|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$741.18 |
$741.18 |
$741.18 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$650.10 |
$650.10 |
$650.10 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$826.98 |
$826.98 |
$826.98 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$657.36 |
$657.36 |
$657.36 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$969.54 |
$969.54 |
$969.54 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$798.60 |
$798.60 |
$798.60 |
$589.18
|
|
Ghs spont nystagmus
|
$163.77 |
$163.77 |
$163.77 |
$217.57
|
|
Ghs sp train/fitting sp device - kx
|
$202.99 |
$202.99 |
$202.99 |
$261.95
|
|
Ghs st - eval for alt comm
|
$368.16 |
$368.16 |
$368.16 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$150.48 |
$150.48 |
$150.48 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$175.06 |
$175.06 |
$175.06 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$81.95 |
$81.95 |
$81.95 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$215.05 |
$215.05 |
$215.05 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,734.48 |
$1,734.48 |
$1,734.48 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$768.90 |
$768.90 |
$768.90 |
$761.28
|
|
Ghs tx distal phalangeal fx with manipulation
|
$557.70 |
$557.70 |
$557.70 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$184.80 |
$184.80 |
$184.80 |
$540.00
|
|
Ghs urine, porphyrins quant
|
$405.90 |
$405.90 |
$405.90 |
$70.20
|
|
Ghs vaginal delivery only
|
$1,749.85 |
$1,749.85 |
$1,749.85 |
$3,525.06
|
|
Gi inhouse confirmation
|
$47.85 |
$47.85 |
$47.85 |
$87.00
|
|
Glucagon plasma - sendout
|
$44.55 |
$44.55 |
$44.55 |
$58.56
|
|
Glucose 1 hr post dose
|
$52.25 |
$52.25 |
$52.25 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$13.75 |
$13.75 |
$13.75 |
$22.00
|
|
Glucose blood quantitative
|
$33.55 |
$33.55 |
$33.55 |
$44.76
|
|
Glucose body fluid
|
$59.95 |
$59.95 |
$59.95 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$69.30 |
$69.30 |
$69.30 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$51.15 |
$51.15 |
$51.15 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$86.35 |
$86.35 |
$86.35 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$95.70 |
$95.70 |
$95.70 |
$123.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$10,412.48 |
$10,412.48 |
$10,412.48 |
$25,762.70
|
|
Graft nerve adv 3-4x70mm
|
$4,287.74 |
$4,287.74 |
$4,287.74 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$754.19 |
$754.19 |
$754.19 |
$25,728.84
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$10,524.25 |
$10,524.25 |
$10,524.25 |
$1,560.21
|
|
Graft xenmtrx sft rect 15x20cm
|
$377.18 |
$377.18 |
$377.18 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$513.30 |
$513.30 |
$513.30 |
$2,653.10
|
|
Great toe with reduction 28495
|
$764.28 |
$764.28 |
$764.28 |
$577.03
|
|
Grfg autol fat lipo 25 cc/<
|
$642.95 |
$642.95 |
$642.95 |
$2,164.64
|
|
Grfg autol fat lipo 50 cc/<
|
$635.80 |
$635.80 |
$635.80 |
$4,332.25
|
|
Grfg autol fat lipo ea addl
|
$191.95 |
$191.95 |
$191.95 |
$448.00
|
|
G-tube reposition
|
$450.12 |
$450.12 |
$450.12 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$1,980.66 |
$1,980.66 |
$1,980.66 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$3,079.56 |
$3,079.56 |
$3,079.56 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$4,138.75 |
$4,138.75 |
$4,138.75 |
$7,133.49
|
|
Guide wire threaded 1.4x150mm
|
$930.63 |
$930.63 |
$930.63 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$166.09 |
$166.09 |
$166.09 |
$2,229.99
|
|
Guid loc target vol rad tx
|
$484.68 |
$484.68 |
$484.68 |
$503.80
|
|
Gw stiffened micro access kit
|
$2,365.00 |
$2,365.00 |
$2,365.00 |
$6,285.56
|
|
Handle/convey/speciman/office-lab 99000
