|
Ghs path - pap (papanicolau) smear - vagina
|
$205.11 |
$205.11 |
$205.11 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$3,202.70 |
$3,202.70 |
$3,202.70 |
$694.20
|
|
Ghs plngl fx pm cl
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$310.00 |
$310.00 |
$332.34 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$109.74 |
$109.74 |
$109.74 |
$40.56
|
|
Ghs protein, misc fluid
|
$417.00 |
$417.00 |
$417.00 |
$24.60
|
|
Ghs protoporphyrins fract
|
$19.19 |
$19.19 |
$163.03 |
$64.35
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$14.14 |
$14.14 |
$14.14 |
$45.05
|
|
Ghs removal intranasal foreign body
|
$1,570.16 |
$1,570.16 |
$1,570.16 |
$324.35
|
|
Ghs rsv eia (respir synctial vrs)
|
$174.99 |
$174.99 |
$174.99 |
$101.15
|
|
Ghs sedimentation rate
|
$459.00 |
$459.00 |
$459.00 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$94.10 |
$94.10 |
$94.10 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,954.48 |
$1,954.48 |
$1,954.48 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$5,897.17 |
$5,897.17 |
$5,897.17 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$2,389.58 |
$2,389.58 |
$2,389.58 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$7,119.94 |
$7,119.94 |
$7,119.94 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$3,467.10 |
$3,467.10 |
$3,467.10 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,519.39 |
$1,519.39 |
$1,519.39 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$4,349.36 |
$4,349.36 |
$4,349.36 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$2,969.70 |
$2,969.70 |
$2,969.70 |
$660.00
|
|
Ghs sleep study unattended
|
$2,142.51 |
$2,142.51 |
$2,142.51 |
$503.38
|
|
Ghs sp train/fitting sp device - kx
|
$441.70 |
$441.70 |
$441.70 |
$261.95
|
|
Ghs strapping shoulder - 29240
|
$1,570.16 |
$1,570.16 |
$1,570.16 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$777.47 |
$777.47 |
$777.47 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$618.31 |
$618.31 |
$618.31 |
$93.75
|
|
Ghs superficial wnd dehiscence simp12020
|
$7,887.80 |
$7,887.80 |
$7,887.80 |
$976.98
|
|
Ghs tx distal phalangeal fx with manipulation
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$591.00
|
|
Ghs urine, hydroxproline total
|
$43.43 |
$43.43 |
$43.43 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$16.96 |
$16.96 |
$45.47 |
$70.20
|
|
Ghs vaginal delivery only
|
$10,970.39 |
$10,970.39 |
$10,970.39 |
$3,525.06
|
|
Giardia lamblia antibody
|
$162.29 |
$162.29 |
$162.29 |
$81.60
|
|
Gi inhouse confirmation
|
$442.42 |
$442.42 |
$1,012.00 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$15,543.00 |
$15,543.00 |
$15,543.00 |
$2,382.90
|
|
Glove finger flexion right lg xl
|
$644.43 |
$644.43 |
$644.43 |
$93.10
|
|
Glucagon 1 mg solution for injection
|
$720.00 |
$720.00 |
$720.00 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$720.00 |
$720.00 |
$720.00 |
$509.06
|
|
Glucagon plasma - sendout
|
$23.23 |
$23.23 |
$162.35 |
$58.56
|
|
Glucose 1 hr post dose
|
$145.92 |
$145.92 |
$145.92 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$37.26 |
$37.26 |
$37.26 |
$22.00
|
|
Glucose blood quantitative
|
$141.06 |
$141.06 |
$158.00 |
$44.76
|
|
Glucose body fluid
|
$105.41 |
$105.41 |
$105.41 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$416.92 |
$416.92 |
$416.92 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$145.92 |
$145.92 |
$145.92 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$10.05 |
$10.05 |
$116.89 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$5,303.20 |
$5,303.20 |
$5,303.20 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$63.33 |
$63.33 |
$63.33 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$63.13 |
$63.13 |
$63.13 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$123.48 |
$123.48 |
$8,925.00 |
$2,648.81
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$347.29 |
