|
Ghs quinidine
|
$46.20 |
$46.20 |
$46.20 |
$83.20
|
|
Ghs removal intranasal foreign body
|
$192.00 |
$192.00 |
$192.00 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$1,309.80 |
$1,309.80 |
$1,309.80 |
$436.10
|
|
Ghs respiratory syncytical virus igg/m
|
$52.80 |
$52.80 |
$52.80 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$44.40 |
$44.40 |
$44.40 |
$99.00
|
|
Ghs sensitivity (per antimicro)
|
$76.80 |
$76.80 |
$76.80 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$760.80 |
$760.80 |
$760.80 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$760.80 |
$760.80 |
$760.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$760.80 |
$760.80 |
$760.80 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$760.80 |
$760.80 |
$760.80 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$760.80 |
$760.80 |
$760.80 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$760.80 |
$760.80 |
$760.80 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$760.80 |
$760.80 |
$760.80 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$760.80 |
$760.80 |
$760.80 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$760.80 |
$760.80 |
$760.80 |
$537.60
|
|
Ghs sphenopalatine ganglion block
|
$378.00 |
$378.00 |
$378.00 |
$616.00
|
|
Ghs sp train/fitting sp device - kx
|
$172.20 |
$172.20 |
$172.20 |
$249.60
|
|
Ghs strapping shoulder - 29240
|
$334.20 |
$334.20 |
$334.20 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$111.00 |
$111.00 |
$111.00 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$807.00 |
$807.00 |
$807.00 |
$909.00
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,929.00 |
$1,929.00 |
$1,929.00 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$445.80 |
$445.80 |
$445.80 |
$525.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$445.80 |
$445.80 |
$445.80 |
$493.68
|
|
Ghs urine, porphyrins quant
|
$118.20 |
$118.20 |
$118.20 |
$73.80
|
|
Ghs vaginal delivery only
|
$12,418.97 |
$12,418.97 |
$12,418.97 |
$3,338.40
|
|
Giardia lamblia antibody
|
$70.20 |
$70.20 |
$70.20 |
$83.44
|
|
Gi inhouse confirmation
|
$29.40 |
$29.40 |
$29.40 |
$86.40
|
|
Gjb2 gene full sequence
|
$604.80 |
$604.80 |
$604.80 |
$502.80
|
|
Glove finger flexion right lg xl
|
$400.43 |
$400.43 |
$400.43 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$2,007.60 |
$2,007.60 |
$2,007.60 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$2,006.17 |
$2,006.17 |
$2,006.17 |
$491.67
|
|
Glucagon plasma - sendout
|
$82.80 |
$82.80 |
$82.80 |
$63.20
|
|
Glucose 1 hr post dose
|
$40.80 |
$40.80 |
$40.80 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$35.40 |
$35.40 |
$35.40 |
$22.75
|
|
Glucose blood quantitative
|
$53.40 |
$53.40 |
$53.40 |
$41.40
|
|
Glucose body fluid
|
$242.40 |
$242.40 |
$242.40 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$109.80 |
$109.80 |
$109.80 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$39.60 |
$39.60 |
$39.60 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$229.12 |
$229.12 |
$229.12 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$9,296.24 |
$9,296.24 |
$9,296.24 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$115.80 |
$115.80 |
$115.80 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$115.20 |
$115.20 |
$115.20 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$4,653.16 |
$4,653.16 |
$4,653.16 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$7,892.93 |
$7,892.93 |
$7,892.93 |
$143.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$106,373.88 |
$106,373.88 |
$106,373.88 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$76,673.50 |
$76,673.50 |
$76,673.50 |
$23,288.44
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$6,886.76 |
$6,886.76 |
$6,886.76 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$195,887.28 |
$195,887.28 |
$195,887.28 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$148,224.00 |
$148,224.00 |
$148,224.00 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$64,848.00 |
