|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$228.98 |
$228.98 |
$228.98 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$251.90 |
$251.90 |
$251.90 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$228.98 |
$228.98 |
$228.98 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$282.47 |
$282.47 |
$282.47 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$251.90 |
$251.90 |
$251.90 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$119.20 |
$119.20 |
$119.20 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$228.98 |
$228.98 |
$228.98 |
$879.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$17.58 |
$17.58 |
$17.58 |
$59.40
|
|
Ghs mbp
|
$19.36 |
$19.36 |
$19.36 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$112.33 |
$112.33 |
$112.33 |
$261.80
|
|
Ghs moderate sedation ea addtl 15 min
|
$118.19 |
$118.19 |
$118.19 |
$145.60
|
|
Ghs myocardial strain img spckl track
|
$194.34 |
$194.34 |
$194.34 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$172.44 |
$172.44 |
$172.44 |
$808.80
|
|
Ghs nerve block brachial plexus
|
$471.45 |
$471.45 |
$471.45 |
$1,768.00
|
|
Ghs nerve block interscaline
|
$578.94 |
$578.94 |
$578.94 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$531.56 |
$531.56 |
$531.56 |
$2,042.60
|
|
Ghs ng placement w fluoro guidance
|
$155.12 |
$155.12 |
$155.12 |
$468.75
|
|
Ghs pacing - transcutaneous
|
$210.39 |
$210.39 |
$210.39 |
$868.68
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$307.17 |
$307.17 |
$307.17 |
$1,003.00
|
|
Ghs peritonsillar abscess i andd
|
$157.15 |
$157.15 |
$157.15 |
$694.20
|
|
Ghs phenylketonurid
|
$11.21 |
$11.21 |
$11.21 |
$51.58
|
|
Ghs plngl fx pm cl
|
$154.86 |
$154.86 |
$154.86 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$12.99 |
$12.99 |
$12.99 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$18.09 |
$18.09 |
$18.09 |
$40.56
|
|
Ghs protoporphyrins fract
|
$29.04 |
$29.04 |
$29.04 |
$64.35
|
|
Ghs quinidine
|
$46.11 |
$46.11 |
$46.11 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$60.88 |
$60.88 |
$60.88 |
$324.35
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,240.65 |
$1,240.65 |
$1,240.65 |
$2,211.05
|
|
Ghs rsv eia (respir synctial vrs)
|
$12.23 |
$12.23 |
$12.23 |
$101.15
|
|
Ghs sedimentation rate
|
$17.83 |
$17.83 |
$17.83 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$12.99 |
$12.99 |
$12.99 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$161.74 |
$161.74 |
$161.74 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$164.80 |
$164.80 |
$164.80 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$161.74 |
$161.74 |
$161.74 |
$670.08
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$164.80 |
$164.80 |
$164.80 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$161.74 |
$161.74 |
$161.74 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$164.80 |
$164.80 |
$164.80 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$255.47 |
$255.47 |
$255.47 |
$660.00
|
|
Ghs sphenopalatine ganglion block
|
$183.39 |
$183.39 |
$183.39 |
$706.56
|
|
Ghs strapping shoulder - 29240
|
$102.14 |
$102.14 |
$102.14 |
$243.07
|
|
Ghs superficial wnd dehiscence simp12020
|
$152.06 |
$152.06 |
$152.06 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$251.39 |
$251.39 |
$251.39 |
$761.28
|
|
Ghs tx distal phalangeal fx with manipulation
|
$154.86 |
$154.86 |
$154.86 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$205.55 |
$205.55 |
$205.55 |
$540.00
|
|
Ghs urine, porphyrins quant
|
$27.26 |
$27.26 |
$27.26 |
$70.20
|
|
Ghs vaginal delivery only
|
$588.11 |
$588.11 |
$588.11 |
$3,525.06
|
|
Gi inhouse confirmation
|
$42.79 |
$42.79 |
$42.79 |
$87.00
|
|
Glucose 1 hr post dose
|
$12.23 |
$12.23 |
$12.23 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$45.34 |
