|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$45.60 |
$45.60 |
$45.60 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$74.86 |
$74.86 |
$74.86 |
$582.00
|
|
Ghs speech-gen aug dev eval iii, st
|
$29.64 |
$29.64 |
$29.64 |
$146.40
|
|
Ghs sphenopalatine ganglion block
|
$109.06 |
$109.06 |
$109.06 |
$637.92
|
|
Ghs sp train/fitting sp device - kx
|
$82.46 |
$82.46 |
$82.46 |
$250.50
|
|
Ghs strapping shoulder - 29240
|
$27.93 |
$27.93 |
$27.93 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$58.71 |
$58.71 |
$58.71 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$119.70 |
$119.70 |
$119.70 |
$861.75
|
|
Ghs tx distal phalangeal fx with manipulation
|
$59.66 |
$59.66 |
$59.66 |
$523.00
|
|
Ghs urine, porphyrins quant
|
$31.35 |
$31.35 |
$31.35 |
$75.00
|
|
Ghs vaginal delivery only
|
$1,098.58 |
$1,098.58 |
$1,098.58 |
$3,152.00
|
|
Giardia ag if
|
$11.78 |
$11.78 |
$11.78 |
$39.13
|
|
Gi inhouse confirmation
|
$82.27 |
$82.27 |
$82.27 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$566.86 |
$566.86 |
$566.86 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$325.27 |
$325.27 |
$325.27 |
$491.67
|
|
Glucagon plasma - sendout
|
$20.14 |
$20.14 |
$20.14 |
$63.00
|
|
Glucose 1 hr post dose
|
$64.60 |
$64.60 |
$64.60 |
$47.20
|
|
Glucose blood quantitative
|
$39.52 |
$39.52 |
$39.52 |
$40.00
|
|
Glucose body fluid
|
$41.42 |
$41.42 |
$41.42 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$64.60 |
$64.60 |
$64.60 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$41.42 |
$41.42 |
$41.42 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$331.97 |
$331.97 |
$331.97 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$128.82 |
$128.82 |
$128.82 |
$115.05
|
|
Gonadotropin hormone panel
|
$285.57 |
$285.57 |
$285.57 |
$372.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$44.84 |
$44.84 |
$44.84 |
$129.00
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$469.11 |
$469.11 |
$469.11 |
$3,432.00
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$1,924.89 |
$1,924.89 |
$1,924.89 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$68.78 |
$68.78 |
$68.78 |
$1,181.41
|
|
Granisetron 1 mg tab
|
$5.27 |
$5.27 |
$5.27 |
$53.15
|
|
Granisetron hcl injection
|
$40.07 |
$40.07 |
$40.07 |
$45.03
|
|
Great toe with reduction 28495
|
$59.66 |
$59.66 |
$59.66 |
$482.40
|
|
Gu dilat ureter/urethra s&i
|
$837.14 |
$837.14 |
$837.14 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$697.11 |
$697.11 |
$697.11 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$117.04 |
$117.04 |
$117.04 |
$3,284.50
|
|
Guid loc target vol rad tx
|
$43.89 |
$43.89 |
$43.89 |
$536.00
|
|
Gw stiffened micro access kit
|
$128.06 |
$128.06 |
$128.06 |
$6,696.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$574.90 |
$574.90 |
$574.90 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$20.95 |
$20.95 |
$20.95 |
$23.06
|
|
Hand X-ray
|
$216.22 |
$216.22 |
$216.22 |
$356.00
|
|
Haptoglobin quantitative
|
$73.15 |
$73.15 |
$73.15 |
$91.14
|
|
Hba1/hba2 gene dup/del vrnts
|
$51.30 |
$51.30 |
$51.30 |
$404.80
|
|
Hbb gene dup/del variants
|
$119.89 |
$119.89 |
$119.89 |
$455.00
|
|
Hbot, full body chamber, 30m
|
$79.80 |
$79.80 |
$79.80 |
$526.90
|
|
Hcg qualitative
|
$28.50 |
$28.50 |
$28.50 |
$89.70
|
|
Hcg quantitative
|
$112.48 |
$112.48 |
$112.48 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$73.78 |
$73.78 |
$73.78 |
$117.00
|
|
Hc nm kidney imaging with flow
|
$437.38 |
$437.38 |
$437.38 |
$822.60
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,895.82 |
$1,895.82 |
