|
Ghs histoplasma antigen
|
$80.71 |
$80.71 |
$80.71 |
$142.00
|
|
Ghs HIV antibody
|
$24.19 |
$24.19 |
$24.19 |
$89.70
|
|
Ghs immun0electrophoresis
|
$51.84 |
$51.84 |
$51.84 |
$110.00
|
|
Ghs inhibitor screen
|
$108.45 |
$108.45 |
$108.45 |
$191.88
|
|
Ghs insertion of needle - bone
|
$157.60 |
$157.60 |
$157.60 |
$431.28
|
|
Ghs mbp
|
$30.37 |
$30.37 |
$30.37 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$232.18 |
$232.18 |
$232.18 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$232.18 |
$232.18 |
$232.18 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$329.77 |
$329.77 |
$329.77 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$117.78 |
$117.78 |
$117.78 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$117.78 |
$117.78 |
$117.78 |
$142.40
|
|
Ghs nerve blk intercostal, ea addtl level
|
$730.80 |
$730.80 |
$730.80 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$351.60 |
$351.60 |
$351.60 |
$1,160.00
|
|
Ghs ng placement w fluoro guidance
|
$109.17 |
$109.17 |
$109.17 |
$485.00
|
|
Ghs o2 uptake rest & indirect
|
$128.34 |
$128.34 |
$128.34 |
$173.50
|
|
Ghs ot group caregiver training
|
$52.29 |
$52.29 |
$52.29 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$60.80 |
$60.80 |
$60.80 |
$93.00
|
|
Ghs pacing - transcutaneous
|
$383.20 |
$383.20 |
$383.20 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$336.24 |
$336.24 |
$336.24 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$393.09 |
$393.09 |
$393.09 |
$962.00
|
|
Ghs phenylketonurid
|
$8.19 |
$8.19 |
$8.19 |
$53.76
|
|
Ghs picc line insert < 5
|
$729.83 |
$729.83 |
$729.83 |
$2,019.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$4,338.07 |
$4,338.07 |
$4,338.07 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$30.53 |
$30.53 |
$30.53 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$28.92 |
$28.92 |
$28.92 |
$43.55
|
|
Ghs protoporphyrins fract
|
$53.50 |
$53.50 |
$53.50 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$137.49 |
$137.49 |
$137.49 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$32.29 |
$32.29 |
$32.29 |
$47.55
|
|
Ghs quinidine
|
$28.92 |
$28.92 |
$28.92 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$41.47 |
$41.47 |
$41.47 |
$74.82
|
|
Ghs reticulocyte count
|
$6.27 |
$6.27 |
$6.27 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$22.30 |
$22.30 |
$22.30 |
$99.00
|
|
Ghs sedimentation rate
|
$6.27 |
$6.27 |
$6.27 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$12.21 |
$12.21 |
$12.21 |
$57.60
|
|
Ghs sleep study unattended
|
$679.38 |
$679.38 |
$679.38 |
$503.38
|
|
Ghs urine, porphyrins quant
|
$29.88 |
$29.88 |
$29.88 |
$73.80
|
|
Giardia ag if
|
$32.39 |
$32.39 |
$32.39 |
$38.58
|
|
Giardia lamblia antibody
|
$38.59 |
$38.59 |
$38.59 |
$83.44
|
|
Gi inhouse confirmation
|
$33.45 |
$33.45 |
$33.45 |
$87.75
|
|
Glucagon plasma - sendout
|
$32.29 |
$32.29 |
$32.29 |
$64.35
|
|
Glucose 1 hr post dose
|
$7.23 |
$7.23 |
$7.23 |
$49.00
|
|
Glucose body fluid
|
$63.14 |
$63.14 |
$63.14 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$18.80 |
$18.80 |
$18.80 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$5.78 |
$5.78 |
$5.78 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$27.96 |
$27.96 |
$27.96 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$27.96 |
$27.96 |
$27.96 |
$129.03
|
|
Graft nerve adv 3-4x70mm
|
$27,705.80 |
$27,705.80 |
$27,705.80 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$31,483.55 |
$31,483.55 |
$31,483.55 |
$29,293.39
|
|
Graft xenmtrx sft rect 15x20cm
|
$21,409.55 |
$21,409.55 |
$21,409.55 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,089.48 |
