|
Glucagon plasma - sendout
|
$97.00 |
$97.00 |
$97.00 |
$63.20
|
|
Glucose 1 hr post dose
|
$26.00 |
$26.00 |
$26.00 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$8.00 |
$8.00 |
$8.00 |
$22.75
|
|
Glucose blood quantitative
|
$26.00 |
$26.00 |
$26.00 |
$41.40
|
|
Glucose body fluid
|
$32.00 |
$32.00 |
$32.00 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$138.00 |
$138.00 |
$138.00 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$79.00 |
$79.00 |
$79.00 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$26.00 |
$26.00 |
$26.00 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$81.00 |
$81.00 |
$81.00 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$97.00 |
$97.00 |
$97.00 |
$129.00
|
|
Gonioscopy
|
$37.50 |
$37.50 |
$37.50 |
$135.52
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$63.00 |
$63.00 |
$63.00 |
$143.50
|
|
Graft axiofill 1000mg
|
$2,091.00 |
$2,091.00 |
$2,091.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$601.50 |
$601.50 |
$601.50 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$943.00 |
$943.00 |
$943.00 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$26,601.50 |
$26,601.50 |
$26,601.50 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$22,766.50 |
$22,766.50 |
$22,766.50 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$8,300.00 |
$8,300.00 |
$8,300.00 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$541.00 |
$541.00 |
$541.00 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$635.50 |
$635.50 |
$635.50 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$718.00 |
$718.00 |
$718.00 |
$427.89
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$2,614.50 |
$2,614.50 |
$2,614.50 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$232.00 |
$232.00 |
$232.00 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$42,814.50 |
$42,814.50 |
$42,814.50 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,225.50 |
$2,225.50 |
$2,225.50 |
$3,076.20
|
|
Granulocyte pheresis ea unit
|
$1,857.50 |
$1,857.50 |
$1,857.50 |
$2,698.02
|
|
Great toe with reduction 28495
|
$268.50 |
$268.50 |
$268.50 |
$495.00
|
|
Group mnt 2 or more 30 mins
|
$16.00 |
$16.00 |
$16.00 |
$40.14
|
|
Growth hormone panel
|
$473.50 |
$473.50 |
$473.50 |
$173.00
|
|
G-tube reposition
|
$568.00 |
$568.00 |
$568.00 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$832.00 |
$832.00 |
$832.00 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$659.50 |
$659.50 |
$659.50 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$22,766.50 |
$22,766.50 |
$22,766.50 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$63,375.00 |
$63,375.00 |
$63,375.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$1,283.50 |
$1,283.50 |
$1,283.50 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$366.50 |
$366.50 |
$366.50 |
$535.60
|
|
Gw stiffened micro access kit
|
$13,902.50 |
$13,902.50 |
$13,902.50 |
$6,600.00
|
|
Halo cervical into jckt vest
|
$7,486.50 |
$7,486.50 |
$7,486.50 |
$5,015.12
|
|
Halo repl liner/interface
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$1,931.10
|
|
Hand X-ray
|
$178.00 |
$178.00 |
$178.00 |
$345.87
|
|
Haptoglobin quantitative
|
$46.00 |
$46.00 |
$46.00 |
$91.80
|
|
Harness figure of 8 sing con
|
$232.00 |
$232.00 |
$232.00 |
$173.60
|
|
Harvest allogeneic stem cell
|
$2,117.50 |
$2,117.50 |
$2,117.50 |
$3,067.50
|
|
Harvest auto stem cells
|
$2,587.50 |
$2,587.50 |
$2,587.50 |
$3,379.00
|
|
Harvest stem cell concentrte
|
$4,625.00 |
$4,625.00 |
$4,625.00 |
$1,355.25
|
|
Hast w/i&r phys/qhp
|
$120.00 |
$120.00 |
$120.00 |
$301.95
|
|
Hast w/oxygen titrate
|
$120.00 |
$120.00 |
$120.00 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$556.50 |
$556.50 |
$556.50 |
$769.95
|
|
Hbb full gene sequence
|
$504.50 |
$504.50 |
$504.50 |
