|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$2,510.28 |
$2,510.28 |
$2,510.28 |
$538.64
|
|
Ghs sp train/fitting sp device - kx
|
$477.17 |
$477.17 |
$477.17 |
$261.95
|
|
Ghs strapping shoulder - 29240
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$604.52 |
$604.52 |
$604.52 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$580.84 |
$580.84 |
$580.84 |
$93.75
|
|
Ghs tracheostomy emergency - transtracheal
|
$18,284.14 |
$18,284.14 |
$18,284.14 |
$2,225.73
|
|
Ghs veeg 12-26 hr intmt mont
|
$6,536.53 |
$6,536.53 |
$6,536.53 |
$1,843.00
|
|
Gi inhouse confirmation
|
$722.68 |
$722.68 |
$722.68 |
$87.00
|
|
Glucagon plasma - sendout
|
$765.88 |
$765.88 |
$765.88 |
$58.56
|
|
Glucose 1 hr post dose
|
$254.58 |
$254.58 |
$254.58 |
$46.28
|
|
Glucose blood quantitative
|
$226.16 |
$226.16 |
$226.16 |
$44.76
|
|
Glucose body fluid
|
$310.64 |
$310.64 |
$310.64 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$689.77 |
$689.77 |
$689.77 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$210.09 |
$210.09 |
$210.09 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$169.43 |
$169.43 |
$169.43 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$8,055.34 |
$8,055.34 |
$8,055.34 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$1,488.65 |
$1,488.65 |
$1,488.65 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$1,431.46 |
$1,431.46 |
$1,431.46 |
$123.75
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$1,279.57 |
$1,279.57 |
$1,279.57 |
$336.78
|
|
Guided cath fluid drainage 10030
|
$10,480.38 |
$10,480.38 |
$10,480.38 |
$1,461.15
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$292.80 |
$292.80 |
$292.80 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$40.22 |
$40.22 |
$40.22 |
$35.40
|
|
Hand X-ray
|
$1,426.23 |
$1,426.23 |
$1,426.23 |
$338.58
|
|
Haptoglobin quantitative
|
$755.58 |
$755.58 |
$755.58 |
$89.95
|
|
Hcg qualitative
|
$1,053.67 |
$1,053.67 |
$1,053.67 |
$77.50
|
|
Hcg quantitative
|
$1,341.33 |
$1,341.33 |
$1,341.33 |
$124.80
|
|
Head CT scan (with and without contrast)
|
$13,970.17 |
$13,970.17 |
$13,970.17 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,737.79 |
$1,737.79 |
$1,737.79 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$9,621.45 |
$9,621.45 |
$9,621.45 |
$1,268.90
|
|
Hematocrit
|
$211.43 |
$211.43 |
$211.43 |
$33.57
|
|
Hemodialysis one evaluation
|
$2,152.49 |
$2,152.49 |
$2,152.49 |
$1,329.90
|
|
Hemoglobin
|
$232.65 |
$232.65 |
$232.65 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$439.49 |
$439.49 |
$439.49 |
$49.40
|
|
Hemoglobin plasma
|
$391.79 |
$391.79 |
$391.79 |
$40.56
|
|
Heparin assay
|
$1,117.79 |
$1,117.79 |
$1,117.79 |
$130.20
|
|
Heparin bolus from bag
|
$458.03 |
$458.03 |
$458.03 |
$79.04
|
|
Heparin neutralization
|
$634.58 |
$634.58 |
$634.58 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$62.24 |
$62.24 |
$62.24 |
$32.27
|
|
Hepatitis a antibody igm
|
$1,341.33 |
$1,341.33 |
$1,341.33 |
$85.15
|
|
Hepatitis b core antibody igm
|
$545.90 |
$545.90 |
$545.90 |
$87.98
|
|
Hepatitis b core antibody total
|
$645.84 |
$645.84 |
$645.84 |
$83.29
|
|
Hepatitis b surface antibody
|
$904.61 |
$904.61 |
$904.61 |
$83.79
|
|
Hepatitis c antibody
|
$1,817.92 |
$1,817.92 |
$1,817.92 |
$108.00
|
|
Hepatobiliary system imaging
|
$6,716.47 |
$6,716.47 |
$6,716.47 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$642.08 |
$642.08 |
$642.08 |
$40.28
|
|
Herpes simplex 2 ag if
|
$642.08 |
$642.08 |
$642.08 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$706.92 |
$706.92 |
$706.92 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$1,037.08 |
$1,037.08 |
$1,037.08 |
$87.10
|
|
Herpes simplex virus isolation
|
$106.53 |
$106.53 |
$106.53 |
$93.32
|
|
Heterophile antibodies screening
|
$604.81 |
$604.81 |
$604.81 |
$73.60
|
|
Hhv-6 dna quant
|
$2,238.16 |
$2,238.16 |
$2,238.16 |
$200.25
|
|
Hip X-ray
|
$1,601.26 |
$1,601.26 |