$1,895.82 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,048.96 |
$2,048.96 |
$2,048.96 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,784.10 |
$1,784.10 |
$1,784.10 |
$3,727.65
|
|
Hdr rdncl skn surf brachytx
|
$96.71 |
$96.71 |
$96.71 |
$598.20
|
|
Hdr rdncl skn surf brachytx
|
$96.71 |
$96.71 |
$96.71 |
$758.32
|
|
Head CT scan (with and without contrast)
|
$839.42 |
$839.42 |
$839.42 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$724.66 |
$724.66 |
$724.66 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$610.85 |
$610.85 |
$610.85 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$39.52 |
$39.52 |
$39.52 |
$91.98
|
|
Hematocrit
|
$18.62 |
$18.62 |
$18.62 |
$33.57
|
|
Hemodialysis one evaluation
|
$221.16 |
$221.16 |
$221.16 |
$1,319.44
|
|
Hemoglobin
|
$18.24 |
$18.24 |
$18.24 |
$31.80
|
|
Hemoglobin f (fetal) chemical
|
$4.56 |
$4.56 |
$4.56 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$10.26 |
$10.26 |
$10.26 |
$53.60
|
|
Hemoglobin plasma
|
$9.50 |
$9.50 |
$9.50 |
$41.25
|
|
Hemolysins/agglutinins auto
|
$5.70 |
$5.70 |
$5.70 |
$57.14
|
|
Hemolysins and agglutinins incubated
|
$6.65 |
$6.65 |
$6.65 |
$57.14
|
|
Heparin assay
|
$170.05 |
$170.05 |
$170.05 |
$140.10
|
|
Heparin bolus from bag
|
$65.92 |
$65.92 |
$65.92 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$19.00 |
$19.00 |
$19.00 |
$10.61
|
|
Hepatitis a antibody igm
|
$14.44 |
$14.44 |
$14.44 |
$87.75
|
|
Hepatitis b core antibody igm
|
$15.58 |
$15.58 |
$15.58 |
$87.98
|
|
Hepatitis b core antibody total
|
$11.21 |
$11.21 |
$11.21 |
$77.50
|
|
Hepatitis b surface ag quan
|
$9.31 |
$9.31 |
$9.31 |
$54.88
|
|
Hepatitis b surface antibody
|
$14.44 |
$14.44 |
$14.44 |
$82.05
|
|
Hepatitis c antibody
|
$11.59 |
$11.59 |
$11.59 |
$108.00
|
|
Hepatitis d quantification
|
$25.46 |
$25.46 |
$25.46 |
$91.28
|
|
Hepatobiliary system imaging
|
$416.86 |
$416.86 |
$416.86 |
$1,438.58
|
|
Herpes simplex 1 ag if
|
$10.26 |
$10.26 |
$10.26 |
$38.58
|
|
Herpes simplex 2 ag if
|
$10.83 |
$10.83 |
$10.83 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$15.01 |
$15.01 |
$15.01 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$15.01 |
$15.01 |
$15.01 |
$87.10
|
|
Heterophile antibodies screening
|
$12.16 |
$12.16 |
$12.16 |
$74.00
|
|
Hhv-6 dna quant
|
$25.65 |
$25.65 |
$25.65 |
$246.35
|
|
Hip X-ray
|
$97.66 |
$97.66 |
$97.66 |
$292.05
|
|
Histamine
|
$118.56 |
$118.56 |
$118.56 |
$115.00
|
|
Histochemical stains add-on
|
$26.41 |
$26.41 |
$26.41 |
$153.29
|
|
Hla class ii semiquant panel
|
$199.12 |
$199.12 |
$199.12 |
$724.80
|
|
Hla class i semiquant panel
|
$220.59 |
$220.59 |
$220.59 |
$802.40
|
|
Hla i & ii typing hr
|
$461.13 |
$461.13 |
$461.13 |
$804.00
|
|
Hla ii typing ag equiv lr
|
$162.64 |
$162.64 |
$162.64 |
$386.55
|
|
Hla i low res one antigen equiv ea
|
$232.18 |
$232.18 |
$232.18 |
$161.70
|
|
Hla i typing high res 1 allele grp ea
|
$69.92 |
$69.92 |
$69.92 |
$293.15
|
|
Hla typing a b or c
|
$103.55 |
$103.55 |
$103.55 |
$364.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$63.78 |
$63.78 |
$63.78 |
$79.78
|
|
Homocysteine
|
$47.12 |
$47.12 |
$47.12 |
$121.92
|
|
Homogenization tissue
|
$6.46 |
$6.46 |
$6.46 |
$39.20
|
|
Homovanillic acid (hva)
|
$6.46 |
$6.46 |
$6.46 |
$59.95
|
|
Hopd covid-19 spec collect
|
$14.82 |
$14.82 |
$14.82 |
$26.40
|
|
Hpv combo assay ca screen
|
$16.15 |
$16.15 |
$16.15 |
$70.40
|
|
Hpv types 16 & 18 only
|
$26.03 |
$26.03 |
$26.03 |
$110.70
|
|
H pylori (c-13) breath
|
$46.17 |
$46.17 |
$46.17 |
$213.00
|
|
Human epididymis protein 4 (he4)
|
$94.62 |
$94.62 |
$94.62 |
$157.32
|