|
Ghs paravert facet/nerve lumb ea add bil
|
$512.81 |
$512.81 |
$512.81 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$6.62 |
$6.62 |
$6.62 |
$90.15
|
|
Ghs picc line insert < 5
|
$1,210.31 |
$1,210.31 |
$1,210.31 |
$2,060.40
|
|
Ghs plt ct-manual
|
$46.60 |
$46.60 |
$46.60 |
$39.20
|
|
Ghs ppd (tb intradermal)
|
$99.33 |
$99.33 |
$99.33 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$88.17 |
$88.17 |
$88.17 |
$40.56
|
|
Ghs quinidine
|
$127.79 |
$127.79 |
$127.79 |
$68.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$96.26 |
$96.26 |
$96.26 |
$101.15
|
|
Ghs semen analysis fert
|
$148.99 |
$148.99 |
$148.99 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$111.05 |
$111.05 |
$111.05 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$680.21 |
$680.21 |
$680.21 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$739.08 |
$739.08 |
$739.08 |
$1,435.00
|
|
Ghs urine, porphyrins quant
|
$6.70 |
$6.70 |
$6.70 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$404.83 |
$404.83 |
$404.83 |
$1,843.00
|
|
Gi inhouse confirmation
|
$183.03 |
$183.03 |
$183.03 |
$87.00
|
|
Glucagon 1 mg solution for injection
|
$221.81 |
$221.81 |
$221.81 |
$655.20
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$167.68 |
$167.68 |
$167.68 |
$496.93
|
|
Glucagon plasma - sendout
|
$5.58 |
$5.58 |
$5.58 |
$58.56
|
|
Glucose 1 hr post dose
|
$133.37 |
$133.37 |
$133.37 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$23.72 |
$23.72 |
$23.72 |
$22.00
|
|
Glucose blood quantitative
|
$99.89 |
$99.89 |
$99.89 |
$44.76
|
|
Glucose body fluid
|
$114.39 |
$114.39 |
$114.39 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$353.78 |
$353.78 |
$353.78 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$83.98 |
$83.98 |
$83.98 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$74.22 |
$74.22 |
$74.22 |
$49.20
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$134.48 |
$134.48 |
$134.48 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$121.09 |
$121.09 |
$121.09 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$821.10 |
$821.10 |
$821.10 |
$3,358.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,507.66 |
$2,507.66 |
$2,507.66 |
$672.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$15,752.34 |
$15,752.34 |
$15,752.34 |
$27,279.40
|
|
Graft nerve adv 3-4x70mm
|
$30,696.70 |
$30,696.70 |
$30,696.70 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$19,059.89 |
$19,059.89 |
$19,059.89 |
$25,515.36
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$4,240.53 |
$4,240.53 |
$4,240.53 |
$765.06
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$40,855.37 |
$40,855.37 |
$40,855.37 |
$35,824.13
|
|
Graft xenmtrx sft rect 15x20cm
|
$54,377.94 |
$54,377.94 |
$54,377.94 |
$33,720.69
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,928.17 |
$1,928.17 |
$1,928.17 |
$2,677.50
|
|
Granisetron hcl injection
|
$13.12 |
$13.12 |
$13.12 |
$40.83
|
|
Granulocyte pheresis ea unit
|
$888.06 |
$888.06 |
$888.06 |
$3,660.00
|
|
G-tube reposition
|
$651.47 |
$651.47 |
$651.47 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$1,234.30 |
$1,234.30 |
$1,234.30 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$1,078.06 |
$1,078.06 |
$1,078.06 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$4,240.53 |
$4,240.53 |
$4,240.53 |
$2,622.00
|
|
Guide worley csg 9fx50cm std
|
$179.68 |
$179.68 |
$179.68 |
$986.55
|
|
Guid loc target vol rad tx
|
$879.13 |
$879.13 |
$879.13 |
$503.80
|
|
Gw stiffened micro access kit
|
$7,168.35 |
$7,168.35 |
$7,168.35 |
$6,500.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$51.34 |
$51.34 |
$51.34 |
$36.04
|
|
Haptoglobin quantitative
|
$101.00 |
$101.00 |
$101.00 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$130.44 |
$130.44 |
$130.44 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$114.05 |
