|
Ghs sp train/fitting sp device - kx
|
$286.80 |
$286.80 |
$286.80 |
$250.50
|
|
Ghs strapping shoulder - 29240
|
$253.80 |
$253.80 |
$253.80 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$402.00 |
$402.00 |
$402.00 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$890.40 |
$890.40 |
$890.40 |
$861.75
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$821.40 |
$821.40 |
$821.40 |
$523.00
|
|
Ghs urine, hydroxproline total
|
$256.20 |
$256.20 |
$256.20 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$49.80 |
$49.80 |
$49.80 |
$75.00
|
|
Ghs vaginal delivery only
|
$2,570.40 |
$2,570.40 |
$2,570.40 |
$3,152.00
|
|
Gi inhouse confirmation
|
$118.20 |
$118.20 |
$118.20 |
$83.70
|
|
Glucose 1 hr post dose
|
$65.40 |
$65.40 |
$65.40 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$42.00 |
$42.00 |
$42.00 |
$23.86
|
|
Glucose blood quantitative
|
$55.80 |
$55.80 |
$55.80 |
$40.00
|
|
Glucose body fluid
|
$55.80 |
$55.80 |
$55.80 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$198.00 |
$198.00 |
$198.00 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$51.60 |
$51.60 |
$51.60 |
$35.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$204.60 |
$204.60 |
$204.60 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$381.60 |
$381.60 |
$381.60 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$129.00 |
$129.00 |
$129.00 |
$672.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$89.40 |
$89.40 |
$89.40 |
$24,469.57
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$168.00 |
$168.00 |
$168.00 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$301.80 |
$301.80 |
$301.80 |
$1,181.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$70.80 |
$70.80 |
$70.80 |
$27,367.40
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$284.40 |
$284.40 |
$284.40 |
$1,132.47
|
|
Great toe with reduction 28495
|
$300.00 |
$300.00 |
$300.00 |
$482.40
|
|
G-tube reposition
|
$877.20 |
$877.20 |
$877.20 |
$759.36
|
|
Guided cath fluid drainage 10030
|
$1,001.40 |
$1,001.40 |
$1,001.40 |
$1,372.15
|
|
Guid loc target vol rad tx
|
$734.40 |
$734.40 |
$734.40 |
$536.00
|
|
Hand X-ray
|
$480.00 |
$480.00 |
$480.00 |
$356.00
|
|
Haptoglobin quantitative
|
$178.80 |
$178.80 |
$178.80 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$951.00 |
$951.00 |
$951.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$824.40 |
$824.40 |
$824.40 |
$404.80
|
|
Hbb full gene sequence
|
$951.00 |
$951.00 |
$951.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$888.00 |
$888.00 |
$888.00 |
$455.00
|
|
Hbot, full body chamber, 30m
|
$907.20 |
$907.20 |
$907.20 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$759.72
|
|
Hcg qualitative
|
$111.60 |
$111.60 |
$111.60 |
$89.70
|
|
Hcg quantitative
|
$186.60 |
$186.60 |
$186.60 |
$139.20
|
|
Hc nm kidney imaging with flow
|
$554.40 |
$554.40 |
$554.40 |
$822.60
|
|
Head CT scan (with and without contrast)
|
$2,524.80 |
$2,524.80 |
$2,524.80 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$2,253.00 |
$2,253.00 |
$2,253.00 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$1,937.40 |
$1,937.40 |
$1,937.40 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$153.00 |
$153.00 |
$153.00 |
$91.98
|
|
Hematocrit
|
$35.40 |
$35.40 |
$35.40 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,605.60 |
$1,605.60 |
$1,605.60 |
$1,319.44
|
|
Hemoglobin
|
$59.40 |
$59.40 |
$59.40 |
$31.80
|
|
Hemoglobin plasma
|
$69.00 |
$69.00 |
$69.00 |
$41.25
|
|
Hemophilus influenza antibdy
|
$49.20 |
$49.20 |
$49.20 |
$62.70
|
|
Heparin assay
|
$483.60 |
$483.60 |
$483.60 |
$140.10
|
|
Hepatitis a antibody igm
|
$260.40 |
$260.40 |
$260.40 |
