|
Ghs sedimentation rate
|
$25.50 |
$25.50 |
$25.50 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$46.00 |
$46.00 |
$46.00 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$643.50 |
$643.50 |
$643.50 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$586.50 |
$586.50 |
$586.50 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$636.00 |
$636.00 |
$636.00 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$307.00 |
$307.00 |
$307.00 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$395.50 |
$395.50 |
$395.50 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$307.00 |
$307.00 |
$307.00 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$295.00 |
$295.00 |
$295.00 |
$584.00
|
|
Ghs sleep study unattended
|
$248.50 |
$248.50 |
$248.50 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,450.00 |
$1,450.00 |
$1,450.00 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$541.00 |
$541.00 |
$541.00 |
$1,405.20
|
|
Ghs sp train/fitting sp device - kx
|
$242.00 |
$242.00 |
$242.00 |
$249.60
|
|
Ghs st - eval for alt comm
|
$49.00 |
$49.00 |
$49.00 |
$94.60
|
|
Ghs st - re-eval for alt comm
|
$183.00 |
$183.00 |
$183.00 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$7,392.00 |
$7,392.00 |
$7,392.00 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$606.50 |
$606.50 |
$606.50 |
$692.80
|
|
Ghs tx distal phalangeal fx with manipulation
|
$353.00 |
$353.00 |
$353.00 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$15.00 |
$15.00 |
$15.00 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,073.50 |
$1,073.50 |
$1,073.50 |
$1,932.00
|
|
Giardia lamblia antibody
|
$79.50 |
$79.50 |
$79.50 |
$83.44
|
|
Gi inhouse confirmation
|
$85.00 |
$85.00 |
$85.00 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,042.50 |
$1,042.50 |
$1,042.50 |
$2,195.76
|
|
Gi wireless capsule measure
|
$1,042.50 |
$1,042.50 |
$1,042.50 |
$1,579.30
|
|
Glucagon 1 mg solution for injection
|
$613.94 |
$613.94 |
$613.94 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$613.80 |
$613.80 |
$613.80 |
$491.67
|
|
Glucagon plasma - sendout
|
$302.94 |
$302.94 |
$302.94 |
$63.20
|
|
Glucose 1 hr post dose
|
$33.00 |
$33.00 |
$33.00 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$11.50 |
$11.50 |
$11.50 |
$22.75
|
|
Glucose blood quantitative
|
$26.50 |
$26.50 |
$26.50 |
$41.40
|
|
Glucose body fluid
|
$81.00 |
$81.00 |
$81.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$89.50 |
$89.50 |
$89.50 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$20.50 |
$20.50 |
$20.50 |
$36.00
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$19,282.52 |
$19,282.52 |
$19,282.52 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$88.00 |
$88.00 |
$88.00 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$77.00 |
$77.00 |
$77.00 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,529.00 |
$2,529.00 |
$2,529.00 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$143.50
|
|
Graft axiofill 1000mg
|
$14.50 |
$14.50 |
$14.50 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$23,288.44
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$2,866.00 |
$2,866.00 |
$2,866.00 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$1,977.75 |
$1,977.75 |
$1,977.75 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$2,448.50 |
$2,448.50 |
$2,448.50 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$23,247.30 |
$23,247.30 |
$23,247.30 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$5,535.00 |
$5,535.00 |
$5,535.00 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$427.89
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$3,627.57 |
$3,627.57 |
