|
Ghs pr without cont pulse ox
|
$263.20 |
$263.20 |
$263.20 |
$147.00
|
|
Ghs removal intranasal foreign body
|
$349.60 |
$349.60 |
$349.60 |
$283.24
|
|
Ghs rsv eia (respir synctial vrs)
|
$117.60 |
$117.60 |
$117.60 |
$99.00
|
|
Ghs sensitivity (per antimicro)
|
$83.20 |
$83.20 |
$83.20 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$645.60 |
$645.60 |
$645.60 |
$570.60
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$584.00 |
$584.00 |
$584.00 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$429.60 |
$429.60 |
$429.60 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$620.80 |
$620.80 |
$620.80 |
$489.72
|
|
Ghs sleep study unattended
|
$608.00 |
$608.00 |
$608.00 |
$503.38
|
|
Ghs urine, porphyrins quant
|
$57.60 |
$57.60 |
$57.60 |
$73.80
|
|
Ghs vaginal delivery only
|
$2,848.80 |
$2,848.80 |
$2,848.80 |
$3,341.93
|
|
Gi inhouse confirmation
|
$68.00 |
$68.00 |
$68.00 |
$87.75
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$384.37 |
$384.37 |
$384.37 |
$491.67
|
|
Glucose 1 hr post dose
|
$50.40 |
$50.40 |
$50.40 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$29.60 |
$29.60 |
$29.60 |
$23.12
|
|
Glucose blood quantitative
|
$47.20 |
$47.20 |
$47.20 |
$42.25
|
|
Glucose body fluid
|
$52.00 |
$52.00 |
$52.00 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$160.00 |
$160.00 |
$160.00 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$166.40 |
$166.40 |
$166.40 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$47.20 |
$47.20 |
$47.20 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$62.96 |
$62.96 |
$62.96 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,234.23 |
$3,234.23 |
$3,234.23 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$132.80 |
$132.80 |
$132.80 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$131.20 |
$131.20 |
$131.20 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,235.20 |
$1,235.20 |
$1,235.20 |
$4,417.13
|
|
Graft axiofill 1000mg
|
$2,941.20 |
$2,941.20 |
$2,941.20 |
$5,125.68
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,517.60 |
$1,517.60 |
$1,517.60 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$454.40 |
$454.40 |
$454.40 |
$2,905.40
|
|
Granisetron hcl injection
|
$64.05 |
$64.05 |
$64.05 |
$45.03
|
|
Great toe with reduction 28495
|
$466.40 |
$466.40 |
$466.40 |
$495.00
|
|
Ground mileage
|
$23.20 |
$23.20 |
$23.20 |
$17.60
|
|
Group train without patient
|
$50.40 |
$50.40 |
$50.40 |
$47.60
|
|
G-tube reposition
|
$1,251.20 |
$1,251.20 |
$1,251.20 |
$771.36
|
|
Guide wire threaded 1.4x150mm
|
$195.20 |
$195.20 |
$195.20 |
$3,284.36
|
|
Gw stiffened micro access kit
|
$110.40 |
$110.40 |
$110.40 |
$6,893.38
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$66.32 |
$66.32 |
$66.32 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$120.80 |
$120.80 |
$120.80 |
$105.30
|
|
Hand X-ray
|
$368.80 |
$368.80 |
$368.80 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$329.60 |
$329.60 |
$329.60 |
$294.90
|
|
Haptoglobin quantitative
|
$143.20 |
$143.20 |
$143.20 |
$92.80
|
|
Hcg qualitative
|
$68.80 |
$68.80 |
$68.80 |
$90.10
|
|
Hcg quantitative
|
$162.40 |
$162.40 |
$162.40 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,569.60 |
$2,569.60 |
$2,569.60 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,384.80 |
$2,384.80 |
$2,384.80 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,952.80 |
$1,952.80 |
$1,952.80 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$329.60 |
$329.60 |
$329.60 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$184.00 |
$184.00 |
$184.00 |
$92.00
|
|
Hematocrit
|
$47.20 |
$47.20 |
$47.20 |
$33.80
|
|
Hemoglobin
|
$40.00 |
$40.00 |
$40.00 |
$33.54
|
|
Hemoglobin plasma
|
$97.60 |
$97.60 |
$97.60 |
$41.40
|
|
Hemophilus influenza antibdy
|
$56.80 |
$56.80 |
