|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$474.50 |
$474.50 |
$474.50 |
$535.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$529.75 |
$529.75 |
$529.75 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$626.60 |
$626.60 |
$626.60 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$518.70 |
$518.70 |
$518.70 |
$564.61
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$454.35 |
$454.35 |
$454.35 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$429.65 |
$429.65 |
$429.65 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$509.60 |
$509.60 |
$509.60 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$570.70 |
$570.70 |
$570.70 |
$560.80
|
|
Ghs simple repair over 30 cm - 12018
|
$657.15 |
$657.15 |
$657.15 |
$432.00
|
|
Ghs sphenopalatine ganglion block
|
$286.00 |
$286.00 |
$286.00 |
$762.91
|
|
Ghs strapping shoulder - 29240
|
$196.95 |
$196.95 |
$196.95 |
$210.91
|
|
Ghs st - re-eval for alt comm
|
$414.05 |
$414.05 |
$414.05 |
$321.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$596.70 |
$596.70 |
$596.70 |
$1,016.25
|
|
Ghs superficial wnd dehis w packing12021
|
$326.30 |
$326.30 |
$326.30 |
$765.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$841.10 |
$841.10 |
$841.10 |
$2,379.20
|
|
Ghs tx distal phalangeal fx with manipulation
|
$443.95 |
$443.95 |
$443.95 |
$548.92
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$849.55 |
$849.55 |
$849.55 |
$628.80
|
|
Ghs urine, porphyrins quant
|
$131.95 |
$131.95 |
$131.95 |
$85.15
|
|
Ghs vaginal delivery only
|
$2,079.35 |
$2,079.35 |
$2,079.35 |
$3,341.93
|
|
Ghs windowing of cast
|
$120.90 |
$120.90 |
$120.90 |
$191.98
|
|
Gi inhouse confirmation
|
$121.55 |
$121.55 |
$121.55 |
$79.50
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,375.40 |
$1,375.40 |
$1,375.40 |
$2,418.92
|
|
Glucagon 1 mg solution for injection
|
$910.00 |
$910.00 |
$910.00 |
$351.53
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$821.21 |
$821.21 |
$821.21 |
$509.06
|
|
Glucagon plasma - sendout
|
$130.65 |
$130.65 |
$130.65 |
$67.50
|
|
Glucose 1 hr post dose
|
$61.10 |
$61.10 |
$61.10 |
$40.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$58.50 |
$58.50 |
$58.50 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$8.45 |
$8.45 |
$8.45 |
$20.00
|
|
Glucose blood quantitative
|
$59.80 |
$59.80 |
$59.80 |
$40.80
|
|
Glucose body fluid
|
$73.45 |
$73.45 |
$73.45 |
$47.70
|
|
Glucose monitoring continual min 72hr pt
|
$96.85 |
$96.85 |
$96.85 |
$154.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$133.25 |
$133.25 |
$133.25 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$54.60 |
$54.60 |
$54.60 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.60
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$5,231.04 |
$5,231.04 |
$5,231.04 |
$61.21
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$159.90 |
$159.90 |
$159.90 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$165.10 |
$165.10 |
$165.10 |
$117.65
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,087.94 |
$3,087.94 |
$3,087.94 |
$1,598.97
|
|
Great toe with reduction 28495
|
$358.15 |
$358.15 |
$358.15 |
$581.25
|
|
G-tube reposition
|
$397.80 |
$397.80 |
$397.80 |
$727.35
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Hand X-ray
|
$520.65 |
$520.65 |
$520.65 |
$317.78
|
|
Haptoglobin quantitative
|
$122.20 |
$122.20 |
$122.20 |
$75.00
|
|
Hba1/hba2 full gene sequence
|
$443.95 |
$443.95 |
$443.95 |
$847.86
|
|
Hba1/hba2 gene dup/del vrnts
|
$445.25 |
$445.25 |
$445.25 |
$407.57
|
|
Hbb full gene sequence
|
$426.40 |
$426.40 |
$426.40 |
$633.25
|
|
Hbb gene dup/del variants
|
$450.45 |
