|
Ghs opcc repair cvp w subq port
|
$4,987.61 |
$4,987.61 |
$4,987.61 |
$2,430.56
|
|
Ghs ot dds rom
|
$98.63 |
$98.63 |
$98.63 |
$56.55
|
|
Ghs ot sensory integrative tech/15min
|
$101.40 |
$101.40 |
$101.40 |
$101.05
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$868.16 |
$868.16 |
$868.16 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$140.71 |
$140.71 |
$140.71 |
$90.15
|
|
Ghs phenylketonurid
|
$23.29 |
$23.29 |
$23.29 |
$51.58
|
|
Ghs picc line insert < 5
|
$4,987.61 |
$4,987.61 |
$4,987.61 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$772.19 |
$772.19 |
$772.19 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$65.50 |
$65.50 |
$65.50 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$19.13 |
$19.13 |
$19.13 |
$40.56
|
|
Ghs protoporphyrins fract
|
$157.51 |
$157.51 |
$157.51 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$164.54 |
$164.54 |
$164.54 |
$156.70
|
|
Ghs pt - work hardening/int 2hrs
|
$724.65 |
$724.65 |
$724.65 |
$255.60
|
|
Ghs removal intranasal foreign body
|
$410.81 |
$410.81 |
$410.81 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$232.02 |
$232.02 |
$232.02 |
$460.00
|
|
Ghs sensitivity (per antimicro)
|
$29.94 |
$29.94 |
$29.94 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,225.93 |
$1,225.93 |
$1,225.93 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,225.93 |
$1,225.93 |
$1,225.93 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,225.93 |
$1,225.93 |
$1,225.93 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,225.93 |
$1,225.93 |
$1,225.93 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$636.93 |
$636.93 |
$636.93 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$636.93 |
$636.93 |
$636.93 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$636.93 |
$636.93 |
$636.93 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$636.93 |
$636.93 |
$636.93 |
$660.00
|
|
Ghs somatosensory testing lower extremit
|
$1,167.95 |
$1,167.95 |
$1,167.95 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,825.26 |
$1,825.26 |
$1,825.26 |
$1,435.00
|
|
Ghs sp train/fitting sp device - kx
|
$291.97 |
$291.97 |
$291.97 |
$261.95
|
|
Ghs st - re-eval for alt comm
|
$517.24 |
$517.24 |
$517.24 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$666.82 |
$666.82 |
$666.82 |
$976.98
|
|
Ghs tx distal phalangeal fx with manipulation
|
$772.19 |
$772.19 |
$772.19 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$731.04 |
$731.04 |
$731.04 |
$540.00
|
|
Ghs urine, porphyrins quant
|
$44.98 |
$44.98 |
$44.98 |
$70.20
|
|
Ghs vaginal delivery only
|
$8,328.31 |
$8,328.31 |
$8,328.31 |
$3,525.06
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,737.12 |
$1,737.12 |
$1,737.12 |
$1,843.00
|
|
Gi inhouse confirmation
|
$249.72 |
$249.72 |
$249.72 |
$87.00
|
|
Glucagon plasma - sendout
|
$26.06 |
$26.06 |
$26.06 |
$58.56
|
|
Glucose 1 hr post dose
|
$275.88 |
$275.88 |
$275.88 |
$46.28
|
|
Glucose blood quantitative
|
$93.07 |
$93.07 |
$93.07 |
$44.76
|
|
Glucose body fluid
|
$150.80 |
$150.80 |
$150.80 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$228.11 |
$228.11 |
$228.11 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$125.98 |
$125.98 |
$125.98 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$39.34 |
$39.34 |
$39.34 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$1,232.61 |
$1,232.61 |
$1,232.61 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$107.55 |
$107.55 |
$107.55 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$280.25 |
$280.25 |
$280.25 |
$123.75
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$514.41 |
$514.41 |
$514.41 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$138.22 |
$138.22 |
$138.22 |
$25,762.70
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,110.35 |
$1,110.35 |
$1,110.35 |
$2,369.10
