
Graft xenmtrx sft rect 15x20cm
|
$17,212.00 |
$17,212.00 |
$17,212.00 |
$32,353.75
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,517.10 |
$1,517.10 |
$1,517.10 |
$3,827.40
|
|
Guided cath fluid drainage 10030
|
$1,161.55 |
$1,161.55 |
$1,161.55 |
$1,451.40
|
|
Guide wire threaded 1.4x150mm
|
$975.00 |
$975.00 |
$975.00 |
$3,028.48
|
|
Guide worley csg 9fx50cm std
|
$533.00 |
$533.00 |
$533.00 |
$1,166.40
|
|
Guid loc target vol rad tx
|
$34,136.47 |
$34,136.47 |
$34,136.47 |
$620.91
|
|
Gw stiffened micro access kit
|
$910.00 |
$910.00 |
$910.00 |
$1,960.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Handle/convey/speciman/office-lab 99000
|
$20.80 |
$20.80 |
$20.80 |
$30.36
|
|
Handpiece aquabeam hp2000
|
$4,225.00 |
$4,225.00 |
$4,225.00 |
$4,225.00
|
|
Hand X-ray
|
$573.95 |
$573.95 |
$573.95 |
$317.78
|
|
Haptoglobin quantitative
|
$70.85 |
$70.85 |
$70.85 |
$75.00
|
|
Hba1/hba2 full gene sequence
|
$618.15 |
$618.15 |
$618.15 |
$847.86
|
|
Hba1/hba2 gene dup/del vrnts
|
$385.45 |
$385.45 |
$385.45 |
$407.57
|
|
Hbb full gene sequence
|
$592.80 |
$592.80 |
$592.80 |
$633.25
|
|
Hbb gene dup/del variants
|
$583.05 |
$583.05 |
$583.05 |
$436.80
|
|
Hbot, full body chamber, 30m
|
$387.40 |
$387.40 |
$387.40 |
$524.17
|
|
Hcg free betachain test
|
$70.20 |
$70.20 |
$70.20 |
$64.28
|
|
Hcg qualitative
|
$128.70 |
$128.70 |
$128.70 |
$72.50
|
|
Hcg quantitative
|
$278.85 |
$278.85 |
$278.85 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$2,145.65 |
$2,145.65 |
$2,145.65 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,829.75 |
$1,829.75 |
$1,829.75 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,588.60 |
$1,588.60 |
$1,588.60 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$148.85 |
$148.85 |
$148.85 |
$84.80
|
|
Hematocrit
|
$52.65 |
$52.65 |
$52.65 |
$32.50
|
|
Hemodialysis one evaluation
|
$1,531.40 |
$1,531.40 |
$1,531.40 |
$1,131.00
|
|
Hemoglobin
|
$52.65 |
$52.65 |
$52.65 |
$28.60
|
|
Hemoglobin fetal qualitative
|
$66.30 |
$66.30 |
$66.30 |
$54.60
|
|
Hemoglobin methemoglobin quantitative
|
$51.35 |
$51.35 |
$51.35 |
$43.01
|
|
Hemoglobin plasma
|
$58.50 |
$58.50 |
$58.50 |
$43.80
|
|
Hemolysins and agglutinins incubated
|
$96.20 |
$96.20 |
$96.20 |
$67.50
|
|
Hemophilus influenza antibdy
|
$174.85 |
$174.85 |
$174.85 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,315.12 |
$2,315.12 |
$2,315.12 |
$1,073.68
|
|
Hemorrhoidopexy stapling 46947
|
$9,106.54 |
$9,106.54 |
$9,106.54 |
$2,997.10
|
