|
Ghs prostatic acid phosphatase (mayo)
|
$17.20 |
$17.20 |
$17.20 |
$43.55
|
|
Ghs protoporphyrins fract
|
$32.80 |
$32.80 |
$32.80 |
$60.75
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$19.20 |
$19.20 |
$19.20 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$163.20 |
$163.20 |
$163.20 |
$285.60
|
|
Ghs quinidine
|
$30.80 |
$30.80 |
$30.80 |
$83.20
|
|
Ghs refill of implantable pump
|
$394.80 |
$394.80 |
$394.80 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$184.80 |
$184.80 |
$184.80 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$418.40 |
$418.40 |
$418.40 |
$436.10
|
|
Ghs respiratory syncytical virus igg/m
|
$24.00 |
$24.00 |
$24.00 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$43.20 |
$43.20 |
$43.20 |
$99.00
|
|
Ghs sedimentation rate
|
$18.00 |
$18.00 |
$18.00 |
$45.50
|
|
Ghs semen analysis fert
|
$31.20 |
$31.20 |
$31.20 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$19.60 |
$19.60 |
$19.60 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$591.60 |
$591.60 |
$591.60 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$672.40 |
$672.40 |
$672.40 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$727.20 |
$727.20 |
$727.20 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$390.00 |
$390.00 |
$390.00 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$456.00 |
$456.00 |
$456.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$492.00 |
$492.00 |
$492.00 |
$492.00
|
|
Ghs sleep study unattended
|
$213.20 |
$213.20 |
$213.20 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$105.20 |
$105.20 |
$105.20 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$331.60 |
$331.60 |
$331.60 |
$616.00
|
|
Ghs sp train/fitting sp device - kx
|
$110.80 |
$110.80 |
$110.80 |
$249.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$665.60 |
$665.60 |
$665.60 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$439.20 |
$439.20 |
$439.20 |
$692.80
|
|
Ghs tx distal phalangeal fx with manipulation
|
$568.80 |
$568.80 |
$568.80 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$30.80 |
$30.80 |
$30.80 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,829.60 |
$3,829.60 |
$3,829.60 |
$3,338.40
|
|
Gi inhouse confirmation
|
$17.20 |
$17.20 |
$17.20 |
$86.40
|
|
Gjb2 gene known fam variants
|
$98.40 |
$98.40 |
$98.40 |
$116.00
|
|
Glove finger flexion right lg xl
|
$44.00 |
$44.00 |
$44.00 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$444.60 |
$444.60 |
$444.60 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$444.60 |
$444.60 |
$444.60 |
$491.67
|
|
Glucagon plasma - sendout
|
$22.80 |
$22.80 |
$22.80 |
$63.20
|
|
Glucose 1 hr post dose
|
$30.80 |
$30.80 |
$30.80 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$7.60 |
$7.60 |
$7.60 |
$22.75
|
|
Glucose blood quantitative
|
$30.80 |
$30.80 |
$30.80 |
$41.40
|
|
Glucose body fluid
|
$35.20 |
$35.20 |
$35.20 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$36.40 |
$36.40 |
$36.40 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$92.00 |
$92.00 |
$92.00 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$46.00 |
$46.00 |
$46.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$13.84 |
$13.84 |
$13.84 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$79.44 |
$79.44 |
$79.44 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$40.80 |
$40.80 |
$40.80 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$44.80 |
$44.80 |
$44.80 |
$129.00
|
|
Graft axiofill 1000mg
|
$6,994.54 |
$6,994.54 |
$6,994.54 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$570.40 |
$570.40 |
$570.40 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$24,703.60 |
$24,703.60 |
$24,703.60 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$29,042.40 |
$29,042.40 |
$29,042.40 |