$3,627.57 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,462.40 |
$3,462.40 |
$3,462.40 |
$3,076.20
|
|
Great toe with reduction 28495
|
$353.00 |
$353.00 |
$353.00 |
$495.00
|
|
Grfg autol fat lipo 50 cc/<
|
$3,634.00 |
$3,634.00 |
$3,634.00 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$2,573.25 |
$2,573.25 |
$2,573.25 |
$4,026.40
|
|
Grfg autol soft tiss dir exc
|
$3,962.00 |
$3,962.00 |
$3,962.00 |
$4,332.25
|
|
Group health education
|
$93.00 |
$93.00 |
$93.00 |
$61.92
|
|
Gstr rstcv px sm int rcnstj
|
$11,501.25 |
$11,501.25 |
$11,501.25 |
$4,424.00
|
|
Guided cath fluid drainage 10030
|
$1,254.50 |
$1,254.50 |
$1,254.50 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$915.00 |
$915.00 |
$915.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$152.54 |
$152.54 |
$152.54 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$342.00 |
$342.00 |
$342.00 |
$535.60
|
|
Gw stiffened micro access kit
|
$343.42 |
$343.42 |
$343.42 |
$6,600.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$80.00 |
$80.00 |
$80.00 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$18.00 |
$18.00 |
$18.00 |
$23.30
|
|
Hand X-ray
|
$385.00 |
$385.00 |
$385.00 |
$345.87
|
|
Haptoglobin quantitative
|
$94.50 |
$94.50 |
$94.50 |
$91.80
|
|
Harvest auto stem cells
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$3,379.00
|
|
Hba1/hba2 full gene sequence
|
$827.50 |
$827.50 |
$827.50 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$279.50 |
$279.50 |
$279.50 |
$403.25
|
|
Hbb full gene sequence
|
$707.00 |
$707.00 |
$707.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$675.00 |
$675.00 |
$675.00 |
$404.80
|
|
Hb glycosylated a1c home dev
|
$16.00 |
$16.00 |
$16.00 |
$24.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$562.50 |
$562.50 |
$562.50 |
$721.00
|
|
Hcg qualitative
|
$51.50 |
$51.50 |
$51.50 |
$88.00
|
|
Hcg quantitative
|
$66.50 |
$66.50 |
$66.50 |
$137.15
|
|
Hc metata joint dislocation anes
|
$2,127.00 |
$2,127.00 |
$2,127.00 |
$2,383.09
|
|
Hdr rdncl ntrstl/icav brchtx
|
$854.00 |
$854.00 |
$854.00 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$854.00 |
$854.00 |
$854.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$854.00 |
$854.00 |
$854.00 |
$3,694.80
|
|
Hdr rdncl skn surf brachytx
|
$288.00 |
$288.00 |
$288.00 |
$877.50
|
|
Hdr rdncl skn surf brachytx
|
$576.00 |
$576.00 |
$576.00 |
$992.50
|
|
Head CT scan (with and without contrast)
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,081.50 |
$1,081.50 |
$1,081.50 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$850.50 |
$850.50 |
$850.50 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$42.50 |
$42.50 |
$42.50 |
$92.23
|
|
Hematocrit
|
$5.00 |
$5.00 |
$5.00 |
$33.57
|
|
Hemodialysis one evaluation
|
$789.00 |
$789.00 |
$789.00 |
$1,338.00
|
|
Hemoglobin
|
$47.00 |
$47.00 |
$47.00 |
$32.76
|
|
Hemoglobin fetal qualitative
|
$41.00 |
$41.00 |
$41.00 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$69.00 |
$69.00 |
$69.00 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$61.00 |
$61.00 |
$61.00 |
$89.13
|
|
Hemoglobin plasma
|
$42.00 |
$42.00 |
$42.00 |
$41.25
|
|
Hemophilus influenza antibdy
|
$27.00 |
$27.00 |
$27.00 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,514.75 |
$1,514.75 |
$1,514.75 |
$1,170.54
|
|
Hemorrhoidopexy stapling 46947
|
$4,453.00 |
$4,453.00 |
$4,453.00 |
$3,786.00
|
|
Heparin assay
|
$239.00 |
$239.00 |
$239.00 |
$138.84
|
|
Heparin bolus from bag
|
$60.00 |
$60.00 |
$60.00 |
$68.00
|
|
Heparin neutralization
|
$22.50 |
$22.50 |
$22.50 |
$36.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$12.91
|
|
Hepatitis a antibody igm
|
$77.50 |
$77.50 |
$77.50 |
$88.92
|
