|
Ghs ppd (tb intradermal)
|
$80.00 |
$80.00 |
$80.00 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$94.40 |
$94.40 |
$94.40 |
$41.40
|
|
Ghs protoporphyrins fract
|
$148.80 |
$148.80 |
$148.80 |
$64.35
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$103.20 |
$103.20 |
$103.20 |
$45.05
|
|
Ghs quinidine
|
$208.00 |
$208.00 |
$208.00 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$315.20 |
$315.20 |
$315.20 |
$320.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$908.00 |
$908.00 |
$908.00 |
$2,055.00
|
|
Ghs reticulocyte count
|
$18.40 |
$18.40 |
$18.40 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$147.20 |
$147.20 |
$147.20 |
$101.15
|
|
Ghs sedimentation rate
|
$48.80 |
$48.80 |
$48.80 |
$45.50
|
|
Ghs semen analysis fert
|
$263.20 |
$263.20 |
$263.20 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$91.20 |
$91.20 |
$91.20 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$262.40 |
$262.40 |
$262.40 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$524.80 |
$524.80 |
$524.80 |
$652.80
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$306.40 |
$306.40 |
$306.40 |
$625.60
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$228.80 |
$228.80 |
$228.80 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$212.80 |
$212.80 |
$212.80 |
$472.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$227.20 |
$227.20 |
$227.20 |
$447.70
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$255.20 |
$255.20 |
$255.20 |
$510.15
|
|
Ghs simple repair over 30 cm - 12007
|
$344.80 |
$344.80 |
$344.80 |
$620.00
|
|
Ghs simple repair over 30 cm - 12018
|
$259.20 |
$259.20 |
$259.20 |
$452.80
|
|
Ghs sleep study unattended
|
$317.60 |
$317.60 |
$317.60 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$209.60 |
$209.60 |
$209.60 |
$947.48
|
|
Ghs speech-gen aug dev eval iii, st
|
$79.20 |
$79.20 |
$79.20 |
$118.20
|
|
Ghs sphenopalatine ganglion block
|
$218.40 |
$218.40 |
$218.40 |
$735.80
|
|
Ghs sp train/fitting sp device - kx
|
$111.20 |
$111.20 |
$111.20 |
$249.60
|
|
Ghs st - eval for alt comm
|
$24.00 |
$24.00 |
$24.00 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$44.00 |
$44.00 |
$44.00 |
$240.35
|
|
Ghs superficial wnd dehiscence simp12020
|
$752.00 |
$752.00 |
$752.00 |
$972.40
|
|
Ghs superficial wnd dehis w packing12021
|
$263.20 |
$263.20 |
$263.20 |
$765.68
|
|
Ghs tx distal phalangeal fx with manipulation
|
$478.40 |
$478.40 |
$478.40 |
$562.80
|
|
Ghs urine, porphyrins quant
|
$159.20 |
$159.20 |
$159.20 |
$72.60
|
|
Ghs vaginal delivery only
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$3,433.76
|
|
Ghs veeg 12-26 hr intmt mont
|
$888.80 |
$888.80 |
$888.80 |
$1,843.00
|
|
Giardia lamblia antibody
|
$124.80 |
$124.80 |
$124.80 |
$81.60
|
|
Gi inhouse confirmation
|
$127.20 |
$127.20 |
$127.20 |
$83.85
|
|
Glucagon 1 mg solution for injection
|
$761.54 |
$761.54 |
$761.54 |
$591.50
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$367.98 |
$367.98 |
$367.98 |
$509.06
|
|
Glucagon plasma - sendout
|
$179.20 |
$179.20 |
$179.20 |
$58.00
|
|
Glucose 1 hr post dose
|
$42.40 |
$42.40 |
$42.40 |
$45.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$92.80 |
$92.80 |
$92.80 |
$39.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$18.40 |
$18.40 |
$18.40 |
$21.18
|
|
Glucose blood quantitative
|
$35.20 |
$35.20 |
$35.20 |
$44.40
|
|
Glucose body fluid
|
$110.40 |
$110.40 |
$110.40 |
$50.04
|
|
Glucose monitoring continual min 72hr pt
|
$98.40 |
$98.40 |
$98.40 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$136.00 |
$136.00 |
$136.00 |
$97.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$16.80 |
$16.80 |
$16.80 |
$33.57
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$74.24 |
