|
Glucose blood by monitoring device cleared by fda for home use
|
$11.40 |
$29.40 |
$71.40 |
|
|
Glucose blood quantitative
|
$15.00 |
$30.00 |
$202.80 |
|
|
Glucose body fluid
|
$15.60 |
$44.40 |
$156.00 |
|
|
Glucose monitoring continual min 72hr pt
|
$90.60 |
$90.60 |
$255.60 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$42.50 |
$94.20 |
$303.00 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$15.00 |
$20.40 |
$106.20 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$5.80 |
$11.60 |
$208.80 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$81.00 |
$109.60 |
$6,234.40 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$33.00 |
$104.40 |
$826.20 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$37.50 |
$100.20 |
$793.80 |
|
|
Gonioscopy
|
$162.50 |
$162.50 |
$162.50 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$25.80 |
$1,591.80 |
$6,263.17 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$62.40 |
$74.40 |
$6,515.40 |
|
|
Graft axiofill 1000mg
|
$14.50 |
$3,442.80 |
$46,342.20 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$143.50 |
$264.60 |
$9,400.80 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$143.50 |
$27,538.20 |
$47,946.60 |
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$3,009.00 |
$3,009.00 |
$3,009.00 |
|
|
Graft nerve adv 3-4x70mm
|
$2,927.40 |
$21,180.60 |
$45,505.20 |
|
|
Graft patch felt ptfe 2x2
|
$1,327.80 |
$6,523.20 |
$55,935.00 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$143.50 |
$313.80 |
$3,645.60 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$204.00 |
$397.00 |
$38,730.60 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$236.00 |
$417.60 |
$3,681.60 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$46.40 |
$5,533.20 |
$11,093.40 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$10,934.40 |
$19,818.60 |
$53,576.40 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$143.50 |
$384.00 |
$3,681.60 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,441.88 |
$17,093.40 |
$118,942.80 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$255.00 |
$2,112.60 |
$3,827.40 |
|
|
Granisetron 1 mg tab
|
$108.00 |
$168.60 |
$231.60 |
|
|
Granisetron hcl injection
|
$6.00 |
$172.80 |
$2,659.20 |
|
|
Granulocyte pheresis ea unit
|
$6,457.80 |
$6,457.80 |
$11,250.60 |
|
|
Great toe with reduction 28495
|
$283.50 |
$1,693.20 |
$5,289.00 |
|
|
Grfg autol soft tiss dir exc
|
$4,329.00 |
$4,329.00 |
$10,474.83 |
|
|
Group health education
|
$151.50 |
$151.50 |
$151.50 |
|
|
Group mnt 2 or more 30 mins
|
$22.80 |
$67.80 |
$67.80 |
|
|
Growth hormone antibody
|
$145.80 |
$154.80 |
$282.00 |
|
|
Growth stimulation gene 2
|
$234.00 |
$234.00 |
$237.60 |
|
|
Grp adapt bhv tx by phy/qhp
|
$15.00 |
$15.00 |
$15.00 |
|
|
Grp adapt bhv tx by tech
|
$19.80 |
$19.80 |
$19.80 |
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$3,764.40 |
$3,764.40 |
$3,764.40 |
|
|
G-tube reposition
|
$240.00 |
$978.00 |
$6,670.20 |
|
|
Gu dilat ureter/urethra s&i
|
$4,060.80 |
$5,041.60 |
$10,866.00 |
|
|
Guided cath fluid drainage 10030
|
$908.50 |
$1,889.60 |
$8,240.80 |
|
|
Guide endoanchr sg-64 aaa 62cm
|
$1,821.00 |
$10,920.00 |
$41,988.60 |
|
|
Guide wire threaded 1.4x150mm
|
$41.40 |
$1,987.80 |
$10,604.40 |
|
|
Guide worley csg 9fx50cm std
|
$75.00 |
$228.00 |
$5,545.80 |
|
|
Guid loc target vol rad tx
|
$71.50 |
$875.20 |
$1,804.80 |
|
|
Gw stiffened micro access kit
|
$66.60 |
$1,028.80 |
$15,680.40 |
|
|
Gynecomastia (males) 19300
|
$709.80 |
$709.80 |
$709.80 |
|
|
Hair removal by electrolysis 17380
|
$849.50 |
$849.50 |
$849.50 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$30.60 |
