|
Ghs somatosensory testing upper & lower limbs
|
$751.00 |
$751.00 |
$751.00 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$141.00 |
$141.00 |
$141.00 |
$161.76
|
|
Ghs sp train/fitting sp device - kx
|
$294.50 |
$294.50 |
$294.50 |
$249.60
|
|
Ghs strapping shoulder - 29240
|
$241.00 |
$241.00 |
$241.00 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$200.50 |
$200.50 |
$200.50 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$883.50 |
$883.50 |
$883.50 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$554.50 |
$554.50 |
$554.50 |
$692.80
|
|
Ghs tx distal phalangeal fx with manipulation
|
$303.50 |
$303.50 |
$303.50 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$37.50 |
$37.50 |
$37.50 |
$73.80
|
|
Ghs vaginal delivery only
|
$1,763.00 |
$1,763.00 |
$1,763.00 |
$3,338.40
|
|
Gi inhouse confirmation
|
$49.00 |
$49.00 |
$49.00 |
$86.40
|
|
Gi wireless capsule measure
|
$1,042.50 |
$1,042.50 |
$1,042.50 |
$1,579.30
|
|
Glassia injection
|
$4,784.07 |
$4,784.07 |
$4,784.07 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$613.94 |
$613.94 |
$613.94 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,534.84 |
$1,534.84 |
$1,534.84 |
$491.67
|
|
Glucagon plasma - sendout
|
$67.00 |
$67.00 |
$67.00 |
$63.20
|
|
Glucose 1 hr post dose
|
$11.50 |
$11.50 |
$11.50 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$40.50 |
$40.50 |
$40.50 |
$22.75
|
|
Glucose blood quantitative
|
$22.00 |
$22.00 |
$22.00 |
$41.40
|
|
Glucose body fluid
|
$81.00 |
$81.00 |
$81.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$42.50 |
$42.50 |
$42.50 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$18.50 |
$18.50 |
$18.50 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$33.00 |
$33.00 |
$33.00 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$37.50 |
$37.50 |
$37.50 |
$129.00
|
|
Gonioscopy
|
$162.50 |
$162.50 |
$162.50 |
$135.52
|
|
Goserelin 10.8 mg subcutaneous implant
|
$6,263.17 |
$6,263.17 |
$6,263.17 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$143.50
|
|
Graft axiofill 1000mg
|
$14.50 |
$14.50 |
$14.50 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$23,288.44
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$3,009.00 |
$3,009.00 |
$3,009.00 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$3,251.28 |
$3,251.28 |
$3,251.28 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$2,202.53 |
$2,202.53 |
$2,202.53 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$397.00 |
$397.00 |
$397.00 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$587.00 |
$587.00 |
$587.00 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$1,909.30 |
$1,909.30 |
$1,909.30 |
$427.89
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,441.88 |
$1,441.88 |
$1,441.88 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$270.98 |
$270.98 |
$270.98 |
$3,076.20
|
|
Great toe with reduction 28495
|
$283.50 |
$283.50 |
$283.50 |
$495.00
|
|
Grfg autol soft tiss dir exc
|
$10,474.83 |
$10,474.83 |
$10,474.83 |
$4,332.25
|
|
Group health education
|
$151.50 |
$151.50 |
$151.50 |
$61.92
|
|
G-tube reposition
|
$240.00 |
$240.00 |
$240.00 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$5,132.00 |
$5,132.00 |
$5,132.00 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$908.50 |
$908.50 |
$908.50 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$1,334.73 |
$1,334.73 |
$1,334.73 |
$3,401.81
|
|
Guid loc target vol rad tx
|
$71.50 |
$71.50 |
$71.50 |
$535.60
|
|
Gw stiffened micro access kit
|
$558.50 |
$558.50 |
$558.50 |
$6,600.00
|
|
Hair removal by electrolysis 17380
|
$849.50 |
$849.50 |
