|
Goniotomy
|
$3,945.62 |
$3,945.62 |
$3,945.62 |
$4,396.50
|
|
Goserelin 10.8 mg subcutaneous implant
|
$5,010.53 |
$5,010.53 |
$5,254.13 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$72.40 |
$72.40 |
$4,733.71 |
$73.83
|
|
Graft axiofill 1000mg
|
$3,456.79 |
$3,456.79 |
$12,003.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$388.13 |
$388.13 |
$424.77 |
$605.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$199.26 |
$199.26 |
$27,603.28 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$20,782.10 |
$20,782.10 |
$30,006.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$50,985.00 |
$50,985.00 |
$94,500.00 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$203.91 |
$203.91 |
$203.91 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,315.71 |
$1,315.71 |
$2,784.00 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$765.06 |
$765.06 |
$1,132.47 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$430.75 |
$430.75 |
$7,021.66 |
$349.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$4,742.40 |
$4,742.40 |
$4,742.40 |
$28,894.71
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$800.41 |
$800.41 |
$1,132.47 |
$1,103.05
|
|
Graft xenmtrx sft rect 15x20cm
|
$44,712.17 |
$44,712.17 |
$50,985.00 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,220.32 |
$3,220.32 |
$3,670.92 |
$2,905.40
|
|
Granisetron 1 mg tab
|
$53.15 |
$53.15 |
$53.15 |
$53.15
|
|
Granisetron hcl injection
|
$24.63 |
$24.63 |
$24.63 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$3,781.95 |
$3,781.95 |
$3,781.95 |
$2,698.02
|
|
Great toe with reduction 28495
|
$211.95 |
$211.95 |
$605.99 |
$495.00
|
|
Grfg autol fat lipo 50 cc/<
|
$5,102.99 |
$5,102.99 |
$5,102.99 |
$5,102.99
|
|
Group health education
|
$50.11 |
$50.11 |
$50.11 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$66.55 |
$66.55 |
$66.55 |
$43.12
|
|
Growth stimulation gene 2
|
$270.00 |
$270.00 |
$270.00 |
$180.50
|
|
Gstrst open wo constj tube
|
$4,908.49 |
$4,908.49 |
$4,908.49 |
$2,756.00
|
|
G-tube reposition
|
$730.95 |
$730.95 |
$1,291.62 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$1,525.20 |
$1,525.20 |
$3,009.45 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$631.80 |
$631.80 |
$2,270.09 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$6,492.00 |
$6,492.00 |
$6,492.00 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$7,980.00 |
$7,980.00 |
$23,453.10 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$2,541.00 |
$2,541.00 |
$4,336.80 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$620.91 |
$620.91 |
$620.91 |
$535.60
|
|
Gw stiffened micro access kit
|
$9,177.30 |
$9,177.30 |
$12,003.00 |
$6,893.38
|
|
Halo cervical into body jack
|
$3,051.31 |
$3,051.31 |
$3,051.31 |
$3,051.31
|
|
Halo cervical into jckt vest
|
$3,617.20 |
$3,617.20 |
$5,015.12 |
$5,015.12
|
|
Halo cerv into milwaukee typ
|
$5,529.64 |
$5,529.64 |
$6,758.24 |
$5,529.64
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$70.77 |
$70.77 |
$139.00 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$8.20 |
$8.20 |
$74.29 |
$24.30
|
|
Halo repl liner/interface
|
$1,931.10 |
$1,931.10 |
$1,931.10 |
$1,931.10
|
|
Handle/convey/speciman/office-lab 99000
|
$12.00 |
$12.00 |
$30.36 |
$23.40
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$43.05 |
$43.05 |
$43.05 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$6,628.05 |
$6,628.05 |
$8,520.00 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$115.20 |
$115.20 |
$136.53 |
$105.30
|
|
Hand X-ray
|
$317.78 |
$317.78 |
$404.40 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$294.90 |
$294.90 |
$318.00 |
$294.90
|
|
Haptoglobin quantitative
|
$119.07 |
$119.07 |
$231.30 |
$92.80
|
|
Harvest allogeneic stem cell
|
$5,531.25 |
$5,531.25 |
$5,531.25 |
$3,766.50
|
|
Harvest auto stem cells
|
$4,464.59 |
$4,464.59 |
$4,464.59 |
$3,624.31
|
|
Harvest cultured skin graft 15040
