|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,167.55 |
$1,167.55 |
$1,167.55 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,769.15 |
$1,769.15 |
$1,769.15 |
$1,160.28
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$8,255.73 |
$8,255.73 |
$8,255.73 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$618.59 |
$618.59 |
$618.59 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$618.59 |
$618.59 |
$618.59 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$618.59 |
$618.59 |
$618.59 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$618.59 |
$618.59 |
$618.59 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$618.59 |
$618.59 |
$618.59 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$618.59 |
$618.59 |
$618.59 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,769.15 |
$1,769.15 |
$1,769.15 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$649.99 |
$649.99 |
$649.99 |
$779.35
|
|
Ghs leukocyte alkaline phos (mayo)
|
$16.30 |
$16.30 |
$16.30 |
$59.40
|
|
Ghs mbp
|
$26.89 |
$26.89 |
$26.89 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$718.50 |
$718.50 |
$718.50 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$995.23 |
$995.23 |
$995.23 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$754.77 |
$754.77 |
$754.77 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$358.81 |
$358.81 |
$358.81 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$300.66 |
$300.66 |
$300.66 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$803.11 |
$803.11 |
$803.11 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$850.88 |
$850.88 |
$850.88 |
$808.80
|
|
Ghs ng placement w fluoro guidance
|
$484.49 |
$484.49 |
$484.49 |
$468.75
|
|
Ghs o2 saturation
|
$458.15 |
$458.15 |
$458.15 |
$72.45
|
|
Ghs o2 uptake rest & indirect
|
$188.03 |
$188.03 |
$188.03 |
$195.00
|
|
Ghs ot sensory integrative tech/15min
|
$153.16 |
$153.16 |
$153.16 |
$101.05
|
|
Ghs peritonsillar abscess i andd
|
$759.19 |
$759.19 |
$759.19 |
$694.20
|
|
Ghs plngl fx pm cl
|
$734.16 |
$734.16 |
$734.16 |
$662.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,791.12 |
$2,791.12 |
$2,791.12 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$77.54 |
$77.54 |
$77.54 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$18.22 |
$18.22 |
$18.22 |
$40.56
|
|
Ghs pr without cont pulse ox
|
$156.70 |
$156.70 |
$156.70 |
$156.70
|
|
Ghs removal intranasal foreign body
|
$390.54 |
$390.54 |
$390.54 |
$324.35
|
|
Ghs sensitivity (per antimicro)
|
$28.08 |
$28.08 |
$28.08 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,167.55 |
$1,167.55 |
$1,167.55 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,167.55 |
$1,167.55 |
$1,167.55 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,167.55 |
$1,167.55 |
$1,167.55 |
$670.08
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$606.60 |
$606.60 |
$606.60 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$606.60 |
$606.60 |
$606.60 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$606.60 |
$606.60 |
$606.60 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$606.60 |
$606.60 |
$606.60 |
$660.00
|
|
Ghs strapping shoulder - 29240
|
$317.42 |
$317.42 |
$317.42 |
$243.07
|
|
Ghs urine, porphyrins quant
|
$42.84 |
$42.84 |
$42.84 |
$70.20
|
|
Ghs vaginal delivery only
|
$3,337.10 |
$3,337.10 |
$3,337.10 |
$3,525.06
|
|
Gi inhouse confirmation
|
$32.00 |
$32.00 |
$32.00 |
$87.00
|
|
Glucose 1 hr post dose
|
$44.15 |
$44.15 |
$44.15 |
$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
|
$211.61 |
$211.61 |
$211.61 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$72.82 |
$72.82 |
