|
Ghs paravert facet/nerve lumb ea add bil
|
$467.50 |
$467.50 |
$467.50 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$275.00 |
$275.00 |
$275.00 |
$555.00
|
|
Ghs phenylketonurid
|
$40.00 |
$40.00 |
$40.00 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,955.00 |
$1,955.00 |
$1,955.00 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$270.00 |
$270.00 |
$270.00 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$25.00 |
$25.00 |
$25.00 |
$37.44
|
|
Ghs protoporphyrins fract
|
$77.50 |
$77.50 |
$77.50 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$137.50 |
$137.50 |
$137.50 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$67.50 |
$67.50 |
$67.50 |
$47.55
|
|
Ghs quinidine
|
$85.00 |
$85.00 |
$85.00 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$267.50 |
$267.50 |
$267.50 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$347.50 |
$347.50 |
$347.50 |
$441.68
|
|
Ghs reticulocyte count
|
$30.00 |
$30.00 |
$30.00 |
$34.50
|
|
Ghs semen analysis fert
|
$115.00 |
$115.00 |
$115.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$45.00 |
$45.00 |
$45.00 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$535.00 |
$535.00 |
$535.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$535.00 |
$535.00 |
$535.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$575.00 |
$575.00 |
$575.00 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$472.50 |
$472.50 |
$472.50 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$495.00 |
$495.00 |
$495.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$495.00 |
$495.00 |
$495.00 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$620.00 |
$620.00 |
$620.00 |
$590.88
|
|
Ghs somatosensory testing lower extremit
|
$795.00 |
$795.00 |
$795.00 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,416.80
|
|
Ghs sphenopalatine ganglion block
|
$367.50 |
$367.50 |
$367.50 |
$630.24
|
|
Ghs st - re-eval for alt comm
|
$317.50 |
$317.50 |
$317.50 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$765.00 |
$765.00 |
$765.00 |
$953.27
|
|
Ghs tx distal phalangeal fx with manipulation
|
$270.00 |
$270.00 |
$270.00 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$90.00 |
$90.00 |
$90.00 |
$73.80
|
|
Ghs vaginal delivery only
|
$1,550.00 |
$1,550.00 |
$1,550.00 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$885.00 |
$885.00 |
$885.00 |
$1,932.00
|
|
Giardia lamblia antibody
|
$85.00 |
$85.00 |
$85.00 |
$83.44
|
|
Gi inhouse confirmation
|
$82.50 |
$82.50 |
$82.50 |
$87.75
|
|
Gjb2 gene full sequence
|
$990.00 |
$990.00 |
$990.00 |
$502.80
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$358.88 |
$358.88 |
$358.88 |
$491.67
|
|
Glucagon plasma - sendout
|
$67.50 |
$67.50 |
$67.50 |
$64.35
|
|
Glucose 1 hr post dose
|
$40.00 |
$40.00 |
$40.00 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$20.00 |
$20.00 |
$20.00 |
$23.12
|
|
Glucose blood quantitative
|
$40.00 |
$40.00 |
$40.00 |
$42.25
|
|
Glucose body fluid
|
$32.50 |
$32.50 |
$32.50 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$95.00 |
$95.00 |
$95.00 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$125.00 |
$125.00 |
$125.00 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$40.00 |
$40.00 |
$40.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$17.77 |
$17.77 |
$17.77 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$94.92 |
$94.92 |
$94.92 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$115.00 |
$115.00 |
$115.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$95.00 |
$95.00 |
$95.00 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,666.50 |
