|
Gonadotropin follicle stimulating hormone (fsh)
|
$202.98 |
$202.98 |
$202.98 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$316.50 |
$316.50 |
$316.50 |
$129.03
|
|
Gonioscopy
|
$152.50 |
$152.50 |
$152.50 |
$135.52
|
|
Goniotomy
|
$4,632.84 |
$4,632.84 |
$4,632.84 |
$4,396.50
|
|
Goserelin 10.8 mg subcutaneous implant
|
$5,010.53 |
$5,010.53 |
$5,010.53 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,733.71 |
$4,733.71 |
$4,733.71 |
$73.83
|
|
Graft axiofill 1000mg
|
$3,591.00 |
$3,591.00 |
$3,591.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$388.13 |
$388.13 |
$388.13 |
$605.00
|
|
Graft hand or finger tendon
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$27,603.28 |
$27,603.28 |
$27,603.28 |
$23,233.80
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$20,782.10 |
$20,782.10 |
$20,782.10 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$141.58 |
$141.58 |
$141.58 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,315.71 |
$1,315.71 |
$1,315.71 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$765.06 |
$765.06 |
$765.06 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$7,021.66 |
$7,021.66 |
$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 |
$800.41 |
$1,103.05
|
|
Graft xenmtrx sft rect 15x20cm
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,670.92 |
$3,670.92 |
$3,670.92 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$4,337.60 |
$4,337.60 |
$4,337.60 |
$2,698.02
|
|
Great toe with reduction 28495
|
$577.03 |
$577.03 |
$577.03 |
$495.00
|
|
Grfg autol fat lipo 50 cc/<
|
$5,102.99 |
$5,102.99 |
$5,102.99 |
$5,102.99
|
|
Ground mileage
|
$3.74 |
$3.74 |
$3.74 |
$17.60
|
|
Group behave couns 2-10
|
$106.94 |
$106.94 |
$106.94 |
$94.87
|
|
Group health education
|
$76.66 |
$76.66 |
$76.66 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$54.10 |
$54.10 |
$54.10 |
$43.12
|
|
Growth hormone antibody
|
$72.60 |
$72.60 |
$72.60 |
$73.10
|
|
Growth stimulation gene 2
|
$225.00 |
$225.00 |
$225.00 |
$180.50
|
|
Gstrst open wo constj tube
|
$3,084.38 |
$3,084.38 |
$3,084.38 |
$2,756.00
|
|
G-tube reposition
|
$1,566.16 |
$1,566.16 |
$1,566.16 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$3,458.62 |
$3,458.62 |
$3,458.62 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$1,218.98 |
$1,218.98 |
$1,218.98 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$8,922.00 |
$8,922.00 |
$8,922.00 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$23,453.10 |
$23,453.10 |
$23,453.10 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$5,049.60 |
$5,049.60 |
$5,049.60 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$298.56 |
$298.56 |
$298.56 |
$535.60
|
|
Gum graft
|
$5,289.89 |
$5,289.89 |
$5,289.89 |
$5,289.89
|
|
Gw stiffened micro access kit
|
$9,177.30 |
$9,177.30 |
$9,177.30 |
$6,893.38
|
|
Gynecomastia (males) 19300
|
$3,514.50 |
$3,514.50 |
$3,514.50 |
$3,735.20
|
|
Hair removal by electrolysis 17380
|
$706.98 |
$706.98 |
$706.98 |
$849.50
|
|
Hair trnspl 1-15 punch grfts
|
$326.34 |
$326.34 |
$326.34 |
$908.00
|
|
Hair trnspl >15 punch grafts
|
$326.34 |
$326.34 |
$326.34 |
$1,108.80
|
|
Halo cervical into jckt vest
|
$2,395.80 |
$2,395.80 |
$2,395.80 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$139.00 |
$139.00 |
$139.00 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$74.29 |
$74.29 |
$74.29 |
$24.30
|
|
Handle/convey/speciman/office-lab 99000
|
$35.06 |
$35.06 |
$35.06 |
$23.40
|
|
Handpiece aquabeam hp2000
|
$6,628.05 |
$6,628.05 |
$6,628.05 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$152.37 |
$152.37 |
$152.37 |
$105.30
|
|
Hand tendon reconstruction
|
$3,214.89 |
$3,214.89 |
$3,214.89 |
$5,023.20
|
|
Hand tendon reconstruction
|
$4,498.52 |
$4,498.52 |
$4,498.52 |
$4,498.52
|
|
Hand X-ray
