|
Ghs nerve block sciatic nerve
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$124.20 |
$124.20 |
$124.20 |
$485.00
|
|
Ghs ot dds rom
|
$35.10 |
$35.10 |
$35.10 |
$69.00
|
|
Ghs ot group caregiver training
|
$16.05 |
$16.05 |
$16.05 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$145.80 |
$145.80 |
$145.80 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$129.65 |
$129.65 |
$129.65 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$427.85 |
$427.85 |
$427.85 |
$830.53
|
|
Ghs peritonsillar abscess i andd
|
$522.75 |
$522.75 |
$522.75 |
$555.00
|
|
Ghs plngl fx pm cl
|
$752.10 |
$752.10 |
$752.10 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$133.92 |
$133.92 |
$133.92 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$115.30 |
$115.30 |
$115.30 |
$43.55
|
|
Ghs protoporphyrins fract
|
$149.70 |
$149.70 |
$149.70 |
$60.75
|
|
Ghs removal intranasal foreign body
|
$467.40 |
$467.40 |
$467.40 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$331.00 |
$331.00 |
$331.00 |
$441.68
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,786.10 |
$4,786.10 |
$4,786.10 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$125.95 |
$125.95 |
$125.95 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$153.85 |
$153.85 |
$153.85 |
$99.00
|
|
Ghs sedimentation rate
|
$86.35 |
$86.35 |
$86.35 |
$45.50
|
|
Ghs semen analysis fert
|
$159.35 |
$159.35 |
$159.35 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$116.05 |
$116.05 |
$116.05 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$492.50 |
$492.50 |
$492.50 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$540.10 |
$540.10 |
$540.10 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$539.85 |
$539.85 |
$539.85 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$434.30 |
$434.30 |
$434.30 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$395.80 |
$395.80 |
$395.80 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$545.50 |
$545.50 |
$545.50 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$369.35 |
$369.35 |
$369.35 |
$590.88
|
|
Ghs sphenopalatine ganglion block
|
$420.45 |
$420.45 |
$420.45 |
$630.24
|
|
Ghs strapping shoulder - 29240
|
$195.75 |
$195.75 |
$195.75 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$867.40 |
$867.40 |
$867.40 |
$953.27
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,996.25 |
$1,996.25 |
$1,996.25 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$634.15 |
$634.15 |
$634.15 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$484.55 |
$484.55 |
$484.55 |
$513.80
|
|
Ghs urine, porphyrins quant
|
$28.85 |
$28.85 |
$28.85 |
$73.80
|
|
Ghs vaginal delivery only
|
$1,701.30 |
$1,701.30 |
$1,701.30 |
$3,341.93
|
|
Gi inhouse confirmation
|
$134.95 |
$134.95 |
$134.95 |
$87.75
|
|
Glaucoma surgery
|
$1,500.10 |
$1,500.10 |
$1,500.10 |
$4,786.53
|
|
Glucagon 1 mg solution for injection
|
$260.70 |
$260.70 |
$260.70 |
$613.79
|
|
Glucagon plasma - sendout
|
$180.85 |
$180.85 |
$180.85 |
$64.35
|
|
Glucose 1 hr post dose
|
$94.50 |
$94.50 |
$94.50 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$39.10 |
$39.10 |
$39.10 |
$23.12
|
|
Glucose blood quantitative
|
$86.00 |
$86.00 |
$86.00 |
$42.25
|
|
Glucose body fluid
|
$83.90 |
$83.90 |
$83.90 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$166.00 |
$166.00 |
$166.00 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$80.95 |
$80.95 |
$80.95 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$34.02 |
$34.02 |
$34.02 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$5,262.28 |
$5,262.28 |
$5,262.28 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$213.95 |
$213.95 |
$213.95 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$212.80 |
$212.80 |
$212.80 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$7,686.08 |
