|
Ghs IV infusion bamlanivimab/etesevimab
|
$710.55 |
$710.55 |
$710.55 |
$552.60
|
|
Ghs IV infusion casirivimab/imdevimab
|
$710.55 |
$710.55 |
$710.55 |
$563.07
|
|
Ghs IV infusion sotrovimab
|
$710.55 |
$710.55 |
$710.55 |
$556.40
|
|
Ghs IV thrombolytics - cerebral
|
$160.20 |
$160.20 |
$160.20 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$126.90 |
$126.90 |
$126.90 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$90.90 |
$90.90 |
$90.90 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$153.90 |
$153.90 |
$153.90 |
$570.11
|
|
Ghs layer closure 2.5cm or less - 12051
|
$179.55 |
$179.55 |
$179.55 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$186.30 |
$186.30 |
$186.30 |
$679.20
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$147.60 |
$147.60 |
$147.60 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$186.30 |
$186.30 |
$186.30 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$191.70 |
$191.70 |
$191.70 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$147.60 |
$147.60 |
$147.60 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$141.30 |
$141.30 |
$141.30 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$412.65 |
$412.65 |
$412.65 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$187.65 |
$187.65 |
$187.65 |
$779.35
|
|
Ghs mbp
|
$50.40 |
$50.40 |
$50.40 |
$77.35
|
|
Ghs nailbed repair/nail removal
|
$111.60 |
$111.60 |
$111.60 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$744.75 |
$744.75 |
$744.75 |
$1,506.50
|
|
Ghs nerve block celiac plexus
|
$544.95 |
$544.95 |
$544.95 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$931.50 |
$931.50 |
$931.50 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$544.95 |
$544.95 |
$544.95 |
$1,706.50
|
|
Ghs nerve block suprascapular
|
$917.55 |
$917.55 |
$917.55 |
$1,141.36
|
|
Ghs opcc repair cvp without subq port
|
$722.25 |
$722.25 |
$722.25 |
$1,229.24
|
|
Ghs ot group caregiver training
|
$13.95 |
$13.95 |
$13.95 |
$33.60
|
|
Ghs ot prosthetic training/15 min
|
$50.40 |
$50.40 |
$50.40 |
$89.05
|
|
Ghs ot sensory integrative tech/15min
|
$53.55 |
$53.55 |
$53.55 |
$91.56
|
|
Ghs ot work hardening-additional hours
|
$58.95 |
$58.95 |
$58.95 |
$121.66
|
|
Ghs pacing - transcutaneous
|
$205.65 |
$205.65 |
$205.65 |
$815.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$670.95 |
$670.95 |
$670.95 |
$765.26
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$234.00 |
$234.00 |
$234.00 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$230.85 |
$230.85 |
$230.85 |
$544.14
|
|
Ghs picc line insert < 5
|
$1,633.50 |
$1,633.50 |
$1,633.50 |
$2,035.00
|
|
Ghs plngl fx pm cl
|
$135.90 |
$135.90 |
$135.90 |
$564.50
|
|
Ghs plt ct-manual
|
$46.35 |
$46.35 |
$46.35 |
$37.96
|
|
Ghs ppd (tb intradermal)
|
$12.60 |
$12.60 |
$12.60 |
$37.44
|
|
Ghs pt - work hardening/int 2hrs
|
$118.35 |
$118.35 |
$118.35 |
$270.00
|
|
Ghs removal intranasal foreign body
|
$136.35 |
$136.35 |
$136.35 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$88.65 |
$88.65 |
$88.65 |
$442.06
|
|
Ghs respiratory syncytical virus igg/m
|
$83.25 |
$83.25 |
$83.25 |
$62.00
|
|
Ghs reticulocyte count
|
$30.15 |
$30.15 |
$30.15 |
$33.60
|
|
Ghs sedimentation rate
|
$19.80 |
$19.80 |
$19.80 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$33.75 |
$33.75 |
$33.75 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$136.35 |
$136.35 |
$136.35 |
$558.97
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$143.10 |
$143.10 |
$143.10 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$136.35 |
$136.35 |
$136.35 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$223.20 |
$223.20 |
$223.20 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$118.80 |
$118.80 |
$118.80 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$127.35 |