$74.24 |
$74.24 |
$54.00
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,959.63 |
$4,959.63 |
$4,959.63 |
$4,236.56
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$127.20 |
$127.20 |
$127.20 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$77.60 |
$77.60 |
$77.60 |
$124.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,395.80 |
$2,395.80 |
$2,395.80 |
$2,506.56
|
|
Great toe with reduction 28495
|
$264.00 |
$264.00 |
$264.00 |
$577.03
|
|
Guided cath fluid drainage 10030
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$1,454.66
|
|
Gynecomastia (males) 19300
|
$872.00 |
$872.00 |
$872.00 |
$4,238.48
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$7.20 |
$7.20 |
$7.20 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$68.82 |
$68.82 |
$68.82 |
$27.12
|
|
Hand X-ray
|
$225.60 |
$225.60 |
$225.60 |
$324.80
|
|
Haptoglobin quantitative
|
$92.80 |
$92.80 |
$92.80 |
$80.24
|
|
Hcg qualitative
|
$71.20 |
$71.20 |
$71.20 |
$77.50
|
|
Hcg quantitative
|
$118.40 |
$118.40 |
$118.40 |
$124.80
|
|
Head CT scan (with and without contrast)
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,057.60 |
$1,057.60 |
$1,057.60 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$829.60 |
$829.60 |
$829.60 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$149.60 |
$149.60 |
$149.60 |
$82.50
|
|
Hematocrit
|
$41.60 |
$41.60 |
$41.60 |
$33.57
|
|
Hemoglobin
|
$29.60 |
$29.60 |
$29.60 |
$32.50
|
|
Hemoglobin fetal qualitative
|
$24.00 |
$24.00 |
$24.00 |
$51.75
|
|
Hemoglobin plasma
|
$132.80 |
$132.80 |
$132.80 |
$38.20
|
|
Hemorrhoidectomy intern transanal deater 2+ 46948
|
$663.20 |
$663.20 |
$663.20 |
$3,245.23
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$428.00 |
$428.00 |
$428.00 |
$1,078.88
|
|
Hemorrhoidopexy stapling 46947
|
$576.00 |
$576.00 |
$576.00 |
$3,245.23
|
|
Hepagam b intravenous, inj
|
$386.40 |
$386.40 |
$386.40 |
$386.40
|
|
Heparin assay
|
$172.00 |
$172.00 |
$172.00 |
$129.80
|
|
Heparin bolus from bag
|
$81.12 |
$81.12 |
$81.12 |
$69.71
|
|
Heparin neutralization
|
$135.20 |
$135.20 |
$135.20 |
$45.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$65.16 |
$65.16 |
$65.16 |
$24.26
|
|
Hepatitis a antibody igm
|
$112.80 |
$112.80 |
$112.80 |
$83.91
|
|
Hepatitis b core antibody igm
|
$102.40 |
$102.40 |
$102.40 |
$83.91
|
|
Hepatitis b core antibody total
|
$94.40 |
$94.40 |
$94.40 |
$79.34
|
|
Hepatitis b surface antibody
|
$102.40 |
$102.40 |
$102.40 |
$81.12
|
|
Hepatitis c antibody
|
$131.20 |
$131.20 |
$131.20 |
$108.00
|
|
Hernia Repair (Inguinal)
|
$776.80 |
$776.80 |
$776.80 |
$5,870.15
|
|
Herpes simplex type 1 antibody igg
|
$390.40 |
$390.40 |
$390.40 |
$71.20
|
|
Herpes simplex type 2 antibody igg
|
$68.80 |
$68.80 |
$68.80 |
$87.10
|
|
Herpes simplex virus isolation
|
$77.60 |
$77.60 |
$77.60 |
$97.06
|
|
Heterophile antibodies screening
|
$96.00 |
$96.00 |
$96.00 |
$72.00
|
|
Hip X-ray
|
$178.40 |
$178.40 |
$178.40 |
$283.20
|
|
Histamine
|
$73.60 |
$73.60 |
$73.60 |
$125.45
|
|
Histochemical stains add-on
|
$212.80 |
$212.80 |
$212.80 |
$169.65
|
|
Histoplasmosis skin test
|
$88.00 |
$88.00 |
$88.00 |
$46.22
|
|
Hiv-1 ag ia
|
$73.60 |
$73.60 |
$73.60 |
$77.95
|
|
Hla i low res one antigen equiv ea
|
$110.40 |
$110.40 |
$110.40 |
$164.00
|
|
Home health re-certification physician g0179
|
$63.20 |
$63.20 |
$63.20 |
$73.45
|
|
Home visit est patient 99348
|
$119.20 |
$119.20 |
$119.20 |
$151.20
|
|
Homocysteine
|
$104.00 |
$104.00 |
$104.00 |
$108.49
|
|
Homogenization tissue
|
$68.00 |
$68.00 |
$68.00 |
$40.30
|
|
Homovanillic acid (hva)
|
$80.80 |
$80.80 |
$80.80 |
$57.00
|
|
H pylori ag ia
|
$51.20 |
$51.20 |
$51.20 |
$35.20
|
|
H pylori (c-13) breath
|
$280.80 |
$280.80 |
$280.80 |
$213.00
|