$29,995.44
|
|
Graft xenmtrx sft rect 15x20cm
|
$18,887.20 |
$18,887.20 |
$18,887.20 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$14,806.40 |
$14,806.40 |
$14,806.40 |
$3,076.20
|
|
Granisetron hcl injection
|
$4.57 |
$4.57 |
$4.57 |
$47.04
|
|
Great toe with reduction 28495
|
$348.00 |
$348.00 |
$348.00 |
$495.00
|
|
Gu dilat ureter/urethra s&i
|
$3,250.40 |
$3,250.40 |
$3,250.40 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$5,184.00 |
$5,184.00 |
$5,184.00 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$3,402.00 |
$3,402.00 |
$3,402.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$4,046.80 |
$4,046.80 |
$4,046.80 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$226.80 |
$226.80 |
$226.80 |
$535.60
|
|
Gw stiffened micro access kit
|
$27,000.00 |
$27,000.00 |
$27,000.00 |
$6,600.00
|
|
Hallus-valgus nt dyn pre ots
|
$26.40 |
$26.40 |
$26.40 |
$80.16
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$30.84 |
$30.84 |
$30.84 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$10.00 |
$10.00 |
$10.00 |
$23.30
|
|
Handpiece aquabeam hp2000
|
$3,834.00 |
$3,834.00 |
$3,834.00 |
$6,628.05
|
|
Hand X-ray
|
$313.20 |
$313.20 |
$313.20 |
$345.87
|
|
Haptoglobin quantitative
|
$34.00 |
$34.00 |
$34.00 |
$91.80
|
|
Hba1/hba2 full gene sequence
|
$356.80 |
$356.80 |
$356.80 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$229.60 |
$229.60 |
$229.60 |
$403.25
|
|
Hbb full gene sequence
|
$368.80 |
$368.80 |
$368.80 |
$633.25
|
|
Hbb gene dup/del variants
|
$322.80 |
$322.80 |
$322.80 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$143.60 |
$143.60 |
$143.60 |
$526.90
|
|
Hcg qualitative
|
$57.60 |
$57.60 |
$57.60 |
$88.00
|
|
Hcg quantitative
|
$104.80 |
$104.80 |
$104.80 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$13.20 |
$13.20 |
$13.20 |
$117.00
|
|
Hc nm kidney imaging with flow
|
$919.20 |
$919.20 |
$919.20 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,466.80 |
$1,466.80 |
$1,466.80 |
$1,327.95
|
|
Hdr rdncl ntrstl/icav brchtx
|
$900.00 |
$900.00 |
$900.00 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$900.00 |
$900.00 |
$900.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$918.00 |
$918.00 |
$918.00 |
$3,694.80
|
|
Hdr rdncl skn surf brachytx
|
$430.80 |
$430.80 |
$430.80 |
$877.50
|
|
Hdr rdncl skn surf brachytx
|
$430.80 |
$430.80 |
$430.80 |
$992.50
|
|
Head CT scan (with and without contrast)
|
$1,723.60 |
$1,723.60 |
$1,723.60 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,472.80 |
$1,472.80 |
$1,472.80 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$1,044.40 |
$1,044.40 |
$1,044.40 |
$1,268.90
|
|
Heavy metal qual any number
|
$43.60 |
$43.60 |
$43.60 |
$68.88
|
|
Heinz bodies induced
|
$86.80 |
$86.80 |
$86.80 |
$37.20
|
|
Helicobacter pylori antibody igm
|
$34.80 |
$34.80 |
$34.80 |
$92.23
|
|
Hemagglutination inhibition
|
$43.20 |
$43.20 |
$43.20 |
$54.75
|
|
Hematocrit
|
$22.00 |
$22.00 |
$22.00 |
$33.57
|
|
Hematopoietic nuclear tx
|
$664.00 |
$664.00 |
$664.00 |
$928.98
|
|
Hemin 350 mg intravenous powder for solution
|
$54.39 |
$54.39 |
$54.39 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$2,114.00 |
$2,114.00 |
$2,114.00 |
$1,338.00
|
|
Hemoglobin
|
$24.40 |
$24.40 |
$24.40 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$14.00 |
$14.00 |
$14.00 |
$52.32
|
|
Hemolysins/agglutinins auto
|
$14.40 |
$14.40 |
$14.40 |
$57.28
|
|
Hemolysins and agglutinins incubated
|
$22.00 |
$22.00 |
$22.00 |
$59.80
|
|
Hemophilus influenza antibdy
|
$74.80 |
$74.80 |
$74.80 |
$62.70
|
|
Heparin assay
|
$28.80 |
$28.80 |
$28.80 |
$138.84
|
|
Heparin bolus from bag
|
$29.20 |
$29.20 |
$29.20 |
$68.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$19.42 |
$19.42 |
$19.42 |
$12.91
|