$160.00 |
$3,586.80 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$2.00 |
$25.80 |
$421.80 |
|
|
Hand-held pefr meter a4614
|
$7.20 |
$26.40 |
$267.00 |
|
|
Handle/convey/speciman/office-lab 99000
|
$17.50 |
$23.40 |
$78.00 |
|
|
Handpiece aquabeam hp2000
|
$4,143.72 |
$4,143.72 |
$4,143.72 |
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$60.00 |
$130.20 |
$236.80 |
|
|
Hand X-ray
|
$115.80 |
$296.80 |
$686.40 |
|
|
Hand X-ray (2 views, both hands)
|
$99.00 |
$280.00 |
$686.40 |
|
|
Haptoglobin quantitative
|
$42.00 |
$66.60 |
$684.60 |
|
|
Harvest allogeneic stem cell
|
$987.60 |
$987.60 |
$214,319.40 |
|
|
Harvest auto stem cells
|
$987.60 |
$1,882.50 |
$5,742.00 |
|
|
Hast w/i&r phys/qhp
|
$138.00 |
$151.80 |
$275.40 |
|
|
Hast w/oxygen titrate
|
$181.20 |
$226.80 |
$316.80 |
|
|
Hba1/hba2 full gene sequence
|
$827.50 |
$1,240.00 |
$1,429.20 |
|
|
Hba1/hba2 gene dup/del vrnts
|
$279.50 |
$438.00 |
$438.00 |
|
|
Hbb full gene sequence
|
$670.40 |
$1,172.40 |
$3,029.40 |
|
|
Hbb gene dup/del variants
|
$675.00 |
$1,672.80 |
$1,773.00 |
|
|
Hb glycosylated a1c home dev
|
$17.50 |
$17.50 |
$17.50 |
|
|
Hbot, full body chamber, 30m
|
$175.80 |
$742.40 |
$1,117.80 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$418.50 |
$867.20 |
$1,539.20 |
|
|
Hcg qualitative
|
$31.20 |
$66.60 |
$645.60 |
|
|
Hcg quantitative
|
$35.00 |
$84.60 |
$386.40 |
|
|
Hc hearing aid chck binaurl
|
$85.60 |
$85.60 |
$198.00 |
|
|
Hc hearing aid chck monarl
|
$67.20 |
$165.00 |
$250.20 |
|
|
Hc hearing aid exam both ears
|
$246.00 |
$246.00 |
$246.00 |
|
|
Hc hearing aid exam one ear
|
$221.40 |
$221.40 |
$221.40 |
|
|
Hc i-131 sodium iodide cap dx per mci
|
$184.20 |
$190.20 |
$892.20 |
|
|
Hc metata joint dislocation anes
|
$4,470.00 |
$4,470.00 |
$4,470.00 |
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$849.50 |
$849.50 |
$5,167.80 |
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$809.00 |
$809.00 |
$3,106.20 |
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$849.50 |
$3,624.00 |
$4,716.00 |
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$665.40 |
$665.40 |
$665.40 |
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$809.00 |
$809.00 |
$2,876.40 |
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$439.00 |
$439.00 |
$718.20 |
|
|
Hc nm fusion spect CT unlisted
|
$374.40 |
$452.80 |
$927.00 |
|
|
Hc nm kidney imaging with flow
|
$544.80 |
$1,228.80 |
$2,901.00 |
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$756.00 |
$1,800.00 |
$2,367.20 |
|
|
Hc pet myocardial imaging metabolic eval single study
|
$4,185.00 |
$4,972.20 |
$12,446.40 |
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$3,046.80 |
$3,046.80 |
$3,046.80 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$861.00 |
$2,553.60 |
$7,995.60 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,553.60 |
$2,553.60 |
$9,493.80 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,553.60 |
$2,553.60 |
$10,465.20 |
|
|
Hdr rdncl skn surf brachytx
|
$598.20 |
$598.20 |
$7,657.80 |
|
|
Hdr rdncl skn surf brachytx
|
$598.20 |
$598.20 |
$9,925.80 |
|
|
Head CT scan (with and without contrast)
|
$457.50 |
$1,300.20 |
$5,112.00 |
|
|
Head CT scan (with contrast)
|
$374.50 |
$1,294.80 |
$4,599.60 |
|
|
Head CT scan (without contrast)
|
$296.00 |
$961.20 |
$3,127.20 |
|
|
Hearing loss dup/del analys
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
|
|
Hearing loss sequence analys
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
|
|
Heart first pass add-on
|
$885.00 |
$885.00 |
$885.00 |
|
|
Heart first pass multiple
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
|