|
$390.52 |
$390.52 |
$390.52 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$356.60 |
$356.60 |
$356.60 |
$294.90
|
|
Haptoglobin quantitative
|
$119.07 |
$119.07 |
$119.07 |
$92.80
|
|
Harvest allogeneic stem cell
|
$4,143.58 |
$4,143.58 |
$4,143.58 |
$3,766.50
|
|
Harvest auto stem cells
|
$4,464.59 |
$4,464.59 |
$4,464.59 |
$3,624.31
|
|
Harvest femoropopliteal vein 35572
|
$6,517.80 |
$6,517.80 |
$6,517.80 |
$844.00
|
|
Harvest stem cell concentrte
|
$1,195.46 |
$1,195.46 |
$1,195.46 |
$1,355.25
|
|
Hast w/i&r phys/qhp
|
$594.90 |
$594.90 |
$594.90 |
$301.95
|
|
Hast w/oxygen titrate
|
$467.47 |
$467.47 |
$467.47 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$1,101.45 |
$1,101.45 |
$1,101.45 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$787.50 |
$787.50 |
$787.50 |
$403.25
|
|
Hbb full gene sequence
|
$2,644.55 |
$2,644.55 |
$2,644.55 |
$633.25
|
|
Hbb gene dup/del variants
|
$802.50 |
$802.50 |
$802.50 |
$404.80
|
|
Hb glycosylated a1c home dev
|
$41.53 |
$41.53 |
$41.53 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$825.94 |
$825.94 |
$825.94 |
$526.90
|
|
Hc ea ha check monaural
|
$94.52 |
$94.52 |
$94.52 |
$57.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$471.13 |
$471.13 |
$471.13 |
$726.00
|
|
Hcg free betachain test
|
$99.01 |
$99.01 |
$99.01 |
$68.90
|
|
Hcg qualitative
|
$137.07 |
$137.07 |
$137.07 |
$90.10
|
|
Hcg quantitative
|
$181.31 |
$181.31 |
$181.31 |
$139.20
|
|
Hc hearing aid chck monarl
|
$118.99 |
$118.99 |
$118.99 |
$48.75
|
|
Hc hearing aid exam both ears
|
$224.05 |
$224.05 |
$224.05 |
$175.20
|
|
Hc metata joint dislocation anes
|
$2,322.70 |
$2,322.70 |
$2,322.70 |
$2,383.09
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$1,283.66 |
$1,283.66 |
$1,283.66 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$1,012.73 |
$1,012.73 |
$1,012.73 |
$858.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$1,221.65 |
$1,221.65 |
$1,221.65 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$829.54 |
$829.54 |
$829.54 |
$564.00
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$1,166.78 |
$1,166.78 |
$1,166.78 |
$845.60
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,184.98 |
$1,184.98 |
$1,184.98 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$972.03 |
$972.03 |
$972.03 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,061.26 |
$1,061.26 |
$1,061.26 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$4,979.25 |
$4,979.25 |
$4,979.25 |
$3,958.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$8,451.39 |
$8,451.39 |
$8,451.39 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,770.48 |
$3,770.48 |
$3,770.48 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,864.58 |
$3,864.58 |
$3,864.58 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,945.79 |
$4,945.79 |
$4,945.79 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$397.29 |
$397.29 |
$397.29 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$658.64 |
$658.64 |
$658.64 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$1,925.21 |
$1,925.21 |
$1,925.21 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,625.05 |
$1,625.05 |
$1,625.05 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,654.91 |
$1,654.91 |
$1,654.91 |
$1,268.90
|
|
Heart first pass add-on
|
$445.54 |
$445.54 |
$445.54 |
$485.27
|
|
Heart first pass multiple
|
$1,351.68 |
$1,351.68 |
$1,351.68 |
$1,422.05
|
|
Heart image spect
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$1,135.68
|
|
Heart infarct image
|
$840.74 |
$840.74 |
$840.74 |
$942.29
|
|
Heart infarct image (ef)
|
$442.89 |
$442.89 |
$442.89 |
$865.98
|
|
Heavy metal qual any number
|
$203.19 |
$203.19 |
$203.19 |
$72.50
|
|
Heel (Calcaneus) X-ray (both feet)
|
$270.11 |
$270.11 |
$270.11 |
$276.00
|
