|
Ghs o2 saturation
|
$193.88 |
$193.88 |
$193.88 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$1,716.76 |
$1,716.76 |
$1,716.76 |
$1,302.54
|
|
Ghs ot group caregiver training
|
$31.93 |
$31.93 |
$31.93 |
$43.20
|
|
Ghs ot sensory integrative tech/15min
|
$248.29 |
$248.29 |
$248.29 |
$101.05
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,604.48 |
$1,604.48 |
$1,604.48 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$235.88 |
$235.88 |
$235.88 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$1,857.31 |
$1,857.31 |
$1,857.31 |
$694.20
|
|
Ghs picc line insert < 5
|
$9,436.88 |
$9,436.88 |
$9,436.88 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$449.15 |
$449.15 |
$449.15 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$191.70 |
$191.70 |
$191.70 |
$40.56
|
|
Ghs pr without cont pulse ox
|
$355.39 |
$355.39 |
$355.39 |
$156.70
|
|
Ghs removal intranasal foreign body
|
$910.58 |
$910.58 |
$910.58 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$2,002.67 |
$2,002.67 |
$2,002.67 |
$460.00
|
|
Ghs reticulocyte count
|
$85.53 |
$85.53 |
$85.53 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$276.05 |
$276.05 |
$276.05 |
$101.15
|
|
Ghs sensitivity (per antimicro)
|
$148.44 |
$148.44 |
$148.44 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$3,086.38 |
$3,086.38 |
$3,086.38 |
$590.40
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$3,086.38 |
$3,086.38 |
$3,086.38 |
$670.08
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$1,549.15 |
$1,549.15 |
$1,549.15 |
$660.00
|
|
Ghs somatosensory testing lower extremit
|
$2,336.68 |
$2,336.68 |
$2,336.68 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$3,877.37 |
$3,877.37 |
$3,877.37 |
$1,435.00
|
|
Ghs sp train/fitting sp device - kx
|
$441.70 |
$441.70 |
$441.70 |
$261.95
|
|
Ghs strapping shoulder - 29240
|
$910.58 |
$910.58 |
$910.58 |
$243.07
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$275.17 |
$275.17 |
$275.17 |
$351.45
|
|
Ghs superficial wnd dehis w packing12021
|
$3,086.38 |
$3,086.38 |
$3,086.38 |
$761.28
|
|
Ghs tx distal phalangeal fx with manipulation
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$591.00
|
|
Ghs urine, porphyrins quant
|
$44.87 |
$44.87 |
$44.87 |
$70.20
|
|
Ghs vaginal delivery only
|
$38,864.28 |
$38,864.28 |
$38,864.28 |
$3,525.06
|
|
Ghs veeg 12-26 hr intmt mont
|
$4,033.83 |
$4,033.83 |
$4,033.83 |
$1,843.00
|
|
Giardia lamblia antibody
|
$292.12 |
$292.12 |
$292.12 |
$81.60
|
|
Gi inhouse confirmation
|
$171.89 |
$171.89 |
$171.89 |
$87.00
|
|
Glucagon plasma - sendout
|
$283.58 |
$283.58 |
$283.58 |
$58.56
|
|
Glucose 1 hr post dose
|
$494.59 |
$494.59 |
$494.59 |
$46.28
|
|
Glucose blood quantitative
|
$592.87 |
$592.87 |
$592.87 |
$44.76
|
|
Glucose body fluid
|
$558.46 |
$558.46 |
$558.46 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$564.99 |
$564.99 |
$564.99 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$77.79 |
$77.79 |
$77.79 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$230.27 |
$230.27 |
$230.27 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$11,625.57 |
$11,625.57 |
$11,625.57 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$56.67 |
$56.67 |
$56.67 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$56.49 |
$56.49 |
$56.49 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$465.83 |
$465.83 |
$465.83 |
$2,648.81
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$2,096.23 |
$2,096.23 |
$2,096.23 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,997.95 |
$1,997.95 |
$1,997.95 |
$2,369.10
|
|
Great toe with reduction 28495
|
$1,844.88 |
$1,844.88 |
$1,844.88 |
$577.03
|
|
Guided cath fluid drainage 10030
|