$3,089.48 |
$3,089.48 |
$2,905.40
|
|
Ground mileage
|
$11.74 |
$11.74 |
$11.74 |
$17.60
|
|
Guide wire threaded 1.4x150mm
|
$6,711.28 |
$6,711.28 |
$6,711.28 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,736.87 |
$1,736.87 |
$1,736.87 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$3,804.11 |
$3,804.11 |
$3,804.11 |
$6,893.38
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$88.16 |
$88.16 |
$88.16 |
$105.30
|
|
Hand X-ray
|
$227.26 |
$227.26 |
$227.26 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$185.99 |
$185.99 |
$185.99 |
$294.90
|
|
Haptoglobin quantitative
|
$28.44 |
$28.44 |
$28.44 |
$92.80
|
|
Hba1/hba2 full gene sequence
|
$874.80 |
$874.80 |
$874.80 |
$769.95
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,277.82 |
$1,277.82 |
$1,277.82 |
$726.00
|
|
Hcg qualitative
|
$11.09 |
$11.09 |
$11.09 |
$90.10
|
|
Hcg quantitative
|
$32.29 |
$32.29 |
$32.29 |
$139.20
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$339.12 |
$339.12 |
$339.12 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$415.80 |
$415.80 |
$415.80 |
$849.00
|
|
Head CT scan (with and without contrast)
|
$700.56 |
$700.56 |
$700.56 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$583.80 |
$583.80 |
$583.80 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$467.04 |
$467.04 |
$467.04 |
$1,268.90
|
|
Heart image spect
|
$844.56 |
$844.56 |
$844.56 |
$1,135.68
|
|
Heel (Calcaneus) X-ray (both feet)
|
$120.06 |
$120.06 |
$120.06 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$44.93 |
$44.93 |
$44.93 |
$92.00
|
|
Hematocrit
|
$33.26 |
$33.26 |
$33.26 |
$33.80
|
|
Hemoglobin
|
$28.92 |
$28.92 |
$28.92 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$12.05 |
$12.05 |
$12.05 |
$52.32
|
|
Hemoglobin plasma
|
$10.60 |
$10.60 |
$10.60 |
$41.40
|
|
Hemophilus influenza antibdy
|
$35.71 |
$35.71 |
$35.71 |
$62.70
|
|
Heparin assay
|
$44.34 |
$44.34 |
$44.34 |
$139.15
|
|
Hepatitis a antibody igm
|
$49.54 |
$49.54 |
$49.54 |
$89.44
|
|
Hepatitis b core antibody igm
|
$55.30 |
$55.30 |
$55.30 |
$89.60
|
|
Hepatitis b core antibody total
|
$31.68 |
$31.68 |
$31.68 |
$77.50
|
|
Hepatitis b surface antibody
|
$31.68 |
$31.68 |
$31.68 |
$82.32
|
|
Hepatitis c antibody
|
$54.72 |
$54.72 |
$54.72 |
$108.25
|
|
Hereditary colon ca dsordrs
|
$1,901.23 |
$1,901.23 |
$1,901.23 |
$1,901.23
|
|
Herpes simplex 1 ag if
|
$31.86 |
$31.86 |
$31.86 |
$38.58
|
|
Herpes simplex 2 ag if
|
$31.86 |
$31.86 |
$31.86 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$30.53 |
$30.53 |
$30.53 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$33.98 |
$33.98 |
$33.98 |
$87.36
|
|
Herpes simplex virus isolation
|
$54.16 |
$54.16 |
$54.16 |
$110.00
|
|
Heterophile antibodies screening
|
$9.22 |
$9.22 |
$9.22 |
$73.87
|
|
Hhv-6 dna quant
|
$66.91 |
$66.91 |
$66.91 |
$253.68
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$288.90 |
$288.90 |
$288.90 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$104.52 |
$104.52 |
$104.52 |
$233.50
|
|
Hip X-ray
|
$248.70 |
$248.70 |
$248.70 |
$294.75
|
|
Histamine
|
$42.90 |
$42.90 |
$42.90 |
$115.00
|
|
Hla i & ii type verify lr
|
$590.00 |
$590.00 |
$590.00 |
$742.50
|
|
Hla ii typing 1 loc hr
|
$180.79 |
$180.79 |
$180.79 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$108.38 |
$108.38 |
$108.38 |
$164.00
|
|
Hla i typing complete lr
|
$588.55 |
$588.55 |
$588.55 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$247.86 |
$247.86 |
$247.86 |
$304.20
|
|
Hla i typing low res one locus ea
|
$186.14 |
$186.14 |
$186.14 |
$340.00
|
|
Hla typing dr/dq
|
$52.42 |
$52.42 |
$52.42 |
$135.20
|
