|
Ghs tx distal phalangeal fx with manipulation
|
$222.90 |
$222.90 |
$222.90 |
$523.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$222.90 |
$222.90 |
$222.90 |
$486.35
|
|
Ghs vaginal delivery only
|
$1,964.10 |
$1,964.10 |
$1,964.10 |
$3,152.00
|
|
Gi inhouse confirmation
|
$14.70 |
$14.70 |
$14.70 |
$83.70
|
|
Glove finger flexion right lg xl
|
$143.03 |
$143.03 |
$143.03 |
$100.48
|
|
Glucagon 1 mg solution for injection
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$990.00 |
$990.00 |
$990.00 |
$491.67
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$9.00 |
$9.00 |
$9.00 |
$23.86
|
|
Glucose blood quantitative
|
$70.50 |
$70.50 |
$70.50 |
$40.00
|
|
Glucose body fluid
|
$51.30 |
$51.30 |
$51.30 |
$52.20
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$26.07 |
$26.07 |
$26.07 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$10,015.96 |
$10,015.96 |
$10,015.96 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$184.50 |
$184.50 |
$184.50 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$159.30 |
$159.30 |
$159.30 |
$129.00
|
|
Goniotomy
|
$7,977.37 |
$7,977.37 |
$7,977.37 |
$4,452.74
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,819.27 |
$2,819.27 |
$2,819.27 |
$672.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$37,995.59 |
$37,995.59 |
$37,995.59 |
$584.99
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$27,386.94 |
$27,386.94 |
$27,386.94 |
$24,469.57
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$2,459.88 |
$2,459.88 |
$2,459.88 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$69,968.80 |
$69,968.80 |
$69,968.80 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$52,944.00 |
$52,944.00 |
$52,944.00 |
$27,300.00
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$23,163.00 |
$23,163.00 |
$23,163.00 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$8,487.58 |
$8,487.58 |
$8,487.58 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$14,394.15 |
$14,394.15 |
$14,394.15 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$5,591.05 |
$5,591.05 |
$5,591.05 |
$373.00
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$2,481.75 |
$2,481.75 |
$2,481.75 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$52,173.00 |
$52,173.00 |
$52,173.00 |
$27,367.40
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,384.42 |
$4,384.42 |
$4,384.42 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$52,265.65 |
$52,265.65 |
$52,265.65 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$24,755.46 |
$24,755.46 |
$24,755.46 |
$2,701.58
|
|
Great toe with reduction 28495
|
$222.90 |
$222.90 |
$222.90 |
$482.40
|
|
Guide endoanchr sg-64 aaa 62cm
|
$8,576.93 |
$8,576.93 |
$8,576.93 |
$7,728.17
|
|
Guide wire threaded 1.4x150mm
|
$13,202.91 |
$13,202.91 |
$13,202.91 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$1,158.15 |
$1,158.15 |
$1,158.15 |
$1,105.00
|
|
Gw stiffened micro access kit
|
$11,293.62 |
$11,293.62 |
$11,293.62 |
$6,696.00
|
|
Hallus-valgus nt dyn pre ots
|
$64.54 |
$64.54 |
$64.54 |
$102.37
|
|
Halo cervical into jckt vest
|
$11,167.87 |
$11,167.87 |
$11,167.87 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$12.51 |
$12.51 |
$12.51 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$23.06
|
|
Halo repl liner/interface
|
$1,892.75 |
$1,892.75 |
$1,892.75 |
$1,931.10
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$143.36 |
$143.36 |
$143.36 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$5,377.12 |
$5,377.12 |
$5,377.12 |
$6,628.05
|
|
Hand X-ray
|
$225.30 |
$225.30 |
$225.30 |
$356.00
|
|
Haptoglobin quantitative
|
$138.90 |
$138.90 |
$138.90 |
$91.14
|
|
Hbb full gene sequence
|
$537.00 |
$537.00 |
$537.00 |
$633.25
|
|
Hcg qualitative
|
$109.80 |
$109.80 |
$109.80 |
$89.70
|
|
Hcg quantitative
|
$106.50 |
$106.50 |
$106.50 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$196.80 |
