|
Ghs semen analysis fert
|
$195.60 |
$195.60 |
$195.60 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$111.60 |
$111.60 |
$111.60 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$589.80 |
$589.80 |
$589.80 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$589.80 |
$589.80 |
$589.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$781.80 |
$781.80 |
$781.80 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$589.80 |
$589.80 |
$589.80 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$589.80 |
$589.80 |
$589.80 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$589.80 |
$589.80 |
$589.80 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$589.80 |
$589.80 |
$589.80 |
$590.88
|
|
Ghs somatosensory testing upper & lower limbs
|
$687.00 |
$687.00 |
$687.00 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$156.00 |
$156.00 |
$156.00 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$568.20 |
$568.20 |
$568.20 |
$630.24
|
|
Ghs sp train/fitting sp device - kx
|
$179.40 |
$179.40 |
$179.40 |
$252.75
|
|
Ghs strapping shoulder - 29240
|
$471.00 |
$471.00 |
$471.00 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$249.60 |
$249.60 |
$249.60 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$3,384.00 |
$3,384.00 |
$3,384.00 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$781.80 |
$781.80 |
$781.80 |
$695.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$825.60 |
$825.60 |
$825.60 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$499.80 |
$499.80 |
$499.80 |
$513.80
|
|
Ghs urine, porphyrins quant
|
$518.40 |
$518.40 |
$518.40 |
$73.80
|
|
Ghs vaginal delivery only
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$3,341.93
|
|
Gi inhouse confirmation
|
$86.40 |
$86.40 |
$86.40 |
$87.75
|
|
Glassia injection
|
$34.80 |
$34.80 |
$34.80 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$613.79
|
|
Glucagon plasma - sendout
|
$202.20 |
$202.20 |
$202.20 |
$64.35
|
|
Glucose 1 hr post dose
|
$37.20 |
$37.20 |
$37.20 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$31.20 |
$31.20 |
$31.20 |
$23.12
|
|
Glucose blood quantitative
|
$52.20 |
$52.20 |
$52.20 |
$42.25
|
|
Glucose body fluid
|
$52.20 |
$52.20 |
$52.20 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$199.80 |
$199.80 |
$199.80 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$42.60 |
$42.60 |
$42.60 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$35.40 |
$35.40 |
$35.40 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$104.80 |
$104.80 |
$104.80 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$280.80 |
$280.80 |
$280.80 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$255.60 |
$255.60 |
$255.60 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$4,524.00 |
$4,524.00 |
$4,524.00 |
$4,417.13
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$13,093.20 |
$13,093.20 |
$13,093.20 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$21,493.20 |
$21,493.20 |
$21,493.20 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$4,338.00 |
$4,338.00 |
$4,338.00 |
$29,293.39
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$2,568.60 |
$2,568.60 |
$2,568.60 |
$349.41
|
|
Graft xenmtrx sft rect 15x20cm
|
$2,647.80 |
$2,647.80 |
$2,647.80 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$2,905.40
|
|
Granisetron hcl injection
|
$27.00 |
$27.00 |
$27.00 |
$45.03
|
|
Great toe with reduction 28495
|
$825.60 |
$825.60 |
$825.60 |
$495.00
|
|
Guided cath fluid drainage 10030
|
$2,183.40 |
$2,183.40 |
$2,183.40 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$7,473.60 |
$7,473.60 |
$7,473.60 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$1,009.80 |
$1,009.80 |
$1,009.80 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$188.40 |
