|
Ghs quinidine
|
$306.40 |
$306.40 |
$306.40 |
$85.00
|
|
Ghs refill of implantable pump
|
$973.60 |
$973.60 |
$973.60 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$620.00 |
$620.00 |
$620.00 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$3,118.40 |
$3,118.40 |
$3,118.40 |
$460.00
|
|
Ghs reticulocyte count
|
$154.40 |
$154.40 |
$154.40 |
$34.45
|
|
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 |
$608.00
|
|
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
|
$1,902.40 |
$1,902.40 |
$1,902.40 |
$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 |
$487.44
|
|
Ghs simple repair over 30 cm - 12007
|
$584.00 |
$584.00 |
$584.00 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$1,973.60 |
$1,973.60 |
$1,973.60 |
$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 strapping shoulder - 29240
|
$1,308.00 |
$1,308.00 |
$1,308.00 |
$213.20
|
|
Ghs superficial wnd dehiscence simp12020
|
$3,982.40 |
$3,982.40 |
$3,982.40 |
$866.04
|
|
Ghs superficial wnd dehis w packing12021
|
$3,014.40 |
$3,014.40 |
$3,014.40 |
$661.50
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,221.60 |
$1,221.60 |
$1,221.60 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$5,478.40 |
$5,478.40 |
$5,478.40 |
$524.80
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$6,967.20 |
$6,967.20 |
$6,967.20 |
$486.35
|
|
Ghs urine, porphyrins quant
|
$249.60 |
$249.60 |
$249.60 |
$75.00
|
|
Ghs vaginal delivery only
|
$8,832.00 |
$8,832.00 |
$8,832.00 |
$3,152.00
|
|
Giardia lamblia antibody
|
$112.00 |
$112.00 |
$112.00 |
$83.44
|
|
Gi inhouse confirmation
|
$244.80 |
$244.80 |
$244.80 |
$83.70
|
|
Gjb2 gene full sequence
|
$883.20 |
$883.20 |
$883.20 |
$502.80
|
|
Glucose 1 hr post dose
|
$124.00 |
$124.00 |
$124.00 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$45.60 |
$45.60 |
$45.60 |
$23.72
|
|
Glucose blood quantitative
|
$129.60 |
$129.60 |
$129.60 |
$40.00
|
|
Glucose body fluid
|
$144.00 |
$144.00 |
$144.00 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$436.80 |
$436.80 |
$436.80 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$114.40 |
$114.40 |
$114.40 |
$35.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$250.40 |
$250.40 |
$250.40 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$524.80 |
$524.80 |
$524.80 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$172.00 |
$172.00 |
$172.00 |
$672.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$119.20 |
$119.20 |
$119.20 |
$24,469.57
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$224.00 |
$224.00 |
$224.00 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$402.40 |
$402.40 |
$402.40 |
$964.07
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$759.20 |
$759.20 |
$759.20 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$94.40 |
$94.40 |
$94.40 |
$27,367.40
|
|
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
|
$3,076.80 |
$3,076.80 |
$3,076.80 |
$482.40
|
|
G-tube reposition
|
$2,696.80 |
$2,696.80 |
$2,696.80 |
$759.36
|
|
Hand X-ray
|
$836.80 |
$836.80 |
$836.80 |
$356.00
|
|
Haptoglobin quantitative
|
$273.60 |
$273.60 |
$273.60 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$1,397.60 |
$1,397.60 |
$1,397.60 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$404.80
|
|
Hbb full gene sequence
|
$1,397.60 |
$1,397.60 |
$1,397.60 |
$633.25
|
|
Hbb gene dup/del variants
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$455.00
