|
Ghs pt - work hardening/int 2hrs
|
$213.20 |
$213.20 |
$213.20 |
$275.60
|
|
Ghs quinidine
|
$54.60 |
$54.60 |
$54.60 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$96.72 |
$96.72 |
$96.72 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$96.72 |
$96.72 |
$96.72 |
$459.90
|
|
Ghs repair tendon ext forearm/wrist ea
|
$2,671.76 |
$2,671.76 |
$2,671.76 |
$4,041.79
|
|
Ghs reticulocyte count
|
$13.00 |
$13.00 |
$13.00 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$68.12 |
$68.12 |
$68.12 |
$96.60
|
|
Ghs sedimentation rate
|
$14.56 |
$14.56 |
$14.56 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$39.00 |
$39.00 |
$39.00 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$335.92 |
$335.92 |
$335.92 |
$553.60
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$335.92 |
$335.92 |
$335.92 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$327.60 |
$327.60 |
$327.60 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$335.92 |
$335.92 |
$335.92 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$349.44 |
$349.44 |
$349.44 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$335.92 |
$335.92 |
$335.92 |
$582.00
|
|
Ghs speech-gen aug dev eval iii, st
|
$136.76 |
$136.76 |
$136.76 |
$146.40
|
|
Ghs sp train/fitting sp device - kx
|
$108.68 |
$108.68 |
$108.68 |
$250.50
|
|
Ghs strapping shoulder - 29240
|
$73.32 |
$73.32 |
$73.32 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$166.92 |
$166.92 |
$166.92 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$335.92 |
$335.92 |
$335.92 |
$861.75
|
|
Ghs urine, porphyrins quant
|
$106.60 |
$106.60 |
$106.60 |
$75.00
|
|
Ghs vaginal delivery only
|
$1,554.80 |
$1,554.80 |
$1,554.80 |
$3,152.00
|
|
Giardia ag if
|
$22.88 |
$22.88 |
$22.88 |
$39.13
|
|
Gi inhouse confirmation
|
$46.80 |
$46.80 |
$46.80 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$775.71 |
$775.71 |
$775.71 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$445.11 |
$445.11 |
$445.11 |
$491.67
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$14.04 |
$14.04 |
$14.04 |
$23.86
|
|
Glucose blood quantitative
|
$58.24 |
$58.24 |
$58.24 |
$40.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$56.68 |
$56.68 |
$56.68 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$10.92 |
$10.92 |
$10.92 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$454.27 |
$454.27 |
$454.27 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$43.68 |
$43.68 |
$43.68 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$64.48 |
$64.48 |
$64.48 |
$129.00
|
|
Ground mileage
|
$10.40 |
$10.40 |
$10.40 |
$17.55
|
|
Hand X-ray
|
$123.76 |
$123.76 |
$123.76 |
$356.00
|
|
Haptoglobin quantitative
|
$89.44 |
$89.44 |
$89.44 |
$91.14
|
|
Hbb gene dup/del variants
|
$328.12 |
$328.12 |
$328.12 |
$455.00
|
|
Hcg qualitative
|
$29.12 |
$29.12 |
$29.12 |
$89.70
|
|
Hcg quantitative
|
$33.28 |
$33.28 |
$33.28 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$848.12 |
$848.12 |
$848.12 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$713.96 |
$713.96 |
$713.96 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$683.80 |
$683.80 |
$683.80 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$185.12 |
$185.12 |
$185.12 |
$91.98
|
|
Hematocrit
|
$11.96 |
$11.96 |
$11.96 |
$33.57
|
|
Hemoglobin
|
$11.96 |
$11.96 |
$11.96 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$14.56 |
$14.56 |
$14.56 |
$53.60
|
|
Heparin assay
|
$18.20 |
$18.20 |
$18.20 |
$140.10
|
|
Hepatitis a antibody igm
|
$30.16 |
$30.16 |
$30.16 |
$87.75
|
|
Hepatitis b core antibody igm
|
$83.20 |
$83.20 |
$83.20 |
$87.98
|
|
Hepatitis b core antibody total
|
$45.24 |
$45.24 |
$45.24 |
$77.50
|
|
Hepatitis b surface ag quan
|
$25.48 |
$25.48 |
$25.48 |
$54.88
|
|
