|
Ghs fb removal - incisional
|
$509.60 |
$509.60 |
$509.60 |
$2,454.00
|
|
Ghs fb removal - non-incisional
|
$421.85 |
$421.85 |
$421.85 |
$1,706.20
|
|
Ghs fish cytogen
|
$273.00 |
$273.00 |
$273.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$138.45 |
$138.45 |
$138.45 |
$229.45
|
|
Ghs flow volume loop
|
$230.10 |
$230.10 |
$230.10 |
$291.75
|
|
Ghs gastric intub aspiration lavage
|
$307.45 |
$307.45 |
$307.45 |
$385.60
|
|
Ghs hcv amplificaiton
|
$226.20 |
$226.20 |
$226.20 |
$198.90
|
|
Ghs histoplasma antigen
|
$160.55 |
$160.55 |
$160.55 |
$157.30
|
|
Ghs HIV antibody
|
$111.80 |
$111.80 |
$111.80 |
$90.14
|
|
Ghs i and d perirectal abscess 46040
|
$1,042.60 |
$1,042.60 |
$1,042.60 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$503.75 |
$503.75 |
$503.75 |
$1,468.35
|
|
Ghs i and d pilonidal cyst simple
|
$265.20 |
$265.20 |
$265.20 |
$762.75
|
|
Ghs immun0electrophoresis
|
$172.90 |
$172.90 |
$172.90 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$440.70 |
$440.70 |
$440.70 |
$534.60
|
|
Ghs inhibitor screen
|
$185.25 |
$185.25 |
$185.25 |
$138.06
|
|
Ghs inj tendon origin/insertion
|
$151.45 |
$151.45 |
$151.45 |
$412.50
|
|
Ghs insertion of needle - bone
|
$293.80 |
$293.80 |
$293.80 |
$436.10
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$733.20 |
$733.20 |
$733.20 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$837.20 |
$837.20 |
$837.20 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$975.65 |
$975.65 |
$975.65 |
$2,026.46
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$391.30 |
$391.30 |
$391.30 |
$536.80
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$346.45 |
$346.45 |
$346.45 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$365.95 |
$365.95 |
$365.95 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$526.50 |
$526.50 |
$526.50 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$578.50 |
$578.50 |
$578.50 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$497.90 |
$497.90 |
$497.90 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$651.30 |
$651.30 |
$651.30 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$590.20 |
$590.20 |
$590.20 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$651.30 |
$651.30 |
$651.30 |
$740.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$829.40 |
$829.40 |
$829.40 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$692.25 |
$692.25 |
$692.25 |
$993.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$926.90 |
$926.90 |
$926.90 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$681.20 |
$681.20 |
$681.20 |
$880.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,080.95 |
$1,080.95 |
$1,080.95 |
$901.76
|
|
Ghs layered repair over 30.0 cm -12047
|
$911.30 |
$911.30 |
$911.30 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,155.05 |
$1,155.05 |
$1,155.05 |
$943.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$124.15 |
$124.15 |
$124.15 |
$240.00
|
|
Ghs nailbed repair/nail removal
|
$453.70 |
$453.70 |
$453.70 |
$818.00
|
|
Ghs ot prosthetic training/15 min
|
$72.80 |
$72.80 |
$72.80 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$687.05 |
$687.05 |
$687.05 |
$872.95
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$57.20 |
$57.20 |
$57.20 |
$82.80
|
|
Ghs peritonsillar abscess i andd
|
$337.35 |
$337.35 |
$337.35 |
$694.20
|
|
Ghs phenylketonurid
|
$66.30 |
$66.30 |
$66.30 |
$61.20
|
|
Ghs picc line insert < 5
|
$1,154.40 |
$1,154.40 |
$1,154.40 |
$1,990.40
|
|
Ghs plngl fx pm cl
|
$742.30 |
$742.30 |
$742.30 |
$611.64
|
|
Ghs ppd (tb intradermal)
|
$26.00 |
$26.00 |
$26.00 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$55.25 |
$55.25 |
$55.25 |
$49.77
|
|
Ghs protoporphyrins fract
|
$67.60 |
$67.60 |
$67.60 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$283.40 |