$45.34 |
$45.34 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$11.72 |
$11.72 |
$11.72 |
$22.00
|
|
Glucose blood quantitative
|
$25.22 |
$25.22 |
$25.22 |
$44.76
|
|
Glucose body fluid
|
$34.64 |
$34.64 |
$34.64 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$26.24 |
$26.24 |
$26.24 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$7.90 |
$7.90 |
$7.90 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$45.34 |
$45.34 |
$45.34 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$58.33 |
$58.33 |
$58.33 |
$123.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$6,104.27 |
$6,104.27 |
$6,104.27 |
$27,279.40
|
|
Graft nerve adv 3-4x70mm
|
$4,926.67 |
$4,926.67 |
$4,926.67 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$3,252.01 |
$3,252.01 |
$3,252.01 |
$25,515.36
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$581.94 |
$581.94 |
$581.94 |
$1,366.45
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$14,518.52 |
$14,518.52 |
$14,518.52 |
$28,799.96
|
|
Graft xenmtrx sft rect 15x20cm
|
$10,857.87 |
$10,857.87 |
$10,857.87 |
$33,720.69
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,051.72 |
$1,051.72 |
$1,051.72 |
$2,677.50
|
|
Granisetron hcl injection
|
$36.78 |
$36.78 |
$36.78 |
$40.83
|
|
Great toe with reduction 28495
|
$205.55 |
$205.55 |
$205.55 |
$577.03
|
|
Growth hormone antibody
|
$9.94 |
$9.94 |
$9.94 |
$40.00
|
|
Gstrst open wo constj tube
|
$1,712.10 |
$1,712.10 |
$1,712.10 |
$2,749.01
|
|
G-tube reposition
|
$607.46 |
$607.46 |
$607.46 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$666.05 |
$666.05 |
$666.05 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$162.47 |
$162.47 |
$162.47 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$52.72 |
$52.72 |
$52.72 |
$986.55
|
|
Gw stiffened micro access kit
|
$457.45 |
$457.45 |
$457.45 |
$6,500.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$82.36 |
$82.36 |
$82.36 |
$120.02
|
|
Hand X-ray
|
$124.81 |
$124.81 |
$124.81 |
$338.58
|
|
Haptoglobin quantitative
|
$24.46 |
$24.46 |
$24.46 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$357.35 |
$357.35 |
$357.35 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$267.44 |
$267.44 |
$267.44 |
$406.25
|
|
Hbb full gene sequence
|
$687.69 |
$687.69 |
$687.69 |
$633.25
|
|
Hbb gene dup/del variants
|
$352.26 |
$352.26 |
$352.26 |
$404.80
|
|
Hcg qualitative
|
$23.44 |
$23.44 |
$23.44 |
$77.50
|
|
Hcg quantitative
|
$23.44 |
$23.44 |
$23.44 |
$124.80
|
|
Head CT scan (with and without contrast)
|
$1,003.52 |
$1,003.52 |
$1,003.52 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$792.63 |
$792.63 |
$792.63 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$727.17 |
$727.17 |
$727.17 |
$1,268.90
|
|
Heavy metal qual any number
|
$38.21 |
$38.21 |
$38.21 |
$52.80
|
|
Helicobacter pylori antibody igm
|
$61.90 |
$61.90 |
$61.90 |
$84.80
|
|
Hematocrit
|
$10.45 |
$10.45 |
$10.45 |
$33.57
|
|
Hemoglobin
|
$6.88 |
$6.88 |
$6.88 |
$31.75
|
|
Heparin assay
|
$20.38 |
$20.38 |
$20.38 |
$130.20
|
|
Heparin neutralization
|
$14.01 |
$14.01 |
$14.01 |
$47.45
|
|
Hepatitis a antibody igm
|
$22.42 |
$22.42 |
$22.42 |
$85.15
|
|
Hepatitis b core antibody igm
|
$22.67 |
$22.67 |
$22.67 |
$87.98
|
|
Hepatitis b core antibody total
|
$5.61 |
$5.61 |
$5.61 |
$83.29
|
|
Hepatitis b surface antibody
|
$27.51 |
$27.51 |
$27.51 |
$83.79
|
|
Hepatitis c antibody
|
$94.24 |
$94.24 |
$94.24 |
$108.00
|
|
Herpes simplex type 1 antibody igg
|
$10.19 |
$10.19 |
$10.19 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$25.73 |
$25.73 |
$25.73 |
$87.10
|
|
Heterophile antibodies screening
|
$4.84 |
$4.84 |
$4.84 |
$73.60
|
|
Hhv-6 dna quant
|
$57.31 |
$57.31 |
$57.31 |
$200.25
|
|
High inten beh couns std 30m
|
$16.05 |
$16.05 |
$16.05 |
$108.93
|