$196.80 |
$196.80 |
$117.00
|
|
Head CT scan (with and without contrast)
|
$898.50 |
$898.50 |
$898.50 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$901.50 |
$901.50 |
$901.50 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$338.40 |
$338.40 |
$338.40 |
$1,268.90
|
|
Heel leather reinforced
|
$113.83 |
$113.83 |
$113.83 |
$180.55
|
|
Helicobacter pylori antibody igm
|
$68.10 |
$68.10 |
$68.10 |
$91.98
|
|
Hematocrit
|
$23.70 |
$23.70 |
$23.70 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,367.70 |
$1,367.70 |
$1,367.70 |
$1,319.44
|
|
Hemoglobin
|
$23.70 |
$23.70 |
$23.70 |
$31.80
|
|
Heparin assay
|
$24.00 |
$24.00 |
$24.00 |
$140.10
|
|
Heparin bolus from bag
|
$72.60 |
$72.60 |
$72.60 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$10.61
|
|
Hepatitis b core antibody total
|
$51.00 |
$51.00 |
$51.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$44.40 |
$44.40 |
$44.40 |
$82.05
|
|
Hepatitis c antibody
|
$151.50 |
$151.50 |
$151.50 |
$108.00
|
|
Hepatobiliary system imaging
|
$883.20 |
$883.20 |
$883.20 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$41.70 |
$41.70 |
$41.70 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$104.70 |
$104.70 |
$104.70 |
$87.10
|
|
Herpes simplex virus isolation
|
$90.30 |
$90.30 |
$90.30 |
$104.10
|
|
Heterophile antibodies screening
|
$80.40 |
$80.40 |
$80.40 |
$74.00
|
|
Hfo nontorsion jnts pre cst
|
$123.99 |
$123.99 |
$123.99 |
$110.88
|
|
Hfo nontorsion jnts pre ots
|
$123.99 |
$123.99 |
$123.99 |
$199.53
|
|
Hinge extension/flex wrist/f
|
$2,199.29 |
$2,199.29 |
$2,199.29 |
$1,638.00
|
|
Hinge ext/flex wrist finger
|
$2,882.29 |
$2,882.29 |
$2,882.29 |
$3,102.31
|
|
Hip adj flex ext abduct cont
|
$640.97 |
$640.97 |
$640.97 |
$837.61
|
|
Hip clevis/thrust bearing fr
|
$318.16 |
$318.16 |
$318.16 |
$531.61
|
|
Hip clevis/thrust bearing lo
|
$351.58 |
$351.58 |
$351.58 |
$603.54
|
|
Hip clevis type 2 posit jnt
|
$664.38 |
$664.38 |
$664.38 |
$1,053.78
|
|
Hip joint adjustable flexion
|
$474.67 |
$474.67 |
$474.67 |
$763.87
|
|
Hip X-ray
|
$192.30 |
$192.30 |
$192.30 |
$292.05
|
|
Hkafo torsion ball bearing j
|
$909.28 |
$909.28 |
$909.28 |
$1,442.22
|
|
Hkafo torsion bil rot straps
|
$301.78 |
$301.78 |
$301.78 |
$478.66
|
|
Hkafo torsion unilat rot str
|
$231.53 |
$231.53 |
$231.53 |
$367.24
|
|
Hkafo unilat torsion ball br
|
$741.73 |
$741.73 |
$741.73 |
$1,176.46
|
|
Hla class i high defin qual
|
$535.50 |
$535.50 |
$535.50 |
$565.40
|
|
Hla class ii phenotype qual
|
$135.00 |
$135.00 |
$135.00 |
$312.00
|
|
Hla class i phenotype qual
|
$158.10 |
$158.10 |
$158.10 |
$341.64
|
|
Hla i low res one antigen equiv ea
|
$103.50 |
$103.50 |
$103.50 |
$161.70
|
|
Hla i typing high res 1 allele grp ea
|
$924.30 |
$924.30 |
$924.30 |
$293.15
|
|
Ho abduction hip adjustable
|
$367.88 |
$367.88 |
$367.88 |
$583.49
|
|
Ho abduction static plastic
|
$269.58 |
$269.58 |
$269.58 |
$427.59
|
|
Ho bi thighcuffs w sprdr bar
|
$531.77 |
$531.77 |
$531.77 |
$843.45
|
|
Hocm 350-399mg/ml iodine,1ml
|
$26.96 |
$26.96 |
$26.96 |
$79.78
|
|
Ho flex frejka w/cov pre cst
|
$192.22 |
$192.22 |
$192.22 |
$173.60
|
|
Ho flex pavlik harns pre cst
|
$579.07 |
$579.07 |
$579.07 |
$223.13
|
|
Ho frejka cov only pre cst
|
$81.65 |
$81.65 |
$81.65 |
$129.50
|
|
Homocysteine
|
$328.50 |
$328.50 |
$328.50 |
$121.92
|
|
Homogenization tissue
|
$17.70 |
$17.70 |
$17.70 |
$39.20
|
|
Ho post-op hip abduction
|
$2,518.15 |
$2,518.15 |
$2,518.15 |
$1,690.58
|
|
Hrdtry brst ca-rlatd do 5+
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,702.08
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$15,781.50 |
$15,781.50 |
$15,781.50 |
$5,836.20
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$62.38 |
$62.38 |
$62.38 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$23.10 |
$23.10 |
$23.10 |
$46.74
|
