|
Ghs community re-entry 15 minutes
|
$10.23 |
$10.23 |
$10.23 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$13.10 |
$13.10 |
$13.10 |
$55.29
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$550.44 |
$550.44 |
$550.44 |
$1,429.20
|
|
Ghs febrile agglutinns(mayo)
|
$4.37 |
$4.37 |
$4.37 |
$48.10
|
|
Ghs fish cytogen
|
$29.12 |
$29.12 |
$29.12 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$69.16 |
$69.16 |
$69.16 |
$226.20
|
|
Ghs hcv amplificaiton
|
$28.41 |
$28.41 |
$28.41 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$9.78 |
$9.78 |
$9.78 |
$144.54
|
|
Ghs histoplasma antigen
|
$40.74 |
$40.74 |
$40.74 |
$142.00
|
|
Ghs HIV antibody
|
$8.74 |
$8.74 |
$8.74 |
$89.70
|
|
Ghs immun0electrophoresis
|
$18.72 |
$18.72 |
$18.72 |
$110.00
|
|
Ghs inhibitor screen
|
$50.85 |
$50.85 |
$50.85 |
$191.88
|
|
Ghs insertion of needle - bone
|
$161.46 |
$161.46 |
$161.46 |
$431.28
|
|
Ghs intro needle/intracath vein - 36000
|
$33.97 |
$33.97 |
$33.97 |
$200.20
|
|
Ghs IV inf sq injection, on-body injector
|
$104.40 |
$104.40 |
$104.40 |
$110.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$5.88 |
$5.88 |
$5.88 |
$75.00
|
|
Ghs mbp
|
$10.90 |
$10.90 |
$10.90 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$140.90 |
$140.90 |
$140.90 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$140.90 |
$140.90 |
$140.90 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$154.85 |
$154.85 |
$154.85 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$71.15 |
$71.15 |
$71.15 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$71.15 |
$71.15 |
$71.15 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$116.42 |
$116.42 |
$116.42 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$839.55 |
$839.55 |
$839.55 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$671.25 |
$671.25 |
$671.25 |
$1,160.00
|
|
Ghs nerve block celiac plexus
|
$520.71 |
$520.71 |
$520.71 |
$1,661.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$533.45 |
$533.45 |
$533.45 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$743.05 |
$743.05 |
$743.05 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$346.24 |
$346.24 |
$346.24 |
$485.00
|
|
Ghs o2 saturation
|
$5.19 |
$5.19 |
$5.19 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$667.01 |
$667.01 |
$667.01 |
$1,236.67
|
|
Ghs ot prosthetic training/15 min
|
$11.66 |
$11.66 |
$11.66 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$9.64 |
$9.64 |
$9.64 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$19.76 |
$19.76 |
$19.76 |
$126.40
|
|
Ghs phenylketonurid
|
$2.94 |
$2.94 |
$2.94 |
$53.76
|
|
Ghs picc line insert < 5
|
$818.32 |
$818.32 |
$818.32 |
$2,019.50
|
|
Ghs prostatic acid phosphatase (mayo)
|
$10.38 |
$10.38 |
$10.38 |
$43.55
|
|
Ghs protoporphyrins fract
|
$19.20 |
$19.20 |
$19.20 |
$60.75
|
|
Ghs pt - work hardening/int 2hrs
|
$39.43 |
$39.43 |
$39.43 |
$285.60
|
|
Ghs quinidine
|
$10.38 |
$10.38 |
$10.38 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$14.98 |
$14.98 |
$14.98 |
$74.82
|
|
Ghs reticulocyte count
|
$2.94 |
$2.94 |
$2.94 |
$34.50
|
|
Ghs sedimentation rate
|
$2.94 |
$2.94 |
$2.94 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$6.16 |
$6.16 |
$6.16 |
$57.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$42.30 |
$42.30 |
$42.30 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$37.60 |
$37.60 |
$37.60 |
$252.75
|
|
Ghs st - re-eval for alt comm
|
$52.92 |
$52.92 |
$52.92 |
$309.60
|
|
Ghs urine, porphyrins quant
|
$10.73 |
$10.73 |
$10.73 |
$73.80
|
|
Giardia ag if
|
$16.35 |
$16.35 |
$16.35 |
$38.58
|
|
Giardia lamblia antibody
|
$13.94 |
$13.94 |
$13.94 |
$83.44
|
|
