|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$295.68 |
$295.68 |
$295.68 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$331.20 |
$331.20 |
$331.20 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$382.40 |
$382.40 |
$382.40 |
$582.00
|
|
Ghs speech-gen aug dev eval iii, st
|
$35.20 |
$35.20 |
$35.20 |
$146.40
|
|
Ghs sphenopalatine ganglion block
|
$132.00 |
$132.00 |
$132.00 |
$637.92
|
|
Ghs sp train/fitting sp device - kx
|
$76.80 |
$76.80 |
$76.80 |
$250.50
|
|
Ghs strapping shoulder - 29240
|
$178.56 |
$178.56 |
$178.56 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$99.20 |
$99.20 |
$99.20 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$808.96 |
$808.96 |
$808.96 |
$861.75
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,142.08 |
$2,142.08 |
$2,142.08 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$552.80 |
$552.80 |
$552.80 |
$523.00
|
|
Ghs vaginal delivery only
|
$293.76 |
$293.76 |
$293.76 |
$3,152.00
|
|
Ghs windowing of cast
|
$225.28 |
$225.28 |
$225.28 |
$212.55
|
|
Giardia ag if
|
$21.12 |
$21.12 |
$21.12 |
$39.13
|
|
Gi inhouse confirmation
|
$51.20 |
$51.20 |
$51.20 |
$83.70
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$849.98 |
$849.98 |
$849.98 |
$491.67
|
|
Glucose-6-phosphate dhydrogenase screen
|
$16.00 |
$16.00 |
$16.00 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$18.56 |
$18.56 |
$18.56 |
$23.86
|
|
Glucose blood quantitative
|
$23.55 |
$23.55 |
$23.55 |
$40.00
|
|
Glucose body fluid
|
$25.60 |
$25.60 |
$25.60 |
$52.20
|
|
Glucose monitoring continual min 72hr pt
|
$44.80 |
$44.80 |
$44.80 |
$118.39
|
|
Glucose tolerance test (gtt) 3 specimens
|
$23.68 |
$23.68 |
$23.68 |
$100.16
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$30.14 |
$30.14 |
$30.14 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$87.36 |
$87.36 |
$87.36 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$84.03 |
$84.03 |
$84.03 |
$129.00
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$91.52 |
$91.52 |
$91.52 |
$373.00
|
|
Great toe with reduction 28495
|
$376.96 |
$376.96 |
$376.96 |
$482.40
|
|
Gynecomastia (males) 19300
|
$1,313.28 |
$1,313.28 |
$1,313.28 |
$3,735.20
|
|
Hand X-ray
|
$105.60 |
$105.60 |
$105.60 |
$356.00
|
|
Haptoglobin quantitative
|
$40.32 |
$40.32 |
$40.32 |
$91.14
|
|
Hbot, full body chamber, 30m
|
$208.77 |
$208.77 |
$208.77 |
$526.90
|
|
Hcg qualitative
|
$43.52 |
$43.52 |
$43.52 |
$89.70
|
|
Hcg quantitative
|
$73.92 |
$73.92 |
$73.92 |
$139.20
|
|
Hc nm kidney imaging with flow
|
$577.28 |
$577.28 |
$577.28 |
$822.60
|
|
Head CT scan (with and without contrast)
|
$739.20 |
$739.20 |
$739.20 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$672.00 |
$672.00 |
$672.00 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$672.00 |
$672.00 |
$672.00 |
$1,268.90
|
|
Heart infarct image
|
$438.59 |
$438.59 |
$438.59 |
$940.55
|
|
Helicobacter pylori antibody igm
|
$80.64 |
$80.64 |
$80.64 |
$91.98
|
|
Hematocrit
|
$17.92 |
$17.92 |
$17.92 |
$33.57
|
|
Hemoglobin
|
$17.92 |
$17.92 |
$17.92 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$86.40 |
$86.40 |
$86.40 |
$53.60
|
|
Hemoglobin-oxygen affinity
|
$124.16 |
$124.16 |
$124.16 |
$84.76
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$198.40 |
$198.40 |
$198.40 |
$1,168.00
|
|
Hepagam b im injection
|
$699.65 |
$699.65 |
$699.65 |
$1,008.44
|
|
Heparin bolus from bag
|
$843.05 |
$843.05 |
$843.05 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$18.82 |
$18.82 |
$18.82 |
$10.61
|
|
Hepatitis b core antibody igm
|
$32.00 |
$32.00 |
$32.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$72.70 |
$72.70 |
$72.70 |
$77.50
|
|
Hepatitis b surface antibody
|
$64.00 |
$64.00 |
$64.00 |
$82.05
|
|
Hepatitis c antibody
|
$76.80 |
$76.80 |
$76.80 |
$108.00
|
|
Hepatobiliary system imaging
|
$345.60 |
$345.60 |