$64,848.00 |
$64,848.00 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$23,762.16 |
$23,762.16 |
$23,762.16 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$40,298.40 |
$40,298.40 |
$40,298.40 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$15,652.92 |
$15,652.92 |
$15,652.92 |
$427.89
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$6,948.00 |
$6,948.00 |
$6,948.00 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$146,065.49 |
$146,065.49 |
$146,065.49 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$12,274.80 |
$12,274.80 |
$12,274.80 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$146,324.88 |
$146,324.88 |
$146,324.88 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$69,306.30 |
$69,306.30 |
$69,306.30 |
$3,076.20
|
|
Great toe with reduction 28495
|
$445.80 |
$445.80 |
$445.80 |
$495.00
|
|
Grfg autol fat lipo 50 cc/<
|
$39,629.94 |
$39,629.94 |
$39,629.94 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$39,629.94 |
$39,629.94 |
$39,629.94 |
$4,026.40
|
|
Guided cath fluid drainage 10030
|
$1,597.80 |
$1,597.80 |
$1,597.80 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$24,012.29 |
$24,012.29 |
$24,012.29 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$36,963.36 |
$36,963.36 |
$36,963.36 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$3,242.40 |
$3,242.40 |
$3,242.40 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$31,618.03 |
$31,618.03 |
$31,618.03 |
$6,600.00
|
|
Hallus-valgus nt dyn pre ots
|
$180.70 |
$180.70 |
$180.70 |
$80.16
|
|
Halo cervical into jckt vest
|
$31,266.00 |
$31,266.00 |
$31,266.00 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$100.67 |
$100.67 |
$100.67 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$21.00 |
$21.00 |
$21.00 |
$24.41
|
|
Halo repl liner/interface
|
$5,299.01 |
$5,299.01 |
$5,299.01 |
$1,931.10
|
|
Handle/convey/speciman/office-lab 99000
|
$24.60 |
$24.60 |
$24.60 |
$23.30
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$401.36 |
$401.36 |
$401.36 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$15,054.00 |
$15,054.00 |
$15,054.00 |
$6,628.05
|
|
Hand X-ray
|
$480.60 |
$480.60 |
$480.60 |
$345.87
|
|
Haptoglobin quantitative
|
$91.80 |
$91.80 |
$91.80 |
$91.80
|
|
Hbb full gene sequence
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$261.00 |
$261.00 |
$261.00 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$908.40 |
$908.40 |
$908.40 |
$721.00
|
|
Hcg qualitative
|
$118.80 |
$118.80 |
$118.80 |
$88.00
|
|
Hcg quantitative
|
$179.40 |
$179.40 |
$179.40 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$196.80 |
$196.80 |
$196.80 |
$117.00
|
|
Head CT scan (with and without contrast)
|
$2,436.00 |
$2,436.00 |
$2,436.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,986.60 |
$1,986.60 |
$1,986.60 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$1,420.20 |
$1,420.20 |
$1,420.20 |
$1,268.90
|
|
Heel leather reinforced
|
$318.68 |
$318.68 |
$318.68 |
$164.98
|
|
Heinz bodies direct
|
$24.00 |
$24.00 |
$24.00 |
$43.15
|
|
Heinz bodies induced
|
$37.20 |
$37.20 |
$37.20 |
$37.20
|
|
Helicobacter pylori antibody igm
|
$84.60 |
$84.60 |
$84.60 |
$92.23
|
|
Hematocrit
|
$35.40 |
$35.40 |
$35.40 |
$33.57
|
|
Hemodialysis one evaluation
|
$940.20 |
$940.20 |
$940.20 |
$1,338.00
|
|
Hemoglobin
|
$34.20 |
$34.20 |
$34.20 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$105.60 |
$105.60 |
$105.60 |
$52.32
|
|
Hemoglobin plasma
|
$64.80 |
$64.80 |
$64.80 |
$41.25
|
|
Hemophilus influenza antibdy
|
$145.20 |
$145.20 |
$145.20 |
$62.70
|
|
Hemorrhoidectomy intern transanal deater 2+ 46948
|
$18,086.33 |
$18,086.33 |
$18,086.33 |
$3,816.64
|
|
Heparin assay
|
$112.80 |
$112.80 |
$112.80 |
$138.84
|
|
Heparin bolus from bag
|
$102.17 |
$102.17 |
$102.17 |
$68.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$21.00 |
$21.00 |
$21.00 |
$12.91
|
|
Hepatitis a antibody igm
|
$129.00 |
$129.00 |
$129.00 |
$88.92
|
