|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$16.65 |
$16.65 |
$16.65 |
$134.55
|
|
Ghs community re-entry 15 minutes
|
$40.15 |
$40.15 |
$40.15 |
$89.28
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$498.67 |
$498.67 |
$498.67 |
$586.80
|
|
Ghs fish cytogen
|
$41.07 |
$41.07 |
$41.07 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$41.44 |
$41.44 |
$41.44 |
$229.45
|
|
Ghs flow volume loop
|
$174.64 |
$174.64 |
$242.00 |
$309.12
|
|
Ghs hcv amplificaiton
|
$81.77 |
$81.77 |
$88.00 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$22.20 |
$22.20 |
$100.00 |
$106.05
|
|
Ghs histoplasma antigen
|
$32.19 |
$32.19 |
$32.19 |
$137.80
|
|
Ghs HIV antibody
|
$50.88 |
$50.88 |
$50.88 |
$91.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$407.19 |
$407.19 |
$407.19 |
$462.60
|
|
Ghs inhibitor screen
|
$74.00 |
$74.00 |
$74.00 |
$143.32
|
|
Ghs IV inf sq injection, on-body injector
|
$69.28 |
$69.28 |
$69.28 |
$117.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$5.00 |
$54.02 |
$54.02 |
$59.40
|
|
Ghs mbp
|
$8.88 |
$8.88 |
$17.00 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$197.67 |
$197.67 |
$197.67 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$197.67 |
$197.67 |
$197.67 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$197.67 |
$197.67 |
$197.67 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$73.35 |
$73.35 |
$73.35 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$73.35 |
$73.35 |
$73.35 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$837.00 |
$837.00 |
$837.00 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$837.00 |
$837.00 |
$837.00 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$441.00 |
$441.00 |
$441.00 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$204.00 |
$503.85 |
$503.85 |
$503.85
|
|
Ghs o2 uptake rest & indirect
|
$228.20 |
$228.20 |
$228.20 |
$195.00
|
|
Ghs ot prosthetic training/15 min
|
$52.08 |
$52.08 |
$52.08 |
$92.35
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$48.10 |
$48.10 |
$48.10 |
$90.15
|
|
Ghs phenylketonurid
|
$26.00 |
$26.00 |
$26.00 |
$51.58
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,547.54 |
$2,547.54 |
$2,547.54 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$11.66 |
$11.66 |
$11.66 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$49.77 |
$49.77 |
$49.77 |
$40.56
|
|
Ghs protoporphyrins fract
|
$10.00 |
$10.00 |
$10.00 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$162.43 |
$162.43 |
$617.00 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$19.00 |
$19.00 |
$19.00 |
$45.05
|
|
Ghs pt - work hardening/int 2hrs
|
$153.18 |
$153.18 |
$153.18 |
$255.60
|
|
Ghs quinidine
|
$12.00 |
$12.00 |
$12.00 |
$68.40
|
|
Ghs refill of implantable pump
|
$458.99 |
$458.99 |
$458.99 |
$539.13
|
|
Ghs respiratory syncytical virus igg/m
|
$16.65 |
$16.65 |
$16.65 |
$42.40
|
|
Ghs reticulocyte count
|
$24.24 |
$24.24 |
$24.24 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$58.00 |
$58.00 |
$58.00 |
$101.15
|
|
Ghs sedimentation rate
|
$17.48 |
$17.48 |
$1,010.00 |
$45.50
|
|
Ghs semen analysis fert
|
$54.76 |
$54.76 |
$54.76 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$23.77 |
$23.77 |
$73.00 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$947.48 |
$947.48 |
$947.48 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$1,435.00
|
|
Ghs speech-gen aug dev eval iii, st
|
$62.07 |
$62.07 |
$62.07 |
$124.80
|
|
Ghs sp train/fitting sp device - kx
|
$130.98 |
$130.98 |
$130.98 |
$261.95
|
|
Ghs st - eval for alt comm
|
$57.72 |
$57.72 |
$57.72 |
$99.75
|
|
Ghs st - re-eval for alt comm
|
$78.81 |
$138.38 |
$289.00 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$69.28 |
$69.28 |
$69.28 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$333.83 |
$333.83 |
$333.83 |
$351.45
|
|
Ghs trypsin (fecal)
