|
Ghs myocardial strain img spckl track
|
$88.17 |
$88.17 |
$88.17 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$669.90 |
$669.90 |
$669.90 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$535.61 |
$535.61 |
$535.61 |
$1,160.00
|
|
Ghs nerve block celiac plexus
|
$415.49 |
$415.49 |
$415.49 |
$1,661.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$425.66 |
$425.66 |
$425.66 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$592.90 |
$592.90 |
$592.90 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$276.28 |
$276.28 |
$276.28 |
$485.00
|
|
Ghs o2 saturation
|
$4.74 |
$4.74 |
$4.74 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$26.95 |
$26.95 |
$26.95 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$25.69 |
$25.69 |
$25.69 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$532.22 |
$532.22 |
$532.22 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$2,114.73 |
$2,114.73 |
$2,114.73 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$19.78 |
$19.78 |
$19.78 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$28.76 |
$28.76 |
$28.76 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$33.52 |
$33.52 |
$33.52 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$311.74 |
$311.74 |
$311.74 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$311.39 |
$311.39 |
$311.39 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$684.38 |
$684.38 |
$684.38 |
$962.00
|
|
Ghs phenylketonurid
|
$2.69 |
$2.69 |
$2.69 |
$53.76
|
|
Ghs picc line insert < 5
|
$652.96 |
$652.96 |
$652.96 |
$2,019.50
|
|
Ghs prostatic acid phosphatase (mayo)
|
$9.48 |
$9.48 |
$9.48 |
$43.55
|
|
Ghs protoporphyrins fract
|
$17.54 |
$17.54 |
$17.54 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$62.49 |
$62.49 |
$62.49 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$66.89 |
$66.89 |
$66.89 |
$285.60
|
|
Ghs quinidine
|
$9.48 |
$9.48 |
$9.48 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$10.73 |
$10.73 |
$10.73 |
$74.82
|
|
Ghs reticulocyte count
|
$2.39 |
$2.39 |
$2.39 |
$34.50
|
|
Ghs sedimentation rate
|
$2.39 |
$2.39 |
$2.39 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$5.82 |
$5.82 |
$5.82 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$235.00 |
$235.00 |
$235.00 |
$570.60
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$287.36 |
$287.36 |
$287.36 |
$586.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$182.64 |
$182.64 |
$182.64 |
$436.80
|
|
Ghs simple repair over 30 cm - 12007
|
$356.97 |
$356.97 |
$356.97 |
$590.88
|
|
Ghs speech-gen aug dev eval iii, st
|
$66.30 |
$66.30 |
$66.30 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$75.20 |
$75.20 |
$75.20 |
$252.75
|
|
Ghs st - re-eval for alt comm
|
$105.84 |
$105.84 |
$105.84 |
$309.60
|
|
Ghs urine, porphyrins quant
|
$9.80 |
$9.80 |
$9.80 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,247.55 |
$1,247.55 |
$1,247.55 |
$1,932.00
|
|
Giardia ag if
|
$15.43 |
$15.43 |
$15.43 |
$38.58
|
|
Giardia lamblia antibody
|
$9.98 |
$9.98 |
$9.98 |
$83.44
|
|
Gi inhouse confirmation
|
$15.94 |
$15.94 |
$15.94 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,032.84 |
$1,032.84 |
$1,032.84 |
$2,215.20
|
|
Glucagon plasma - sendout
|
$10.59 |
$10.59 |
$10.59 |
$64.35
|
|
Glucose 1 hr post dose
|
$2.37 |
$2.37 |
$2.37 |
$49.00
|
|
Glucose body fluid
|
$9.64 |
$9.64 |
$9.64 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$6.16 |
$6.16 |
$6.16 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$1.90 |
$1.90 |
$1.90 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$9.16 |
$9.16 |
$9.16 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$9.16 |
$9.16 |
$9.16 |
$129.03
|
|
Graft axiofill 1000mg
|
$15.49 |
$15.49 |
$15.49 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$35.90 |
$35.90 |