$1,601.26 |
$292.05
|
|
Histochemical stains add-on
|
$314.77 |
$314.77 |
$314.77 |
$169.65
|
|
Hla ii typing 1 loc hr
|
$6,628.72 |
$6,628.72 |
$6,628.72 |
$323.40
|
|
Hlth bhv assmt/reassessment
|
$1,091.93 |
$1,091.93 |
$1,091.93 |
$180.70
|
|
Hocm 350-399mg/ml iodine,1ml
|
$70.11 |
$70.11 |
$70.11 |
$68.86
|
|
Homocysteine
|
$1,478.25 |
$1,478.25 |
$1,478.25 |
$113.10
|
|
Homogenization tissue
|
$315.15 |
$315.15 |
$315.15 |
$39.00
|
|
H pylori (c-13) breath
|
$3,610.20 |
$3,610.20 |
$3,610.20 |
$219.05
|
|
Hyaluronidase 150 unit/ml injection solution
|
$412.54 |
$412.54 |
$412.54 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$288.10 |
$288.10 |
$288.10 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$283.90 |
$283.90 |
$283.90 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$1,485.91 |
$1,485.91 |
$1,485.91 |
$394.40
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$1,289.67 |
$1,289.67 |
$1,289.67 |
$112.22
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$529.06 |
$529.06 |
$529.06 |
$86.47
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$959.36 |
$959.36 |
$959.36 |
$76.13
|
|
Hyoscyamine sulfate inj
|
$1,987.44 |
$1,987.44 |
$1,987.44 |
$215.75
|
|
Hysterosalpingography s&i
|
$3,339.08 |
$3,339.08 |
$3,339.08 |
$629.46
|
|
Iaadi respiratory synctial virus
|
$402.04 |
$402.04 |
$402.04 |
$42.48
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$2,274.10 |
$2,274.10 |
$2,274.10 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$891.89
|
|
Igh gene rearrange amp meth
|
$10,611.42 |
$10,611.42 |
$10,611.42 |
$464.25
|
|
Igk rearrangeabn clonal pop
|
$9,257.58 |
$9,257.58 |
$9,257.58 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$1,745.14 |
$1,745.14 |
$1,745.14 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$3,876.19 |
$3,876.19 |
$3,876.19 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$1,963.89 |
$1,963.89 |
$1,963.89 |
$266.76
|
|
Iliac/fem angio cath insert
|
$630.85 |
$630.85 |
$630.85 |
$1,601.66
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$23,121.47 |
$23,121.47 |
$23,121.47 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$59,190.04 |
$59,190.04 |
$59,190.04 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$953.15 |
$953.15 |
$953.15 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$1,115.33 |
$1,115.33 |
$1,115.33 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$295.90 |
$295.90 |
$295.90 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$1,197.33 |
$1,197.33 |
$1,197.33 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$2,462.59 |
$2,462.59 |
$2,462.59 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,970.42 |
$1,970.42 |
$1,970.42 |
$250.00
|
|
Immunology procedure
|
$331.78 |
$331.78 |
$331.78 |
$281.45
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$19,379.35 |
$19,379.35 |
$19,379.35 |
$2,261.20
|
|
Infect ag drug suscept pheno predict
|
$6,986.21 |
$6,986.21 |
$6,986.21 |
$325.00
|
|
Infect ag genotype na dna hepatitis b
|
$13,798.22 |
$13,798.22 |
$13,798.22 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$6,899.38 |
$6,899.38 |
$6,899.38 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$7,540.33 |
$7,540.33 |
$7,540.33 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$23.82 |
$23.82 |
$23.82 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$887.02 |
$887.02 |
$887.02 |
$66.72
|
|
Infect ag if influenza a
|
$861.28 |
$861.28 |
$861.28 |
$40.61
|
|
Infect ag if influenza b
|
$656.55 |
$656.55 |
$656.55 |
$34.67
|
|
Infect ag if nos ea
|
$862.89 |
$862.89 |
$862.89 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$642.08 |
$642.08 |
$642.08 |
$62.29
|
|
Infect ag if varicella zoster
|
$719.25 |
$719.25 |
$719.25 |
$66.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$5,134.47 |
$5,134.47 |
$5,134.47 |
$227.96
|
|
Infect ag na resp virus 12-25 targets
|
$22,337.62 |
$22,337.62 |
$22,337.62 |
$859.44
|