|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$178.27 |
$178.27 |
$178.27 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$417.53 |
$417.53 |
$417.53 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$376.85 |
$376.85 |
$376.85 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$331.63 |
$331.63 |
$331.63 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,567.04 |
$1,567.04 |
$1,567.04 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$331.87 |
$331.87 |
$331.87 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$60.75 |
$60.75 |
$60.75 |
$73.80
|
|
Ghs vaginal delivery only
|
$6,181.55 |
$6,181.55 |
$6,181.55 |
$3,338.40
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,217.19 |
$1,217.19 |
$1,217.19 |
$1,932.00
|
|
Ghs windowing of cast
|
$238.42 |
$238.42 |
$238.42 |
$212.55
|
|
Gi inhouse confirmation
|
$75.10 |
$75.10 |
$75.10 |
$86.40
|
|
Gjb2 gene full sequence
|
$792.97 |
$792.97 |
$792.97 |
$502.80
|
|
Glassia injection
|
$9,579.73 |
$9,579.73 |
$9,579.73 |
$20.32
|
|
Glove finger flexion right lg xl
|
$84.43 |
$84.43 |
$84.43 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$1,540.31 |
$1,540.31 |
$1,540.31 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$7,701.53 |
$7,701.53 |
$7,701.53 |
$491.67
|
|
Glucagon plasma - sendout
|
$157.85 |
$157.85 |
$157.85 |
$63.20
|
|
Glucose 1 hr post dose
|
$46.77 |
$46.77 |
$46.77 |
$48.25
|
|
Glucose-6-phosphate dhydrogenase screen
|
$110.00 |
$110.00 |
$110.00 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$30.80 |
$30.80 |
$30.80 |
$22.75
|
|
Glucose blood quantitative
|
$49.22 |
$49.22 |
$49.22 |
$41.40
|
|
Glucose body fluid
|
$29.87 |
$29.87 |
$29.87 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$89.56 |
$89.56 |
$89.56 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$46.77 |
$46.77 |
$46.77 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$23.08 |
$23.08 |
$23.08 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$436.94 |
$436.94 |
$436.94 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$15,850.25 |
$15,850.25 |
$15,850.25 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$123.71 |
$123.71 |
$123.71 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$115.72 |
$115.72 |
$115.72 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$4,317.27 |
$4,317.27 |
$4,317.27 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$3,994.46 |
$3,994.46 |
$3,994.46 |
$143.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$25,376.56 |
$25,376.56 |
$25,376.56 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$34,881.81 |
$34,881.81 |
$34,881.81 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$37,594.91 |
$37,594.91 |
$37,594.91 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$67,330.13 |
$67,330.13 |
$67,330.13 |
$29,995.44
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$17,425.24 |
$17,425.24 |
$17,425.24 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$21,930.37 |
$21,930.37 |
$21,930.37 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$44,242.94 |
$44,242.94 |
$44,242.94 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$7,722.62 |
$7,722.62 |
$7,722.62 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$55,502.62 |
$55,502.62 |
$55,502.62 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,586.21 |
$3,586.21 |
$3,586.21 |
$3,076.20
|
|
Granisetron 1 mg tab
|
$236.21 |
$236.21 |
$236.21 |
$53.15
|
|
Granisetron hcl injection
|
$258.77 |
$258.77 |
$258.77 |
$47.04
|
|
Great toe with reduction 28495
|
$311.79 |
$311.79 |
$311.79 |
$495.00
|
|
Group mnt 2 or more 30 mins
|
$29.37 |
$29.37 |
$29.37 |
$40.14
|
|
Growth hormone antibody
|
$105.65 |
$105.65 |
$105.65 |
$73.10
|
|
G-tube reposition
|
$539.86 |
$539.86 |
$539.86 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$1,590.11 |
$1,590.11 |
$1,590.11 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$572.85 |
$572.85 |
