|
Ghs picc line insert < 5
|
$399.60 |
$399.60 |
$399.60 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$62.80 |
$62.80 |
$62.80 |
$564.80
|
|
Ghs plt ct-manual
|
$20.60 |
$20.60 |
$20.60 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$12.20 |
$12.20 |
$12.20 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$47.20 |
$47.20 |
$47.20 |
$43.55
|
|
Ghs protoporphyrins fract
|
$12.20 |
$12.20 |
$12.20 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$55.00 |
$55.00 |
$55.00 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$192.20 |
$192.20 |
$192.20 |
$275.60
|
|
Ghs quinidine
|
$69.60 |
$69.60 |
$69.60 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$38.60 |
$38.60 |
$38.60 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$93.20 |
$93.20 |
$93.20 |
$459.90
|
|
Ghs respiratory syncytical virus igg/m
|
$44.40 |
$44.40 |
$44.40 |
$71.20
|
|
Ghs sedimentation rate
|
$26.00 |
$26.00 |
$26.00 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$10.00 |
$10.00 |
$10.00 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$103.20 |
$103.20 |
$103.20 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$106.00 |
$106.00 |
$106.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$103.20 |
$103.20 |
$103.20 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$103.20 |
$103.20 |
$103.20 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$69.60 |
$69.60 |
$69.60 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$48.00 |
$48.00 |
$48.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$48.00 |
$48.00 |
$48.00 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$83.00 |
$83.00 |
$83.00 |
$582.00
|
|
Ghs sleep study unattended
|
$107.00 |
$107.00 |
$107.00 |
$495.00
|
|
Ghs sphenopalatine ganglion block
|
$102.80 |
$102.80 |
$102.80 |
$637.92
|
|
Ghs sp train/fitting sp device - kx
|
$77.20 |
$77.20 |
$77.20 |
$250.50
|
|
Ghs strapping shoulder - 29240
|
$33.20 |
$33.20 |
$33.20 |
$213.20
|
|
Ghs superficial wnd dehiscence simp12020
|
$126.00 |
$126.00 |
$126.00 |
$861.75
|
|
Ghs tx distal phalangeal fx with manipulation
|
$62.80 |
$62.80 |
$62.80 |
$523.00
|
|
Ghs urine, porphyrins quant
|
$169.60 |
$169.60 |
$169.60 |
$75.00
|
|
Ghs vaginal delivery only
|
$1,250.80 |
$1,250.80 |
$1,250.80 |
$3,152.00
|
|
Ghs veeg 12-26 hr intmt mont
|
$326.20 |
$326.20 |
$326.20 |
$1,910.25
|
|
Giardia ag if
|
$40.40 |
$40.40 |
$40.40 |
$39.13
|
|
Giardia lamblia antibody
|
$134.00 |
$134.00 |
$134.00 |
$83.44
|
|
Gi inhouse confirmation
|
$151.20 |
$151.20 |
$151.20 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$298.35 |
$298.35 |
$298.35 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$171.19 |
$171.19 |
$171.19 |
$491.67
|
|
Glucagon plasma - sendout
|
$74.20 |
$74.20 |
$74.20 |
$63.00
|
|
Glucose 1 hr post dose
|
$34.60 |
$34.60 |
$34.60 |
$47.20
|
|
Glucose blood quantitative
|
$47.20 |
$47.20 |
$47.20 |
$40.00
|
|
Glucose body fluid
|
$34.40 |
$34.40 |
$34.40 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$77.40 |
$77.40 |
$77.40 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$40.00 |
$40.00 |
$40.00 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$174.72 |
$174.72 |
$174.72 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$64.20 |
$64.20 |
$64.20 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$64.20 |
$64.20 |
$64.20 |
$129.00
|
|
Graft nerve adv 3-4x70mm
|
$558.60 |
$558.60 |
$558.60 |
$19,620.00
|
|
Granisetron 1 mg tab
|
$2.31 |
$2.31 |
$2.31 |
$53.15
|
|
Granisetron hcl injection
|
$21.09 |
$21.09 |
$21.09 |
$45.03
|
|
Great toe with reduction 28495