Hepatitis b surface antibody
|
$30.16 |
$30.16 |
$30.16 |
$82.05
|
|
Hepatitis c antibody
|
$32.24 |
$32.24 |
$32.24 |
$108.00
|
|
Hepatitis d quantification
|
$69.68 |
$69.68 |
$69.68 |
$91.28
|
|
Herpes simplex type 1 antibody igg
|
$37.96 |
$37.96 |
$37.96 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$37.96 |
$37.96 |
$37.96 |
$87.10
|
|
Heterophile antibodies screening
|
$19.76 |
$19.76 |
$19.76 |
$74.00
|
|
Hip X-ray
|
$199.68 |
$199.68 |
$199.68 |
$292.05
|
|
Hla class ii semiquant panel
|
$544.96 |
$544.96 |
$544.96 |
$724.80
|
|
Hla class i semiquant panel
|
$603.72 |
$603.72 |
$603.72 |
$802.40
|
|
Hla i low res one antigen equiv ea
|
$140.92 |
$140.92 |
$140.92 |
$161.70
|
|
Hla i typing high res 1 allele grp ea
|
$191.36 |
$191.36 |
$191.36 |
$293.15
|
|
Homocysteine
|
$32.24 |
$32.24 |
$32.24 |
$121.92
|
|
Homogenization tissue
|
$12.48 |
$12.48 |
$12.48 |
$39.20
|
|
Hpv combo assay ca screen
|
$44.20 |
$44.20 |
$44.20 |
$70.40
|
|
Hpv types 16 & 18 only
|
$71.24 |
$71.24 |
$71.24 |
$110.70
|
|
Hydration IV infusion each additional hour
|
$39.52 |
$39.52 |
$39.52 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$193.44 |
$193.44 |
$193.44 |
$383.00
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$736.12 |
$736.12 |
$736.12 |
$131.47
|
|
Hymenotomy
|
$4,020.12 |
$4,020.12 |
$4,020.12 |
$4,446.00
|
|
Ia nfct ab sarscov2 covid19
|
$96.72 |
$96.72 |
$96.72 |
$55.35
|
|
Ibmfs seq alys pnl 30 genes
|
$4,131.92 |
$4,131.92 |
$4,131.92 |
$2,828.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,076.24 |
$1,076.24 |
$1,076.24 |
$980.94
|
|
Icatibant injection
|
$5,815.71 |
$5,815.71 |
$5,815.71 |
$8,695.05
|
|
Igh gene rearrang dir probe
|
$120.64 |
$120.64 |
$120.64 |
$82.26
|
|
Ihc/icc per specimen initial single antibody stain
|
$57.20 |
$57.20 |
$57.20 |
$274.86
|
|
Immune complex assay
|
$41.08 |
$41.08 |
$41.08 |
$109.20
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$1,272.65 |
$1,272.65 |
$1,272.65 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$47.84 |
$47.84 |
$47.84 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$47.84 |
$47.84 |
$47.84 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$39.00 |
$39.00 |
$39.00 |
$138.60
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,960.26 |
$2,960.26 |
$2,960.26 |
$2,568.98
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,843.36 |
$2,843.36 |
$2,843.36 |
$2,080.80
|
|
Incision of breast lesion
|
$2,281.24 |
$2,281.24 |
$2,281.24 |
$2,577.85
|
|
Incision of burn scab initi
|
$515.84 |
$515.84 |
$515.84 |
$494.40
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$63.96 |
$63.96 |
$63.96 |
$131.20
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$673.40 |
$673.40 |
$673.40 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$31.20 |
$31.20 |
$31.20 |
$72.93
|
|
Infect ag if influenza a
|
$46.80 |
$46.80 |
$46.80 |
$40.61
|
|
Infect ag if influenza b
|
$46.80 |
$46.80 |
$46.80 |
$37.95
|
|
Infect ag na influenza r/amp 1st 2 types
|
$92.56 |
$92.56 |
$92.56 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$61.36 |
$61.36 |
$61.36 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$469.56 |
$469.56 |
$469.56 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$824.72 |
$824.72 |
$824.72 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$43.68 |
$43.68 |
$43.68 |
$77.00
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$76.96 |
$76.96 |
$76.96 |
$51.31
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$64.48 |
$64.48 |
$64.48 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$48.88 |
$48.88 |
$48.88 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$137.80 |
$137.80 |
$137.80 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$34.32 |
$34.32 |
$34.32 |
$81.06
|