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$454.10 |
$454.10 |
$454.10 |
$336.78
|
|
G-tube reposition
|
$2,243.10 |
$2,243.10 |
$2,243.10 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$2,610.68 |
$2,610.68 |
$2,610.68 |
$1,461.15
|
|
Guid loc target vol rad tx
|
$551.75 |
$551.75 |
$551.75 |
$503.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$59.82 |
$59.82 |
$59.82 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$19.24 |
$19.24 |
$19.24 |
$35.40
|
|
Hand X-ray
|
$752.05 |
$752.05 |
$752.05 |
$338.58
|
|
Haptoglobin quantitative
|
$36.40 |
$36.40 |
$36.40 |
$89.95
|
|
Hcg qualitative
|
$186.83 |
$186.83 |
$186.83 |
$77.50
|
|
Hcg quantitative
|
$354.30 |
$354.30 |
$354.30 |
$124.80
|
|
Hc metata joint dislocation anes
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,423.85
|
|
Hc nm kidney imaging with flow
|
$3,426.83 |
$3,426.83 |
$3,426.83 |
$1,008.39
|
|
Hc pet myocardial imaging metabolic eval single study
|
$5,522.13 |
$5,522.13 |
$5,522.13 |
$3,309.00
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$14,094.81 |
$14,094.81 |
$14,094.81 |
$3,228.40
|
|
Head CT scan (with and without contrast)
|
$4,321.00 |
$4,321.00 |
$4,321.00 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$4,055.36 |
$4,055.36 |
$4,055.36 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$3,756.83 |
$3,756.83 |
$3,756.83 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$95.81 |
$95.81 |
$95.81 |
$84.80
|
|
Hematocrit
|
$73.70 |
$73.70 |
$73.70 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,745.28 |
$1,745.28 |
$1,745.28 |
$1,329.90
|
|
Hemoglobin
|
$83.38 |
$83.38 |
$83.38 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$59.83 |
$59.83 |
$59.83 |
$49.40
|
|
Hemoglobin plasma
|
$232.39 |
$232.39 |
$232.39 |
$40.56
|
|
Hemoglobin urine
|
$22.17 |
$22.17 |
$22.17 |
$23.31
|
|
Heparin assay
|
$235.81 |
$235.81 |
$235.81 |
$130.20
|
|
Heparin bolus from bag
|
$115.18 |
$115.18 |
$115.18 |
$79.04
|
|
Heparin neutralization
|
$34.22 |
$34.22 |
$34.22 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$22.72 |
$22.72 |
$22.72 |
$32.27
|
|
Hepatitis a antibody igm
|
$146.86 |
$146.86 |
$146.86 |
$85.15
|
|
Hepatitis b core antibody igm
|
$92.46 |
$92.46 |
$92.46 |
$87.98
|
|
Hepatitis b core antibody total
|
$36.62 |
$36.62 |
$36.62 |
$83.29
|
|
Hepatitis b surface antibody
|
$189.68 |
$189.68 |
$189.68 |
$83.79
|
|
Hepatitis c antibody
|
$121.04 |
$121.04 |
$121.04 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,203.02 |
$1,203.02 |
$1,203.02 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$56.22 |
$56.22 |
$56.22 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$67.20 |
$67.20 |
$67.20 |
$87.10
|
|
Herpes simplex virus isolation
|
$93.32 |
$93.32 |
$93.32 |
$93.32
|
|
Heterophile antibodies screening
|
$239.84 |
$239.84 |
$239.84 |
$73.60
|
|
Hhv-6 dna quant
|
$235.44 |
$235.44 |
$235.44 |
$200.25
|
|
Hip X-ray
|
$992.18 |
$992.18 |
$992.18 |
$292.05
|
|
Histamine
|
$36.94 |
$36.94 |
$36.94 |
$125.40
|
|
Histochemical stains add-on
|
$2,920.04 |
$2,920.04 |
$2,920.04 |
$169.65
|
|
Hla class i high defin qual
|
$2,613.59 |
$2,613.59 |
$2,613.59 |
$574.86
|
|
Hla class ii high defin qual
|
$2,613.59 |
$2,613.59 |
$2,613.59 |
$568.50
|
|
Hla class i&ii antibody qual
|
$116.47 |
$116.47 |
$116.47 |
$207.60
|
|
Hla ii typing 1 loc hr
|
$429.52 |
$429.52 |
$429.52 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$225.88 |
$225.88 |
$225.88 |
$164.00
|
|
Hla i typing complete lr
|
$1,254.83 |
$1,254.83 |
$1,254.83 |
$588.55
|
|
Hla i typing high res 1 allele grp ea
|
$449.30 |
$449.30 |
$449.30 |
$307.53
|
|
Hla i typing low res one locus ea
|
$442.54 |
$442.54 |
$442.54 |
$340.00
|
|
Hla typing a b or c
|
$218.10 |
$218.10 |
$218.10 |
$309.40
|
|
Hocm 350-399mg/ml iodine,1ml
|
$25.82 |
$25.82 |
$25.82 |
$68.86
|