Gi inhouse confirmation
|
$16.88 |
$16.88 |
$16.88 |
$87.75
|
|
Glucagon plasma - sendout
|
$11.59 |
$11.59 |
$11.59 |
$64.35
|
|
Glucose 1 hr post dose
|
$2.59 |
$2.59 |
$2.59 |
$49.00
|
|
Glucose body fluid
|
$10.55 |
$10.55 |
$10.55 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$6.75 |
$6.75 |
$6.75 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$2.08 |
$2.08 |
$2.08 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$10.03 |
$10.03 |
$10.03 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$10.03 |
$10.03 |
$10.03 |
$129.03
|
|
Graft axiofill 1000mg
|
$14.94 |
$14.94 |
$14.94 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$36.99 |
$36.99 |
$36.99 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$19,586.25 |
$19,586.25 |
$19,586.25 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$16,025.31 |
$16,025.31 |
$16,025.31 |
$29,293.39
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$179.73 |
$179.73 |
$179.73 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$24.20 |
$24.20 |
$24.20 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$19,610.10 |
$19,610.10 |
$19,610.10 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,456.08 |
$1,456.08 |
$1,456.08 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$1,459.34 |
$1,459.34 |
$1,459.34 |
$2,698.02
|
|
G-tube reposition
|
$517.63 |
$517.63 |
$517.63 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$997.04 |
$997.04 |
$997.04 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$2,264.89 |
$2,264.89 |
$2,264.89 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$716.71 |
$716.71 |
$716.71 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$1,283.79 |
$1,283.79 |
$1,283.79 |
$6,893.38
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$15.04 |
$15.04 |
$15.04 |
$105.30
|
|
Hand X-ray
|
$84.60 |
$84.60 |
$84.60 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$76.61 |
$76.61 |
$76.61 |
$294.90
|
|
Haptoglobin quantitative
|
$10.21 |
$10.21 |
$10.21 |
$92.80
|
|
Hba1/hba2 full gene sequence
|
$708.30 |
$708.30 |
$708.30 |
$769.95
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$464.36 |
$464.36 |
$464.36 |
$726.00
|
|
Hcg qualitative
|
$43.25 |
$43.25 |
$43.25 |
$90.10
|
|
Hcg quantitative
|
$52.76 |
$52.76 |
$52.76 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$429.26 |
$429.26 |
$429.26 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$357.81 |
$357.81 |
$357.81 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$286.18 |
$286.18 |
$286.18 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$67.44 |
$67.44 |
$67.44 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$16.22 |
$16.22 |
$16.22 |
$92.00
|
|
Hematocrit
|
$1.81 |
$1.81 |
$1.81 |
$33.80
|
|
Hemodialysis one evaluation
|
$283.52 |
$283.52 |
$283.52 |
$1,364.27
|
|
Hemoglobin
|
$12.66 |
$12.66 |
$12.66 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$10.21 |
$10.21 |
$10.21 |
$52.32
|
|
Hemoglobin plasma
|
$10.21 |
$10.21 |
$10.21 |
$41.40
|
|
Hemoglobin urine
|
$2.08 |
$2.08 |
$2.08 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$101.92 |
$101.92 |
$101.92 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$7.70 |
$7.70 |
$7.70 |
$61.79
|
|
Hemophilus influenza antibdy
|
$12.90 |
$12.90 |
$12.90 |
$62.70
|
|
Heparin assay
|
$79.10 |
$79.10 |
$79.10 |
$139.15
|
|
Heparin neutralization
|
$8.14 |
$8.14 |
$8.14 |
$37.10
|
|
Heparin-protamine tolerance
|
$9.04 |
$9.04 |
$9.04 |
$37.75
|
|
Hepatitis a antibody igm
|
$34.94 |
$34.94 |
$34.94 |
$89.44
|
|
Hepatitis b core antibody igm
|
$36.82 |
$36.82 |
$36.82 |
$89.60
|
|
Hepatitis b core antibody total
|
$11.44 |
$11.44 |
$11.44 |
$77.50
|