$849.50 |
$849.50
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$2.00 |
$2.00 |
$2.00 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$17.50 |
$17.50 |
$17.50 |
$23.30
|
|
Handpiece aquabeam hp2000
|
$4,143.72 |
$4,143.72 |
$4,143.72 |
$6,628.05
|
|
Hand X-ray
|
$176.00 |
$176.00 |
$176.00 |
$345.87
|
|
Haptoglobin quantitative
|
$88.00 |
$88.00 |
$88.00 |
$91.80
|
|
Harvest auto stem cells
|
$1,882.50 |
$1,882.50 |
$1,882.50 |
$3,379.00
|
|
Hba1/hba2 full gene sequence
|
$827.50 |
$827.50 |
$827.50 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$279.50 |
$279.50 |
$279.50 |
$403.25
|
|
Hbb full gene sequence
|
$707.00 |
$707.00 |
$707.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$675.00 |
$675.00 |
$675.00 |
$404.80
|
|
Hb glycosylated a1c home dev
|
$17.50 |
$17.50 |
$17.50 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$862.00 |
$862.00 |
$862.00 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$418.50 |
$418.50 |
$418.50 |
$721.00
|
|
Hcg qualitative
|
$34.00 |
$34.00 |
$34.00 |
$88.00
|
|
Hcg quantitative
|
$35.00 |
$35.00 |
$35.00 |
$137.15
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$849.50 |
$849.50 |
$849.50 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$809.00 |
$809.00 |
$809.00 |
$858.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$849.50 |
$849.50 |
$849.50 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$809.00 |
$809.00 |
$809.00 |
$845.60
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$439.00 |
$439.00 |
$439.00 |
$1,070.00
|
|
Hc nm fusion spect CT unlisted
|
$414.50 |
$414.50 |
$414.50 |
$463.68
|
|
Head CT scan (with and without contrast)
|
$457.50 |
$457.50 |
$457.50 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$374.50 |
$374.50 |
$374.50 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$310.00 |
$310.00 |
$310.00 |
$1,268.90
|
|
Hematocrit
|
$6.00 |
$6.00 |
$6.00 |
$33.57
|
|
Hemoglobin
|
$37.50 |
$37.50 |
$37.50 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$69.00 |
$69.00 |
$69.00 |
$52.32
|
|
Hemoglobin plasma
|
$39.50 |
$39.50 |
$39.50 |
$41.25
|
|
Hemophilus influenza antibdy
|
$109.50 |
$109.50 |
$109.50 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$1,170.54
|
|
Heparin assay
|
$179.50 |
$179.50 |
$179.50 |
$138.84
|
|
Heparin bolus from bag
|
$21.69 |
$21.69 |
$21.69 |
$68.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$12.91
|
|
Hepatitis a antibody igm
|
$81.50 |
$81.50 |
$81.50 |
$88.92
|
|
Hepatitis b core antibody igm
|
$29.50 |
$29.50 |
$29.50 |
$88.80
|
|
Hepatitis b core antibody total
|
$21.50 |
$21.50 |
$21.50 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$373.50 |
$373.50 |
$373.50 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$62.50 |
$62.50 |
$62.50 |
$81.12
|
|
Hepatitis c antibody
|
$73.00 |
$73.00 |
$73.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$424.50 |
$424.50 |
$424.50 |
$1,438.99
|
|
Hereditary colon ca dsordrs
|
$787.67 |
$787.67 |
$787.67 |
$1,901.23
|
|
Hernia Repair (Inguinal)
|
$3,634.50 |
$3,634.50 |
$3,634.50 |
$6,739.98
|
|
Herpes simplex 1 ag if
|
$30.00 |
$30.00 |
$30.00 |
$38.58
|
|
Herpes simplex 2 ag if
|
$59.00 |
$59.00 |
$59.00 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$43.00 |
$43.00 |
$43.00 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$54.50 |
$54.50 |
$54.50 |
$87.10
|
|
Herpes simplex virus isolation
|
$30.00 |
$30.00 |
$30.00 |
$106.21
|
|
Heterophile antibodies screening
|
$16.50 |
$16.50 |
$16.50 |
$72.00
|
|
Hip X-ray
|
$91.00 |
$91.00 |
$91.00 |
$296.05
|
|
Histamine
|
$129.00 |
$129.00 |
$129.00 |
$114.84
|
