|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$540.40 |
$540.40 |
$540.40 |
$993.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$66.00 |
$66.00 |
$66.00 |
$62.28
|
|
Ghs low level laser therapy
|
$19.20 |
$19.20 |
$19.20 |
$106.00
|
|
Ghs nerve blk intercostal, ea addtl level
|
$693.60 |
$693.60 |
$693.60 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$693.60 |
$693.60 |
$693.60 |
$1,232.23
|
|
Ghs nerve block interscaline
|
$714.80 |
$714.80 |
$714.80 |
$1,574.21
|
|
Ghs nerve block lumbar or thoracic symp
|
$714.80 |
$714.80 |
$714.80 |
$2,079.21
|
|
Ghs nerve block sciatic nerve
|
$714.80 |
$714.80 |
$714.80 |
$1,745.25
|
|
Ghs ot prosthetic training/15 min
|
$64.80 |
$64.80 |
$64.80 |
$92.35
|
|
Ghs ot work hardening-additional hours
|
$30.00 |
$30.00 |
$30.00 |
$113.35
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$610.00 |
$610.00 |
$610.00 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$679.60 |
$679.60 |
$679.60 |
$849.47
|
|
Ghs phenylketonurid
|
$25.20 |
$25.20 |
$25.20 |
$61.20
|
|
Ghs plngl fx pm cl
|
$565.60 |
$565.60 |
$565.60 |
$611.64
|
|
Ghs protoporphyrins fract
|
$38.80 |
$38.80 |
$38.80 |
$68.38
|
|
Ghs pt - work hardening/int 2hrs
|
$162.40 |
$162.40 |
$162.40 |
$230.40
|
|
Ghs removal intranasal foreign body
|
$466.80 |
$466.80 |
$466.80 |
$320.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$70.40 |
$70.40 |
$70.40 |
$117.60
|
|
Ghs sedimentation rate
|
$39.20 |
$39.20 |
$39.20 |
$36.57
|
|
Ghs sensitivity (per antimicro)
|
$25.60 |
$25.60 |
$25.60 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$402.40 |
$402.40 |
$402.40 |
$535.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$765.20 |
$765.20 |
$765.20 |
$563.75
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$236.80 |
$236.80 |
$236.80 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$287.60 |
$287.60 |
$287.60 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$402.40 |
$402.40 |
$402.40 |
$495.00
|
|
Ghs urine, porphyrins quant
|
$62.80 |
$62.80 |
$62.80 |
$85.15
|
|
Ghs vaginal delivery only
|
$1,778.00 |
$1,778.00 |
$1,778.00 |
$3,341.93
|
|
Giardia lamblia antibody
|
$70.00 |
$70.00 |
$70.00 |
$81.60
|
|
Gi inhouse confirmation
|
$36.80 |
$36.80 |
$36.80 |
$79.50
|
|
Glucagon plasma - sendout
|
$87.60 |
$87.60 |
$87.60 |
$67.50
|
|
Glucose 1 hr post dose
|
$47.20 |
$47.20 |
$47.20 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$29.20 |
$29.20 |
$29.20 |
$20.00
|
|
Glucose blood quantitative
|
$52.40 |
$52.40 |
$52.40 |
$40.80
|
|
Glucose body fluid
|
$42.80 |
$42.80 |
$42.80 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$174.40 |
$174.40 |
$174.40 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$16.00 |
$16.00 |
$16.00 |
$33.15
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$86.80 |
$86.80 |
$86.80 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$90.40 |
$90.40 |
$90.40 |
$117.65
|
|
Hand X-ray
|
$178.80 |
$178.80 |
$178.80 |
$317.78
|
|
Haptoglobin quantitative
|
$79.60 |
$79.60 |
$79.60 |
$75.00
|
|
Hcg qualitative
|
$82.80 |
$82.80 |
$82.80 |
$72.50
|
|
Hcg quantitative
|
$113.60 |
$113.60 |
$113.60 |
$105.00
|
|
Hc metata joint dislocation anes
|
$404.80 |
$404.80 |
$404.80 |
$1,964.56
|
|
Head CT scan (with and without contrast)
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,145.60 |
$1,145.60 |
$1,145.60 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,018.00 |
$1,018.00 |
$1,018.00 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$27.20 |
$27.20 |
$27.20 |
$84.80
|
|
Hematocrit
|
$26.80 |
$26.80 |
$26.80 |
$32.50
|
|
Hemoglobin
|
$23.20 |
$23.20 |
$23.20 |
$28.60
|
|
Hemoglobin plasma
|
$70.00 |
$70.00 |
$70.00 |
$43.80
|
|
Heparin assay
|
$49.20 |
$49.20 |
$49.20 |
$107.50
|
|