$633.25
|
|
Hbb gene dup/del variants
|
$387.00 |
$387.00 |
$387.00 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$103.00 |
$103.00 |
$103.00 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$155.00 |
$155.00 |
$155.00 |
$721.00
|
|
Hcg qualitative
|
$24.00 |
$24.00 |
$24.00 |
$88.00
|
|
Hcg quantitative
|
$87.50 |
$87.50 |
$87.50 |
$137.15
|
|
Hc metata joint dislocation anes
|
$1,274.50 |
$1,274.50 |
$1,274.50 |
$2,383.09
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$407.50 |
$407.50 |
$407.50 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$407.50 |
$407.50 |
$407.50 |
$858.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$407.50 |
$407.50 |
$407.50 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$407.50 |
$407.50 |
$407.50 |
$564.00
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$407.50 |
$407.50 |
$407.50 |
$845.60
|
|
Hc nm fusion spect CT unlisted
|
$249.50 |
$249.50 |
$249.50 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$446.50 |
$446.50 |
$446.50 |
$849.00
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,879.50 |
$2,879.50 |
$2,879.50 |
$3,840.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,475.50 |
$1,475.50 |
$1,475.50 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,541.00 |
$1,541.00 |
$1,541.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,607.50 |
$1,607.50 |
$1,607.50 |
$3,694.80
|
|
Hdr rdncl skn surf brachytx
|
$1,610.50 |
$1,610.50 |
$1,610.50 |
$877.50
|
|
Hdr rdncl skn surf brachytx
|
$1,724.00 |
$1,724.00 |
$1,724.00 |
$992.50
|
|
Head CT scan (with and without contrast)
|
$908.50 |
$908.50 |
$908.50 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$685.50 |
$685.50 |
$685.50 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$544.50 |
$544.50 |
$544.50 |
$1,268.90
|
|
Heart first pass add-on
|
$83.00 |
$83.00 |
$83.00 |
$477.09
|
|
Hematocrit
|
$22.50 |
$22.50 |
$22.50 |
$33.57
|
|
Hematopoietic nuclear tx
|
$398.50 |
$398.50 |
$398.50 |
$928.98
|
|
Hemodialysis one evaluation
|
$497.00 |
$497.00 |
$497.00 |
$1,338.00
|
|
Hemoglobin
|
$36.50 |
$36.50 |
$36.50 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$32.00 |
$32.00 |
$32.00 |
$52.32
|
|
Hemoglobin plasma
|
$51.00 |
$51.00 |
$51.00 |
$41.25
|
|
Hemoglobin urine
|
$29.00 |
$29.00 |
$29.00 |
$17.50
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$669.00 |
$669.00 |
$669.00 |
$1,170.54
|
|
Heparin assay
|
$201.00 |
$201.00 |
$201.00 |
$138.84
|
|
Hepatitis a antibody igm
|
$109.00 |
$109.00 |
$109.00 |
$88.92
|
|
Hepatitis b core antibody igm
|
$80.00 |
$80.00 |
$80.00 |
$88.80
|
|
Hepatitis b core antibody total
|
$98.00 |
$98.00 |
$98.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$91.00 |
$91.00 |
$91.00 |
$81.12
|
|
Hepatitis c antibody
|
$116.00 |
$116.00 |
$116.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$466.50 |
$466.50 |
$466.50 |
$1,438.99
|
|
Hernia Repair (Inguinal)
|
$4,081.00 |
$4,081.00 |
$4,081.00 |
$6,739.98
|
|
Herpes simplex type 1 antibody igg
|
$80.50 |
$80.50 |
$80.50 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$88.50 |
$88.50 |
$88.50 |
$87.10
|
|
Heterophile antibodies screening
|
$72.00 |
$72.00 |
$72.00 |
$72.00
|
|
Hfo nontorsion jnts pre cst
|
$37.00 |
$37.00 |
$37.00 |
$110.88
|
|
Hhv-6 dna quant
|
$334.00 |
$334.00 |
$334.00 |
$250.80
|
|
Hip adj flex ext abduct cont
|
$999.50 |
$999.50 |
$999.50 |
$837.61
|
|
Hip clevis/thrust bearing fr
|
$426.00 |
$426.00 |
$426.00 |
$504.64
|
|
Hip X-ray
|
$183.50 |
$183.50 |
$183.50 |
$296.05
|
|
Histamine
|
$115.00 |
$115.00 |
$115.00 |
$114.84
|
|
Histochemical stains add-on
|
$123.50 |
$123.50 |
$123.50 |
$152.75
|
|
Hla class i high defin qual
|
$903.00 |
$903.00 |
$903.00 |
$625.00
|
|
Hla class ii high defin qual
|
$903.00 |
$903.00 |
$903.00 |
$569.25
|
