|
Ghs moderate sedation ea addtl 15 min, other
|
$73.35 |
$73.35 |
$73.35 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$503.85 |
$503.85 |
$503.85 |
$503.85
|
|
Ghs o2 uptake rest & indirect
|
$228.20 |
$228.20 |
$228.20 |
$195.00
|
|
Ghs optokenetic
|
$610.03 |
$610.03 |
$610.03 |
$196.66
|
|
Ghs oscillating trac
|
$643.85 |
$643.85 |
$643.85 |
$267.15
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$48.10 |
$48.10 |
$48.10 |
$90.15
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,547.54 |
$2,547.54 |
$2,547.54 |
$3,705.80
|
|
Ghs pos nystagmus
|
$854.97 |
$854.97 |
$854.97 |
$211.90
|
|
Ghs prostatic acid phosphatase (mayo)
|
$10.69 |
$10.69 |
$49.77 |
$40.56
|
|
Ghs protoporphyrins fract
|
$9.50 |
$9.50 |
$9.50 |
$64.35
|
|
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 sedimentation rate
|
$1,113.16 |
$1,113.16 |
$1,113.16 |
$45.50
|
|
Ghs semen analysis fert
|
$54.76 |
$54.76 |
$54.76 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$23.77 |
$23.77 |
$68.90 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$947.48 |
$947.48 |
$947.48 |
$947.48
|
|
Ghs spont nystagmus
|
$1,404.35 |
$1,404.35 |
$1,404.35 |
$217.57
|
|
Ghs st - eval for alt comm
|
$1,098.75 |
$1,098.75 |
$1,098.75 |
$99.75
|
|
Ghs st - re-eval for alt comm
|
$78.81 |
$78.81 |
$533.52 |
$309.00
|
|
Ghs trypsin (fecal)
|
$12.95 |
$12.95 |
$12.95 |
$21.84
|
|
Ghs urine, porphyrins quant
|
$8.14 |
$8.14 |
$8.14 |
$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 |
$2,520.94 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$10,512.76 |
$10,512.76 |
$10,512.76 |
$2,382.90
|
|
Glucagon 1 mg solution for injection
|
$176.63 |
$176.63 |
$1,005.48 |
$613.00
|
|
Glucagon plasma - sendout
|
$6.94 |
$6.94 |
$6.94 |
$58.56
|
|
Glucose 1 hr post dose
|
$29.14 |
$29.14 |
$29.14 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$9.99 |
$9.99 |
$9.99 |
$22.00
|
|
Glucose blood quantitative
|
$6.85 |
$6.85 |
$6.85 |
$44.76
|
|
Glucose body fluid
|
$43.01 |
$43.01 |
$43.01 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$79.27 |
$79.27 |
$79.27 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$10.92 |
$10.92 |
$10.92 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$55.59 |
$55.59 |
$348.08 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$49.30 |
$49.30 |
$348.08 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$3,499.83 |
$3,499.83 |
$3,499.83 |
$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
|
$38,350.96 |
$38,350.96 |
$38,350.96 |
$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 |
$4,589.48 |
$3,070.00
|
|
Growth hormone antibody
|
$51.06 |
$51.06 |
$51.06 |
$40.00
|
|
Gu dilat ureter/urethra s&i
|
$10,127.85 |
$10,127.85 |
$10,127.85 |
$1,793.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$47.99 |
$47.99 |
$63.72 |
$35.40
|
|
Hand X-ray
|
$199.15 |
$199.15 |
$199.15 |
$338.58
|
|
Haptoglobin quantitative
|
$21.09 |
$21.09 |
$21.09 |
$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
|
|
Hcg qualitative
|
$59.85 |
$59.85 |
$59.85 |
$77.50
|
|
Hcg quantitative
|
$77.70 |
$77.70 |
$77.70 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$476.28 |
$476.28 |
$530.71 |
$136.50
|
|
Hc nm kidney imaging with flow
|
$3,093.29 |
$3,093.29 |
$3,093.29 |