$7,686.08 |
$7,686.08 |
$4,417.13
|
|
Graft nerve adv 3-4x70mm
|
$6,651.00 |
$6,651.00 |
$6,651.00 |
$20,782.10
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$2,655.50 |
$2,655.50 |
$2,655.50 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$9,950.00 |
$9,950.00 |
$9,950.00 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$973.08 |
$973.08 |
$973.08 |
$2,905.40
|
|
Great toe with reduction 28495
|
$407.60 |
$407.60 |
$407.60 |
$495.00
|
|
Group mnt 2 or more 30 mins
|
$76.95 |
$76.95 |
$76.95 |
$43.12
|
|
Guide wire threaded 1.4x150mm
|
$263.33 |
$263.33 |
$263.33 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$36.91 |
$36.91 |
$36.91 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$345.00 |
$345.00 |
$345.00 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$471.38 |
$471.38 |
$471.38 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$72.78 |
$72.78 |
$72.78 |
$24.30
|
|
Hand-held pefr meter a4614
|
$36.00 |
$36.00 |
$36.00 |
$26.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$132.30 |
$132.30 |
$132.30 |
$105.30
|
|
Hand X-ray
|
$473.75 |
$473.75 |
$473.75 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$473.75 |
$473.75 |
$473.75 |
$294.90
|
|
Haptoglobin quantitative
|
$163.30 |
$163.30 |
$163.30 |
$92.80
|
|
Hbb gene com variants
|
$763.60 |
$763.60 |
$763.60 |
$345.95
|
|
Hcg qualitative
|
$120.05 |
$120.05 |
$120.05 |
$90.10
|
|
Hcg quantitative
|
$183.35 |
$183.35 |
$183.35 |
$139.20
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$2,262.10 |
$2,262.10 |
$2,262.10 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$2,411.90 |
$2,411.90 |
$2,411.90 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$2,262.10 |
$2,262.10 |
$2,262.10 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$3,247.35 |
$3,247.35 |
$3,247.35 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$3,247.35 |
$3,247.35 |
$3,247.35 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,382.10 |
$1,382.10 |
$1,382.10 |
$1,268.90
|
|
Heart first pass multiple
|
$2,262.10 |
$2,262.10 |
$2,262.10 |
$1,422.05
|
|
Heart infarct image
|
$1,002.80 |
$1,002.80 |
$1,002.80 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$473.75 |
$473.75 |
$473.75 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$179.50 |
$179.50 |
$179.50 |
$92.00
|
|
Hematocrit
|
$76.95 |
$76.95 |
$76.95 |
$33.80
|
|
Hemoglobin
|
$76.40 |
$76.40 |
$76.40 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$216.10 |
$216.10 |
$216.10 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$180.85 |
$180.85 |
$180.85 |
$89.13
|
|
Hemoglobin plasma
|
$99.85 |
$99.85 |
$99.85 |
$41.40
|
|
Hemophilus influenza antibdy
|
$28.85 |
$28.85 |
$28.85 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,269.45 |
$1,269.45 |
$1,269.45 |
$1,178.02
|
|
Heparin assay
|
$167.35 |
$167.35 |
$167.35 |
$139.15
|
|
Heparin bolus from bag
|
$200.46 |
$200.46 |
$200.46 |
$66.06
|
|
Hepatitis a antibody igm
|
$149.75 |
$149.75 |
$149.75 |
$89.44
|
|
Hepatitis b core antibody igm
|
$156.55 |
$156.55 |
$156.55 |
$89.60
|
|
Hepatitis b core antibody total
|
$159.35 |
$159.35 |
$159.35 |
$77.50
|
|
Hepatitis b surface antibody
|
$144.40 |
$144.40 |
$144.40 |
$82.32
|
|
Hepatitis c antibody
|
$139.00 |
$139.00 |
$139.00 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$141.95 |
$141.95 |
$141.95 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$182.50 |
$182.50 |
$182.50 |
$87.36
|
|
Heterophile antibodies screening
|
$98.55 |
$98.55 |
$98.55 |
$73.87
|
|
Hexa gene
|
$250.45 |
$250.45 |
$250.45 |
$150.82
|
|
Hhv-6 dna quant
|
$202.05 |
$202.05 |
$202.05 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$473.75 |
$473.75 |
$473.75 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$473.75 |
$473.75 |
$473.75 |
$424.80
|
