|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$335.25 |
$335.25 |
$335.25 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$368.25 |
$368.25 |
$368.25 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$366.00 |
$366.00 |
$366.00 |
$740.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$20.25 |
$20.25 |
$20.25 |
$62.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$21.00 |
$21.00 |
$21.00 |
$125.34
|
|
Ghs nerve blk intercostal, ea addtl level
|
$432.75 |
$432.75 |
$432.75 |
$1,546.50
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$105.75 |
$105.75 |
$105.75 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$146.25 |
$146.25 |
$146.25 |
$56.55
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$67.50 |
$67.50 |
$67.50 |
$849.47
|
|
Ghs ppd (tb intradermal)
|
$22.50 |
$22.50 |
$22.50 |
$39.77
|
|
Ghs protein, misc fluid
|
$17.25 |
$17.25 |
$17.25 |
$24.60
|
|
Ghs removal intranasal foreign body
|
$274.50 |
$274.50 |
$274.50 |
$320.00
|
|
Ghs respiratory syncytical virus igg/m
|
$31.50 |
$31.50 |
$31.50 |
$48.57
|
|
Ghs reticulocyte count
|
$19.50 |
$19.50 |
$19.50 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$49.50 |
$49.50 |
$49.50 |
$117.60
|
|
Ghs sedimentation rate
|
$23.25 |
$23.25 |
$23.25 |
$36.57
|
|
Ghs semen analysis, post-vas
|
$42.75 |
$42.75 |
$42.75 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$24.00 |
$24.00 |
$24.00 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$202.50 |
$202.50 |
$202.50 |
$535.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$348.00 |
$348.00 |
$348.00 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$159.75 |
$159.75 |
$159.75 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$166.50 |
$166.50 |
$166.50 |
$495.00
|
|
Ghs st - eval for alt comm
|
$34.50 |
$34.50 |
$34.50 |
$100.98
|
|
Ghs urine, porphyrins quant
|
$121.50 |
$121.50 |
$121.50 |
$85.15
|
|
Gi inhouse confirmation
|
$43.50 |
$43.50 |
$43.50 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$864.75 |
$864.75 |
$864.75 |
$351.53
|
|
Glucose 1 hr post dose
|
$48.00 |
$48.00 |
$48.00 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$12.75 |
$12.75 |
$12.75 |
$20.00
|
|
Glucose blood quantitative
|
$20.25 |
$20.25 |
$20.25 |
$40.80
|
|
Glucose monitoring continual min 72hr pt
|
$63.00 |
$63.00 |
$63.00 |
$154.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$87.00 |
$87.00 |
$87.00 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$65.25 |
$65.25 |
$65.25 |
$33.15
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$49.50 |
$49.50 |
$49.50 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$52.50 |
$52.50 |
$52.50 |
$117.65
|
|
Hand-held pefr meter a4614
|
$17.25 |
$17.25 |
$17.25 |
$33.10
|
|
Handle/convey/speciman/office-lab 99000
|
$12.75 |
$12.75 |
$12.75 |
$30.36
|
|
Hand X-ray
|
$98.25 |
$98.25 |
$98.25 |
$317.78
|
|
Haptoglobin quantitative
|
$28.50 |
$28.50 |
$28.50 |
$75.00
|
|
Hcg qualitative
|
$23.25 |
$23.25 |
$23.25 |
$72.50
|
|
Hcg quantitative
|
$57.00 |
$57.00 |
$57.00 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$74.25 |
$74.25 |
$74.25 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$59.25 |
$59.25 |
$59.25 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$49.50 |
$49.50 |
$49.50 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$64.50 |
$64.50 |
$64.50 |
$84.80
|
|
Hematocrit
|
$10.50 |
$10.50 |
$10.50 |
$32.50
|
|
Hemoglobin
|
$15.75 |
$15.75 |
$15.75 |
$28.60
|
|
Heparin neutralization
|
$16.50 |
$16.50 |
$16.50 |
$56.55
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$11.73 |
$11.73 |
$11.73 |
$7.15
|
|
Hepatitis a antibody igm
|
$75.75 |
$75.75 |
$75.75 |
$80.60
|
|
Hepatitis b core antibody igm
|
$77.25 |
$77.25 |
$77.25 |
$85.80
|
|
Hepatitis b core antibody total
|
$25.50 |
$25.50 |