$2,666.50 |
$2,666.50 |
$4,417.13
|
|
Graft nerve adv 3-4x70mm
|
$5,736.25 |
$5,736.25 |
$5,736.25 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$16,236.24 |
$16,236.24 |
$16,236.24 |
$29,293.39
|
|
Graft xenmtrx sft rect 15x20cm
|
$21,831.29 |
$21,831.29 |
$21,831.29 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$331.24 |
$331.24 |
$331.24 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$3,660.00 |
$3,660.00 |
$3,660.00 |
$2,698.02
|
|
Great toe with reduction 28495
|
$270.00 |
$270.00 |
$270.00 |
$495.00
|
|
Group train without patient
|
$37.50 |
$37.50 |
$37.50 |
$47.60
|
|
Growth hormone panel
|
$180.00 |
$180.00 |
$180.00 |
$173.00
|
|
G-tube reposition
|
$690.00 |
$690.00 |
$690.00 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$1,585.00 |
$1,585.00 |
$1,585.00 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$430.00 |
$430.00 |
$430.00 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$6,175.74 |
$6,175.74 |
$6,175.74 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$183.99 |
$183.99 |
$183.99 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$1,676.75 |
$1,676.75 |
$1,676.75 |
$6,893.38
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$61.48 |
$61.48 |
$61.48 |
$24.30
|
|
Handpiece aquabeam hp2000
|
$5,983.35 |
$5,983.35 |
$5,983.35 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$85.00 |
$85.00 |
$85.00 |
$105.30
|
|
Hand X-ray
|
$385.00 |
$385.00 |
$385.00 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$305.00 |
$305.00 |
$305.00 |
$294.90
|
|
Haptoglobin quantitative
|
$75.00 |
$75.00 |
$75.00 |
$92.80
|
|
Hba1/hba2 full gene sequence
|
$565.00 |
$565.00 |
$565.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$403.25
|
|
Hbb full gene sequence
|
$565.00 |
$565.00 |
$565.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$845.00 |
$845.00 |
$845.00 |
$404.80
|
|
Hcg free betachain test
|
$90.00 |
$90.00 |
$90.00 |
$68.90
|
|
Hcg qualitative
|
$77.50 |
$77.50 |
$77.50 |
$90.10
|
|
Hcg quantitative
|
$105.00 |
$105.00 |
$105.00 |
$139.20
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$1,070.00
|
|
Head CT scan (with and without contrast)
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$270.00 |
$270.00 |
$270.00 |
$276.00
|
|
Heinz bodies direct
|
$25.00 |
$25.00 |
$25.00 |
$43.15
|
|
Heinz bodies induced
|
$30.00 |
$30.00 |
$30.00 |
$53.54
|
|
Helicobacter pylori antibody igm
|
$82.50 |
$82.50 |
$82.50 |
$92.00
|
|
Hematocrit
|
$25.00 |
$25.00 |
$25.00 |
$33.80
|
|
Hematopoietic nuclear tx
|
$920.00 |
$920.00 |
$920.00 |
$928.98
|
|
Hemodialysis one evaluation
|
$920.00 |
$920.00 |
$920.00 |
$1,364.27
|
|
Hemoglobin
|
$25.00 |
$25.00 |
$25.00 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$30.00 |
$30.00 |
$30.00 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$27.50 |
$27.50 |
$27.50 |
$52.32
|
|
Hemoglobin plasma
|
$47.50 |
$47.50 |
$47.50 |
$41.40
|
|
Hemolysins/agglutinins auto
|
$52.50 |
$52.50 |
$52.50 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$67.50 |
$67.50 |
$67.50 |
$61.79
|
|
Heparin assay
|
$107.50 |
$107.50 |
$107.50 |
$139.15
|
|
Heparin bolus from bag
|
$16.63 |
$16.63 |
$16.63 |
$66.06
|
|
Heparin neutralization
|
$32.50 |
$32.50 |
$32.50 |
$37.10
|
|
Hepatitis a antibody igm
|
$72.50 |
$72.50 |
$72.50 |
$89.44
|
|
Hepatitis b core antibody igm
|
$75.00 |
$75.00 |
$75.00 |
$89.60
|
|
Hepatitis b core antibody total
|
$77.50 |
$77.50 |
$77.50 |
$77.50
|
|
Hepatitis b surface antibody
|
$77.50 |
$77.50 |
$77.50 |
$82.32
|
|
Hepatitis c antibody
|
$90.00 |
$90.00 |
$90.00 |
$108.25
|