Hepatitis a antibody igm
|
$44.00 |
$44.00 |
$44.00 |
$80.60
|
|
Hepatitis b core antibody igm
|
$85.20 |
$85.20 |
$85.20 |
$85.80
|
|
Hepatitis b core antibody total
|
$64.40 |
$64.40 |
$64.40 |
$84.75
|
|
Hepatitis b surface antibody
|
$74.80 |
$74.80 |
$74.80 |
$81.12
|
|
Hepatitis c antibody
|
$126.00 |
$126.00 |
$126.00 |
$106.50
|
|
Herpes simplex type 1 antibody igg
|
$42.80 |
$42.80 |
$42.80 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$61.20 |
$61.20 |
$61.20 |
$96.20
|
|
Heterophile antibodies screening
|
$60.00 |
$60.00 |
$60.00 |
$59.40
|
|
Hip X-ray
|
$246.00 |
$246.00 |
$246.00 |
$262.64
|
|
Histamine
|
$104.00 |
$104.00 |
$104.00 |
$132.60
|
|
Hla i low res one antigen equiv ea
|
$75.20 |
$75.20 |
$75.20 |
$164.00
|
|
Homocysteine
|
$94.80 |
$94.80 |
$94.80 |
$100.00
|
|
Homovanillic acid (hva)
|
$30.80 |
$30.80 |
$30.80 |
$66.60
|
|
H pylori (c-13) breath
|
$143.20 |
$143.20 |
$143.20 |
$236.00
|
|
Hydration IV infusion each additional hour
|
$66.40 |
$66.40 |
$66.40 |
$125.45
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$148.80 |
$148.80 |
$148.80 |
$388.70
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$95.20 |
$95.20 |
$95.20 |
$86.45
|
|
#hypersens-actinomyces ab
|
$32.40 |
$32.40 |
$32.40 |
$32.76
|
|
Hysterosalpingography s&i
|
$402.00 |
$402.00 |
$402.00 |
$555.39
|
|
Igh@ var region somatic mutation analy
|
$304.80 |
$304.80 |
$304.80 |
$685.75
|
|
Ihc/icc per specimen each additional single antibody stain
|
$125.60 |
$125.60 |
$125.60 |
$187.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$161.20 |
$161.20 |
$161.20 |
$274.86
|
|
Immune complex assay
|
$74.00 |
$74.00 |
$74.00 |
$89.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$122.00 |
$122.00 |
$122.00 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$158.40 |
$158.40 |
$158.40 |
$117.00
|
|
Immunodiff gel qual ea antigen/ab
|
$44.00 |
$44.00 |
$44.00 |
$58.25
|
|
Immunofixation electrophoresis serum
|
$48.40 |
$48.40 |
$48.40 |
$133.38
|
|
Impl neurostim electr perc
|
$3,188.40 |
$3,188.40 |
$3,188.40 |
$7,636.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$181.20 |
$181.20 |
$181.20 |
$2,056.93
|
|
Infect ag eia influenza a or b ea
|
$100.40 |
$100.40 |
$100.40 |
$64.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$247.20 |
$247.20 |
$247.20 |
$619.11
|
|
Infect ag if pneumocystis carinii
|
$62.80 |
$62.80 |
$62.80 |
$53.81
|
|
Infect ag if varicella zoster
|
$72.80 |
$72.80 |
$72.80 |
$68.25
|
|
Infect ag na influenza r/amp 1st 2 types
|
$66.00 |
$66.00 |
$66.00 |
$248.80
|
|
Infect ag na resp virus 12-25 targets
|
$923.20 |
$923.20 |
$923.20 |
$878.20
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$82.80 |
$82.80 |
$82.80 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$46.80 |
$46.80 |
$46.80 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$82.80 |
$82.80 |
$82.80 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$58.00 |
$58.00 |
$58.00 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$102.40 |
$102.40 |
$102.40 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$36.40 |
$36.40 |
$36.40 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$93.60 |
$93.60 |
$93.60 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$90.40 |
$90.40 |
$90.40 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$27.20 |
$27.20 |
$27.20 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$318.40 |
$318.40 |
$318.40 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$96.80 |
$96.80 |
$96.80 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$82.80 |
$82.80 |
$82.80 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$171.60 |
$171.60 |
$171.60 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$39.60 |
$39.60 |
$39.60 |
$148.80
|