$25.50 |
$84.75
|
|
Hepatitis b surface antibody
|
$27.00 |
$27.00 |
$27.00 |
$81.12
|
|
Hepatitis c antibody
|
$42.75 |
$42.75 |
$42.75 |
$106.50
|
|
Hepatobiliary system imaging
|
$34.50 |
$34.50 |
$34.50 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$32.25 |
$32.25 |
$32.25 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$32.25 |
$32.25 |
$32.25 |
$96.20
|
|
Herpes simplex virus isolation
|
$138.00 |
$138.00 |
$138.00 |
$110.50
|
|
Heterophile antibodies screening
|
$20.25 |
$20.25 |
$20.25 |
$59.40
|
|
Hip X-ray
|
$10.50 |
$10.50 |
$10.50 |
$262.64
|
|
Hla i low res one antigen equiv ea
|
$163.50 |
$163.50 |
$163.50 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$138.75 |
$138.75 |
$138.75 |
$340.00
|
|
Home health re-certification physician g0179
|
$58.50 |
$58.50 |
$58.50 |
$73.45
|
|
Home sleep test/type 3 porta
|
$636.00 |
$636.00 |
$636.00 |
$606.45
|
|
Home visit est patient 99348
|
$62.25 |
$62.25 |
$62.25 |
$151.20
|
|
Homocysteine
|
$63.00 |
$63.00 |
$63.00 |
$100.00
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$69.00 |
$69.00 |
$69.00 |
$388.70
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$13.50 |
$13.50 |
$13.50 |
$75.95
|
|
Hysteroscopy biopsy
|
$793.50 |
$793.50 |
$793.50 |
$4,451.18
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$213.75 |
$213.75 |
$213.75 |
$394.13
|
|
Iaadi respiratory synctial virus
|
$30.00 |
$30.00 |
$30.00 |
$46.02
|
|
Ia infect ag ab qual/semiquant sgl step
|
$49.50 |
$49.50 |
$49.50 |
$48.57
|
|
I&d frarm&/wrst deep absc/hematoma
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$2,910.40
|
|
I & d vag hematoma non-ob 57023
|
$429.00 |
$429.00 |
$429.00 |
$3,285.96
|
|
Immobilizer shldr dlx str 24-36in med
|
$83.25 |
$83.25 |
$83.25 |
$72.60
|
|
Immunoassay tumor antigen quantitative ca 125
|
$66.00 |
$66.00 |
$66.00 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$30.75 |
$30.75 |
$30.75 |
$117.00
|
|
Immunofixation electrophoresis serum
|
$60.00 |
$60.00 |
$60.00 |
$133.38
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$191.25 |
$191.25 |
$191.25 |
$2,056.93
|
|
Incision of tongue fold
|
$477.00 |
$477.00 |
$477.00 |
$1,792.50
|
|
Infect ag eia influenza a or b ea
|
$48.00 |
$48.00 |
$48.00 |
$64.00
|
|
Infect ag ia optc obs influenza
|
$42.00 |
$42.00 |
$42.00 |
$65.58
|
|
Infect ag if influenza a
|
$30.00 |
$30.00 |
$30.00 |
$51.20
|
|
Infect ag if influenza b
|
$30.00 |
$30.00 |
$30.00 |
$45.50
|
|
Infect ag if nos ea
|
$30.00 |
$30.00 |
$30.00 |
$66.40
|
|
Infect ag na influenza r/amp 1st 2 types
|
$88.50 |
$88.50 |
$88.50 |
$248.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$30.00 |
$30.00 |
$30.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$124.50 |
$124.50 |
$124.50 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$86.25 |
$86.25 |
$86.25 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$141.00 |
$141.00 |
$141.00 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$24.00 |
$24.00 |
$24.00 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$33.00 |
$33.00 |
$33.00 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$30.00 |
$30.00 |
$30.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$111.00 |
$111.00 |
$111.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$99.75 |
$99.75 |
$99.75 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$83.25 |
$83.25 |
$83.25 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$88.50 |
$88.50 |
$88.50 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$127.50 |
$127.50 |
$127.50 |
$148.80
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$99.75 |
$99.75 |
$99.75 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$77.25 |
$77.25 |
$77.25 |
$109.18
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$33.00 |
$33.00 |
$33.00 |
$96.00
|
