|
Ghs strapping shoulder - 29240
|
$101.40 |
$101.40 |
$101.40 |
$213.20
|
|
Ghs superficial wnd dehiscence simp12020
|
$388.80 |
$388.80 |
$388.80 |
$861.75
|
|
Ghs tracheostomy emergency - transtracheal
|
$933.00 |
$933.00 |
$933.00 |
$1,752.89
|
|
Ghs trypsin (fecal)
|
$192.60 |
$192.60 |
$192.60 |
$50.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$255.00 |
$255.00 |
$255.00 |
$523.00
|
|
Ghs urine, porphyrins quant
|
$308.40 |
$308.40 |
$308.40 |
$75.00
|
|
Ghs vaginal delivery only
|
$3,267.00 |
$3,267.00 |
$3,267.00 |
$3,152.00
|
|
Gi inhouse confirmation
|
$213.00 |
$213.00 |
$213.00 |
$83.70
|
|
Glucose 1 hr post dose
|
$119.40 |
$119.40 |
$119.40 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$31.20 |
$31.20 |
$31.20 |
$23.86
|
|
Glucose blood quantitative
|
$78.00 |
$78.00 |
$78.00 |
$40.00
|
|
Glucose body fluid
|
$119.40 |
$119.40 |
$119.40 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$222.60 |
$222.60 |
$222.60 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$102.60 |
$102.60 |
$102.60 |
$35.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$214.20 |
$214.20 |
$214.20 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$355.20 |
$355.20 |
$355.20 |
$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 sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$569.40 |
$569.40 |
$569.40 |
$1,132.47
|
|
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
|
$349.20 |
$349.20 |
$349.20 |
$482.40
|
|
G-tube reposition
|
$760.80 |
$760.80 |
$760.80 |
$759.36
|
|
Gu dilat ureter/urethra s&i
|
$1,478.40 |
$1,478.40 |
$1,478.40 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$1,372.15
|
|
Guid loc target vol rad tx
|
$391.80 |
$391.80 |
$391.80 |
$536.00
|
|
Hand X-ray
|
$500.40 |
$500.40 |
$500.40 |
$356.00
|
|
Haptoglobin quantitative
|
$184.80 |
$184.80 |
$184.80 |
$91.14
|
|
Hast w/i&r phys/qhp
|
$534.60 |
$534.60 |
$534.60 |
$301.95
|
|
Hast w/oxygen titrate
|
$691.20 |
$691.20 |
$691.20 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$949.20 |
$949.20 |
$949.20 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$946.80 |
$946.80 |
$946.80 |
$404.80
|
|
Hbb full gene sequence
|
$949.20 |
$949.20 |
$949.20 |
$633.25
|
|
Hbb gene dup/del variants
|
$885.60 |
$885.60 |
$885.60 |
$455.00
|
|
Hbot, full body chamber, 30m
|
$849.60 |
$849.60 |
$849.60 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$620.40 |
$620.40 |
$620.40 |
$759.72
|
|
Hcg qualitative
|
$133.20 |
$133.20 |
$133.20 |
$89.70
|
|
Hcg quantitative
|
$373.20 |
$373.20 |
$373.20 |
$139.20
|
|
Hc nm kidney imaging with flow
|
$1,399.20 |
$1,399.20 |
$1,399.20 |
$822.60
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,836.40 |
$6,836.40 |
$6,836.40 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,836.40 |
$6,836.40 |
$6,836.40 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,836.40 |
$6,836.40 |
$6,836.40 |
$3,727.65
|
|
Hdr rdncl skn surf brachytx
|
$469.20 |
$469.20 |
$469.20 |
$598.20
|
|
Hdr rdncl skn surf brachytx
|
$469.20 |
$469.20 |
$469.20 |
$758.32
|
|
Head CT scan (with and without contrast)
|
$2,661.00 |
$2,661.00 |
$2,661.00 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$2,132.40 |
$2,132.40 |
$2,132.40 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$140.40 |
$140.40 |
$140.40 |
$91.98
|
|
Hematocrit
|
$75.00 |
$75.00 |