$1,008.39
|
|
Head CT scan (with and without contrast)
|
$768.31 |
$768.31 |
$768.31 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$722.43 |
$722.43 |
$722.43 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$676.55 |
$676.55 |
$676.55 |
$1,268.90
|
|
Heart image spect
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$566.74
|
|
Heart infarct image
|
$9,952.89 |
$9,952.89 |
$9,952.89 |
$840.74
|
|
Helicobacter pylori antibody igm
|
$7.86 |
$7.86 |
$274.43 |
$84.80
|
|
Hematocrit
|
$18.50 |
$18.50 |
$18.50 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$17,137.44 |
$17,137.44 |
$17,137.44 |
$23,025.73
|
|
Hemodialysis one evaluation
|
$181.58 |
$181.58 |
$181.58 |
$1,329.90
|
|
Hemoglobin
|
$15.91 |
$15.91 |
$15.91 |
$31.75
|
|
Hemoglobin f (fetal) chemical
|
$13.23 |
$13.23 |
$13.23 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$10.64 |
$10.64 |
$10.64 |
$49.40
|
|
Hemoglobin plasma
|
$5.92 |
$5.92 |
$5.92 |
$40.56
|
|
Hemolysins/agglutinins auto
|
$41.07 |
$41.07 |
$142.56 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$41.53 |
$41.53 |
$41.53 |
$67.50
|
|
Heparin assay
|
$33.76 |
$33.76 |
$33.76 |
$130.20
|
|
Heparin bolus from bag
|
$243.09 |
$243.09 |
$243.09 |
$79.04
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$48.29 |
$48.29 |
$48.29 |
$32.27
|
|
Hepatitis a antibody igm
|
$35.71 |
$35.71 |
$212.65 |
$85.15
|
|
Hepatitis b core antibody igm
|
$34.60 |
$34.60 |
$225.72 |
$87.98
|
|
Hepatitis b core antibody total
|
$42.74 |
$42.74 |
$226.91 |
$83.29
|
|
Hepatitis b surface antibody
|
$51.25 |
$51.25 |
$51.25 |
$83.79
|
|
Hepatitis c antibody
|
$46.62 |
$46.62 |
$254.23 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,550.95 |
$1,550.95 |
$17,703.62 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$41.44 |
$41.44 |
$41.44 |
$40.28
|
|
Herpes simplex 2 ag if
|
$9.44 |
$9.44 |
$9.44 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$19.52 |
$19.52 |
$249.48 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$28.64 |
$28.64 |
$365.90 |
$87.10
|
|
Herpes simplex virus isolation
|
$97.50 |
$97.50 |
$603.50 |
$93.32
|
|
Heterophile antibodies screening
|
$69.93 |
$69.93 |
$69.93 |
$73.60
|
|
Hip X-ray
|
$175.38 |
$175.38 |
$175.38 |
$292.05
|
|
Histamine
|
$15.54 |
$15.54 |
$15.54 |
$125.40
|
|
Histochemical stains add-on
|
$31.64 |
$31.64 |
$443.12 |
$169.65
|
|
Hla i low res one antigen equiv ea
|
$110.01 |
$110.01 |
$110.01 |
$164.00
|
|
Hla i typing complete lr
|
$166.50 |
$166.50 |
$166.50 |
$588.55
|
|
Hla typing a b or c
|
$221.82 |
$221.82 |
$635.58 |
$309.40
|
|
Homocysteine
|
$46.25 |
$46.25 |
$321.95 |
$113.10
|
|
Homogenization tissue
|
$8.51 |
$8.51 |
$8.51 |
$39.00
|
|
Hpv types 16 & 18 only
|
$32.56 |
$32.56 |
$32.56 |
$93.60
|
|
H pylori (c-13) breath
|
$29.60 |
$29.60 |
$29.60 |
$219.05
|
|
Human epididymis protein 4 (he4)
|
$100.27 |
$100.27 |
$100.27 |
$131.84
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$4,190.44 |
$4,190.44 |
$4,190.44 |
$4,652.48
|
|
Hyaluronidase 150 unit/ml injection solution
|
$152.81 |
$152.81 |
$287.28 |
$152.81
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$287.00 |
$287.00 |
$287.00 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$50.14 |
$50.14 |
$345.60 |
$57.02
|