$127.35 |
$127.35 |
$431.00
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$143.10 |
$143.10 |
$143.10 |
$492.80
|
|
Ghs simple repair over 30 cm - 12007
|
$279.45 |
$279.45 |
$279.45 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$245.70 |
$245.70 |
$245.70 |
$537.60
|
|
Ghs strapping shoulder - 29240
|
$225.45 |
$225.45 |
$225.45 |
$213.20
|
|
Ghs superficial wnd dehiscence simp12020
|
$279.45 |
$279.45 |
$279.45 |
$816.31
|
|
Ghs tx distal phalangeal fx with manipulation
|
$135.90 |
$135.90 |
$135.90 |
$519.60
|
|
Ghs urine, porphyrins quant
|
$83.70 |
$83.70 |
$83.70 |
$75.00
|
|
Ghs vaginal delivery only
|
$1,362.60 |
$1,362.60 |
$1,362.60 |
$3,142.35
|
|
Giardia ag if
|
$58.95 |
$58.95 |
$58.95 |
$38.58
|
|
Giardia lamblia antibody
|
$95.85 |
$95.85 |
$95.85 |
$81.60
|
|
Gi inhouse confirmation
|
$60.75 |
$60.75 |
$60.75 |
$86.25
|
|
Glucagon 1 mg solution for injection
|
$671.29 |
$671.29 |
$671.29 |
$592.05
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$385.19 |
$385.19 |
$385.19 |
$491.67
|
|
Glucagon plasma - sendout
|
$62.10 |
$62.10 |
$62.10 |
$63.00
|
|
Glucose 1 hr post dose
|
$73.35 |
$73.35 |
$73.35 |
$46.15
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$15.30 |
$15.30 |
$15.30 |
$23.68
|
|
Glucose blood quantitative
|
$32.40 |
$32.40 |
$32.40 |
$40.00
|
|
Glucose body fluid
|
$32.85 |
$32.85 |
$32.85 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$70.20 |
$70.20 |
$70.20 |
$99.20
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$24.30 |
$24.30 |
$24.30 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$393.12 |
$393.12 |
$393.12 |
$40.84
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$123.75 |
$123.75 |
$123.75 |
$115.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$94.50 |
$94.50 |
$94.50 |
$125.28
|
|
Great toe with reduction 28495
|
$135.90 |
$135.90 |
$135.90 |
$479.60
|
|
Group mnt 2 or more 30 mins
|
$34.20 |
$34.20 |
$34.20 |
$43.12
|
|
Handle/convey/speciman/office-lab 99000
|
$17.10 |
$17.10 |
$17.10 |
$23.40
|
|
Hand X-ray
|
$112.95 |
$112.95 |
$112.95 |
$346.40
|
|
Haptoglobin quantitative
|
$101.70 |
$101.70 |
$101.70 |
$91.14
|
|
Hbb gene dup/del variants
|
$283.95 |
$283.95 |
$283.95 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$267.30 |
$267.30 |
$267.30 |
$523.04
|
|
Hcg qualitative
|
$41.40 |
$41.40 |
$41.40 |
$85.60
|
|
Hcg quantitative
|
$137.70 |
$137.70 |
$137.70 |
$134.40
|
|
Head CT scan (with and without contrast)
|
$887.85 |
$887.85 |
$887.85 |
$1,798.98
|
|
Head CT scan (with contrast)
|
$710.55 |
$710.55 |
$710.55 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$666.90 |
$666.90 |
$666.90 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$101.70 |
$101.70 |
$101.70 |
$91.35
|
|
Hematocrit
|
$18.00 |
$18.00 |
$18.00 |
$33.26
|
|
Hemoglobin
|
$16.20 |
$16.20 |
$16.20 |
$31.20
|
|
Hemoglobin methemoglobin quantitative
|
$39.15 |
$39.15 |
$39.15 |
$52.32
|
|
Hemoglobin plasma
|
$53.55 |
$53.55 |
$53.55 |
$40.56
|
|
Heparin assay
|
$104.40 |
$104.40 |
$104.40 |
$139.62
|
|
Hepatitis a antibody igm
|
$150.75 |
$150.75 |
$150.75 |
$84.00
|
|
Hepatitis b core antibody igm
|
$64.80 |
$64.80 |
$64.80 |
$84.20
|
|
Hepatitis b core antibody total
|
$62.55 |
$62.55 |
$62.55 |
$77.50
|
|
Hepatitis b surface ag quan
|
$22.05 |
$22.05 |
$22.05 |
$54.88
|
|
Hepatitis b surface antibody
|
$123.30 |
$123.30 |
$123.30 |
$81.12
|
|
Hepatitis c antibody
|
$71.55 |
$71.55 |
$71.55 |
$107.10
|
|
Hepatitis d quantification
|
$60.30 |
$60.30 |
$60.30 |
$91.28
|
|
Hepatobiliary system imaging
|
$710.55 |
$710.55 |
$710.55 |
$1,446.00
|
|
Herpes simplex 2 ag if
|
$45.45 |
$45.45 |
$45.45 |
$41.93
|
|
Herpes simplex type 1 antibody igg
|
$32.85 |
$32.85 |
$32.85 |
$66.30
|
