|
Ghs gastric intub aspiration lavage
|
$262.60 |
$262.60 |
$262.60 |
$385.60
|
|
Ghs hcv amplificaiton
|
$198.90 |
$198.90 |
$198.90 |
$198.90
|
|
Ghs histoplasma antigen
|
$162.50 |
$162.50 |
$162.50 |
$157.30
|
|
Ghs HIV antibody
|
$118.30 |
$118.30 |
$118.30 |
$90.14
|
|
Ghs i and d perirectal abscess 46040
|
$953.55 |
$953.55 |
$953.55 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$469.95 |
$469.95 |
$469.95 |
$1,468.35
|
|
Ghs i and d pilonidal cyst simple
|
$260.65 |
$260.65 |
$260.65 |
$762.75
|
|
Ghs immun0electrophoresis
|
$116.35 |
$116.35 |
$116.35 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$404.30 |
$404.30 |
$404.30 |
$534.60
|
|
Ghs inhibitor screen
|
$193.70 |
$193.70 |
$193.70 |
$138.06
|
|
Ghs insertion of needle - bone
|
$302.25 |
$302.25 |
$302.25 |
$436.10
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$735.80 |
$735.80 |
$735.80 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$820.30 |
$820.30 |
$820.30 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$957.45 |
$957.45 |
$957.45 |
$2,026.46
|
|
Ghs irrigate corpora cavernosa for priapism
|
$460.85 |
$460.85 |
$460.85 |
$615.58
|
|
Ghs IV thrombolytics - cerebral
|
$657.15 |
$657.15 |
$657.15 |
$752.80
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$382.85 |
$382.85 |
$382.85 |
$536.80
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$339.30 |
$339.30 |
$339.30 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$359.45 |
$359.45 |
$359.45 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$505.70 |
$505.70 |
$505.70 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$518.70 |
$518.70 |
$518.70 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$488.15 |
$488.15 |
$488.15 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$707.20 |
$707.20 |
$707.20 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$2,697.60 |
$2,697.60 |
$2,697.60 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$638.95 |
$638.95 |
$638.95 |
$740.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$813.80 |
$813.80 |
$813.80 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$677.95 |
$677.95 |
$677.95 |
$993.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$904.15 |
$904.15 |
$904.15 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$702.65 |
$702.65 |
$702.65 |
$880.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$913.90 |
$913.90 |
$913.90 |
$901.76
|
|
Ghs layered repair over 30.0 cm -12047
|
$808.60 |
$808.60 |
$808.60 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$975.65 |
$975.65 |
$975.65 |
$943.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$156.65 |
$156.65 |
$156.65 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$174.20 |
$174.20 |
$174.20 |
$125.34
|
|
Ghs nailbed repair/nail removal
|
$444.60 |
$444.60 |
$444.60 |
$818.00
|
|
Ghs nerve blk intercostal, single level
|
$501.15 |
$501.15 |
$501.15 |
$1,232.23
|
|
Ghs nerve block sciatic nerve
|
$6,840.03 |
$6,840.03 |
$6,840.03 |
$1,745.25
|
|
Ghs ot prosthetic training/15 min
|
$94.25 |
$94.25 |
$94.25 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$79.95 |
$79.95 |
$79.95 |
$89.73
|
|
Ghs pacing - transcutaneous
|
$731.90 |
$731.90 |
$731.90 |
$872.95
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$53.95 |
$53.95 |
$53.95 |
$82.80
|
|
Ghs peritonsillar abscess i andd
|
$324.35 |
$324.35 |
$324.35 |
$694.20
|
|
Ghs phenylketonurid
|
$51.35 |
$51.35 |
$51.35 |
$61.20
|
|
Ghs plngl fx pm cl
|
$731.25 |
$731.25 |
$731.25 |
$611.64
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,495.70 |
$3,495.70 |
$3,495.70 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$26.00 |
$26.00 |
$26.00 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$51.35 |
$51.35 |
$51.35 |
$49.77
|
|
Ghs protoporphyrins fract
|
$70.20 |
$70.20 |
$70.20 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$261.30 |
