|
Ghs nerve blk intercostal, single level
|
$1,451.20 |
$1,451.20 |
$1,451.20 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$1,107.20 |
$1,107.20 |
$1,107.20 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,107.20 |
$1,107.20 |
$1,107.20 |
$1,141.36
|
|
Ghs o2 saturation
|
$179.20 |
$179.20 |
$179.20 |
$70.80
|
|
Ghs opcc repair cvp without subq port
|
$752.00 |
$752.00 |
$752.00 |
$1,229.24
|
|
Ghs ot group caregiver training
|
$46.40 |
$46.40 |
$46.40 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$164.00 |
$164.00 |
$164.00 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$144.00 |
$144.00 |
$144.00 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$170.40 |
$170.40 |
$170.40 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$549.60 |
$549.60 |
$549.60 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,630.40 |
$1,630.40 |
$1,630.40 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$584.00 |
$584.00 |
$584.00 |
$546.36
|
|
Ghs phenylketonurid
|
$435.20 |
$435.20 |
$435.20 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$201.60 |
$201.60 |
$201.60 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$48.00 |
$48.00 |
$48.00 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$136.80 |
$136.80 |
$136.80 |
$43.55
|
|
Ghs protoporphyrins fract
|
$100.00 |
$100.00 |
$100.00 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$260.00 |
$260.00 |
$260.00 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$481.60 |
$481.60 |
$481.60 |
$275.60
|
|
Ghs quinidine
|
$131.20 |
$131.20 |
$131.20 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$308.00 |
$308.00 |
$308.00 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$320.00 |
$320.00 |
$320.00 |
$459.90
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,161.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$156.80 |
$156.80 |
$156.80 |
$96.60
|
|
Ghs semen analysis fert
|
$317.60 |
$317.60 |
$317.60 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$118.40 |
$118.40 |
$118.40 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$477.60 |
$477.60 |
$477.60 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$632.00 |
$632.00 |
$632.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$436.00 |
$436.00 |
$436.00 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$453.60 |
$453.60 |
$453.60 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$407.20 |
$407.20 |
$407.20 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$445.60 |
$445.60 |
$445.60 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$448.00 |
$448.00 |
$448.00 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$584.00 |
$584.00 |
$584.00 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$603.20 |
$603.20 |
$603.20 |
$537.60
|
|
Ghs sleep study unattended
|
$939.20 |
$939.20 |
$939.20 |
$495.00
|
|
Ghs sp train/fitting sp device - kx
|
$382.40 |
$382.40 |
$382.40 |
$250.50
|
|
Ghs st - re-eval for alt comm
|
$536.00 |
$536.00 |
$536.00 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$638.40 |
$638.40 |
$638.40 |
$861.75
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$897.60 |
$897.60 |
$897.60 |
$523.00
|
|
Ghs urine, porphyrins quant
|
$292.80 |
$292.80 |
$292.80 |
$75.00
|
|
Ghs vaginal delivery only
|
$3,208.00 |
$3,208.00 |
$3,208.00 |
$3,152.00
|
|
Giardia lamblia antibody
|
$140.00 |
$140.00 |
$140.00 |
$83.44
|
|
Gi inhouse confirmation
|
$224.80 |
$224.80 |
$224.80 |
$83.70
|
|
Glucagon plasma - sendout
|
$172.00 |
$172.00 |
$172.00 |
$63.00
|
|
Glucose 1 hr post dose
|
$121.60 |
$121.60 |
$121.60 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$48.00 |
$48.00 |
$48.00 |
$23.86
|
|
Glucose blood quantitative
|
$100.00 |
$100.00 |
$100.00 |
$40.00
|
|
Glucose body fluid
|
$125.60 |
$125.60 |
$125.60 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$193.60 |
$193.60 |
$193.60 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$74.40 |
$74.40 |
$74.40 |
$35.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$266.40 |
$266.40 |
$266.40 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$535.20 |
$535.20 |
$535.20 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$172.00 |
$172.00 |
$172.00 |
$672.50
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$402.40 |
$402.40 |
$402.40 |
$1,181.41
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$379.20 |
$379.20 |
$379.20 |
$1,132.47
|
|
Great toe with reduction 28495
|
$456.00 |
$456.00 |
$456.00 |
$482.40
|
|
Guided cath fluid drainage 10030
|
$2,894.40 |
$2,894.40 |
$2,894.40 |
$1,372.15
|
|
Hand X-ray
|
$671.20 |
$671.20 |
$671.20 |
$356.00
|
|
Haptoglobin quantitative
|
$288.80 |
$288.80 |
$288.80 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$1,241.60 |
$1,241.60 |
$1,241.60 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$404.80
|
|
Hbb full gene sequence
|
$1,241.60 |
$1,241.60 |
$1,241.60 |
$633.25
|
|
Hbb gene dup/del variants
|
$1,158.40 |
$1,158.40 |
$1,158.40 |
$455.00
|
|
Hcg qualitative
|
$97.60 |
$97.60 |
$97.60 |
$89.70
|
|
Hcg quantitative
|
$200.00 |
$200.00 |
$200.00 |
$139.20
|
|
Hc nm kidney imaging with flow
|
$1,858.40 |
$1,858.40 |
$1,858.40 |
$822.60
|
|
Head CT scan (with and without contrast)
|
$2,198.40 |
$2,198.40 |
$2,198.40 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,980.80 |
$1,980.80 |
$1,980.80 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$214.40 |
$214.40 |
$214.40 |
$91.98
|
|
Hematocrit
|
$97.60 |
$97.60 |
$97.60 |
$33.57
|
|
Hemoglobin
|
$52.00 |
$52.00 |
$52.00 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$441.60 |
$441.60 |
$441.60 |
$53.60
|
|
Hemoglobin plasma
|
$93.60 |
$93.60 |
$93.60 |
$41.25
|
|
Hemolysins/agglutinins auto
|
$69.60 |
$69.60 |
$69.60 |
$57.14
|
|
Hemophilus influenza antibdy
|
$142.40 |
$142.40 |
$142.40 |
$62.70
|
|
Heparin assay
|
$634.40 |
$634.40 |
$634.40 |
$140.10
|
|
Hepatitis a antibody igm
|
$326.40 |
$326.40 |
$326.40 |
$87.75
|
|
Hepatitis b core antibody igm
|
$160.00 |
$160.00 |
$160.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$266.40 |
$266.40 |
$266.40 |
$77.50
|
|
Hepatitis b surface antibody
|
$152.00 |
$152.00 |
$152.00 |
$82.05
|
|
Hepatitis c antibody
|
$224.00 |
$224.00 |
$224.00 |
$108.00
|
|
Hepatitis d quantification
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$91.28
|
|
Hepatobiliary system imaging
|
$1,628.00 |
$1,628.00 |
$1,628.00 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$4,903.20 |
$4,903.20 |
$4,903.20 |
$1,799.45
|
|
Herpes simplex type 1 antibody igg
|
$156.00 |
$156.00 |
$156.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$156.00 |
$156.00 |
$156.00 |
$87.10
|
|
Heterophile antibodies screening
|
$122.40 |
$122.40 |
$122.40 |
$74.00
|
|
Hhv-6 dna quant
|
$700.80 |
$700.80 |
$700.80 |
$246.35
|
|
Hip X-ray
|
$629.60 |
$629.60 |
$629.60 |
$292.05
|
|
Histamine
|
$480.00 |
$480.00 |
$480.00 |
$115.00
|