|
$12.95 |
$12.95 |
$12.95 |
$21.84
|
|
Ghs urine, porphyrins quant
|
$8.14 |
$8.14 |
$79.00 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,511.45 |
$1,511.45 |
$1,511.45 |
$1,843.00
|
|
Giardia lamblia antibody
|
$23.31 |
$23.31 |
$23.31 |
$81.60
|
|
Gi inhouse confirmation
|
$146.06 |
$146.06 |
$2,373.00 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$7,140.00 |
$7,140.00 |
$7,140.00 |
$2,382.90
|
|
Glucagon 1 mg solution for injection
|
$190.24 |
$194.99 |
$671.00 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$671.00 |
$671.00 |
$671.00 |
$509.06
|
|
Glucagon plasma - sendout
|
$6.94 |
$6.94 |
$46.00 |
$58.56
|
|
Glucose 1 hr post dose
|
$29.14 |
$29.14 |
$973.00 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$10.45 |
$10.45 |
$10.45 |
$22.00
|
|
Glucose blood quantitative
|
$6.85 |
$6.85 |
$896.00 |
$44.76
|
|
Glucose body fluid
|
$43.01 |
$43.01 |
$896.00 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$79.27 |
$79.27 |
$1,690.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$10.92 |
$10.92 |
$794.00 |
$34.45
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$38.93 |
$38.93 |
$41.71 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$55.59 |
$55.59 |
$375.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$49.30 |
$49.30 |
$375.00 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,478.45 |
$1,478.45 |
$1,478.52 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$102.00 |
$2,874.90 |
$2,874.90 |
$2,648.81
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$9,693.72 |
$9,693.72 |
$9,693.72 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$20,559.61 |
$20,559.61 |
$20,559.61 |
$25,762.70
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$3,735.34 |
$3,735.34 |
$39,172.83 |
$10,989.38
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$12,026.39 |
$12,026.39 |
$12,026.39 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$6,329.68 |
$6,329.68 |
$6,329.68 |
$2,369.10
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,589.48 |
$4,589.48 |
$5,920.37 |
$3,070.00
|
|
Group mnt 2 or more 30 mins
|
$52.63 |
$52.63 |
$52.63 |
$35.20
|
|
Growth hormone antibody
|
$51.06 |
$51.06 |
$51.06 |
$40.00
|
|
Gu dilat ureter/urethra s&i
|
$11,714.00 |
$11,714.00 |
$11,714.00 |
$1,793.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$46.16 |
$46.16 |
$174.00 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$36.00 |
$47.27 |
$48.04 |
$35.40
|
|
Handle/convey/speciman/office-lab 99000
|
$10.54 |
$10.54 |
$10.54 |
$30.36
|
|
Hand X-ray
|
$199.15 |
$199.15 |
$248.92 |
$338.58
|
|
Haptoglobin quantitative
|
$21.09 |
$21.09 |
$260.00 |
$89.95
|
|
Hast w/i&r phys/qhp
|
$236.80 |
$236.80 |
$236.80 |
$301.95
|
|
Hast w/oxygen titrate
|
$231.16 |
$231.16 |
$231.16 |
$310.40
|
|
Hbot, full body chamber, 30m
|
$897.99 |
$897.99 |
$897.99 |
$494.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$759.72
|
|
Hcg qualitative
|
$59.85 |
$59.85 |
$1,354.00 |
$77.50
|
|
Hcg quantitative
|
$77.70 |
$77.70 |
$1,840.00 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$476.28 |
$476.28 |
$476.28 |
$136.50
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$4,465.00 |
$4,465.00 |
$4,465.00 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$6,080.00 |
$6,080.00 |
$6,080.00 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$6,398.00 |
$6,398.00 |
$6,398.00 |
$1,186.80
|
|
Hc pet myocardial imaging metabolic eval single study
|
$15,921.00 |
$15,921.00 |
$15,921.00 |
$3,309.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,587.85 |
$6,587.85 |
$6,587.85 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,901.89 |
$6,901.89 |
$6,901.89 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$7,228.51 |
$7,228.51 |
$7,228.51 |
$3,410.55
|
|
Hdr rdncl skn surf brachytx
|
$588.49 |
$588.49 |
$588.49 |
$449.60
|