$72.82 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$43.23 |
$43.23 |
$43.23 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$1,672.08 |
$1,672.08 |
$1,672.08 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$63.00 |
$63.00 |
$63.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$107.19 |
$107.19 |
$107.19 |
$123.75
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$514.41 |
$514.41 |
$514.41 |
$1,679.75
|
|
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
|
|
Guided cath fluid drainage 10030
|
$2,617.39 |
$2,617.39 |
$2,617.39 |
$1,461.15
|
|
Guid loc target vol rad tx
|
$487.55 |
$487.55 |
$487.55 |
$503.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$70.15 |
$70.15 |
$70.15 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$17.66 |
$17.66 |
$17.66 |
$35.40
|
|
Hand X-ray
|
$857.44 |
$857.44 |
$857.44 |
$338.58
|
|
Haptoglobin quantitative
|
$36.40 |
$36.40 |
$36.40 |
$89.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$1,012.52 |
$1,012.52 |
$1,012.52 |
$406.25
|
|
Hcg qualitative
|
$170.03 |
$170.03 |
$170.03 |
$77.50
|
|
Hcg quantitative
|
$337.43 |
$337.43 |
$337.43 |
$124.80
|
|
Hc metata joint dislocation anes
|
$4,940.20 |
$4,940.20 |
$4,940.20 |
$2,423.85
|
|
Head CT scan (with and without contrast)
|
$4,802.62 |
$4,802.62 |
$4,802.62 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$4,281.87 |
$4,281.87 |
$4,281.87 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$4,076.47 |
$4,076.47 |
$4,076.47 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$91.25 |
$91.25 |
$91.25 |
$84.80
|
|
Hematocrit
|
$62.82 |
$62.82 |
$62.82 |
$33.57
|
|
Hemodialysis one evaluation
|
$2,417.12 |
$2,417.12 |
$2,417.12 |
$1,329.90
|
|
Hemoglobin
|
$69.64 |
$69.64 |
$69.64 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$59.83 |
$59.83 |
$59.83 |
$49.40
|
|
Hemoglobin plasma
|
$232.39 |
$232.39 |
$232.39 |
$40.56
|
|
Heparin assay
|
$190.59 |
$190.59 |
$190.59 |
$130.20
|
|
Heparin bolus from bag
|
$98.27 |
$98.27 |
$98.27 |
$79.04
|
|
Heparin neutralization
|
$127.07 |
$127.07 |
$127.07 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$22.59 |
$22.59 |
$22.59 |
$32.27
|
|
Hepatitis a antibody igm
|
$38.00 |
$38.00 |
$38.00 |
$85.15
|
|
Hepatitis b core antibody igm
|
$84.20 |
$84.20 |
$84.20 |
$87.98
|
|
Hepatitis b core antibody total
|
$34.88 |
$34.88 |
$34.88 |
$83.29
|
|
Hepatitis b surface antibody
|
$153.48 |
$153.48 |
$153.48 |
$83.79
|
|
Hepatitis c antibody
|
$121.04 |
$121.04 |
$121.04 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,413.42 |
$1,413.42 |
$1,413.42 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$74.77 |
$74.77 |
$74.77 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$74.77 |
$74.77 |
$74.77 |
$87.10
|
|
Herpes simplex virus isolation
|
$93.32 |
$93.32 |
$93.32 |
$93.32
|
|
Heterophile antibodies screening
|
$171.05 |
$171.05 |
$171.05 |
$73.60
|
|
Hip X-ray
|
$1,256.77 |
$1,256.77 |
$1,256.77 |
$292.05
|
|
Histamine
|
$35.18 |
$35.18 |
$35.18 |
$125.40
|
|
Histochemical stains add-on
|
$48.06 |
$48.06 |
$48.06 |
$169.65
|
|
Hla class i high defin qual
|
$2,325.00 |
$2,325.00 |
$2,325.00 |
$574.86
|
|
Hla class ii high defin qual
|
$2,325.00 |
$2,325.00 |
$2,325.00 |
$568.50
|
|
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
|
$1,167.99 |
$1,167.99 |
$1,167.99 |
$588.55
|
|
Hla typing a b or c
|
$284.41 |
$284.41 |
$284.41 |
$309.40
|
|
Hocm 350-399mg/ml iodine,1ml
|
$25.82 |
$25.82 |
$25.82 |
$68.86
|
|
Home sleep test/type 3 porta
|
$391.15 |
$391.15 |
$391.15 |
$632.40
|
|
Homocysteine
|
$131.20 |
$131.20 |
$131.20 |
$113.10
|
|
Homogenization tissue
|
$61.86 |
$61.86 |
$61.86 |
$39.00
|