|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$116.38 |
$116.38 |
$116.38 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$120.29 |
$120.29 |
$120.29 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$116.38 |
$116.38 |
$116.38 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$116.38 |
$116.38 |
$116.38 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$80.04 |
$80.04 |
$80.04 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$55.20 |
$55.20 |
$55.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$55.20 |
$55.20 |
$55.20 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$93.38 |
$93.38 |
$93.38 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$62.56 |
$62.56 |
$62.56 |
$537.60
|
|
Ghs sleep study unattended
|
$117.07 |
$117.07 |
$117.07 |
$495.00
|
|
Ghs speech-gen aug dev eval iii, st
|
$30.13 |
$30.13 |
$30.13 |
$146.40
|
|
Ghs sp train/fitting sp device - kx
|
$88.78 |
$88.78 |
$88.78 |
$250.50
|
|
Ghs strapping shoulder - 29240
|
$66.24 |
$66.24 |
$66.24 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$76.82 |
$76.82 |
$76.82 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$43.47 |
$43.47 |
$43.47 |
$98.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$184.00 |
$184.00 |
$184.00 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$144.90 |
$144.90 |
$144.90 |
$861.75
|
|
Ghs tx distal phalangeal fx with manipulation
|
$72.22 |
$72.22 |
$72.22 |
$523.00
|
|
Ghs urine, porphyrins quant
|
$149.73 |
$149.73 |
$149.73 |
$75.00
|
|
Ghs vaginal delivery only
|
$883.20 |
$883.20 |
$883.20 |
$3,152.00
|
|
Giardia ag if
|
$46.23 |
$46.23 |
$46.23 |
$39.13
|
|
Giardia lamblia antibody
|
$51.06 |
$51.06 |
$51.06 |
$83.44
|
|
Gi inhouse confirmation
|
$39.56 |
$39.56 |
$39.56 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$504.16 |
$504.16 |
$504.16 |
$2,098.85
|
|
Gi trc img intral esophagus
|
$504.16 |
$504.16 |
$504.16 |
$1,897.82
|
|
Glucagon 1 mg solution for injection
|
$343.10 |
$343.10 |
$343.10 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$196.87 |
$196.87 |
$196.87 |
$491.67
|
|
Glucagon plasma - sendout
|
$116.38 |
$116.38 |
$116.38 |
$63.00
|
|
Glucose 1 hr post dose
|
$31.74 |
$31.74 |
$31.74 |
$47.20
|
|
Glucose blood quantitative
|
$31.74 |
$31.74 |
$31.74 |
$40.00
|
|
Glucose body fluid
|
$44.16 |
$44.16 |
$44.16 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$43.01 |
$43.01 |
$43.01 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$9.20 |
$9.20 |
$9.20 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$200.93 |
$200.93 |
$200.93 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$106.95 |
$106.95 |
$106.95 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$126.96 |
$126.96 |
$126.96 |
$129.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$48.30 |
$48.30 |
$48.30 |
$1,181.41
|
|
Granisetron 1 mg tab
|
$2.66 |
$2.66 |
$2.66 |
$53.15
|
|
Granisetron hcl injection
|
$24.25 |
$24.25 |
$24.25 |
$45.03
|
|
Great toe with reduction 28495
|
$72.22 |
$72.22 |
$72.22 |
$482.40
|
|
Ground mileage
|
$7.59 |
$7.59 |
$7.59 |
$17.55
|
|
G-tube reposition
|
$529.00 |
$529.00 |
$529.00 |
$759.36
|
|
Gu dilat ureter/urethra s&i
|
$991.76 |
$991.76 |
$991.76 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$843.87 |
$843.87 |
$843.87 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$239.43 |
$239.43 |
$239.43 |
$3,284.50
|
|
Guid loc target vol rad tx
|
$100.97 |
$100.97 |
$100.97 |
$536.00
|
|
Gw stiffened micro access kit
|
$155.02 |
$155.02 |
$155.02 |
$6,696.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$347.97 |
$347.97 |
$347.97 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$12.68 |
