|
Ghs musc tst done w/n tst non ext
|
$225.40 |
$225.40 |
$225.40 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$53.88 |
$53.88 |
$53.88 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$802.63 |
$802.63 |
$802.63 |
$724.37
|
|
Ghs nerve block axillary nerve
|
$1,608.69 |
$1,608.69 |
$1,608.69 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,608.69 |
$1,608.69 |
$1,608.69 |
$1,710.80
|
|
Ghs nerve block interscaline
|
$1,128.78 |
$1,128.78 |
$1,128.78 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,128.78 |
$1,128.78 |
$1,128.78 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$883.82 |
$883.82 |
$883.82 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,278.21 |
$1,278.21 |
$1,278.21 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$522.05 |
$522.05 |
$522.05 |
$485.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$67.52 |
$67.52 |
$67.52 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$68.86 |
$68.86 |
$68.86 |
$64.50
|
|
Ghs ot group caregiver training
|
$16.15 |
$16.15 |
$16.15 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$130.62 |
$130.62 |
$130.62 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$109.45 |
$109.45 |
$109.45 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$1,338.96 |
$1,338.96 |
$1,338.96 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$376.14 |
$376.14 |
$376.14 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$376.14 |
$376.14 |
$376.14 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$134.02 |
$134.02 |
$134.02 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$577.96 |
$577.96 |
$577.96 |
$555.00
|
|
Ghs phenylketonurid
|
$20.64 |
$20.64 |
$20.64 |
$53.76
|
|
Ghs plngl fx pm cl
|
$730.52 |
$730.52 |
$730.52 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$26.06 |
$26.06 |
$26.06 |
$37.44
|
|
Ghs protein, misc fluid
|
$62.56 |
$62.56 |
$62.56 |
$24.60
|
|
Ghs protoporphyrins fract
|
$53.86 |
$53.86 |
$53.86 |
$60.75
|
|
Ghs refill of implantable pump
|
$308.19 |
$308.19 |
$308.19 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$289.82 |
$289.82 |
$289.82 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$873.15 |
$873.15 |
$873.15 |
$441.68
|
|
Ghs sedimentation rate
|
$52.99 |
$52.99 |
$52.99 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$18.75 |
$18.75 |
$18.75 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$593.83 |
$593.83 |
$593.83 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$630.62 |
$630.62 |
$630.62 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$876.79 |
$876.79 |
$876.79 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$388.38 |
$388.38 |
$388.38 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$606.11 |
$606.11 |
$606.11 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$401.73 |
$401.73 |
$401.73 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$440.41 |
$440.41 |
$440.41 |
$590.88
|
|
Ghs speech-gen aug dev eval iii, st
|
$155.28 |
$155.28 |
$155.28 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$366.16 |
$366.16 |
$366.16 |
$630.24
|
|
Ghs sp train/fitting sp device - kx
|
$201.58 |
$201.58 |
$201.58 |
$252.75
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,017.28 |
$1,017.28 |
$1,017.28 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$416.10 |
$416.10 |
$416.10 |
$695.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$671.47 |
$671.47 |
$671.47 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$241.92 |
$241.92 |
$241.92 |
$73.80
|
|
Ghs vaginal delivery only
|
$4,382.16 |
$4,382.16 |
$4,382.16 |
$3,341.93
|
|
Giardia ag if
|
$34.10 |
$34.10 |
$34.10 |
$38.58
|
|
Gi inhouse confirmation
|
$132.05 |
$132.05 |
$132.05 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,248.88 |
$2,248.88 |
$2,248.88 |
$2,215.20
|
|
Glucagon plasma - sendout
|
