|
Ghs musc tst done w/n tst non ext
|
$135.20 |
$135.20 |
$135.20 |
$219.05
|
|
Ghs nailbed repair/nail removal
|
$563.55 |
$563.55 |
$563.55 |
$818.00
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,142.61 |
$2,142.61 |
$2,142.61 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$2,142.61 |
$2,142.61 |
$2,142.61 |
$1,232.23
|
|
Ghs nerve block axillary nerve
|
$1,322.88 |
$1,322.88 |
$1,322.88 |
$1,271.25
|
|
Ghs nerve block brachial plexus
|
$19,631.57 |
$19,631.57 |
$19,631.57 |
$1,789.51
|
|
Ghs nerve block celiac plexus
|
$722.80 |
$722.80 |
$722.80 |
$1,681.24
|
|
Ghs nerve block interscaline
|
$2,408.03 |
$2,408.03 |
$2,408.03 |
$1,574.21
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,216.38 |
$2,216.38 |
$2,216.38 |
$2,079.21
|
|
Ghs nerve block sciatic nerve
|
$19,886.72 |
$19,886.72 |
$19,886.72 |
$1,745.25
|
|
Ghs nerve block suprascapular
|
$1,322.88 |
$1,322.88 |
$1,322.88 |
$1,220.00
|
|
Ghs ng placement w fluoro guidance
|
$190.45 |
$190.45 |
$190.45 |
$423.76
|
|
Ghs opcc repair cvp w subq port
|
$604.50 |
$604.50 |
$604.50 |
$2,449.60
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$50.70 |
$50.70 |
$50.70 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$56.55 |
$56.55 |
$56.55 |
$56.55
|
|
Ghs ot dds rom
|
$61.10 |
$61.10 |
$61.10 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$82.55 |
$82.55 |
$82.55 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$70.20 |
$70.20 |
$70.20 |
$89.73
|
|
Ghs ot work hardening-additional hours
|
$73.45 |
$73.45 |
$73.45 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$583.05 |
$583.05 |
$583.05 |
$872.95
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$324.35 |
$324.35 |
$324.35 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$5,154.50 |
$5,154.50 |
$5,154.50 |
$849.47
|
|
Ghs peritonsillar abscess i andd
|
$360.10 |
$360.10 |
$360.10 |
$694.20
|
|
Ghs phenylketonurid
|
$35.75 |
$35.75 |
$35.75 |
$61.20
|
|
Ghs plngl fx pm cl
|
$687.05 |
$687.05 |
$687.05 |
$611.64
|
|
Ghs ppd (tb intradermal)
|
$54.60 |
$54.60 |
$54.60 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$65.65 |
$65.65 |
$65.65 |
$49.77
|
|
Ghs protoporphyrins fract
|
$42.90 |
$42.90 |
$42.90 |
$68.38
|
|
Ghs pt - work hardening/int 2hrs
|
$204.10 |
$204.10 |
$204.10 |
$230.40
|
|
Ghs quinidine
|
$67.60 |
$67.60 |
$67.60 |
$70.85
|
|
Ghs removal intranasal foreign body
|
$375.70 |
$375.70 |
$375.70 |
$320.00
|
|
Ghs reticulocyte count
|
$38.35 |
$38.35 |
$38.35 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$139.75 |
$139.75 |
$139.75 |
$117.60
|
|
Ghs sedimentation rate
|
$29.25 |
$29.25 |
$29.25 |
$36.57
|
|
Ghs sensitivity (per antimicro)
|
$76.05 |
$76.05 |
$76.05 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$535.60 |
$535.60 |
$535.60 |
$535.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$535.60 |
$535.60 |
$535.60 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$488.15 |
$488.15 |
$488.15 |
$563.75
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$447.85 |
$447.85 |
$447.85 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$410.15 |
$410.15 |
$410.15 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$601.25 |
$601.25 |
$601.25 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$664.95 |
$664.95 |
$664.95 |
$560.80
|
|
Ghs sleep study unattended
|
$581.75 |
$581.75 |
$581.75 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$99.45 |
$99.45 |
$99.45 |
$134.50
|
|
Ghs sphenopalatine ganglion block
|
$241.15 |
$241.15 |
$241.15 |
$762.91
|
|
Ghs sp train/fitting sp device - kx
|
$261.95 |
$261.95 |
$261.95 |
$240.80
|
|
Ghs strapping shoulder - 29240
|
$137.15 |
$137.15 |
$137.15 |
$210.91
|
|
Ghs superficial wnd dehiscence simp12020
|
$473.20 |
$473.20 |