|
$1,829.30 |
$1,829.30 |
$1,829.30 |
$2,164.64
|
|
Harvest stem cell concentrte
|
$1,429.77 |
$1,429.77 |
$1,429.77 |
$1,355.25
|
|
Hast w/i&r phys/qhp
|
$334.95 |
$334.95 |
$569.72 |
$301.95
|
|
Hast w/oxygen titrate
|
$357.60 |
$357.60 |
$458.17 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$1,101.45 |
$1,101.45 |
$1,101.45 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$810.00 |
$810.00 |
$1,140.22 |
$403.25
|
|
Hbb full gene sequence
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$362.40 |
$362.40 |
$717.11 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$290.91 |
$290.91 |
$488.85 |
$726.00
|
|
Hcg qualitative
|
$137.41 |
$137.41 |
$194.70 |
$90.10
|
|
Hcg quantitative
|
$181.31 |
$181.31 |
$325.95 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$40.65 |
$40.65 |
$40.65 |
$113.12
|
|
Hc metata joint dislocation anes
|
$1,964.56 |
$1,964.56 |
$1,964.56 |
$2,383.09
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,381.05 |
$1,381.05 |
$1,381.05 |
$1,070.00
|
|
Hc nm fusion spect CT unlisted
|
$463.68 |
$463.68 |
$463.68 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$651.59 |
$651.59 |
$747.90 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,076.40 |
$1,076.40 |
$1,490.58 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,145.78 |
$2,145.78 |
$2,145.78 |
$3,958.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$8,227.02 |
$8,227.02 |
$8,227.02 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,138.90 |
$2,138.90 |
$2,138.90 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,763.29 |
$1,763.29 |
$1,763.29 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,599.36 |
$1,599.36 |
$1,599.36 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$397.29 |
$397.29 |
$397.29 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$397.29 |
$397.29 |
$397.29 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$2,041.88 |
$2,041.88 |
$2,720.70 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,681.39 |
$1,681.39 |
$2,275.80 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,907.15 |
$1,907.15 |
$2,057.70 |
$1,268.90
|
|
Heart first pass multiple
|
$1,663.35 |
$1,663.35 |
$1,663.35 |
$1,422.05
|
|
Heart image spect
|
$566.74 |
$566.74 |
$566.74 |
$1,135.68
|
|
Heart infarct image
|
$840.74 |
$840.74 |
$840.74 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$121.09 |
$121.09 |
$289.65 |
$276.00
|
|
Heinz bodies induced
|
$78.09 |
$78.09 |
$78.09 |
$53.54
|
|
Helicobacter pylori antibody igm
|
$130.67 |
$130.67 |
$230.85 |
$92.00
|
|
Hemagglutination inhibition
|
$73.26 |
$73.26 |
$73.26 |
$54.75
|
|
Hematocrit
|
$45.98 |
$45.98 |
$63.15 |
$33.80
|
|
Hematopoietic nuclear tx
|
$878.33 |
$878.33 |
$878.33 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$19,250.14 |
$19,250.14 |
$20,618.46 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$2,127.45 |
$2,127.45 |
$2,147.82 |
$1,364.27
|
|
Hemoglobin
|
$43.41 |
$43.41 |
$63.15 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$71.04 |
$71.04 |
$83.10 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$75.07 |
$75.07 |
$75.07 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$74.06 |
$74.06 |
$159.00 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$89.13 |
$89.13 |
$89.13 |
$89.13
|
|
Hemoglobin plasma
|
$85.22 |
$85.22 |
$85.22 |
$41.40
|
|
Hemoglobin urine
|
$26.10 |
$26.10 |
$26.10 |
$17.50
|
|
Hemolysin acid
|
$136.34 |
$136.34 |
$136.34 |
$79.04
|
|
Hemolysins/agglutinins auto
|
$108.23 |
$108.23 |
$840.00 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$108.23 |
$108.23 |
$108.23 |
$61.79
|
|
Hemophilus influenza antibdy
|
$107.84 |
$107.84 |
$107.84 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$254.60 |
$254.60 |
$890.85 |
$1,178.02
|
|
Heparin assay
|
$205.45 |
$205.45 |
$232.50 |
$139.15
|
|
Heparin bolus from bag
|
$64.70 |
$64.70 |
$77.14 |
$66.06
|