$35.90 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$19,008.06 |
$19,008.06 |
$19,008.06 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$15,552.24 |
$15,552.24 |
$15,552.24 |
$29,293.39
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$174.42 |
$174.42 |
$174.42 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$23.49 |
$23.49 |
$23.49 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$40,894.92 |
$40,894.92 |
$40,894.92 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,706.08 |
$1,706.08 |
$1,706.08 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$1,588.57 |
$1,588.57 |
$1,588.57 |
$2,698.02
|
|
Growth stimulation gene 2
|
$142.20 |
$142.20 |
$142.20 |
$180.50
|
|
G-tube reposition
|
$413.03 |
$413.03 |
$413.03 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$655.87 |
$655.87 |
$655.87 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$795.56 |
$795.56 |
$795.56 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$2,334.36 |
$2,334.36 |
$2,334.36 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,025.64 |
$1,025.64 |
$1,025.64 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$145.88 |
$145.88 |
$145.88 |
$535.60
|
|
Gw stiffened micro access kit
|
$3,311.95 |
$3,311.95 |
$3,311.95 |
$6,893.38
|
|
Handpiece aquabeam hp2000
|
$2,944.03 |
$2,944.03 |
$2,944.03 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$25.52 |
$25.52 |
$25.52 |
$105.30
|
|
Hand X-ray
|
$92.16 |
$92.16 |
$92.16 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$83.46 |
$83.46 |
$83.46 |
$294.90
|
|
Haptoglobin quantitative
|
$9.32 |
$9.32 |
$9.32 |
$92.80
|
|
Hast w/i&r phys/qhp
|
$6.51 |
$6.51 |
$6.51 |
$301.95
|
|
Hast w/oxygen titrate
|
$8.93 |
$8.93 |
$8.93 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$627.35 |
$627.35 |
$627.35 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$131.94 |
$131.94 |
$131.94 |
$403.25
|
|
Hbb full gene sequence
|
$339.39 |
$339.39 |
$339.39 |
$633.25
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$505.86 |
$505.86 |
$505.86 |
$726.00
|
|
Hcg qualitative
|
$39.50 |
$39.50 |
$39.50 |
$90.10
|
|
Hcg quantitative
|
$48.19 |
$48.19 |
$48.19 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$32.80 |
$32.80 |
$32.80 |
$113.12
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$352.06 |
$352.06 |
$352.06 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$662.72 |
$662.72 |
$662.72 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$462.07 |
$462.07 |
$462.07 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$1,000.24 |
$1,000.24 |
$1,000.24 |
$3,958.50
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,053.36 |
$1,053.36 |
$1,053.36 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,880.58 |
$1,880.58 |
$1,880.58 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,379.95 |
$3,379.95 |
$3,379.95 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$1,297.89 |
$1,297.89 |
$1,297.89 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$1,949.13 |
$1,949.13 |
$1,949.13 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$475.60 |
$475.60 |
$475.60 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$396.44 |
$396.44 |
$396.44 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$317.07 |
$317.07 |
$317.07 |
$1,268.90
|
|
Heart first pass add-on
|
$308.70 |
$308.70 |
$308.70 |
$485.27
|
|
Heart image spect
|
$307.23 |
$307.23 |
$307.23 |
$1,135.68
|
|
Heart infarct image
|
$415.76 |
$415.76 |
$415.76 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$73.47 |
$73.47 |
$73.47 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$11.62 |
$11.62 |
$11.62 |
$92.00
|
|
Hematocrit
|
$1.47 |
$1.47 |
$1.47 |
$33.80
|
|
Hematopoietic nuclear tx
|
$1,100.03 |
$1,100.03 |
$1,100.03 |
$928.98
|
|
Hemodialysis one evaluation
|
$409.78 |
$409.78 |
$409.78 |
$1,364.27
|
