|
Ghs i and d pilonidal cyst simple
|
$342.55 |
$342.55 |
$342.55 |
$762.75
|
|
Ghs immun0electrophoresis
|
$50.70 |
$50.70 |
$50.70 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$315.25 |
$315.25 |
$315.25 |
$534.60
|
|
Ghs inhibitor screen
|
$222.95 |
$222.95 |
$222.95 |
$138.06
|
|
Ghs insertion of needle - bone
|
$252.20 |
$252.20 |
$252.20 |
$436.10
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$674.05 |
$674.05 |
$674.05 |
$876.00
|
|
Ghs intermed repair over 30 cm - 12037
|
$936.65 |
$936.65 |
$936.65 |
$2,026.46
|
|
Ghs irrigate corpora cavernosa for priapism
|
$438.10 |
$438.10 |
$438.10 |
$615.58
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$349.70 |
$349.70 |
$349.70 |
$536.80
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$322.40 |
$322.40 |
$322.40 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$404.95 |
$404.95 |
$404.95 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$434.20 |
$434.20 |
$434.20 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$486.20 |
$486.20 |
$486.20 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$449.15 |
$449.15 |
$449.15 |
$738.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$570.70 |
$570.70 |
$570.70 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$623.35 |
$623.35 |
$623.35 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$873.60 |
$873.60 |
$873.60 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$709.80 |
$709.80 |
$709.80 |
$901.76
|
|
Ghs mbp
|
$84.50 |
$84.50 |
$84.50 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$124.15 |
$124.15 |
$124.15 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$139.75 |
$139.75 |
$139.75 |
$125.34
|
|
Ghs nailbed repair/nail removal
|
$378.30 |
$378.30 |
$378.30 |
$818.00
|
|
Ghs o2 saturation
|
$59.15 |
$59.15 |
$59.15 |
$55.90
|
|
Ghs ot dds rom
|
$51.35 |
$51.35 |
$51.35 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$60.45 |
$60.45 |
$60.45 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$62.40 |
$62.40 |
$62.40 |
$89.73
|
|
Ghs ot work hardening-additional hours
|
$100.10 |
$100.10 |
$100.10 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$306.15 |
$306.15 |
$306.15 |
$872.95
|
|
Ghs phenylketonurid
|
$53.30 |
$53.30 |
$53.30 |
$61.20
|
|
Ghs plngl fx pm cl
|
$654.55 |
$654.55 |
$654.55 |
$611.64
|
|
Ghs ppd (tb intradermal)
|
$32.50 |
$32.50 |
$32.50 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$37.05 |
$37.05 |
$37.05 |
$49.77
|
|
Ghs protoporphyrins fract
|
$70.85 |
$70.85 |
$70.85 |
$68.38
|
|
Ghs pt - work hardening/int 2hrs
|
$213.85 |
$213.85 |
$213.85 |
$230.40
|
|
Ghs quinidine
|
$65.65 |
$65.65 |
$65.65 |
$70.85
|
|
Ghs removal intranasal foreign body
|
$310.70 |
$310.70 |
$310.70 |
$320.00
|
|
Ghs reticulocyte count
|
$27.30 |
$27.30 |
$27.30 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$132.60 |
$132.60 |
$132.60 |
$117.60
|
|
Ghs sedimentation rate
|
$44.85 |
$44.85 |
$44.85 |
$36.57
|
|
Ghs semen analysis fert
|
$135.20 |
$135.20 |
$135.20 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$55.25 |
$55.25 |
$55.25 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$476.45 |
$476.45 |
$476.45 |
$535.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$439.40 |
$439.40 |
$439.40 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$398.45 |
$398.45 |
$398.45 |
$399.20
|
|
Ghs simple repair over 30 cm - 12007
|
$607.75 |
$607.75 |
$607.75 |
$560.80
|
|
Ghs sp train/fitting sp device - kx
|
$193.05 |
$193.05 |
$193.05 |
$240.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$501.15 |
$501.15 |
$501.15 |
$1,016.25
|
|