$5,697.66 |
$5,697.66 |
$5,697.66 |
$1,461.15
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$400.70 |
$400.70 |
$400.70 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$52.56 |
$52.56 |
$52.56 |
$35.40
|
|
Hand X-ray
|
$747.94 |
$747.94 |
$747.94 |
$338.58
|
|
Haptoglobin quantitative
|
$249.65 |
$249.65 |
$249.65 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$11,907.00 |
$11,907.00 |
$11,907.00 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$1,979.32 |
$1,979.32 |
$1,979.32 |
$406.25
|
|
Hbb full gene sequence
|
$6,441.29 |
$6,441.29 |
$6,441.29 |
$633.25
|
|
Hcg qualitative
|
$1,075.99 |
$1,075.99 |
$1,075.99 |
$77.50
|
|
Hcg quantitative
|
$298.67 |
$298.67 |
$298.67 |
$124.80
|
|
Hc metata joint dislocation anes
|
$11,889.00 |
$11,889.00 |
$11,889.00 |
$2,423.85
|
|
Head CT scan (with and without contrast)
|
$3,147.30 |
$3,147.30 |
$3,147.30 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$2,962.06 |
$2,962.06 |
$2,962.06 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$2,506.76 |
$2,506.76 |
$2,506.76 |
$1,268.90
|
|
Hematocrit
|
$129.12 |
$129.12 |
$129.12 |
$33.57
|
|
Hemodialysis one evaluation
|
$2,674.52 |
$2,674.52 |
$2,674.52 |
$1,329.90
|
|
Hemoglobin
|
$143.46 |
$143.46 |
$143.46 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$162.73 |
$162.73 |
$162.73 |
$49.40
|
|
Hemoglobin plasma
|
$145.07 |
$145.07 |
$145.07 |
$40.56
|
|
Heparin assay
|
$375.24 |
$375.24 |
$375.24 |
$130.20
|
|
Heparin bolus from bag
|
$480.34 |
$480.34 |
$480.34 |
$79.04
|
|
Heparin neutralization
|
$234.97 |
$234.97 |
$234.97 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$80.94 |
$80.94 |
$80.94 |
$32.27
|
|
Hepatitis a antibody igm
|
$34.34 |
$34.34 |
$34.34 |
$85.15
|
|
Hepatitis b core antibody igm
|
$37.69 |
$37.69 |
$37.69 |
$87.98
|
|
Hepatitis b core antibody total
|
$239.14 |
$239.14 |
$239.14 |
$83.29
|
|
Hepatitis b surface antibody
|
$32.76 |
$32.76 |
$32.76 |
$83.79
|
|
Hepatitis c antibody
|
$283.19 |
$283.19 |
$283.19 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,538.92 |
$1,538.92 |
$1,538.92 |
$1,521.10
|
|
Hernia Repair (Inguinal)
|
$23,320.08 |
$23,320.08 |
$23,320.08 |
$5,870.15
|
|
Herpes simplex type 1 antibody igg
|
$261.75 |
$261.75 |
$261.75 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$71.64 |
$71.64 |
$71.64 |
$87.10
|
|
Herpes simplex virus isolation
|
$108.43 |
$108.43 |
$108.43 |
$93.32
|
|
Heterophile antibodies screening
|
$473.85 |
$473.85 |
$473.85 |
$73.60
|
|
Hhv-6 dna quant
|
$828.72 |
$828.72 |
$828.72 |
$200.25
|
|
Hip X-ray
|
$418.11 |
$418.11 |
$418.11 |
$292.05
|
|
Histamine
|
$586.03 |
$586.03 |
$586.03 |
$125.40
|
|
Histochemical stains add-on
|
$335.06 |
$335.06 |
$335.06 |
$169.65
|
|
Hla ii typing 1 loc hr
|
$2,454.43 |
$2,454.43 |
$2,454.43 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$1,475.08 |
$1,475.08 |
$1,475.08 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$3,371.67 |
$3,371.67 |
$3,371.67 |
$307.53
|
|
Hla typing a b or c
|
$1,151.01 |
$1,151.01 |
$1,151.01 |
$309.40
|
|
Hla typing dr/dq
|
$598.72 |
$598.72 |
$598.72 |
$135.20
|
|
Hlth bhv assmt/reassessment
|
$673.85 |
$673.85 |
$673.85 |
$180.70
|
|
Hocm 350-399mg/ml iodine,1ml
|
$68.86 |
$68.86 |
$68.86 |
$68.86
|
|
Homocysteine
|
$355.62 |
$355.62 |
$355.62 |
$113.10
|
|
Homogenization tissue
|
$50.30 |
$50.30 |
$50.30 |
$39.00
|
|
Human epididymis protein 4 (he4)
|
$689.20 |
$689.20 |
$689.20 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$559.04 |
$559.04 |
$559.04 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$394.26 |
$394.26 |
$394.26 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$217.79 |
$217.79 |
$217.79 |
$134.53
|