|
Ghs somatosensory testing lower extremit
|
$925.91 |
$925.91 |
$925.91 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,290.02 |
$1,290.02 |
$1,290.02 |
$1,435.00
|
|
Ghs speech-gen aug dev eval iii, st
|
$74.73 |
$103.88 |
$103.88 |
$124.80
|
|
Ghs sp train/fitting sp device - kx
|
$209.35 |
$209.35 |
$209.35 |
$261.95
|
|
Ghs st - re-eval for alt comm
|
$209.35 |
$209.35 |
$269.24 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,078.02 |
$1,078.02 |
$1,116.71 |
$976.98
|
|
Ghs urine, porphyrins quant
|
$64.13 |
$64.13 |
$122.43 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,777.09 |
$1,777.09 |
$1,777.09 |
$1,843.00
|
|
Giardia lamblia antibody
|
$64.13 |
$64.13 |
$64.13 |
$81.60
|
|
Gi inhouse confirmation
|
$53.53 |
$53.53 |
$84.80 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,381.71 |
$1,381.71 |
$3,917.23 |
$2,382.90
|
|
Gi trc img intral esophagus
|
$1,842.28 |
$1,842.28 |
$4,352.89 |
$1,844.80
|
|
Glassia injection
|
$5.33 |
$5.33 |
$5.33 |
$7.86
|
|
Glucagon 1 mg solution for injection
|
$282.43 |
$282.43 |
$287.60 |
$655.20
|
|
Glucagon plasma - sendout
|
$25.97 |
$25.97 |
$89.57 |
$58.56
|
|
Glucose 1 hr post dose
|
$24.38 |
$24.38 |
$40.28 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$50.35 |
$50.35 |
$50.35 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$10.60 |
$10.60 |
$20.67 |
$22.00
|
|
Glucose blood quantitative
|
$25.97 |
$25.97 |
$41.34 |
$44.76
|
|
Glucose body fluid
|
$27.56 |
$27.56 |
$37.63 |
$50.70
|
|
Glucose monitoring continual min 72hr pt
|
$101.76 |
$101.76 |
$224.72 |
$139.10
|
|
Glucose tolerance test (gtt) 3 specimens
|
$53.53 |
$53.53 |
$92.75 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$18.02 |
$18.02 |
$29.15 |
$34.45
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$59.63 |
$59.63 |
$66.57 |
$4,880.83
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$64.13 |
$64.13 |
$158.47 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$64.13 |
$64.13 |
$181.79 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,276.49 |
$1,276.49 |
$1,276.49 |
$3,358.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$1,167.06 |
$1,167.06 |
$1,716.14 |
$672.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$80.56 |
$80.56 |
$80.56 |
$944.03
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$1,224.83 |
$1,224.83 |
$1,224.83 |
$1,366.45
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$91.16 |
$91.16 |
$176.49 |
$1,057.31
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,123.34 |
$2,387.65 |
$4,770.00 |
$765.06
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$68.90 |
$68.90 |
$68.90 |
$208.78
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$1,145.60 |
$1,145.60 |
$1,145.60 |
$821.11
|
|
Group mnt 2 or more 30 mins
|
$31.27 |
$31.27 |
$66.25 |
$45.75
|
|
G-tube reposition
|
$488.13 |
$501.91 |
$501.91 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$1,080.67 |
$1,080.67 |
$1,080.67 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$559.68 |
$559.68 |
$559.68 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$1,104.18 |
$2,721.47 |
$2,721.47 |
$7,499.50
|
|
Guid loc target vol rad tx
|
$308.46 |
$308.46 |
$491.31 |
$503.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$24.89 |
$50.13 |
$61.67 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$2.37 |
$22.04 |
$28.29 |
$36.04
|
|
Hand X-ray
|
$163.24 |
$171.19 |
$171.19 |
$338.58
|
|
Haptoglobin quantitative
|
$50.88 |
$50.88 |
$79.50 |
$89.95
|
|
Hast w/i&r phys/qhp
|
$295.21 |
$295.21 |
$363.05 |
$301.95
|
|
Hast w/oxygen titrate
|
$377.36 |
$377.36 |
$377.36 |
$310.40
|
|
Hba1/hba2 gene dup/del vrnts
|
$390.61 |
$390.61 |
$407.57 |
$406.25
|
|
Hbb full gene sequence
|
$475.94 |
$475.94 |