$12.68 |
$12.68 |
$23.06
|
|
Hand X-ray
|
$88.78 |
$88.78 |
$88.78 |
$356.00
|
|
Haptoglobin quantitative
|
$33.35 |
$33.35 |
$33.35 |
$91.14
|
|
Hba1/hba2 gene dup/del vrnts
|
$332.35 |
$332.35 |
$332.35 |
$404.80
|
|
Hbb full gene sequence
|
$188.83 |
$188.83 |
$188.83 |
$633.25
|
|
Hbb gene dup/del variants
|
$145.13 |
$145.13 |
$145.13 |
$455.00
|
|
Hbot, full body chamber, 30m
|
$90.39 |
$90.39 |
$90.39 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$143.75 |
$143.75 |
$143.75 |
$759.72
|
|
Hcg qualitative
|
$38.18 |
$38.18 |
$38.18 |
$89.70
|
|
Hcg quantitative
|
$60.95 |
$60.95 |
$60.95 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$89.31 |
$89.31 |
$89.31 |
$117.00
|
|
Hc nm kidney imaging with flow
|
$529.46 |
$529.46 |
$529.46 |
$822.60
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,835.86 |
$1,835.86 |
$1,835.86 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,603.83 |
$2,603.83 |
$2,603.83 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,571.17 |
$2,571.17 |
$2,571.17 |
$3,727.65
|
|
Hdr rdncl skn surf brachytx
|
$117.07 |
$117.07 |
$117.07 |
$598.20
|
|
Hdr rdncl skn surf brachytx
|
$117.07 |
$117.07 |
$117.07 |
$758.32
|
|
Head CT scan (with and without contrast)
|
$835.36 |
$835.36 |
$835.36 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$753.71 |
$753.71 |
$753.71 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$697.36 |
$697.36 |
$697.36 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$95.68 |
$95.68 |
$95.68 |
$91.98
|
|
Hematocrit
|
$21.16 |
$21.16 |
$21.16 |
$33.57
|
|
Hemodialysis one evaluation
|
$420.21 |
$420.21 |
$420.21 |
$1,319.44
|
|
Hemoglobin
|
$21.39 |
$21.39 |
$21.39 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$27.14 |
$27.14 |
$27.14 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$79.81 |
$79.81 |
$79.81 |
$53.60
|
|
Hemoglobin plasma
|
$28.29 |
$28.29 |
$28.29 |
$41.25
|
|
Heparin assay
|
$187.68 |
$187.68 |
$187.68 |
$140.10
|
|
Heparin bolus from bag
|
$39.90 |
$39.90 |
$39.90 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.40 |
$1.40 |
$1.40 |
$10.61
|
|
Hepatitis a antibody igm
|
$33.35 |
$33.35 |
$33.35 |
$87.75
|
|
Hepatitis b core antibody igm
|
$47.15 |
$47.15 |
$47.15 |
$87.98
|
|
Hepatitis b core antibody total
|
$30.13 |
$30.13 |
$30.13 |
$77.50
|
|
Hepatitis b surface ag quan
|
$11.27 |
$11.27 |
$11.27 |
$54.88
|
|
Hepatitis b surface antibody
|
$30.13 |
$30.13 |
$30.13 |
$82.05
|
|
Hepatitis c antibody
|
$33.12 |
$33.12 |
$33.12 |
$108.00
|
|
Hepatitis d quantification
|
$30.82 |
$30.82 |
$30.82 |
$91.28
|
|
Hepatobiliary system imaging
|
$524.17 |
$524.17 |
$524.17 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$377.89 |
$377.89 |
$377.89 |
$1,799.45
|
|
Hereditary colon ca dsordrs
|
$377.89 |
$377.89 |
$377.89 |
$1,665.30
|
|
Herpes simplex 1 ag if
|
$103.96 |
$103.96 |
$103.96 |
$38.58
|
|
Herpes simplex 2 ag if
|
$103.96 |
$103.96 |
$103.96 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$49.45 |
$49.45 |
$49.45 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$49.45 |
$49.45 |
$49.45 |
$87.10
|
|
Heterophile antibodies screening
|
$37.49 |
$37.49 |
$37.49 |
$74.00
|
|
Hhv-6 dna quant
|
$277.84 |
$277.84 |
$277.84 |
$246.35
|
|
Hip X-ray
|
$118.22 |
$118.22 |
$118.22 |
$292.05
|
|
Histamine
|
$191.59 |
$191.59 |
$191.59 |
$115.00
|
|
Histochemical stains add-on
|
$31.97 |
$31.97 |
$31.97 |
$153.29
|
|
Hla class ii semiquant panel
|
$241.04 |
$241.04 |
$241.04 |
$724.80
|
|
Hla class i semiquant panel
|
$267.03 |
$267.03 |
$267.03 |
$802.40
|
|
Hla ii typing 1 loc hr
|
$69.92 |
$69.92 |
$69.92 |
$290.94
|