$56.80 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,665.60 |
$1,665.60 |
$1,665.60 |
$1,178.02
|
|
Hepagam b intravenous, inj
|
$252.69 |
$252.69 |
$252.69 |
$386.40
|
|
Heparin assay
|
$155.20 |
$155.20 |
$155.20 |
$139.15
|
|
Heparin bolus from bag
|
$130.43 |
$130.43 |
$130.43 |
$66.06
|
|
Hepatitis a antibody igm
|
$69.60 |
$69.60 |
$69.60 |
$89.44
|
|
Hepatitis b core antibody igm
|
$155.20 |
$155.20 |
$155.20 |
$89.60
|
|
Hepatitis b core antibody total
|
$95.20 |
$95.20 |
$95.20 |
$77.50
|
|
Hepatitis b surface antibody
|
$95.20 |
$95.20 |
$95.20 |
$82.32
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$216.15 |
$216.15 |
$216.15 |
$210.40
|
|
Hepatitis c antibody
|
$144.80 |
$144.80 |
$144.80 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$88.00 |
$88.00 |
$88.00 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$88.00 |
$88.00 |
$88.00 |
$87.36
|
|
Heterophile antibodies screening
|
$67.20 |
$67.20 |
$67.20 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$440.80 |
$440.80 |
$440.80 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$504.00 |
$504.00 |
$504.00 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$296.00 |
$296.00 |
$296.00 |
$233.50
|
|
Hip X-ray
|
$362.40 |
$362.40 |
$362.40 |
$294.75
|
|
Hla ii typing 1 loc hr
|
$299.20 |
$299.20 |
$299.20 |
$299.20
|
|
Home sleep test/type 3 porta
|
$698.40 |
$698.40 |
$698.40 |
$570.00
|
|
Homocysteine
|
$96.00 |
$96.00 |
$96.00 |
$125.40
|
|
H pylori (c-13) breath
|
$250.40 |
$250.40 |
$250.40 |
$212.25
|
|
Hyaluronidase 150 unit/ml injection solution
|
$85.18 |
$85.18 |
$85.18 |
$126.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$98.44 |
$98.44 |
$98.44 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$89.89 |
$89.89 |
$89.89 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$73.76 |
$73.76 |
$73.76 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$62.67 |
$62.67 |
$62.67 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$85.00 |
$85.00 |
$85.00 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$61.98 |
$61.98 |
$61.98 |
$72.65
|
|
Hysterosalpingography s&i
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$669.12
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$267.33 |
$267.33 |
$267.33 |
$352.24
|
|
I-123 sod iodide diag per 100 uci
|
$224.80 |
$224.80 |
$224.80 |
$147.46
|
|
Igh@ var region somatic mutation analy
|
$718.40 |
$718.40 |
$718.40 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$159.20 |
$159.20 |
$159.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$367.20 |
$367.20 |
$367.20 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$174.40 |
$174.40 |
$174.40 |
$277.90
|
|
Immobilizer shldr cntor adlt
|
$37.60 |
$37.60 |
$37.60 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$167.20 |
$167.20 |
$167.20 |
$118.43
|
|
Immunoassay tumor antigen quantitative ca 125
|
$101.60 |
$101.60 |
$101.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$101.60 |
$101.60 |
$101.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$48.80 |
$48.80 |
$48.80 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$144.80 |
$144.80 |
$144.80 |
$142.50
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,747.20 |
$3,747.20 |
$3,747.20 |
$2,086.70
|
|
Incision of tendon sheath
|
$4,356.00 |
$4,356.00 |
$4,356.00 |
$2,263.68
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$142.40 |
$142.40 |
$142.40 |
$140.80
|
|
Infect ag ia optc obs influenza
|
$60.80 |
$60.80 |
$60.80 |
$72.93
|
|
Infect ag na hpv high-risk types
|
$142.40 |
$142.40 |
$142.40 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$248.80 |
$248.80 |
$248.80 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$151.20 |
$151.20 |
$151.20 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$144.00 |
$144.00 |
$144.00 |
$83.60
|