$188.40 |
$188.40 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$850.80 |
$850.80 |
$850.80 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$160.00 |
$160.00 |
$160.00 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$24.30
|
|
Hand-held pefr meter a4614
|
$25.20 |
$25.20 |
$25.20 |
$26.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$130.20 |
$130.20 |
$130.20 |
$105.30
|
|
Hand X-ray
|
$294.60 |
$294.60 |
$294.60 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$564.60 |
$564.60 |
$564.60 |
$294.90
|
|
Haptoglobin quantitative
|
$155.40 |
$155.40 |
$155.40 |
$92.80
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$726.00
|
|
Hcg qualitative
|
$102.60 |
$102.60 |
$102.60 |
$90.10
|
|
Hcg quantitative
|
$301.80 |
$301.80 |
$301.80 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$190.20 |
$190.20 |
$190.20 |
$113.12
|
|
Hc nm fusion spect CT unlisted
|
$374.40 |
$374.40 |
$374.40 |
$463.68
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,957.20 |
$1,957.20 |
$1,957.20 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$2,704.20 |
$2,704.20 |
$2,704.20 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,371.20 |
$2,371.20 |
$2,371.20 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,602.60 |
$1,602.60 |
$1,602.60 |
$1,268.90
|
|
Heart image spect
|
$1,651.20 |
$1,651.20 |
$1,651.20 |
$1,135.68
|
|
Heart infarct image
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$292.80 |
$292.80 |
$292.80 |
$276.00
|
|
Hematocrit
|
$78.60 |
$78.60 |
$78.60 |
$33.80
|
|
Hematopoietic nuclear tx
|
$617.40 |
$617.40 |
$617.40 |
$928.98
|
|
Hemoglobin
|
$45.60 |
$45.60 |
$45.60 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$228.00 |
$228.00 |
$228.00 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$239.40 |
$239.40 |
$239.40 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$226.80 |
$226.80 |
$226.80 |
$52.32
|
|
Hemoglobin plasma
|
$61.20 |
$61.20 |
$61.20 |
$41.40
|
|
Hemoglobin urine
|
$52.20 |
$52.20 |
$52.20 |
$17.50
|
|
Hemophilus influenza antibdy
|
$139.20 |
$139.20 |
$139.20 |
$62.70
|
|
Heparin assay
|
$335.40 |
$335.40 |
$335.40 |
$139.15
|
|
Heparin bolus from bag
|
$46.20 |
$46.20 |
$46.20 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$4.40 |
$4.40 |
$4.40 |
$12.00
|
|
Hepatitis a antibody igm
|
$168.00 |
$168.00 |
$168.00 |
$89.44
|
|
Hepatitis b core antibody igm
|
$168.00 |
$168.00 |
$168.00 |
$89.60
|
|
Hepatitis b core antibody total
|
$455.40 |
$455.40 |
$455.40 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,109.60 |
$1,109.60 |
$1,109.60 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$137.40 |
$137.40 |
$137.40 |
$82.32
|
|
Hepatitis c antibody
|
$279.60 |
$279.60 |
$279.60 |
$108.25
|
|
Hereditary colon ca dsordrs
|
$3,202.80 |
$3,202.80 |
$3,202.80 |
$1,901.23
|
|
Herpes simplex 2 ag if
|
$143.40 |
$143.40 |
$143.40 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$271.80 |
$271.80 |
$271.80 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$91.80 |
$91.80 |
$91.80 |
$87.36
|
|
Herpes simplex virus isolation
|
$447.60 |
$447.60 |
$447.60 |
$110.00
|
|
Heterophile antibodies screening
|
$56.40 |
$56.40 |
$56.40 |
$73.87
|
|
Hhv-6 dna quant
|
$551.40 |
$551.40 |
$551.40 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$374.40 |
$374.40 |
$374.40 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$414.00 |
$414.00 |
$414.00 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$621.00 |
$621.00 |
$621.00 |
$233.50
|
|
Hip X-ray
|
$653.40 |
$653.40 |
$653.40 |
$294.75
|
|
Histamine
|
$351.60 |
$351.60 |
$351.60 |
$115.00
|
|
Hla i & ii typing lr
|
$3,189.60 |
$3,189.60 |
$3,189.60 |
$1,407.51
|
|
Hla ii typing ag equiv lr
|
$912.00 |
$912.00 |
$912.00 |
$475.00
|