$283.40 |
$283.40 |
$165.60
|
|
Ghs quinidine
|
$76.05 |
$76.05 |
$76.05 |
$70.85
|
|
Ghs removal intranasal foreign body
|
$294.45 |
$294.45 |
$294.45 |
$320.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$124.80 |
$124.80 |
$124.80 |
$117.60
|
|
Ghs sedimentation rate
|
$53.30 |
$53.30 |
$53.30 |
$36.57
|
|
Ghs sensitivity (per antimicro)
|
$66.95 |
$66.95 |
$66.95 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$515.45 |
$515.45 |
$515.45 |
$535.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$579.15 |
$579.15 |
$579.15 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$572.65 |
$572.65 |
$572.65 |
$563.75
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$465.40 |
$465.40 |
$465.40 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$426.40 |
$426.40 |
$426.40 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$533.00 |
$533.00 |
$533.00 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$648.70 |
$648.70 |
$648.70 |
$560.80
|
|
Ghs sleep study unattended
|
$611.65 |
$611.65 |
$611.65 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$81.25 |
$81.25 |
$81.25 |
$134.50
|
|
Ghs sp train/fitting sp device - kx
|
$234.65 |
$234.65 |
$234.65 |
$240.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$551.85 |
$551.85 |
$551.85 |
$1,016.25
|
|
Ghs superficial wnd dehis w packing12021
|
$326.95 |
$326.95 |
$326.95 |
$765.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$698.10 |
$698.10 |
$698.10 |
$2,379.20
|
|
Ghs tx distal phalangeal fx with manipulation
|
$519.35 |
$519.35 |
$519.35 |
$548.92
|
|
Ghs urine, porphyrins quant
|
$93.60 |
$93.60 |
$93.60 |
$85.15
|
|
Ghs vaginal delivery only
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$3,341.93
|
|
Gi inhouse confirmation
|
$96.20 |
$96.20 |
$96.20 |
$79.50
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$763.73 |
$763.73 |
$763.73 |
$509.06
|
|
Glucagon plasma - sendout
|
$82.55 |
$82.55 |
$82.55 |
$67.50
|
|
Glucose 1 hr post dose
|
$45.50 |
$45.50 |
$45.50 |
$40.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$74.75 |
$74.75 |
$74.75 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$20.15 |
$20.15 |
$20.15 |
$20.00
|
|
Glucose blood quantitative
|
$43.55 |
$43.55 |
$43.55 |
$40.80
|
|
Glucose body fluid
|
$76.70 |
$76.70 |
$76.70 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$91.00 |
$91.00 |
$91.00 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$33.80 |
$33.80 |
$33.80 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$157.30 |
$157.30 |
$157.30 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$157.30 |
$157.30 |
$157.30 |
$117.65
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$39.00 |
$39.00 |
$39.00 |
$56.71
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,617.20 |
$1,617.20 |
$1,617.20 |
$9,693.72
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$209.30 |
$209.30 |
$209.30 |
$486.45
|
|
Great toe with reduction 28495
|
$453.05 |
$453.05 |
$453.05 |
$581.25
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Hand X-ray
|
$369.20 |
$369.20 |
$369.20 |
$317.78
|
|
Haptoglobin quantitative
|
$134.55 |
$134.55 |
$134.55 |
$75.00
|
|
Hba1/hba2 full gene sequence
|
$453.70 |
$453.70 |
$453.70 |
$847.86
|
|
Hba1/hba2 gene dup/del vrnts
|
$380.90 |
$380.90 |
$380.90 |
$407.57
|
|
Hbb full gene sequence
|
$437.45 |
$437.45 |
$437.45 |
$633.25
|
|
Hbb gene dup/del variants
|
$502.45 |
$502.45 |
$502.45 |
$436.80
|
|
Hcg qualitative
|
$53.30 |
$53.30 |
$53.30 |
$72.50
|
|
Hcg quantitative
|
$109.85 |
$109.85 |
$109.85 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$1,918.80 |
$1,918.80 |
$1,918.80 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,543.10 |
$1,543.10 |
$1,543.10 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$137.80 |
$137.80 |
$137.80 |
$84.80
|