$473.20 |
$1,016.25
|
|
Ghs tracheostomy emergency - transtracheal
|
$876.20 |
$876.20 |
$876.20 |
$2,379.20
|
|
Ghs tx distal phalangeal fx with manipulation
|
$432.25 |
$432.25 |
$432.25 |
$548.92
|
|
Ghs urine, porphyrins quant
|
$120.90 |
$120.90 |
$120.90 |
$85.15
|
|
Ghs vaginal delivery only
|
$1,814.80 |
$1,814.80 |
$1,814.80 |
$3,341.93
|
|
Gi inhouse confirmation
|
$46.80 |
$46.80 |
$46.80 |
$79.50
|
|
Glassia injection
|
$2,830.75 |
$2,830.75 |
$2,830.75 |
$2,551.28
|
|
Glove finger flexion right lg xl
|
$22.75 |
$22.75 |
$22.75 |
$36.75
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$509.06
|
|
Glucagon plasma - sendout
|
$60.45 |
$60.45 |
$60.45 |
$67.50
|
|
Glucose 1 hr post dose
|
$46.15 |
$46.15 |
$46.15 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$16.90 |
$16.90 |
$16.90 |
$20.00
|
|
Glucose blood quantitative
|
$46.15 |
$46.15 |
$46.15 |
$40.80
|
|
Glucose body fluid
|
$48.10 |
$48.10 |
$48.10 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$92.30 |
$92.30 |
$92.30 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$30.55 |
$30.55 |
$30.55 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.60
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,127.14 |
$4,127.14 |
$4,127.14 |
$61.21
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$76.05 |
$76.05 |
$76.05 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$106.60 |
$106.60 |
$106.60 |
$117.65
|
|
Goserelin 10.8 mg subcutaneous implant
|
$6,628.00 |
$6,628.00 |
$6,628.00 |
$1,598.97
|
|
Great toe with reduction 28495
|
$575.25 |
$575.25 |
$575.25 |
$581.25
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Hand X-ray
|
$350.35 |
$350.35 |
$350.35 |
$317.78
|
|
Haptoglobin quantitative
|
$126.10 |
$126.10 |
$126.10 |
$75.00
|
|
Hba1/hba2 full gene sequence
|
$442.00 |
$442.00 |
$442.00 |
$847.86
|
|
Hbb full gene sequence
|
$426.40 |
$426.40 |
$426.40 |
$633.25
|
|
Hbb gene dup/del variants
|
$442.00 |
$442.00 |
$442.00 |
$436.80
|
|
Hbot, full body chamber, 30m
|
$455.00 |
$455.00 |
$455.00 |
$524.17
|
|
Hcg qualitative
|
$52.65 |
$52.65 |
$52.65 |
$72.50
|
|
Hcg quantitative
|
$152.10 |
$152.10 |
$152.10 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$1,464.45 |
$1,464.45 |
$1,464.45 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,437.80 |
$1,437.80 |
$1,437.80 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$858.65 |
$858.65 |
$858.65 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$139.75 |
$139.75 |
$139.75 |
$84.80
|
|
Hematocrit
|
$17.55 |
$17.55 |
$17.55 |
$32.50
|
|
Hemoglobin
|
$22.10 |
$22.10 |
$22.10 |
$28.60
|
|
Hemoglobin methemoglobin quantitative
|
$79.30 |
$79.30 |
$79.30 |
$43.01
|
|
Hemoglobin plasma
|
$101.40 |
$101.40 |
$101.40 |
$43.80
|
|
Hemophilus influenza antibdy
|
$65.00 |
$65.00 |
$65.00 |
$56.80
|
|
Heparin assay
|
$172.25 |
$172.25 |
$172.25 |
$107.50
|
|
Heparin bolus from bag
|
$69.71 |
$69.71 |
$69.71 |
$50.95
|
|
Heparin neutralization
|
$64.35 |
$64.35 |
$64.35 |
$56.55
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Hepatitis a antibody igm
|
$152.75 |
$152.75 |
$152.75 |
$80.60
|
|
Hepatitis b core antibody igm
|
$161.20 |
$161.20 |
$161.20 |
$85.80
|
|
Hepatitis b core antibody total
|
$108.55 |
$108.55 |
$108.55 |
$84.75
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$3,339.32 |
$3,339.32 |
$3,339.32 |
$468.80
|
|
Hepatitis b surface antibody
|
$82.55 |
$82.55 |
$82.55 |
$81.12
|
|
Hepatitis c antibody
|
$117.65 |
$117.65 |
$117.65 |
$106.50
|
|
Hepatobiliary system imaging
|
$1,538.55 |
$1,538.55 |
$1,538.55 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$2,479.75 |
$2,479.75 |
$2,479.75 |
$2,642.25
|
|
Hernia Repair (Inguinal)
|
$8,739.17 |
$8,739.17 |
$8,739.17 |
$5,870.15
|
