|
Ghs superficial wnd dehis w packing12021
|
$499.50 |
$499.50 |
$499.50 |
$692.80
|
|
Ghs tx distal phalangeal fx with manipulation
|
$189.00 |
$189.00 |
$189.00 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$15.00 |
$15.00 |
$15.00 |
$73.80
|
|
Ghs vaginal delivery only
|
$2,435.00 |
$2,435.00 |
$2,435.00 |
$3,338.40
|
|
Gi inhouse confirmation
|
$71.00 |
$71.00 |
$71.00 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,211.50 |
$1,211.50 |
$1,211.50 |
$2,195.76
|
|
Gi wireless capsule measure
|
$1,020.50 |
$1,020.50 |
$1,020.50 |
$1,579.30
|
|
Glucagon 1 mg solution for injection
|
$758.61 |
$758.61 |
$758.61 |
$601.79
|
|
Glucagon plasma - sendout
|
$124.00 |
$124.00 |
$124.00 |
$63.20
|
|
Glucose 1 hr post dose
|
$72.50 |
$72.50 |
$72.50 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$44.00 |
$44.00 |
$44.00 |
$22.75
|
|
Glucose blood quantitative
|
$38.00 |
$38.00 |
$38.00 |
$41.40
|
|
Glucose body fluid
|
$81.00 |
$81.00 |
$81.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$72.50 |
$72.50 |
$72.50 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$22.50 |
$22.50 |
$22.50 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$129.00 |
$129.00 |
$129.00 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$138.50 |
$138.50 |
$138.50 |
$129.00
|
|
Gonioscopy
|
$155.50 |
$155.50 |
$155.50 |
$135.52
|
|
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
|
$705.00 |
$705.00 |
$705.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$13,149.50 |
$13,149.50 |
$13,149.50 |
$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
|
$143.50 |
$143.50 |
$143.50 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$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 tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$47.50 |
$47.50 |
$47.50 |
$29,056.92
|
|
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
|
$2,250.50 |
$2,250.50 |
$2,250.50 |
$31,191.20
|
|
Great toe with reduction 28495
|
$469.00 |
$469.00 |
$469.00 |
$495.00
|
|
Group mnt 2 or more 30 mins
|
$17.00 |
$17.00 |
$17.00 |
$40.14
|
|
G-tube reposition
|
$524.50 |
$524.50 |
$524.50 |
$745.80
|
|
Guide wire threaded 1.4x150mm
|
$519.50 |
$519.50 |
$519.50 |
$3,401.81
|
|
Gw stiffened micro access kit
|
$103.00 |
$103.00 |
$103.00 |
$6,600.00
|
|
Hair removal by electrolysis 17380
|
$762.50 |
$762.50 |
$762.50 |
$849.50
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$2.00 |
$2.00 |
$2.00 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$22.00 |
$22.00 |
$22.00 |
$23.30
|
|
Hand X-ray
|
$331.00 |
$331.00 |
$331.00 |
$345.87
|
|
Haptoglobin quantitative
|
$71.00 |
$71.00 |
$71.00 |
$91.80
|
|
Harvest allogeneic stem cell
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$3,067.50
|
|
Harvest auto stem cells
|
$1,827.50 |
$1,827.50 |
$1,827.50 |
$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
|
$1,358.00 |
$1,358.00 |
$1,358.00 |
$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
|
|
Hbot, full body chamber, 30m
|
$344.50 |
$344.50 |
$344.50 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$562.00 |
$562.00 |
$562.00 |
$721.00
|
|
Hcg qualitative
|
$71.00 |
$71.00 |
$71.00 |
$88.00
|
|
Hcg quantitative
|
$106.50 |
$106.50 |
$106.50 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$38.00 |