$496.61 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$524.17 |
$524.17 |
$667.27 |
$558.35
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$244.33 |
$244.33 |
$244.33 |
$759.72
|
|
Hcg free betachain test
|
$52.47 |
$52.47 |
$54.59 |
$54.59
|
|
Hcg qualitative
|
$48.76 |
$48.76 |
$78.97 |
$77.50
|
|
Hcg quantitative
|
$69.96 |
$69.96 |
$155.29 |
$124.80
|
|
Hc nm kidney imaging with flow
|
$1,216.35 |
$1,216.35 |
$1,216.35 |
$1,008.39
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,658.48 |
$2,658.48 |
$2,783.56 |
$3,309.00
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$28,163.67 |
$28,163.67 |
$28,163.67 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,651.06 |
$2,651.06 |
$3,235.65 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,902.28 |
$2,902.28 |
$3,153.50 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,410.55 |
$3,410.55 |
$3,706.29 |
$3,410.55
|
|
Head CT scan (with and without contrast)
|
$862.84 |
$862.84 |
$1,264.58 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$850.12 |
$850.12 |
$935.45 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$841.64 |
$841.64 |
$852.24 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$48.23 |
$60.95 |
$60.95 |
$84.80
|
|
Hematocrit
|
$14.84 |
$14.84 |
$25.44 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$36.48 |
$36.48 |
$36.48 |
$21,893.50
|
|
Hemodialysis one evaluation
|
$1,270.94 |
$1,270.94 |
$1,455.38 |
$1,329.90
|
|
Hemoglobin
|
$14.84 |
$14.84 |
$25.97 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$54.06 |
$54.06 |
$54.06 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$22.79 |
$22.79 |
$24.91 |
$49.40
|
|
Hemoglobin-oxygen affinity
|
$66.78 |
$66.78 |
$66.78 |
$73.00
|
|
Hemoglobin plasma
|
$31.27 |
$42.93 |
$42.93 |
$40.56
|
|
Hemolysin acid
|
$65.19 |
$65.19 |
$65.19 |
$31.74
|
|
Heparin assay
|
$90.63 |
$90.63 |
$98.58 |
$130.20
|
|
Heparin bolus from bag
|
$8.16 |
$9.84 |
$12.83 |
$72.61
|
|
Heparin neutralization
|
$37.10 |
$38.69 |
$38.69 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.39 |
$0.43 |
$2.65 |
$22.75
|
|
Hepatitis a antibody igm
|
$47.17 |
$47.17 |
$120.84 |
$85.15
|
|
Hepatitis b core antibody igm
|
$49.82 |
$49.82 |
$87.98 |
$87.98
|
|
Hepatitis b core antibody total
|
$48.76 |
$48.76 |
$78.44 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$162.20 |
$232.78 |
$269.48 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$46.64 |
$46.64 |
$91.69 |
$83.79
|
|
Hepatitis c antibody
|
$59.89 |
$59.89 |
$133.56 |
$108.00
|
|
Hepatitis d quantification
|
$136.21 |
$136.21 |
$136.21 |
$145.06
|
|
Hepatobiliary system imaging
|
$2,144.38 |
$2,893.27 |
$2,893.27 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$40.28 |
$40.28 |
$40.28 |
$40.28
|
|
Herpes simplex 2 ag if
|
$43.99 |
$43.99 |
$43.99 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$42.93 |
$42.93 |
$100.17 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$63.07 |
$63.07 |
$137.27 |
$87.10
|
|
Herpes simplex virus isolation
|
$54.06 |
$54.06 |
$54.06 |
$93.32
|
|
Heterophile antibodies screening
|
$33.92 |
$33.92 |
$54.06 |
$73.60
|
|
Heterophile antibody absrbj
|
$54.06 |
$54.06 |
$54.06 |
$19.20
|
|
Hip X-ray
|
$182.32 |
$182.32 |
$327.54 |
$292.05
|
|
Histamine
|
$95.40 |
$95.40 |
$219.42 |
$125.40
|
|
Histochemical stains add-on
|
$104.41 |
$104.41 |
$311.11 |
$169.65
|
|
Hla ii typing 1 loc hr
|
$2,218.05 |
$2,218.05 |
$2,315.57 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$118.19 |
$118.19 |
$118.19 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$542.19 |
$542.19 |
$542.19 |
$307.53
|
|
Hlth bhv assmt/reassessment
|
$78.97 |
$78.97 |
$78.97 |
$180.70
|
|
Homocysteine
|
$64.13 |
$64.13 |
$147.87 |
$113.10
|
|
Homogenization tissue
|
$23.85 |
$24.91 |
$24.91 |
$39.00
|
