|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$116.43 |
$116.43 |
$116.43 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$272.69 |
$272.69 |
$272.69 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$246.12 |
$246.12 |
$246.12 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$216.59 |
$216.59 |
$216.59 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,023.42 |
$1,023.42 |
$1,023.42 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$216.74 |
$216.74 |
$216.74 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$39.68 |
$39.68 |
$39.68 |
$73.80
|
|
Ghs vaginal delivery only
|
$4,037.12 |
$4,037.12 |
$4,037.12 |
$3,338.40
|
|
Ghs veeg 12-26 hr intmt mont
|
$794.94 |
$794.94 |
$794.94 |
$1,932.00
|
|
Ghs windowing of cast
|
$155.71 |
$155.71 |
$155.71 |
$212.55
|
|
Gi inhouse confirmation
|
$49.05 |
$49.05 |
$49.05 |
$86.40
|
|
Gjb2 gene full sequence
|
$517.88 |
$517.88 |
$517.88 |
$502.80
|
|
Glassia injection
|
$6,256.45 |
$6,256.45 |
$6,256.45 |
$20.32
|
|
Glove finger flexion right lg xl
|
$55.15 |
$55.15 |
$55.15 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$1,005.97 |
$1,005.97 |
$1,005.97 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$5,029.81 |
$5,029.81 |
$5,029.81 |
$491.67
|
|
Glucagon plasma - sendout
|
$103.09 |
$103.09 |
$103.09 |
$63.20
|
|
Glucose 1 hr post dose
|
$30.54 |
$30.54 |
$30.54 |
$48.25
|
|
Glucose-6-phosphate dhydrogenase screen
|
$71.84 |
$71.84 |
$71.84 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$20.12 |
$20.12 |
$20.12 |
$22.75
|
|
Glucose blood quantitative
|
$32.15 |
$32.15 |
$32.15 |
$41.40
|
|
Glucose body fluid
|
$19.51 |
$19.51 |
$19.51 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$58.49 |
$58.49 |
$58.49 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$30.54 |
$30.54 |
$30.54 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$15.08 |
$15.08 |
$15.08 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$285.36 |
$285.36 |
$285.36 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$10,351.67 |
$10,351.67 |
$10,351.67 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$80.80 |
$80.80 |
$80.80 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$75.58 |
$75.58 |
$75.58 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,819.58 |
$2,819.58 |
$2,819.58 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,608.75 |
$2,608.75 |
$2,608.75 |
$143.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$16,573.23 |
$16,573.23 |
$16,573.23 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$22,781.03 |
$22,781.03 |
$22,781.03 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$24,552.94 |
$24,552.94 |
$24,552.94 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$43,972.77 |
$43,972.77 |
$43,972.77 |
$29,995.44
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$11,380.29 |
$11,380.29 |
$11,380.29 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$14,322.55 |
$14,322.55 |
$14,322.55 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$28,894.71 |
$28,894.71 |
$28,894.71 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$5,043.59 |
$5,043.59 |
$5,043.59 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$36,248.32 |
$36,248.32 |
$36,248.32 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,342.13 |
$2,342.13 |
$2,342.13 |
$3,076.20
|
|
Granisetron 1 mg tab
|
$154.27 |
$154.27 |
$154.27 |
$53.15
|
|
Granisetron hcl injection
|
$169.00 |
$169.00 |
$169.00 |
$47.04
|
|
Great toe with reduction 28495
|
$203.63 |
$203.63 |
$203.63 |
$495.00
|
|
Group mnt 2 or more 30 mins
|
$19.18 |
$19.18 |
$19.18 |
$40.14
|
|
Growth hormone antibody
|
$69.00 |
$69.00 |
$69.00 |
$73.10
|
|
G-tube reposition
|
$352.58 |
$352.58 |
$352.58 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$1,038.49 |
$1,038.49 |
$1,038.49 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$374.12 |