$261.30 |
$261.30 |
$165.60
|
|
Ghs removal intranasal foreign body
|
$326.95 |
$326.95 |
$326.95 |
$320.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,572.35 |
$1,572.35 |
$1,572.35 |
$2,055.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$132.60 |
$132.60 |
$132.60 |
$117.60
|
|
Ghs sedimentation rate
|
$53.95 |
$53.95 |
$53.95 |
$36.57
|
|
Ghs sensitivity (per antimicro)
|
$61.75 |
$61.75 |
$61.75 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$505.70 |
$505.70 |
$505.70 |
$535.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$514.15 |
$514.15 |
$514.15 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$560.30 |
$560.30 |
$560.30 |
$563.75
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$456.30 |
$456.30 |
$456.30 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$418.60 |
$418.60 |
$418.60 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$522.60 |
$522.60 |
$522.60 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$575.90 |
$575.90 |
$575.90 |
$560.80
|
|
Ghs sleep study unattended
|
$549.90 |
$549.90 |
$549.90 |
$503.38
|
|
Ghs sp train/fitting sp device - kx
|
$233.35 |
$233.35 |
$233.35 |
$240.80
|
|
Ghs strapping shoulder - 29240
|
$85.80 |
$85.80 |
$85.80 |
$210.91
|
|
Ghs superficial wnd dehiscence simp12020
|
$544.05 |
$544.05 |
$544.05 |
$1,016.25
|
|
Ghs superficial wnd dehis w packing12021
|
$313.95 |
$313.95 |
$313.95 |
$765.68
|
|
Ghs tx distal phalangeal fx with manipulation
|
$452.40 |
$452.40 |
$452.40 |
$548.92
|
|
Ghs urine, porphyrins quant
|
$89.05 |
$89.05 |
$89.05 |
$85.15
|
|
Ghs vaginal delivery only
|
$1,750.45 |
$1,750.45 |
$1,750.45 |
$3,341.93
|
|
Gi inhouse confirmation
|
$98.80 |
$98.80 |
$98.80 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$846.30 |
$846.30 |
$846.30 |
$351.53
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$763.73 |
$763.73 |
$763.73 |
$509.06
|
|
Glucagon plasma - sendout
|
$73.45 |
$73.45 |
$73.45 |
$67.50
|
|
Glucose 1 hr post dose
|
$46.80 |
$46.80 |
$46.80 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$22.10 |
$22.10 |
$22.10 |
$20.00
|
|
Glucose blood quantitative
|
$43.55 |
$43.55 |
$43.55 |
$40.80
|
|
Glucose body fluid
|
$70.85 |
$70.85 |
$70.85 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$87.75 |
$87.75 |
$87.75 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$31.20 |
$31.20 |
$31.20 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$105.30 |
$105.30 |
$105.30 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$158.60 |
$158.60 |
$158.60 |
$117.65
|
|
Goserelin 10.8 mg subcutaneous implant
|
$7,003.91 |
$7,003.91 |
$7,003.91 |
$1,598.97
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$39.00 |
$39.00 |
$39.00 |
$56.71
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$336.70 |
$336.70 |
$336.70 |
$486.45
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$334.10 |
$334.10 |
$334.10 |
$1,123.34
|
|
Great toe with reduction 28495
|
$359.45 |
$359.45 |
$359.45 |
$581.25
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Hand X-ray
|
$410.15 |
$410.15 |
$410.15 |
$317.78
|
|
Haptoglobin quantitative
|
$96.20 |
$96.20 |
$96.20 |
$75.00
|
|
Hba1/hba2 full gene sequence
|
$451.10 |
$451.10 |
$451.10 |
$847.86
|
|
Hba1/hba2 gene dup/del vrnts
|
$406.25 |
$406.25 |
$406.25 |
$407.57
|
|
Hbb full gene sequence
|
$397.15 |
$397.15 |
$397.15 |
$633.25
|
|
Hbb gene dup/del variants
|
$436.80 |
$436.80 |
$436.80 |
$436.80
|
|
Hcg qualitative
|
$55.90 |
$55.90 |
$55.90 |
$72.50
|
|
Hcg quantitative
|
$112.45 |
$112.45 |
$112.45 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$1,771.90 |
$1,771.90 |
$1,771.90 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,558.05 |
$1,558.05 |
$1,558.05 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$1,252.80
|
|
Heart first pass add-on
|
$594.10 |
$594.10 |
$594.10 |
$445.54
|