$347.29 |
$347.29 |
$1,679.75
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$629.64 |
$629.64 |
$6,434.00 |
$10,989.38
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,007.92 |
$1,007.92 |
$1,007.92 |
$1,560.21
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$8,785.00 |
$8,785.00 |
$8,785.00 |
$3,070.00
|
|
Granisetron hcl injection
|
$2,611.00 |
$2,611.00 |
$2,611.00 |
$41.65
|
|
Great toe with reduction 28495
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$577.03
|
|
Guided cath fluid drainage 10030
|
$8,986.34 |
$8,986.34 |
$8,986.34 |
$1,461.15
|
|
Guid loc target vol rad tx
|
$521.53 |
$521.53 |
$521.53 |
$503.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$201.99 |
$201.99 |
$201.99 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$31.60 |
$31.60 |
$117.00 |
$35.40
|
|
Hand X-ray
|
$1,438.38 |
$1,438.38 |
$1,438.38 |
$338.58
|
|
Haptoglobin quantitative
|
$34.00 |
$34.00 |
$142.91 |
$89.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$2,231.46 |
$2,231.46 |
$2,231.46 |
$406.25
|
|
Hbot, full body chamber, 30m
|
$2,523.00 |
$2,523.00 |
$2,523.00 |
$494.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$8,058.00 |
$8,058.00 |
$8,058.00 |
$759.72
|
|
Hcg qualitative
|
$280.71 |
$280.71 |
$280.71 |
$77.50
|
|
Hcg quantitative
|
$338.13 |
$338.13 |
$338.13 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$604.00 |
$604.00 |
$604.00 |
$136.50
|
|
Hc nm kidney imaging with flow
|
$2,146.62 |
$2,146.62 |
$11,496.00 |
$1,008.39
|
|
Hc pet myocardial imaging metabolic eval single study
|
$16,452.00 |
$16,452.00 |
$16,452.00 |
$3,309.00
|
|
Head CT scan (with and without contrast)
|
$5,518.00 |
$5,518.00 |
$7,451.39 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$5,580.00 |
$5,580.00 |
$6,490.92 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$5,621.78 |
$5,621.78 |
$6,499.00 |
$1,268.90
|
|
Heart infarct image
|
$6,622.00 |
$6,622.00 |
$6,622.00 |
$840.74
|
|
Hematocrit
|
$105.07 |
$105.07 |
$207.00 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,917.79 |
$1,917.79 |
$3,353.00 |
$1,329.90
|
|
Hemoglobin
|
$95.51 |
$95.51 |
$200.00 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$27.00 |
$27.00 |
$27.00 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$20.20 |
$20.20 |
$20.20 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$93.16 |
$93.16 |
$93.16 |
$49.40
|
|
Hemoglobin plasma
|
$15.15 |
$15.15 |
$83.05 |
$40.56
|
|
Hemoglobin urine
|
$67.40 |
$67.40 |
$67.40 |
$23.31
|
|
Heparin assay
|
$137.10 |
$137.10 |
$137.10 |
$130.20
|
|
Heparin bolus from bag
|
$383.59 |
$383.59 |
$383.59 |
$79.04
|
|
Heparin neutralization
|
$130.54 |
$130.54 |
$130.54 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$40.00 |
$40.00 |
$45.95 |
$32.27
|
|
Hepatitis a antibody igm
|
$272.41 |
$272.41 |
$272.41 |
$85.15
|
|
Hepatitis b core antibody igm
|
$228.56 |
$228.56 |
$228.56 |
$87.98
|
|
Hepatitis b core antibody total
|
$132.86 |
$132.86 |
$132.86 |
$83.29
|
|
Hepatitis b surface antibody
|
$17.00 |
$17.00 |
$176.42 |
$83.79
|
|
Hepatitis c antibody
|
$41.00 |
$41.00 |
$358.07 |
$108.00
|
|
Hepatobiliary system imaging
|
$3,819.20 |
$3,819.20 |
$6,131.00 |
$1,521.10
|
|
Hernia Repair (Inguinal)
|
$40,212.36 |
$40,212.36 |
$40,212.36 |
$5,870.15
|
|
Herpes simplex 1 ag if
|
$45.22 |
$45.22 |
$45.22 |
$40.28
|
|
Herpes simplex 2 ag if
|
$45.22 |
$45.22 |
$45.22 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$145.43 |
$145.43 |
$145.43 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$213.34 |
$213.34 |
$213.34 |
$87.10
|
|
Herpes simplex virus isolation
|
$8.00 |
$8.00 |
$121.71 |
$93.32
|
|
Heterophile antibodies screening
|
$359.85 |
$359.85 |
$840.00 |
$73.60
|
|
Hhv-6 dna quant
|
$525.35 |
$525.35 |
$525.35 |
$200.25
|
|
Hip X-ray
|
$1,869.00 |
$1,869.00 |
$2,024.77 |
$292.05
|
|
Histamine
|
$100.64 |
$100.64 |
$100.64 |
$125.40
|