$114.05 |
$114.05 |
$406.25
|
|
Hbb full gene sequence
|
$251.10 |
$251.10 |
$251.10 |
$633.25
|
|
Hbb gene dup/del variants
|
$128.57 |
$128.57 |
$128.57 |
$404.80
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,728.97 |
$1,728.97 |
$1,728.97 |
$759.72
|
|
Hcg qualitative
|
$172.98 |
$172.98 |
$172.98 |
$77.50
|
|
Hcg quantitative
|
$196.70 |
$196.70 |
$196.70 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$9.77 |
$9.77 |
$9.77 |
$136.50
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$781.20 |
$781.20 |
$781.20 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$1,492.38 |
$1,492.38 |
$1,492.38 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,830.80 |
$1,830.80 |
$1,830.80 |
$1,186.80
|
|
Hc pet myocardial imaging metabolic eval single study
|
$3,267.37 |
$3,267.37 |
$3,267.37 |
$3,309.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,261.30 |
$2,261.30 |
$2,261.30 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,484.78 |
$2,484.78 |
$2,484.78 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,708.54 |
$2,708.54 |
$2,708.54 |
$3,410.55
|
|
Hdr rdncl skn surf brachytx
|
$2,343.88 |
$2,343.88 |
$2,343.88 |
$449.60
|
|
Hdr rdncl skn surf brachytx
|
$2,604.47 |
$2,604.47 |
$2,604.47 |
$657.60
|
|
Head CT scan (with and without contrast)
|
$3,387.06 |
$3,387.06 |
$3,387.06 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$2,829.62 |
$2,829.62 |
$2,829.62 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$2,065.44 |
$2,065.44 |
$2,065.44 |
$1,268.90
|
|
Heart first pass multiple
|
$1,497.12 |
$1,497.12 |
$1,497.12 |
$1,100.00
|
|
Heart infarct image
|
$910.94 |
$910.94 |
$910.94 |
$840.74
|
|
Heart infarct image (ef)
|
$1,328.32 |
$1,328.32 |
$1,328.32 |
$636.97
|
|
Heinz bodies direct
|
$42.41 |
$42.41 |
$42.41 |
$31.22
|
|
Hematocrit
|
$51.34 |
$51.34 |
$51.34 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,815.18 |
$1,815.18 |
$1,815.18 |
$1,329.90
|
|
Hemoglobin
|
$42.41 |
$42.41 |
$42.41 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$58.59 |
$58.59 |
$58.59 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$45.48 |
$45.48 |
$45.48 |
$49.40
|
|
Hemoglobin plasma
|
$3.91 |
$3.91 |
$3.91 |
$40.56
|
|
Hemolysin acid
|
$81.19 |
$81.19 |
$81.19 |
$31.74
|
|
Hemolysins/agglutinins auto
|
$17.72 |
$17.72 |
$17.72 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$17.72 |
$17.72 |
$17.72 |
$67.50
|
|
Heparin assay
|
$36.00 |
$36.00 |
$36.00 |
$130.20
|
|
Heparin bolus from bag
|
$17.86 |
$17.86 |
$17.86 |
$72.61
|
|
Heparin neutralization
|
$30.97 |
$30.97 |
$30.97 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$7.26 |
$7.26 |
$7.26 |
$22.75
|
|
Hepatitis a antibody igm
|
$94.59 |
$94.59 |
$94.59 |
$85.15
|
|
Hepatitis b core antibody igm
|
$66.69 |
$66.69 |
$66.69 |
$87.98
|
|
Hepatitis b core antibody total
|
$128.34 |
$128.34 |
$128.34 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$94.31 |
$94.31 |
$94.31 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$100.17 |
$100.17 |
$100.17 |
$83.79
|
|
Hepatitis c antibody
|
$138.95 |
$138.95 |
$138.95 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,127.94 |
$2,127.94 |
$2,127.94 |
$1,521.10
|
|
Hereditary colon ca dsordrs
|
$625.66 |
$625.66 |
$625.66 |
$1,956.00
|
|
Herpes simplex type 1 antibody igg
|
$6.17 |
$6.17 |
$6.17 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$6.17 |
$6.17 |
$6.17 |
$87.10
|
|
Herpes simplex virus isolation
|
$6.97 |
$6.97 |
$6.97 |
$93.32
|
|
Heterophile antibodies screening
|
$131.69 |
$131.69 |
$131.69 |
$73.60
|
|
Heterophile antibodies titer
|
$106.58 |
$106.58 |
$106.58 |
$16.80
|
|
Hhv-6 dna quant
|
$20.93 |
$20.93 |
$20.93 |
$200.25
|
|
Histamine
|
$6.98 |
$6.98 |
$6.98 |
$125.40
|
|
Histochemical stains add-on
|
$117.74 |
$117.74 |
$117.74 |
$169.65
|