Ghs tx distal phalangeal fx with manipulation
|
$436.80 |
$436.80 |
$436.80 |
$548.92
|
|
Ghs urine, porphyrins quant
|
$73.45 |
$73.45 |
$73.45 |
$85.15
|
|
Ghs vaginal delivery only
|
$1,639.30 |
$1,639.30 |
$1,639.30 |
$3,341.93
|
|
Gi inhouse confirmation
|
$80.60 |
$80.60 |
$80.60 |
$79.50
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$780.15 |
$780.15 |
$780.15 |
$509.06
|
|
Glucagon plasma - sendout
|
$70.85 |
$70.85 |
$70.85 |
$67.50
|
|
Glucose 1 hr post dose
|
$55.25 |
$55.25 |
$55.25 |
$40.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$53.95 |
$53.95 |
$53.95 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$24.70 |
$24.70 |
$24.70 |
$20.00
|
|
Glucose blood quantitative
|
$50.70 |
$50.70 |
$50.70 |
$40.80
|
|
Glucose body fluid
|
$50.70 |
$50.70 |
$50.70 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$100.10 |
$100.10 |
$100.10 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$42.25 |
$42.25 |
$42.25 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$128.05 |
$128.05 |
$128.05 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$111.15 |
$111.15 |
$111.15 |
$117.65
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$39.00 |
$39.00 |
$39.00 |
$56.71
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$334.10 |
$334.10 |
$334.10 |
$1,123.34
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$334.10 |
$334.10 |
$334.10 |
$543.12
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$10.81 |
$10.81 |
$10.81 |
$11.25
|
|
Handle/convey/speciman/office-lab 99000
|
$18.85 |
$18.85 |
$18.85 |
$30.36
|
|
Hand X-ray
|
$455.65 |
$455.65 |
$455.65 |
$317.78
|
|
Haptoglobin quantitative
|
$104.00 |
$104.00 |
$104.00 |
$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
|
$425.10 |
$425.10 |
$425.10 |
$633.25
|
|
Hbb gene dup/del variants
|
$456.30 |
$456.30 |
$456.30 |
$436.80
|
|
Hcg free betachain test
|
$72.80 |
$72.80 |
$72.80 |
$64.28
|
|
Hcg qualitative
|
$96.20 |
$96.20 |
$96.20 |
$72.50
|
|
Hcg quantitative
|
$94.25 |
$94.25 |
$94.25 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$1,578.85 |
$1,578.85 |
$1,578.85 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,311.70 |
$1,311.70 |
$1,311.70 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,003.60 |
$1,003.60 |
$1,003.60 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$76.70 |
$76.70 |
$76.70 |
$84.80
|
|
Hematocrit
|
$30.55 |
$30.55 |
$30.55 |
$32.50
|
|
Hemoglobin
|
$27.30 |
$27.30 |
$27.30 |
$28.60
|
|
Hemoglobin fetal qualitative
|
$59.80 |
$59.80 |
$59.80 |
$54.60
|
|
Hemoglobin methemoglobin quantitative
|
$32.50 |
$32.50 |
$32.50 |
$43.01
|
|
Hemoglobin plasma
|
$44.20 |
$44.20 |
$44.20 |
$43.80
|
|
Hemolysins and agglutinins incubated
|
$59.80 |
$59.80 |
$59.80 |
$67.50
|
|
Hemophilus influenza antibdy
|
$96.85 |
$96.85 |
$96.85 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$440.70 |
$440.70 |
$440.70 |
$1,073.68
|
|
Heparin assay
|
$104.65 |
$104.65 |
$104.65 |
$107.50
|
|
Heparin bolus from bag
|
$50.95 |
$50.95 |
$50.95 |
$50.95
|
|
Heparin neutralization
|
$59.15 |
$59.15 |
$59.15 |
$56.55
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Hepatitis a antibody igm
|
$80.60 |
$80.60 |
$80.60 |
$80.60
|
|
Hepatitis b core antibody igm
|
$52.00 |
$52.00 |
$52.00 |
$85.80
|
|
Hepatitis b core antibody total
|
$42.90 |
$42.90 |
$42.90 |
$84.75
|
|
Hepatitis b surface antibody
|
$62.40 |
$62.40 |
$62.40 |
$81.12
|
|
Hepatitis c antibody
|
$98.80 |
$98.80 |
$98.80 |
$106.50
|
|
Hereditary colon ca dsordrs
|
$2,845.05 |
$2,845.05 |
$2,845.05 |
$2,642.25
|
|
Hernia Repair (Inguinal)
|
$1,013.35 |
$1,013.35 |
$1,013.35 |
$5,870.15
|