|
$62.80 |
$62.80 |
$62.80 |
$482.40
|
|
Group mnt 2 or more 30 mins
|
$15.20 |
$15.20 |
$15.20 |
$43.12
|
|
Gu dilat ureter/urethra s&i
|
$881.20 |
$881.20 |
$881.20 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$733.80 |
$733.80 |
$733.80 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$171.60 |
$171.60 |
$171.60 |
$3,284.50
|
|
Guid loc target vol rad tx
|
$87.80 |
$87.80 |
$87.80 |
$536.00
|
|
Gw stiffened micro access kit
|
$134.80 |
$134.80 |
$134.80 |
$6,696.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$302.58 |
$302.58 |
$302.58 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$11.02 |
$11.02 |
$11.02 |
$23.06
|
|
Hand X-ray
|
$77.20 |
$77.20 |
$77.20 |
$356.00
|
|
Haptoglobin quantitative
|
$94.80 |
$94.80 |
$94.80 |
$91.14
|
|
Hba1/hba2 gene dup/del vrnts
|
$134.00 |
$134.00 |
$134.00 |
$404.80
|
|
Hbb full gene sequence
|
$164.20 |
$164.20 |
$164.20 |
$633.25
|
|
Hbb gene dup/del variants
|
$126.20 |
$126.20 |
$126.20 |
$455.00
|
|
Hcg qualitative
|
$66.60 |
$66.60 |
$66.60 |
$89.70
|
|
Hcg quantitative
|
$133.40 |
$133.40 |
$133.40 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$77.66 |
$77.66 |
$77.66 |
$117.00
|
|
Hc nm kidney imaging with flow
|
$438.20 |
$438.20 |
$438.20 |
$822.60
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,190.20 |
$2,190.20 |
$2,190.20 |
$3,931.12
|
|
Head CT scan (with and without contrast)
|
$1,036.40 |
$1,036.40 |
$1,036.40 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$647.20 |
$647.20 |
$647.20 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$613.20 |
$613.20 |
$613.20 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$87.00 |
$87.00 |
$87.00 |
$91.98
|
|
Hematocrit
|
$28.20 |
$28.20 |
$28.20 |
$33.57
|
|
Hemodialysis one evaluation
|
$254.60 |
$254.60 |
$254.60 |
$1,319.44
|
|
Hemoglobin
|
$23.60 |
$23.60 |
$23.60 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$5.00 |
$5.00 |
$5.00 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$58.80 |
$58.80 |
$58.80 |
$53.60
|
|
Hemoglobin plasma
|
$44.40 |
$44.40 |
$44.40 |
$41.25
|
|
Heparin assay
|
$243.40 |
$243.40 |
$243.40 |
$140.10
|
|
Heparin bolus from bag
|
$34.69 |
$34.69 |
$34.69 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.22 |
$1.22 |
$1.22 |
$10.61
|
|
Hepatitis a antibody igm
|
$111.60 |
$111.60 |
$111.60 |
$87.75
|
|
Hepatitis b core antibody igm
|
$84.60 |
$84.60 |
$84.60 |
$87.98
|
|
Hepatitis b core antibody total
|
$190.40 |
$190.40 |
$190.40 |
$77.50
|
|
Hepatitis b surface ag quan
|
$9.80 |
$9.80 |
$9.80 |
$54.88
|
|
Hepatitis b surface antibody
|
$109.40 |
$109.40 |
$109.40 |
$82.05
|
|
Hepatitis c antibody
|
$105.00 |
$105.00 |
$105.00 |
$108.00
|
|
Hepatitis d quantification
|
$26.80 |
$26.80 |
$26.80 |
$91.28
|
|
Hepatobiliary system imaging
|
$418.40 |
$418.40 |
$418.40 |
$1,438.58
|
|
Herpes simplex 1 ag if
|
$90.40 |
$90.40 |
$90.40 |
$38.58
|
|
Herpes simplex 2 ag if
|
$90.40 |
$90.40 |
$90.40 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$40.00 |
$40.00 |
$40.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$68.00 |
$68.00 |
$68.00 |
$87.10
|
|
Heterophile antibodies screening
|
$50.40 |
$50.40 |
$50.40 |
$74.00
|
|
Hhv-6 dna quant
|
$23.60 |
$23.60 |
$23.60 |
$246.35
|
|
Hip X-ray
|
$102.80 |
$102.80 |
$102.80 |
$292.05
|
|
Histamine
|
$124.80 |
$124.80 |
$124.80 |
$115.00
|
|
Histochemical stains add-on
|
$27.80 |
$27.80 |
$27.80 |
$153.29
|
|
Hla class ii semiquant panel
|
$209.60 |
$209.60 |
$209.60 |
$724.80
|
|
Hla class i semiquant panel
|
$232.20 |
$232.20 |
$232.20 |
$802.40
|