$450.45 |
$450.45 |
$436.80
|
|
Hcg qualitative
|
$89.70 |
$89.70 |
$89.70 |
$72.50
|
|
Hcg quantitative
|
$137.15 |
$137.15 |
$137.15 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$1,849.90 |
$1,849.90 |
$1,849.90 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,554.80 |
$1,554.80 |
$1,554.80 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$125.45 |
$125.45 |
$125.45 |
$84.80
|
|
Hematocrit
|
$33.80 |
$33.80 |
$33.80 |
$32.50
|
|
Hemoglobin
|
$32.50 |
$32.50 |
$32.50 |
$28.60
|
|
Hemoglobin fetal qualitative
|
$54.60 |
$54.60 |
$54.60 |
$54.60
|
|
Hemoglobin methemoglobin quantitative
|
$53.30 |
$53.30 |
$53.30 |
$43.01
|
|
Hemoglobin plasma
|
$134.55 |
$134.55 |
$134.55 |
$43.80
|
|
Hemophilus influenza antibdy
|
$178.75 |
$178.75 |
$178.75 |
$56.80
|
|
Heparin assay
|
$185.25 |
$185.25 |
$185.25 |
$107.50
|
|
Heparin bolus from bag
|
$53.62 |
$53.62 |
$53.62 |
$50.95
|
|
Heparin neutralization
|
$87.10 |
$87.10 |
$87.10 |
$56.55
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Hepatitis a antibody igm
|
$111.15 |
$111.15 |
$111.15 |
$80.60
|
|
Hepatitis b core antibody igm
|
$133.90 |
$133.90 |
$133.90 |
$85.80
|
|
Hepatitis b core antibody total
|
$114.40 |
$114.40 |
$114.40 |
$84.75
|
|
Hepatitis b surface antibody
|
$113.75 |
$113.75 |
$113.75 |
$81.12
|
|
Hepatitis c antibody
|
$139.75 |
$139.75 |
$139.75 |
$106.50
|
|
Hepatobiliary system imaging
|
$1,416.35 |
$1,416.35 |
$1,416.35 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$2,581.15 |
$2,581.15 |
$2,581.15 |
$2,642.25
|
|
Hernia Repair (Inguinal)
|
$12,111.26 |
$12,111.26 |
$12,111.26 |
$5,870.15
|
|
Herpes simplex 1 ag if
|
$68.25 |
$68.25 |
$68.25 |
$49.40
|
|
Herpes simplex 2 ag if
|
$66.30 |
$66.30 |
$66.30 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$107.25 |
$107.25 |
$107.25 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$102.70 |
$102.70 |
$102.70 |
$96.20
|
|
Heterophile antibodies screening
|
$20.80 |
$20.80 |
$20.80 |
$59.40
|
|
Hexa gene
|
$258.70 |
$258.70 |
$258.70 |
$230.75
|
|
Hip X-ray
|
$285.35 |
$285.35 |
$285.35 |
$262.64
|
|
Histamine
|
$162.50 |
$162.50 |
$162.50 |
$132.60
|
|
Histochemical stains add-on
|
$176.80 |
$176.80 |
$176.80 |
$179.04
|
|
Hla class i high defin qual
|
$1,586.65 |
$1,586.65 |
$1,586.65 |
$574.86
|
|
Hla class ii high defin qual
|
$1,670.50 |
$1,670.50 |
$1,670.50 |
$530.54
|
|
Hla ii typing 1 loc hr
|
$670.15 |
$670.15 |
$670.15 |
$342.60
|
|
Hla ii typing ag equiv lr
|
$1,102.40 |
$1,102.40 |
$1,102.40 |
$372.06
|
|
Hla i typing 1 locus hr
|
$668.85 |
$668.85 |
$668.85 |
$398.40
|
|
Hla i typing complete lr
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$324.35 |
$324.35 |
$324.35 |
$340.00
|
|
Hla i typing low res one locus ea
|
$320.45 |
$320.45 |
$320.45 |
$320.70
|
|
Hla typing a b or c
|
$685.75 |
$685.75 |
$685.75 |
$379.20
|
|
Hla typing dr/dq
|
$215.80 |
$215.80 |
$215.80 |
$77.71
|
|
Homocysteine
|
$179.40 |
$179.40 |
$179.40 |
$100.00
|
|
Homogenization tissue
|
$48.10 |
$48.10 |
$48.10 |
$39.20
|
|
Homovanillic acid (hva)
|
$83.85 |
$83.85 |
$83.85 |
$66.60
|
|
Hpv types 16 & 18 only
|
$124.15 |
$124.15 |
$124.15 |
$114.33
|
|
H pylori (c-13) breath
|
$184.60 |
$184.60 |
$184.60 |
$236.00
|
|
H pylori drug admin
|
$37.05 |
$37.05 |
$37.05 |
$33.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$7,678.12 |
$7,678.12 |
$7,678.12 |
$3.39
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$181.35 |
$181.35 |
$181.35 |
$180.48
|
|
Hydralazine 20 mg/ml injection solution
|
$13.65 |
$13.65 |
$13.65 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$165.75 |
$165.75 |
$165.75 |
$125.45
|