$75.00 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,764.60 |
$1,764.60 |
$1,764.60 |
$1,319.44
|
|
Hemoglobin
|
$70.20 |
$70.20 |
$70.20 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$102.00 |
$102.00 |
$102.00 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$240.00 |
$240.00 |
$240.00 |
$53.60
|
|
Hemoglobin-oxygen affinity
|
$292.20 |
$292.20 |
$292.20 |
$84.76
|
|
Hemoglobin plasma
|
$150.00 |
$150.00 |
$150.00 |
$41.25
|
|
Hemophilus influenza antibdy
|
$50.40 |
$50.40 |
$50.40 |
$62.70
|
|
Heparin assay
|
$477.60 |
$477.60 |
$477.60 |
$140.10
|
|
Hepatitis a antibody igm
|
$289.20 |
$289.20 |
$289.20 |
$87.75
|
|
Hepatitis b core antibody igm
|
$93.60 |
$93.60 |
$93.60 |
$87.98
|
|
Hepatitis b core antibody total
|
$228.60 |
$228.60 |
$228.60 |
$77.50
|
|
Hepatitis b surface antibody
|
$153.60 |
$153.60 |
$153.60 |
$82.05
|
|
Hepatitis c antibody
|
$303.00 |
$303.00 |
$303.00 |
$108.00
|
|
Hepatitis d quantification
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$91.28
|
|
Hepatobiliary system imaging
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$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
|
$140.40 |
$140.40 |
$140.40 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$150.60 |
$150.60 |
$150.60 |
$87.10
|
|
Herpes simplex virus isolation
|
$43.20 |
$43.20 |
$43.20 |
$104.10
|
|
Heterophile antibodies screening
|
$138.00 |
$138.00 |
$138.00 |
$74.00
|
|
Hhv-6 dna quant
|
$525.60 |
$525.60 |
$525.60 |
$246.35
|
|
Hip X-ray
|
$354.00 |
$354.00 |
$354.00 |
$292.05
|
|
Histamine
|
$312.60 |
$312.60 |
$312.60 |
$115.00
|
|
Histochemical stains add-on
|
$195.00 |
$195.00 |
$195.00 |
$153.29
|
|
Hla ii typing 1 loc hr
|
$895.20 |
$895.20 |
$895.20 |
$290.94
|
|
Hla i typing complete lr
|
$754.20 |
$754.20 |
$754.20 |
$728.88
|
|
Hla i typing high res 1 allele grp ea
|
$829.20 |
$829.20 |
$829.20 |
$293.15
|
|
Hla typing dr/dq
|
$394.20 |
$394.20 |
$394.20 |
$198.00
|
|
Hocm 250-299mg/ml iodine,1ml
|
$8.40 |
$8.40 |
$8.40 |
$36.41
|
|
Hocm 350-399mg/ml iodine,1ml
|
$11.40 |
$11.40 |
$11.40 |
$79.78
|
|
Home sleep test/type 3 porta
|
$691.20 |
$691.20 |
$691.20 |
$579.26
|
|
Homocysteine
|
$111.60 |
$111.60 |
$111.60 |
$121.92
|
|
Homogenization tissue
|
$60.00 |
$60.00 |
$60.00 |
$39.20
|
|
Homovanillic acid (hva)
|
$244.80 |
$244.80 |
$244.80 |
$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
|
$165.00 |
$165.00 |
$165.00 |
$213.00
|
|
Hrdtry cardmypy gene panel
|
$8,592.00 |
$8,592.00 |
$8,592.00 |
$1,276.00
|
|
Hrdtry perph neurphy panel
|
$6,975.00 |
$6,975.00 |
$6,975.00 |
$1,951.80
|
|
Htt gene detc abnor alleles
|
$874.20 |
$874.20 |
$874.20 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$363.60 |
$363.60 |
$363.60 |
$157.32
|
|
Hydration IV infusion each additional hour
|
$194.40 |
$194.40 |
$194.40 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$412.80 |
$412.80 |
$412.80 |
$383.00
|
|
Hysterosalpingography s&i
|
$620.40 |
$620.40 |
$620.40 |
$651.85
|
|
Idh1 common variants
|
$586.80 |
$586.80 |
$586.80 |
$406.90
|
|
Idh2 common variants
|
$897.60 |
$897.60 |
$897.60 |
$486.00
|
|
Ifnl3 gene
|
$1,018.80 |
$1,018.80 |
$1,018.80 |
$143.40
|
|
Igh gene rearrange amp meth
|
$705.00 |
$705.00 |
$705.00 |
$456.54
|
|
Igh@ var region somatic mutation analy
|
$1,734.60 |
$1,734.60 |
$1,734.60 |
$660.80
|
