|
Ghs alcohol, methyl (methanol)-medtox
|
$42.32 |
$42.32 |
$42.32 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$358.56 |
$358.56 |
$358.56 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$11.75 |
$11.75 |
$11.75 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$195.34 |
$195.34 |
$195.34 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$176.56 |
$176.56 |
$176.56 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$700.00 |
$700.00 |
$700.00 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,408.50 |
$1,408.50 |
$1,408.50 |
$2,519.49
|
|
Ghs chemo >8 hrs
|
$247.59 |
$247.59 |
$247.59 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$105.30 |
$105.30 |
$105.30 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$91.51 |
$91.51 |
$91.51 |
$133.70
|
|
Ghs community re-entry 15 minutes
|
$67.59 |
$67.59 |
$67.59 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$16.82 |
$16.82 |
$16.82 |
$55.29
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$790.74 |
$790.74 |
$790.74 |
$1,109.47
|
|
Ghs fb removal - incisional
|
$430.91 |
$430.91 |
$430.91 |
$2,323.75
|
|
Ghs febrile agglutinns(mayo)
|
$5.61 |
$5.61 |
$5.61 |
$48.10
|
|
Ghs fish cytogen
|
$124.85 |
$124.85 |
$124.85 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$70.69 |
$70.69 |
$70.69 |
$226.20
|
|
Ghs flow volume loop
|
$77.68 |
$77.68 |
$77.68 |
$308.69
|
|
Ghs hcv amplificaiton
|
$29.57 |
$29.57 |
$29.57 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$63.81 |
$63.81 |
$63.81 |
$144.54
|
|
Ghs hgb stability-thal
|
$28.98 |
$28.98 |
$28.98 |
$89.91
|
|
Ghs histoplasma antigen
|
$42.41 |
$42.41 |
$42.41 |
$142.00
|
|
Ghs HIV antibody
|
$18.69 |
$18.69 |
$18.69 |
$89.70
|
|
Ghs immun0electrophoresis
|
$24.03 |
$24.03 |
$24.03 |
$110.00
|
|
Ghs inf midline insertion
|
$404.54 |
$404.54 |
$404.54 |
$1,238.25
|
|
Ghs inhibitor screen
|
$63.45 |
$63.45 |
$63.45 |
$191.88
|
|
Ghs inj neurolytic intercostal nerve
|
$670.95 |
$670.95 |
$670.95 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,111.69 |
$1,111.69 |
$1,111.69 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$206.07 |
$206.07 |
$206.07 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,009.33 |
$1,009.33 |
$1,009.33 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,478.68 |
$1,478.68 |
$1,478.68 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$230.18 |
$230.18 |
$230.18 |
$431.28
|
|
Ghs IV inf sq injection, on-body injector
|
$68.06 |
$68.06 |
$68.06 |
$110.00
|
|
Ghs mbp
|
$14.49 |
$14.49 |
$14.49 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$223.66 |
$223.66 |
$223.66 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$222.07 |
$222.07 |
$222.07 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$222.07 |
$222.07 |
$222.07 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$111.83 |
$111.83 |
$111.83 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$111.03 |
$111.03 |
$111.03 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$203.00 |
$203.00 |
$203.00 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,202.43 |
$1,202.43 |
$1,202.43 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$700.00 |
$700.00 |
$700.00 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$903.39 |
$903.39 |
$903.39 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$598.53 |
$598.53 |
$598.53 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$598.53 |
$598.53 |
$598.53 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,041.51 |
$1,041.51 |
$1,041.51 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$890.87 |
$890.87 |
$890.87 |
$1,704.63
|
|
Ghs nerve block suprascapular
|
$456.83 |
$456.83 |
$456.83 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$268.65 |
$268.65 |
$268.65 |
$485.00
|
|
Ghs o2 saturation
|
$22.54 |