$38.00 |
$38.00 |
$117.00
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$762.50 |
$762.50 |
$762.50 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$762.50 |
$762.50 |
$762.50 |
$858.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$762.50 |
$762.50 |
$762.50 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$762.50 |
$762.50 |
$762.50 |
$845.60
|
|
Hc nm kidney imaging with flow
|
$696.50 |
$696.50 |
$696.50 |
$849.00
|
|
Hc pet myocardial imaging metabolic eval single study
|
$3,182.50 |
$3,182.50 |
$3,182.50 |
$3,840.40
|
|
Head CT scan (with and without contrast)
|
$1,049.00 |
$1,049.00 |
$1,049.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$858.50 |
$858.50 |
$858.50 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$702.00 |
$702.00 |
$702.00 |
$1,268.90
|
|
Heavy metal qual any number
|
$246.50 |
$246.50 |
$246.50 |
$68.88
|
|
Heinz bodies direct
|
$62.50 |
$62.50 |
$62.50 |
$43.15
|
|
Heinz bodies induced
|
$125.00 |
$125.00 |
$125.00 |
$37.20
|
|
Helicobacter pylori antibody igm
|
$92.00 |
$92.00 |
$92.00 |
$92.23
|
|
Hematocrit
|
$18.50 |
$18.50 |
$18.50 |
$33.57
|
|
Hemoglobin
|
$18.50 |
$18.50 |
$18.50 |
$32.76
|
|
Hemoglobin f (fetal) chemical
|
$47.00 |
$47.00 |
$47.00 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$69.00 |
$69.00 |
$69.00 |
$52.32
|
|
Hemoglobin plasma
|
$80.00 |
$80.00 |
$80.00 |
$41.25
|
|
Hemolysin acid
|
$54.00 |
$54.00 |
$54.00 |
$79.04
|
|
Hemophilus influenza antibdy
|
$27.00 |
$27.00 |
$27.00 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$3,787.34 |
$3,787.34 |
$3,787.34 |
$1,170.54
|
|
Heparin assay
|
$155.00 |
$155.00 |
$155.00 |
$138.84
|
|
Heparin bolus from bag
|
$1.80 |
$1.80 |
$1.80 |
$68.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$12.91
|
|
Hepatitis a antibody igm
|
$53.50 |
$53.50 |
$53.50 |
$88.92
|
|
Hepatitis b core antibody igm
|
$57.00 |
$57.00 |
$57.00 |
$88.80
|
|
Hepatitis b core antibody total
|
$69.00 |
$69.00 |
$69.00 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$373.50 |
$373.50 |
$373.50 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$48.00 |
$48.00 |
$48.00 |
$81.12
|
|
Hepatitis c antibody
|
$69.00 |
$69.00 |
$69.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$983.00 |
$983.00 |
$983.00 |
$1,438.99
|
|
Herpes simplex 1 ag if
|
$30.00 |
$30.00 |
$30.00 |
$38.58
|
|
Herpes simplex 2 ag if
|
$59.00 |
$59.00 |
$59.00 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$67.50 |
$67.50 |
$67.50 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$54.00 |
$54.00 |
$54.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$167.02 |
$167.02 |
$167.02 |
$106.21
|
|
Heterophile antibodies screening
|
$29.00 |
$29.00 |
$29.00 |
$72.00
|
|
Heterophile antibodies titer
|
$41.00 |
$41.00 |
$41.00 |
$29.25
|
|
Hfo nontorsion jnts pre cst
|
$122.50 |
$122.50 |
$122.50 |
$110.88
|
|
Hhv-6 dna quant
|
$200.00 |
$200.00 |
$200.00 |
$250.80
|
|
Hip joint adjustable flexion
|
$771.50 |
$771.50 |
$771.50 |
$752.89
|
|
Hip X-ray
|
$92.50 |
$92.50 |
$92.50 |
$296.05
|
|
Histamine
|
$490.50 |
$490.50 |
$490.50 |
$114.84
|
|
Histochemical stains add-on
|
$174.50 |
$174.50 |
$174.50 |
$152.75
|
|
HIV prep, inj, cabotegravir
|
$15.50 |
$15.50 |
$15.50 |
$7,320.13
|