$374.12 |
$374.12 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$51,151.94 |
$51,151.94 |
$51,151.94 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$1,432.26 |
$1,432.26 |
$1,432.26 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$429.86 |
$429.86 |
$429.86 |
$535.60
|
|
Gw stiffened micro access kit
|
$2,864.51 |
$2,864.51 |
$2,864.51 |
$6,600.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$177.71 |
$177.71 |
$177.71 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$22.23 |
$22.23 |
$22.23 |
$24.41
|
|
Haptoglobin quantitative
|
$47.40 |
$47.40 |
$47.40 |
$91.80
|
|
Harvest auto stem cells
|
$1,604.74 |
$1,604.74 |
$1,604.74 |
$3,379.00
|
|
Hba1/hba2 full gene sequence
|
$453.98 |
$453.98 |
$453.98 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$176.75 |
$176.75 |
$176.75 |
$403.25
|
|
Hbb full gene sequence
|
$303.72 |
$303.72 |
$303.72 |
$633.25
|
|
Hbb gene dup/del variants
|
$185.35 |
$185.35 |
$185.35 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$272.61 |
$272.61 |
$272.61 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$683.29 |
$683.29 |
$683.29 |
$721.00
|
|
Hcg qualitative
|
$34.21 |
$34.21 |
$34.21 |
$88.00
|
|
Hcg quantitative
|
$88.60 |
$88.60 |
$88.60 |
$137.15
|
|
Hc metata joint dislocation anes
|
$658.28 |
$658.28 |
$658.28 |
$2,383.09
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$800.29 |
$800.29 |
$800.29 |
$1,070.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$933.15 |
$933.15 |
$933.15 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,636.24 |
$2,636.24 |
$2,636.24 |
$3,840.40
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$1,112.25 |
$1,112.25 |
$1,112.25 |
$3,228.40
|
|
Head CT scan (with and without contrast)
|
$1,547.01 |
$1,547.01 |
$1,547.01 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,381.26 |
$1,381.26 |
$1,381.26 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$1,326.01 |
$1,326.01 |
$1,326.01 |
$1,268.90
|
|
Heart image spect
|
$1,182.78 |
$1,182.78 |
$1,182.78 |
$1,131.00
|
|
Heart infarct image
|
$767.70 |
$767.70 |
$767.70 |
$942.29
|
|
Heart infarct image (ef)
|
$812.35 |
$812.35 |
$812.35 |
$865.98
|
|
Helicobacter pylori antibody igm
|
$98.96 |
$98.96 |
$98.96 |
$92.23
|
|
Hematocrit
|
$27.82 |
$27.82 |
$27.82 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$14,209.67 |
$14,209.67 |
$14,209.67 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$1,168.73 |
$1,168.73 |
$1,168.73 |
$1,338.00
|
|
Hemoglobin
|
$28.73 |
$28.73 |
$28.73 |
$32.76
|
|
Hemoglobin fetal qualitative
|
$30.32 |
$30.32 |
$30.32 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$44.30 |
$44.30 |
$44.30 |
$52.32
|
|
Hemoglobin plasma
|
$62.29 |
$62.29 |
$62.29 |
$41.25
|
|
Hemolysins/agglutinins auto
|
$66.48 |
$66.48 |
$66.48 |
$57.28
|
|
Heparin assay
|
$121.77 |
$121.77 |
$121.77 |
$138.84
|
|
Heparin bolus from bag
|
$94.01 |
$94.01 |
$94.01 |
$68.00
|
|
Heparin neutralization
|
$23.61 |
$23.61 |
$23.61 |
$36.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$39.78 |
$39.78 |
$39.78 |
$12.91
|
|
Hepatitis a antibody igm
|
$49.93 |
$49.93 |
$49.93 |
$88.92
|
|
Hepatitis b core antibody igm
|
$41.96 |
$41.96 |
$41.96 |
$88.80
|
|
Hepatitis b core antibody total
|
$56.84 |
$56.84 |
$56.84 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,817.67 |
$1,817.67 |
$1,817.67 |
$1,174.30
|
|
Hepatitis b surface ag quan
|
$45.61 |
$45.61 |
$45.61 |
$54.88
|
|
Hepatitis b surface antibody
|
$48.35 |
$48.35 |
$48.35 |
$81.12
|
|
Hepatitis c antibody
|
$67.95 |
$67.95 |
$67.95 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,113.33 |
$1,113.33 |
$1,113.33 |
$1,438.99
|
|
Hepb vacc 3 dose immunsup im
|
$299.86 |
$299.86 |
$299.86 |
$319.52
|
|
Hereditary colon ca dsordrs
|
$1,067.76 |
$1,067.76 |
$1,067.76 |
$1,901.23
|
|
Herpes simplex 1 ag if
|
$24.37 |
$24.37 |
$24.37 |
$38.58
|
