|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$880.00 |
$880.00 |
$880.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$674.40 |
$674.40 |
$674.40 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$887.20 |
$887.20 |
$887.20 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$946.40 |
$946.40 |
$946.40 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$929.60 |
$929.60 |
$929.60 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$999.20 |
$999.20 |
$999.20 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,158.40 |
$1,158.40 |
$1,158.40 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$874.40 |
$874.40 |
$874.40 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,857.60 |
$1,857.60 |
$1,857.60 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$1,064.98
|
|
Ghs moderate sedation ea addtl 15 min
|
$173.60 |
$173.60 |
$173.60 |
$150.00
|
|
Ghs myocardial strain img spckl track
|
$500.00 |
$500.00 |
$500.00 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$980.00 |
$980.00 |
$980.00 |
$724.37
|
|
Ghs ot group caregiver training
|
$56.80 |
$56.80 |
$56.80 |
$34.80
|
|
Ghs ot work hardening-additional hours
|
$153.60 |
$153.60 |
$153.60 |
$126.40
|
|
Ghs phenylketonurid
|
$105.60 |
$105.60 |
$105.60 |
$53.76
|
|
Ghs plngl fx pm cl
|
$664.00 |
$664.00 |
$664.00 |
$564.80
|
|
Ghs pt - work hardening/int 2hrs
|
$337.60 |
$337.60 |
$337.60 |
$285.60
|
|
Ghs removal intranasal foreign body
|
$321.60 |
$321.60 |
$321.60 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$380.80 |
$380.80 |
$380.80 |
$441.68
|
|
Ghs sedimentation rate
|
$38.40 |
$38.40 |
$38.40 |
$45.50
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$474.40 |
$474.40 |
$474.40 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$680.80 |
$680.80 |
$680.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$729.60 |
$729.60 |
$729.60 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$683.20 |
$683.20 |
$683.20 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$365.60 |
$365.60 |
$365.60 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$454.40 |
$454.40 |
$454.40 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$520.00 |
$520.00 |
$520.00 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$696.00 |
$696.00 |
$696.00 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$640.00 |
$640.00 |
$640.00 |
$537.60
|
|
Ghs sleep study unattended
|
$376.00 |
$376.00 |
$376.00 |
$503.38
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$802.40 |
$802.40 |
$802.40 |
$695.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$641.60 |
$641.60 |
$641.60 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$57.60 |
$57.60 |
$57.60 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,338.40 |
$3,338.40 |
$3,338.40 |
$3,341.93
|
|
Ghs windowing of cast
|
$284.00 |
$284.00 |
$284.00 |
$212.55
|
|
Gi inhouse confirmation
|
$44.80 |
$44.80 |
$44.80 |
$87.75
|
|
Glucagon 1 mg solution for injection
|
$279.39 |
$279.39 |
$279.39 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$238.84 |
$238.84 |
$238.84 |
$491.67
|
|
Glucose 1 hr post dose
|
$60.80 |
$60.80 |
$60.80 |
$49.00
|
|
Glucose blood quantitative
|
$44.80 |
$44.80 |
$44.80 |
$42.25
|
|
Glucose body fluid
|
$48.00 |
$48.00 |
$48.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$124.80 |
$124.80 |
$124.80 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$27.20 |
$27.20 |
$27.20 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$27.45 |
$27.45 |
$27.45 |
$37.40
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$83.20 |
$83.20 |
$83.20 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$73.60 |
$73.60 |
$73.60 |
$129.03
|
|
Graft axiofill 1000mg
|
$3,264.31 |
$3,264.31 |