|
$17.05 |
$17.05 |
$17.05 |
$30.36
|
|
Hand tendon reconstruction
|
$822.80 |
$822.80 |
$822.80 |
$5,741.00
|
|
Hand tendon reconstruction
|
$942.70 |
$942.70 |
$942.70 |
$4,192.86
|
|
Hand X-ray
|
$247.50 |
$247.50 |
$247.50 |
$338.58
|
|
Haptoglobin quantitative
|
$78.65 |
$78.65 |
$78.65 |
$89.95
|
|
Hbot, full body chamber, 30m
|
$522.50 |
$522.50 |
$522.50 |
$494.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$689.70 |
$689.70 |
$689.70 |
$759.72
|
|
Hcg free betachain test
|
$20.90 |
$20.90 |
$20.90 |
$54.59
|
|
Hcg qualitative
|
$43.45 |
$43.45 |
$43.45 |
$77.50
|
|
Hcg quantitative
|
$103.40 |
$103.40 |
$103.40 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$48.85 |
$48.85 |
$48.85 |
$136.50
|
|
Hc nm kidney imaging with flow
|
$767.58 |
$767.58 |
$767.58 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$808.50 |
$808.50 |
$808.50 |
$1,186.80
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,090.88 |
$2,090.88 |
$2,090.88 |
$3,309.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,607.15 |
$1,607.15 |
$1,607.15 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,958.98 |
$1,958.98 |
$1,958.98 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,251.70 |
$2,251.70 |
$2,251.70 |
$3,410.55
|
|
Head CT scan (with and without contrast)
|
$1,191.96 |
$1,191.96 |
$1,191.96 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,043.46 |
$1,043.46 |
$1,043.46 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$819.72 |
$819.72 |
$819.72 |
$1,268.90
|
|
Heart infarct image
|
$605.22 |
$605.22 |
$605.22 |
$840.74
|
|
Helicobacter pylori antibody igm
|
$79.75 |
$79.75 |
$79.75 |
$84.80
|
|
Hematocrit
|
$17.05 |
$17.05 |
$17.05 |
$33.57
|
|
Hemodialysis one evaluation
|
$896.28 |
$896.28 |
$896.28 |
$1,329.90
|
|
Hemoglobin
|
$36.30 |
$36.30 |
$36.30 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$114.40 |
$114.40 |
$114.40 |
$49.40
|
|
Hemoglobin-oxygen affinity
|
$81.95 |
$81.95 |
$81.95 |
$73.00
|
|
Hemoglobin plasma
|
$33.55 |
$33.55 |
$33.55 |
$40.56
|
|
Hemoglobin urine
|
$73.15 |
$73.15 |
$73.15 |
$23.31
|
|
Hemolysin acid
|
$163.90 |
$163.90 |
$163.90 |
$31.74
|
|
Hemophilus influenza antibdy
|
$90.75 |
$90.75 |
$90.75 |
$56.80
|
|
Heparin assay
|
$190.30 |
$190.30 |
$190.30 |
$130.20
|
|
Heparin neutralization
|
$97.90 |
$97.90 |
$97.90 |
$47.45
|
|
Hepatitis a antibody igm
|
$94.60 |
$94.60 |
$94.60 |
$85.15
|
|
Hepatitis b core antibody igm
|
$74.25 |
$74.25 |
$74.25 |
$87.98
|
|
Hepatitis b core antibody total
|
$83.05 |
$83.05 |
$83.05 |
$83.29
|
|
Hepatitis b surface antibody
|
$50.05 |
$50.05 |
$50.05 |
$83.79
|
|
Hepatitis c antibody
|
$46.75 |
$46.75 |
$46.75 |
$108.00
|
|
Hepatobiliary system imaging
|
$869.22 |
$869.22 |
$869.22 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$48.95 |
$48.95 |
$48.95 |
$40.28
|
|
Herpes simplex 2 ag if
|
$48.95 |
$48.95 |
$48.95 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$216.70 |
$216.70 |
$216.70 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$216.70 |
$216.70 |
$216.70 |
$87.10
|
|
Herpes simplex virus isolation
|
$37.40 |
$37.40 |
$37.40 |
$93.32
|
|
Heterophile antibodies screening
|
$86.35 |
$86.35 |
$86.35 |
$73.60
|
|
Heterophile antibodies titer
|
$109.45 |
$109.45 |
$109.45 |
$16.80
|
|
Hhv-6 dna quant
|
$255.20 |
$255.20 |
$255.20 |
$200.25
|
|
Hip X-ray
|
$308.88 |
$308.88 |
$308.88 |
$292.05
|
|
Histamine
|
$183.15 |
$183.15 |
$183.15 |
$125.40
|
|
Histochemical stains add-on
|
$113.30 |
$113.30 |
$113.30 |
$169.65
|
|
Hla class i&ii antibody qual
|
$246.40 |
$246.40 |
$246.40 |
$207.60
|
|
Hla i typing 1 locus hr
|
$357.50 |
$357.50 |
$357.50 |
$398.40
|
|
Hla i typing high res 1 allele grp ea
|
$105.60 |
$105.60 |
$105.60 |
$307.53
|