$224.13 |
$224.13 |
$224.13 |
$64.35
|
|
Glucose 1 hr post dose
|
$56.46 |
$56.46 |
$56.46 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$21.71 |
$21.71 |
$21.71 |
$23.12
|
|
Glucose blood quantitative
|
$62.56 |
$62.56 |
$62.56 |
$42.25
|
|
Glucose body fluid
|
$53.88 |
$53.88 |
$53.88 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$157.23 |
$157.23 |
$157.23 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$157.23 |
$157.23 |
$157.23 |
$36.00
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$65.88 |
$65.88 |
$65.88 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$195.90 |
$195.90 |
$195.90 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$261.04 |
$261.04 |
$261.04 |
$129.03
|
|
Gonioscopy
|
$28.68 |
$28.68 |
$28.68 |
$135.52
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,231.50 |
$1,231.50 |
$1,231.50 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$99.03 |
$99.03 |
$99.03 |
$73.83
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$61.18 |
$61.18 |
$61.18 |
$1,111.05
|
|
Great toe with reduction 28495
|
$513.36 |
$513.36 |
$513.36 |
$495.00
|
|
G-tube reposition
|
$424.61 |
$424.61 |
$424.61 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$1,507.51 |
$1,507.51 |
$1,507.51 |
$1,372.15
|
|
Guid loc target vol rad tx
|
$192.89 |
$192.89 |
$192.89 |
$535.60
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$15.88 |
$15.88 |
$15.88 |
$91.09
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$98.83 |
$98.83 |
$98.83 |
$105.30
|
|
Hand X-ray
|
$256.69 |
$256.69 |
$256.69 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$354.84 |
$354.84 |
$354.84 |
$294.90
|
|
Haptoglobin quantitative
|
$117.72 |
$117.72 |
$117.72 |
$92.80
|
|
Hba1/hba2 gene dup/del vrnts
|
$465.52 |
$465.52 |
$465.52 |
$403.25
|
|
Hcg qualitative
|
$101.65 |
$101.65 |
$101.65 |
$90.10
|
|
Hcg quantitative
|
$228.89 |
$228.89 |
$228.89 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$1,937.57 |
$1,937.57 |
$1,937.57 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,500.13 |
$1,500.13 |
$1,500.13 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,214.77 |
$1,214.77 |
$1,214.77 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$509.02 |
$509.02 |
$509.02 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$204.59 |
$204.59 |
$204.59 |
$92.00
|
|
Hematocrit
|
$40.85 |
$40.85 |
$40.85 |
$33.80
|
|
Hemoglobin
|
$40.85 |
$40.85 |
$40.85 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$104.69 |
$104.69 |
$104.69 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$146.83 |
$146.83 |
$146.83 |
$52.32
|
|
Hemoglobin plasma
|
$15.79 |
$15.79 |
$15.79 |
$41.40
|
|
Hemophilus influenza antibdy
|
$288.81 |
$288.81 |
$288.81 |
$62.70
|
|
Heparin assay
|
$30.11 |
$30.11 |
$30.11 |
$139.15
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.17 |
$0.17 |
$0.17 |
$12.00
|
|
Hepatitis a antibody igm
|
$108.58 |
$108.58 |
$108.58 |
$89.44
|
|
Hepatitis b core antibody igm
|
$250.60 |
$250.60 |
$250.60 |
$89.60
|
|
Hepatitis b core antibody total
|
$45.25 |
$45.25 |
$45.25 |
$77.50
|
|
Hepatitis b surface antibody
|
$40.32 |
$40.32 |
$40.32 |
$82.32
|
|
Hepatitis c antibody
|
$53.55 |
$53.55 |
$53.55 |
$108.25
|
|
Hepatitis d quantification
|
$92.52 |
$92.52 |
$92.52 |
$91.28
|
|
Herpes simplex type 1 antibody igg
|
$19.13 |
$19.13 |
$19.13 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$19.13 |
$19.13 |
$19.13 |
$87.36
|
|
Herpes simplex virus isolation
|
$81.58 |
$81.58 |
$81.58 |
$110.00
|
|
Heterophile antibodies screening
|
$93.37 |
$93.37 |
$93.37 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$399.57 |
$399.57 |
$399.57 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$522.05 |
$522.05 |
$522.05 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$203.85 |
$203.85 |
$203.85 |
$233.50
|