$3,264.31 |
$5,125.68
|
|
Ground mileage
|
$24.80 |
$24.80 |
$24.80 |
$17.60
|
|
Group train without patient
|
$56.80 |
$56.80 |
$56.80 |
$47.60
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$27.87 |
$27.87 |
$27.87 |
$24.30
|
|
Handle/convey/speciman/office-lab 99000
|
$35.20 |
$35.20 |
$35.20 |
$23.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$108.80 |
$108.80 |
$108.80 |
$105.30
|
|
Hand X-ray
|
$329.60 |
$329.60 |
$329.60 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$280.80 |
$280.80 |
$280.80 |
$294.90
|
|
Haptoglobin quantitative
|
$68.00 |
$68.00 |
$68.00 |
$92.80
|
|
Hcg qualitative
|
$88.00 |
$88.00 |
$88.00 |
$90.10
|
|
Hcg quantitative
|
$98.40 |
$98.40 |
$98.40 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,337.60 |
$2,337.60 |
$2,337.60 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,254.40 |
$2,254.40 |
$2,254.40 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,663.20 |
$1,663.20 |
$1,663.20 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$230.40 |
$230.40 |
$230.40 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$76.00 |
$76.00 |
$76.00 |
$92.00
|
|
Hematocrit
|
$20.00 |
$20.00 |
$20.00 |
$33.80
|
|
Hemoglobin
|
$19.20 |
$19.20 |
$19.20 |
$33.54
|
|
Hemoglobin plasma
|
$28.80 |
$28.80 |
$28.80 |
$41.40
|
|
Hemophilus influenza antibdy
|
$56.80 |
$56.80 |
$56.80 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,644.80 |
$1,644.80 |
$1,644.80 |
$1,178.02
|
|
Heparin assay
|
$48.80 |
$48.80 |
$48.80 |
$139.15
|
|
Heparin bolus from bag
|
$71.20 |
$71.20 |
$71.20 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$2.00 |
$2.00 |
$2.00 |
$12.00
|
|
Hepatitis a antibody igm
|
$45.60 |
$45.60 |
$45.60 |
$89.44
|
|
Hepatitis b core antibody igm
|
$45.60 |
$45.60 |
$45.60 |
$89.60
|
|
Hepatitis b core antibody total
|
$72.00 |
$72.00 |
$72.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$68.80 |
$68.80 |
$68.80 |
$82.32
|
|
Hepatitis c antibody
|
$66.40 |
$66.40 |
$66.40 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$58.40 |
$58.40 |
$58.40 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$64.80 |
$64.80 |
$64.80 |
$87.36
|
|
Heterophile antibodies screening
|
$58.40 |
$58.40 |
$58.40 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$424.00 |
$424.00 |
$424.00 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$609.60 |
$609.60 |
$609.60 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$251.20 |
$251.20 |
$251.20 |
$233.50
|
|
Hip X-ray
|
$340.80 |
$340.80 |
$340.80 |
$294.75
|
|
Hla class i high defin qual
|
$207.20 |
$207.20 |
$207.20 |
$631.15
|
|
Hla class ii high defin qual
|
$182.40 |
$182.40 |
$182.40 |
$569.25
|
|
Hla ii typing 1 loc hr
|
$106.40 |
$106.40 |
$106.40 |
$299.20
|
|
Hla ii typing ag equiv lr
|
$448.80 |
$448.80 |
$448.80 |
$475.00
|
|
Hla i low res one antigen equiv ea
|
$145.60 |
$145.60 |
$145.60 |
$164.00
|
|
Hla i typing complete lr
|
$462.40 |
$462.40 |
$462.40 |
$720.00
|
|
Homocysteine
|
$96.00 |
$96.00 |
$96.00 |
$125.40
|
|
Homogenization tissue
|
$38.40 |
$38.40 |
$38.40 |
$41.30
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$94.16 |
$94.16 |
$94.16 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$26.56 |
$26.56 |
$26.56 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$39.23 |
$39.23 |
$39.23 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$24.82 |
$24.82 |
$24.82 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$37.12 |
$37.12 |
$37.12 |
$294.92
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$102.71 |
$102.71 |
$102.71 |
$684.45
|
|
Igh@ var region somatic mutation analy
|
$718.40 |
$718.40 |
$718.40 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$164.80 |
$164.80 |
$164.80 |
$191.52
|