$87.75
|
|
Hepatitis b core antibody igm
|
$162.00 |
$162.00 |
$162.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$213.00 |
$213.00 |
$213.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$114.60 |
$114.60 |
$114.60 |
$82.05
|
|
Hepatitis c antibody
|
$196.80 |
$196.80 |
$196.80 |
$108.00
|
|
Hepatitis d quantification
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$91.28
|
|
Hepatobiliary system imaging
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$3,677.40 |
$3,677.40 |
$3,677.40 |
$1,799.45
|
|
Herpes simplex type 1 antibody igg
|
$242.40 |
$242.40 |
$242.40 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$242.40 |
$242.40 |
$242.40 |
$87.10
|
|
Heterophile antibodies screening
|
$109.80 |
$109.80 |
$109.80 |
$74.00
|
|
Hhv-6 dna quant
|
$525.60 |
$525.60 |
$525.60 |
$246.35
|
|
Hip X-ray
|
$418.20 |
$418.20 |
$418.20 |
$292.05
|
|
Histamine
|
$313.20 |
$313.20 |
$313.20 |
$115.00
|
|
Hla ii typing 1 loc hr
|
$601.80 |
$601.80 |
$601.80 |
$290.94
|
|
Hla i typing complete lr
|
$301.20 |
$301.20 |
$301.20 |
$728.88
|
|
Hla i typing high res 1 allele grp ea
|
$839.40 |
$839.40 |
$839.40 |
$293.15
|
|
Hlth bhv assmt/reassessment
|
$124.20 |
$124.20 |
$124.20 |
$181.00
|
|
Hlth bhv ivntj grp 1st 30
|
$120.00 |
$120.00 |
$120.00 |
$79.56
|
|
Hlth bhv ivntj indiv 1st 30
|
$247.20 |
$247.20 |
$247.20 |
$200.00
|
|
Hocm 200-249mg/ml iodine,1ml
|
$3.00 |
$3.00 |
$3.00 |
$236.25
|
|
Hocm 250-299mg/ml iodine,1ml
|
$6.00 |
$6.00 |
$6.00 |
$36.41
|
|
Home sleep test/type 3 porta
|
$830.40 |
$830.40 |
$830.40 |
$579.26
|
|
Homocysteine
|
$198.00 |
$198.00 |
$198.00 |
$121.92
|
|
Homogenization tissue
|
$51.60 |
$51.60 |
$51.60 |
$39.20
|
|
Homovanillic acid (hva)
|
$163.80 |
$163.80 |
$163.80 |
$59.95
|
|
Ho post-op hip abduction
|
$4,059.00 |
$4,059.00 |
$4,059.00 |
$1,690.58
|
|
Hpv combo assay ca screen
|
$147.60 |
$147.60 |
$147.60 |
$70.40
|
|
H pylori (c-13) breath
|
$175.20 |
$175.20 |
$175.20 |
$213.00
|
|
Hrdtry cardmypy gene panel
|
$7,483.80 |
$7,483.80 |
$7,483.80 |
$1,276.00
|
|
Hrdtry perph neurphy panel
|
$6,874.80 |
$6,874.80 |
$6,874.80 |
$1,951.80
|
|
Htt gene detc abnor alleles
|
$761.40 |
$761.40 |
$761.40 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$316.80 |
$316.80 |
$316.80 |
$157.32
|
|
Hydration IV infusion each additional hour
|
$220.80 |
$220.80 |
$220.80 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$466.80 |
$466.80 |
$466.80 |
$383.00
|
|
Hysterosalpingography s&i
|
$1,573.80 |
$1,573.80 |
$1,573.80 |
$651.85
|
|
Idh1 common variants
|
$575.40 |
$575.40 |
$575.40 |
$406.90
|
|
Idh2 common variants
|
$879.60 |
$879.60 |
$879.60 |
$486.00
|
|
Ifnl3 gene
|
$888.00 |
$888.00 |
$888.00 |
$143.40
|
|
Igh gene rearrange amp meth
|
$614.40 |
$614.40 |
$614.40 |
$456.54
|
|
Igh@ var region somatic mutation analy
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$463.80 |
$463.80 |
$463.80 |
$396.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$277.20 |
$277.20 |
$277.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$274.20 |
$274.20 |
$274.20 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$252.00 |
$252.00 |
$252.00 |
$274.86
|
|
Iliac/fem angio cath insert
|
$2,808.00 |
$2,808.00 |
$2,808.00 |
$1,827.35
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$307.80 |
$307.80 |
$307.80 |
$336.17
|
|
Immobilizer shldr cntor adlt
|
$585.60 |
$585.60 |
$585.60 |
$171.43
|
|
Immobilizer shldr dlx str 24-36in med
|
$169.20 |
$169.20 |
$169.20 |
$102.00
|
|
Immobilizer shldr sling med
|
$307.80 |
$307.80 |
$307.80 |
$99.45
|
|
Immunoassay tumor antigen quantitative ca 125
|
$236.40 |
$236.40 |
$236.40 |
$130.00
|