$572.85 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$78,322.72 |
$78,322.72 |
$78,322.72 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$2,193.04 |
$2,193.04 |
$2,193.04 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$658.19 |
$658.19 |
$658.19 |
$535.60
|
|
Gw stiffened micro access kit
|
$4,386.08 |
$4,386.08 |
$4,386.08 |
$6,600.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$272.10 |
$272.10 |
$272.10 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$34.03 |
$34.03 |
$34.03 |
$24.41
|
|
Haptoglobin quantitative
|
$72.57 |
$72.57 |
$72.57 |
$91.80
|
|
Harvest auto stem cells
|
$2,457.13 |
$2,457.13 |
$2,457.13 |
$3,379.00
|
|
Hba1/hba2 full gene sequence
|
$695.13 |
$695.13 |
$695.13 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$270.64 |
$270.64 |
$270.64 |
$403.25
|
|
Hbb full gene sequence
|
$465.04 |
$465.04 |
$465.04 |
$633.25
|
|
Hbb gene dup/del variants
|
$283.80 |
$283.80 |
$283.80 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$417.41 |
$417.41 |
$417.41 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,046.24 |
$1,046.24 |
$1,046.24 |
$721.00
|
|
Hcg qualitative
|
$52.38 |
$52.38 |
$52.38 |
$88.00
|
|
Hcg quantitative
|
$135.67 |
$135.67 |
$135.67 |
$137.15
|
|
Hc metata joint dislocation anes
|
$1,007.95 |
$1,007.95 |
$1,007.95 |
$2,383.09
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,225.38 |
$1,225.38 |
$1,225.38 |
$1,070.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,428.82 |
$1,428.82 |
$1,428.82 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$4,036.55 |
$4,036.55 |
$4,036.55 |
$3,840.40
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$1,703.06 |
$1,703.06 |
$1,703.06 |
$3,228.40
|
|
Head CT scan (with and without contrast)
|
$2,368.74 |
$2,368.74 |
$2,368.74 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,114.95 |
$2,114.95 |
$2,114.95 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$2,030.35 |
$2,030.35 |
$2,030.35 |
$1,268.90
|
|
Heart image spect
|
$1,811.04 |
$1,811.04 |
$1,811.04 |
$1,131.00
|
|
Heart infarct image
|
$1,175.48 |
$1,175.48 |
$1,175.48 |
$942.29
|
|
Heart infarct image (ef)
|
$1,243.85 |
$1,243.85 |
$1,243.85 |
$865.98
|
|
Helicobacter pylori antibody igm
|
$151.52 |
$151.52 |
$151.52 |
$92.23
|
|
Hematocrit
|
$42.60 |
$42.60 |
$42.60 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$21,757.53 |
$21,757.53 |
$21,757.53 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$1,789.53 |
$1,789.53 |
$1,789.53 |
$1,338.00
|
|
Hemoglobin
|
$43.99 |
$43.99 |
$43.99 |
$32.76
|
|
Hemoglobin fetal qualitative
|
$46.42 |
$46.42 |
$46.42 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$67.84 |
$67.84 |
$67.84 |
$52.32
|
|
Hemoglobin plasma
|
$95.37 |
$95.37 |
$95.37 |
$41.25
|
|
Hemolysins/agglutinins auto
|
$101.79 |
$101.79 |
$101.79 |
$57.28
|
|
Heparin assay
|
$186.44 |
$186.44 |
$186.44 |
$138.84
|
|
Heparin bolus from bag
|
$143.95 |
$143.95 |
$143.95 |
$68.00
|
|
Heparin neutralization
|
$36.15 |
$36.15 |
$36.15 |
$36.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$60.91 |
$60.91 |
$60.91 |
$12.91
|
|
Hepatitis a antibody igm
|
$76.44 |
$76.44 |
$76.44 |
$88.92
|
|
Hepatitis b core antibody igm
|
$64.25 |
$64.25 |
$64.25 |
$88.80
|
|
Hepatitis b core antibody total
|
$87.03 |
$87.03 |
$87.03 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,783.17 |
$2,783.17 |
$2,783.17 |
$1,174.30
|
|
Hepatitis b surface ag quan
|
$69.84 |
$69.84 |
$69.84 |
$54.88
|
|
Hepatitis b surface antibody
|
$74.03 |
$74.03 |
$74.03 |
$81.12
|
|
Hepatitis c antibody
|
$104.04 |
$104.04 |
$104.04 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,704.70 |
$1,704.70 |
$1,704.70 |
$1,438.99
|
|
Hepb vacc 3 dose immunsup im
|
$459.14 |
$459.14 |
$459.14 |
$319.52
|
|
Hereditary colon ca dsordrs
|
$1,634.93 |
$1,634.93 |
$1,634.93 |
$1,901.23
|
|
Herpes simplex 1 ag if
|
$37.31 |
$37.31 |
$37.31 |
$38.58
|