$345.60 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$73.60 |
$73.60 |
$73.60 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$38.40 |
$38.40 |
$38.40 |
$87.10
|
|
Herpes simplex virus isolation
|
$26.24 |
$26.24 |
$26.24 |
$104.10
|
|
Heterophile antibodies screening
|
$22.40 |
$22.40 |
$22.40 |
$74.00
|
|
Hip X-ray
|
$108.80 |
$108.80 |
$108.80 |
$292.05
|
|
Hla i typing complete lr
|
$385.28 |
$385.28 |
$385.28 |
$728.88
|
|
Home health re-certification physician g0179
|
$52.00 |
$52.00 |
$52.00 |
$88.80
|
|
Homocysteine
|
$48.64 |
$48.64 |
$48.64 |
$121.92
|
|
H pylori (c-13) breath
|
$92.80 |
$92.80 |
$92.80 |
$213.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$211.70 |
$211.70 |
$211.70 |
$142.40
|
|
Hydration IV infusion each additional hour
|
$63.36 |
$63.36 |
$63.36 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$313.60 |
$313.60 |
$313.60 |
$383.00
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$29.15 |
$29.15 |
$29.15 |
$131.47
|
|
Hyperbaric oxygen therapy
|
$835.20 |
$835.20 |
$835.20 |
$802.00
|
|
Hysterosalpingography s&i
|
$333.44 |
$333.44 |
$333.44 |
$651.85
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$680.88 |
$680.88 |
$680.88 |
$352.24
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,305.60 |
$1,305.60 |
$1,305.60 |
$635.44
|
|
Icatibant injection
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$8,695.05
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$388.80 |
$388.80 |
$388.80 |
$3,245.23
|
|
Ihc/icc per specimen initial single antibody stain
|
$71.68 |
$71.68 |
$71.68 |
$274.86
|
|
Immunoassay tumor antigen quantitative ca 125
|
$50.43 |
$50.43 |
$50.43 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$115.84 |
$115.84 |
$115.84 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$39.68 |
$39.68 |
$39.68 |
$138.60
|
|
Immunofluorescence per specimen initial single antibody stain
|
$69.12 |
$69.12 |
$69.12 |
$232.05
|
|
Impl neurostim electr perc
|
$8,192.00 |
$8,192.00 |
$8,192.00 |
$7,546.20
|
|
Implt neurostim elctr each
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$4,449.13
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,303.36 |
$2,303.36 |
$2,303.36 |
$2,080.80
|
|
Incision of achilles tendon
|
$566.40 |
$566.40 |
$566.40 |
$3,561.39
|
|
Incision of breast lesion
|
$528.64 |
$528.64 |
$528.64 |
$2,577.85
|
|
Incision of burn scab initi
|
$367.20 |
$367.20 |
$367.20 |
$494.40
|
|
Incision of foot fascia
|
$700.00 |
$700.00 |
$700.00 |
$4,570.33
|
|
Incision of tendon sheath
|
$650.24 |
$650.24 |
$650.24 |
$2,176.80
|
|
Incision tendon sheath
|
$888.32 |
$888.32 |
$888.32 |
$3,073.20
|
|
Infect ag ia optc obs influenza
|
$70.40 |
$70.40 |
$70.40 |
$72.93
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$26.24 |
$26.24 |
$26.24 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$51.20 |
$51.20 |
$51.20 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$32.00 |
$32.00 |
$32.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$25.60 |
$25.60 |
$25.60 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$316.80 |
$316.80 |
$316.80 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$102.40 |
$102.40 |
$102.40 |
$137.67
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$115.20 |
$115.20 |
$115.20 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$115.20 |
$115.20 |
$115.20 |
$100.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$45.44 |
$45.44 |
$45.44 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$98.56 |
$98.56 |
$98.56 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$439.04 |
$439.04 |
$439.04 |
$711.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$320.64 |
$320.64 |
$320.64 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$352.00 |
$352.00 |
$352.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$658.56 |
$658.56 |
$658.56 |
$252.60
|