|
|
Hbot, full body chamber, 30m
|
$215.20 |
$215.20 |
$215.20 |
$526.90
|
|
Hcg qualitative
|
$162.40 |
$162.40 |
$162.40 |
$89.60
|
|
Hcg quantitative
|
$228.80 |
$228.80 |
$228.80 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,687.20 |
$2,687.20 |
$2,687.20 |
$1,834.20
|
|
Head CT scan (with contrast)
|
$2,645.60 |
$2,645.60 |
$2,645.60 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$2,497.60 |
$2,497.60 |
$2,497.60 |
$1,268.90
|
|
Heart infarct image
|
$2,068.00 |
$2,068.00 |
$2,068.00 |
$940.55
|
|
Helicobacter pylori antibody igm
|
$219.20 |
$219.20 |
$219.20 |
$91.98
|
|
Hematocrit
|
$88.00 |
$88.00 |
$88.00 |
$33.57
|
|
Hemoglobin
|
$88.00 |
$88.00 |
$88.00 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$160.00 |
$160.00 |
$160.00 |
$52.20
|
|
Hemoglobin-oxygen affinity
|
$409.60 |
$409.60 |
$409.60 |
$84.76
|
|
Hemoglobin plasma
|
$136.80 |
$136.80 |
$136.80 |
$41.25
|
|
Hemophilus influenza antibdy
|
$72.00 |
$72.00 |
$72.00 |
$62.70
|
|
Heparin assay
|
$638.40 |
$638.40 |
$638.40 |
$140.10
|
|
Hepatitis a antibody igm
|
$359.20 |
$359.20 |
$359.20 |
$87.75
|
|
Hepatitis b core antibody igm
|
$161.60 |
$161.60 |
$161.60 |
$87.84
|
|
Hepatitis b core antibody total
|
$292.80 |
$292.80 |
$292.80 |
$77.50
|
|
Hepatitis b surface antibody
|
$159.20 |
$159.20 |
$159.20 |
$81.12
|
|
Hepatitis c antibody
|
$294.40 |
$294.40 |
$294.40 |
$108.00
|
|
Hepatitis d quantification
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$91.28
|
|
Hepatobiliary system imaging
|
$2,719.20 |
$2,719.20 |
$2,719.20 |
$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
|
$161.60 |
$161.60 |
$161.60 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$161.60 |
$161.60 |
$161.60 |
$87.10
|
|
Herpes simplex virus isolation
|
$336.00 |
$336.00 |
$336.00 |
$104.53
|
|
Heterophile antibodies screening
|
$135.20 |
$135.20 |
$135.20 |
$73.87
|
|
Hexa gene
|
$395.20 |
$395.20 |
$395.20 |
$158.10
|
|
Hhv-6 dna quant
|
$700.80 |
$700.80 |
$700.80 |
$246.35
|
|
Hip X-ray
|
$519.20 |
$519.20 |
$519.20 |
$290.72
|
|
Histamine
|
$460.80 |
$460.80 |
$460.80 |
$115.00
|
|
Histochemical stains add-on
|
$286.40 |
$286.40 |
$286.40 |
$153.29
|
|
Hla ii typing 1 loc hr
|
$1,048.00 |
$1,048.00 |
$1,048.00 |
$290.94
|
|
Hla i low res one antigen equiv ea
|
$74.40 |
$74.40 |
$74.40 |
$161.70
|
|
Hla i typing complete lr
|
$442.40 |
$442.40 |
$442.40 |
$728.88
|
|
Hla i typing high res 1 allele grp ea
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$293.15
|
|
Hla i typing low res one locus ea
|
$312.80 |
$312.80 |
$312.80 |
$320.70
|
|
Hocm 200-249mg/ml iodine,1ml
|
$5.60 |
$5.60 |
$5.60 |
$282.60
|
|
Hocm 250-299mg/ml iodine,1ml
|
$5.60 |
$5.60 |
$5.60 |
$36.41
|
|
Hocm 350-399mg/ml iodine,1ml
|
$5.60 |
$5.60 |
$5.60 |
$79.78
|
|
Home sleep test/type 3 porta
|
$900.80 |
$900.80 |
$900.80 |
$579.26
|
|
Homocysteine
|
$239.20 |
$239.20 |
$239.20 |
$121.20
|
|
Homogenization tissue
|
$104.00 |
$104.00 |
$104.00 |
$39.60
|
|
Homovanillic acid (hva)
|
$241.60 |
$241.60 |
$241.60 |
$59.95
|
|
Ho post-op hip abduction
|
$5,412.00 |
$5,412.00 |
$5,412.00 |
$1,690.58
|
|
Hpv combo assay ca screen
|
$217.60 |
$217.60 |
$217.60 |
$70.40
|
|
H pylori (c-13) breath
|
$412.00 |
$412.00 |
$412.00 |
$213.00
|
|
Hrdtry cardmypy gene panel
|
$12,641.60 |
$12,641.60 |
$12,641.60 |
$1,276.00
|
|
Hrdtry perph neurphy panel
|
$9,667.20 |
$9,667.20 |
$9,667.20 |
$1,951.80
|