$22.54 |
$22.54 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$209.45 |
$209.45 |
$209.45 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$239.58 |
$239.58 |
$239.58 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$635.63 |
$635.63 |
$635.63 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$3,348.92 |
$3,348.92 |
$3,348.92 |
$2,194.40
|
|
Ghs ot dds rom
|
$65.21 |
$65.21 |
$65.21 |
$69.00
|
|
Ghs ot group caregiver training
|
$39.03 |
$39.03 |
$39.03 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$70.92 |
$70.92 |
$70.92 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$104.24 |
$104.24 |
$104.24 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$85.68 |
$85.68 |
$85.68 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$402.92 |
$402.92 |
$402.92 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$765.26 |
$765.26 |
$765.26 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$682.12 |
$682.12 |
$682.12 |
$962.00
|
|
Ghs phenylketonurid
|
$3.91 |
$3.91 |
$3.91 |
$53.76
|
|
Ghs picc line insert < 5
|
$864.05 |
$864.05 |
$864.05 |
$2,019.50
|
|
Ghs prostatic acid phosphatase (mayo)
|
$13.80 |
$13.80 |
$13.80 |
$43.55
|
|
Ghs protoporphyrins fract
|
$25.53 |
$25.53 |
$25.53 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$55.48 |
$55.48 |
$55.48 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$171.36 |
$171.36 |
$171.36 |
$285.60
|
|
Ghs quinidine
|
$13.80 |
$13.80 |
$13.80 |
$85.00
|
|
Ghs refill of implantable pump
|
$319.28 |
$319.28 |
$319.28 |
$539.13
|
|
Ghs respiratory syncytical virus igg/m
|
$19.22 |
$19.22 |
$19.22 |
$74.82
|
|
Ghs reticulocyte count
|
$3.67 |
$3.67 |
$3.67 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$11.72 |
$11.72 |
$11.72 |
$99.00
|
|
Ghs sedimentation rate
|
$3.67 |
$3.67 |
$3.67 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$6.42 |
$6.42 |
$6.42 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$303.75 |
$303.75 |
$303.75 |
$570.60
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$370.98 |
$370.98 |
$370.98 |
$586.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$236.12 |
$236.12 |
$236.12 |
$436.80
|
|
Ghs simple repair over 30 cm - 12007
|
$461.30 |
$461.30 |
$461.30 |
$590.88
|
|
Ghs sleep study unattended
|
$435.00 |
$435.00 |
$435.00 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$480.02 |
$480.02 |
$480.02 |
$925.91
|
|
Ghs speech-gen aug dev eval iii, st
|
$87.51 |
$87.51 |
$87.51 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$404.98 |
$404.98 |
$404.98 |
$630.24
|
|
Ghs sp train/fitting sp device - kx
|
$153.22 |
$153.22 |
$153.22 |
$252.75
|
|
Ghs st - re-eval for alt comm
|
$174.20 |
$174.20 |
$174.20 |
$309.60
|
|
Ghs urine, porphyrins quant
|
$14.26 |
$14.26 |
$14.26 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,376.45 |
$1,376.45 |
$1,376.45 |
$1,932.00
|
|
Giardia lamblia antibody
|
$17.89 |
$17.89 |
$17.89 |
$83.44
|
|
Gi inhouse confirmation
|
$17.58 |
$17.58 |
$17.58 |
$87.75
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$6.24 |
$6.24 |
$6.24 |
$491.67
|
|
Glucagon plasma - sendout
|
$15.41 |
$15.41 |
$15.41 |
$64.35
|
|
Glucose 1 hr post dose
|
$3.45 |
$3.45 |
$3.45 |
$49.00
|
|
Glucose body fluid
|
$12.88 |
$12.88 |
$12.88 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$8.97 |
$8.97 |
$8.97 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$2.76 |
$2.76 |
$2.76 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$13.34 |
$13.34 |
$13.34 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$13.34 |
$13.34 |
$13.34 |
$129.03
|
|
Graft axiofill 1000mg
|
$19.06 |
$19.06 |
$19.06 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$42.63 |
$42.63 |
$42.63 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$26,813.65 |
$26,813.65 |
$26,813.65 |
$20,782.10
|