|
Ghs musc test done w/n test comp
|
$405.00 |
$405.00 |
$405.00 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$405.00 |
$405.00 |
$405.00 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$606.00 |
$606.00 |
$606.00 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$2,369.00 |
$2,369.00 |
$2,369.00 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$818.00 |
$818.00 |
$818.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$3,359.00 |
$3,359.00 |
$3,359.00 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,294.00 |
$1,294.00 |
$1,294.00 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,538.00 |
$1,538.00 |
$1,538.00 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$3,359.00 |
$3,359.00 |
$3,359.00 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$3,359.00 |
$3,359.00 |
$3,359.00 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,543.00 |
$2,543.00 |
$2,543.00 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$485.00
|
|
Ghs o2 saturation
|
$21.00 |
$21.00 |
$21.00 |
$69.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$406.00 |
$406.00 |
$406.00 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$2,609.00 |
$2,609.00 |
$2,609.00 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$6,746.00 |
$6,746.00 |
$6,746.00 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$106.00 |
$106.00 |
$106.00 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$106.00 |
$106.00 |
$106.00 |
$64.50
|
|
Ghs ot prosthetic training/15 min
|
$114.00 |
$114.00 |
$114.00 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$131.00 |
$131.00 |
$131.00 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$1,830.00 |
$1,830.00 |
$1,830.00 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$880.00 |
$880.00 |
$880.00 |
$853.65
|
|
Ghs peritonsillar abscess i andd
|
$750.00 |
$750.00 |
$750.00 |
$555.00
|
|
Ghs picc line insert < 5
|
$4,961.00 |
$4,961.00 |
$4,961.00 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$564.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$4,096.00 |
$4,096.00 |
$4,096.00 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$39.00 |
$39.00 |
$39.00 |
$37.44
|
|
Ghs protoporphyrins fract
|
$30.00 |
$30.00 |
$30.00 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$207.00 |
$207.00 |
$207.00 |
$147.00
|
|
Ghs removal intranasal foreign body
|
$451.00 |
$451.00 |
$451.00 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$638.00 |
$638.00 |
$638.00 |
$441.68
|
|
Ghs semen analysis fert
|
$149.00 |
$149.00 |
$149.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$53.00 |
$53.00 |
$53.00 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$758.00 |
$758.00 |
$758.00 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$958.00 |
$958.00 |
$958.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$872.00 |
$872.00 |
$872.00 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$758.00 |
$758.00 |
$758.00 |
$590.88
|
|
Ghs sleep study unattended
|
$1,393.00 |
$1,393.00 |
$1,393.00 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$964.00 |
$964.00 |
$964.00 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,237.00 |
$2,237.00 |
$2,237.00 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$117.00 |
$117.00 |
$117.00 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$575.00 |
$575.00 |
$575.00 |
$252.75
|
|
Ghs st - eval for alt comm
|
$175.00 |
$175.00 |
$175.00 |
$96.40
|
|
Ghs st - re-eval for alt comm
|
$592.00 |
$592.00 |
$592.00 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$2,056.00 |
$2,056.00 |
$2,056.00 |
$953.27
|
|
Ghs tx distal phalangeal fx with manipulation
|
$893.00 |
$893.00 |
$893.00 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$28.98 |
$28.98 |
$28.98 |
$73.80
|
|
Ghs vaginal delivery only
|
$8,137.00 |
$8,137.00 |
$8,137.00 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,843.00 |
$1,843.00 |
$1,843.00 |
$1,932.00
|
|
Gi inhouse confirmation
|
$20.00 |
$20.00 |
$20.00 |
$87.75
|
|
Glucagon plasma - sendout
|
$39.43 |
$39.43 |
$39.43 |
$64.35
|
|
Glucose 1 hr post dose
|
$21.00 |
$21.00 |
$21.00 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$25.00 |
$25.00 |
$25.00 |
$23.12
|
|
Glucose blood quantitative
|
$35.00 |
$35.00 |
$35.00 |
$42.25
|
|
Glucose body fluid
|
$24.00 |
$24.00 |
$24.00 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$184.00 |
$184.00 |
$184.00 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$57.00 |
$57.00 |
$57.00 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$19.00 |
$19.00 |
$19.00 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$146.00 |
$146.00 |
$146.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$160.00 |
$160.00 |
$160.00 |
$129.03
|
|
Great toe with reduction 28495
|
$893.00 |
$893.00 |
$893.00 |
$495.00
|
|
Growth hormone panel
|
$173.00 |
$173.00 |
$173.00 |
$173.00
|
|
G-tube reposition
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$1,372.15
|
|
Guid loc target vol rad tx
|
$1,959.00 |
$1,959.00 |
$1,959.00 |
$535.60
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$193.00 |
$193.00 |
$193.00 |
$105.30
|
|
Hand X-ray
|
$452.12 |
$452.12 |
$452.12 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$392.52 |
$392.52 |
$392.52 |
$294.90
|
|
Haptoglobin quantitative
|
$56.00 |
$56.00 |
$56.00 |
$92.80
|
|
Hast w/oxygen titrate
|
$460.00 |
$460.00 |
$460.00 |
$347.20
|
|
Hbot, full body chamber, 30m
|
$2,313.00 |
$2,313.00 |
$2,313.00 |
$526.90
|
|
Hcg qualitative
|
$37.00 |
$37.00 |
$37.00 |
$90.10
|
|
Hcg quantitative
|
$67.00 |
$67.00 |
$67.00 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$97.51 |
$97.51 |
$97.51 |
$113.12
|
|
Hc nm kidney imaging with flow
|
$1,379.00 |
$1,379.00 |
$1,379.00 |
$849.00
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$571.00 |
$571.00 |
$571.00 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,725.00 |
$2,725.00 |
$2,725.00 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,894.00 |
$3,894.00 |
$3,894.00 |
$3,706.29
|
|
Head CT scan (with and without contrast)
|
$3,161.00 |
$3,161.00 |
$3,161.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,930.00 |
$2,930.00 |
$2,930.00 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$2,244.00 |
$2,244.00 |
$2,244.00 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$308.00 |
$308.00 |
$308.00 |
$276.00
|
|
Hematocrit
|
$21.00 |
$21.00 |
$21.00 |
$33.80
|
|
Hemodialysis one evaluation
|
$2,896.00 |
$2,896.00 |
$2,896.00 |
$1,364.27
|
|
Hemoglobin
|
$24.00 |
$24.00 |
$24.00 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$17.00 |
$17.00 |
$17.00 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$39.00 |
$39.00 |
$39.00 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$73.00 |
$73.00 |
$73.00 |
$89.13
|
|
Hemoglobin plasma
|
$32.00 |
$32.00 |
$32.00 |
$41.40
|
|
Hemolysins/agglutinins auto
|
$81.90 |
$81.90 |
$81.90 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$113.10 |
$113.10 |
$113.10 |
$61.79
|
|
Hemophilus influenza antibdy
|
$25.00 |
$25.00 |
$25.00 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,847.00 |
$2,847.00 |
$2,847.00 |
$1,178.02
|
