|
Ghs musc test done w/n test comp
|
$312.00 |
$312.00 |
$312.00 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$404.00 |
$404.00 |
$404.00 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$451.00 |
$451.00 |
$451.00 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$831.00 |
$831.00 |
$831.00 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$1,363.00 |
$1,363.00 |
$1,363.00 |
$808.80
|
|
Ghs ng placement w fluoro guidance
|
$525.00 |
$525.00 |
$525.00 |
$468.75
|
|
Ghs o2 saturation
|
$194.00 |
$194.00 |
$194.00 |
$72.45
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$101.00 |
$101.00 |
$101.00 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$101.00 |
$101.00 |
$101.00 |
$57.65
|
|
Ghs ot group caregiver training
|
$28.00 |
$28.00 |
$28.00 |
$43.20
|
|
Ghs ot sensory integrative tech/15min
|
$166.00 |
$166.00 |
$166.00 |
$101.05
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$198.00 |
$198.00 |
$198.00 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$694.20
|
|
Ghs phenylketonurid
|
$252.00 |
$252.00 |
$252.00 |
$51.58
|
|
Ghs picc line insert < 5
|
$8,965.00 |
$8,965.00 |
$8,965.00 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$2,069.00 |
$2,069.00 |
$2,069.00 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$168.00 |
$168.00 |
$168.00 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$73.00 |
$73.00 |
$73.00 |
$40.56
|
|
Ghs protoporphyrins fract
|
$173.00 |
$173.00 |
$173.00 |
$64.35
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$104.00 |
$104.00 |
$104.00 |
$45.05
|
|
Ghs removal intranasal foreign body
|
$944.00 |
$944.00 |
$944.00 |
$324.35
|
|
Ghs rsv eia (respir synctial vrs)
|
$175.00 |
$175.00 |
$175.00 |
$101.15
|
|
Ghs sensitivity (per antimicro)
|
$140.00 |
$140.00 |
$140.00 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$2,178.00 |
$2,178.00 |
$2,178.00 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$2,642.00 |
$2,642.00 |
$2,642.00 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$2,642.00 |
$2,642.00 |
$2,642.00 |
$670.08
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,938.00 |
$1,938.00 |
$1,938.00 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$2,444.00 |
$2,444.00 |
$2,444.00 |
$538.64
|
|
Ghs sp train/fitting sp device - kx
|
$267.00 |
$267.00 |
$267.00 |
$261.95
|
|
Ghs st - eval for alt comm
|
$280.00 |
$280.00 |
$280.00 |
$99.75
|
|
Ghs st - re-eval for alt comm
|
$279.00 |
$279.00 |
$279.00 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$395.00 |
$395.00 |
$395.00 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$610.00 |
$610.00 |
$610.00 |
$351.45
|
|
Ghs tx distal phalangeal fx with manipulation
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$591.00
|
|
Ghs urine, porphyrins quant
|
$192.00 |
$192.00 |
$192.00 |
$70.20
|
|
Ghs vaginal delivery only
|
$5,879.00 |
$5,879.00 |
$5,879.00 |
$3,525.06
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,928.00 |
$1,928.00 |
$1,928.00 |
$1,843.00
|
|
Giardia lamblia antibody
|
$173.00 |
$173.00 |
$173.00 |
$81.60
|
|
Gi inhouse confirmation
|
$131.00 |
$131.00 |
$131.00 |
$87.00
|
|
Gjb2 gene full sequence
|
$836.72 |
$836.72 |
$836.72 |
$386.10
|
|
Glucagon plasma - sendout
|
$56.00 |
$56.00 |
$56.00 |
$58.56
|
|
Glucose 1 hr post dose
|
$77.00 |
$77.00 |
$77.00 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$24.00 |
$24.00 |
$24.00 |
$22.00
|
|
Glucose blood quantitative
|
$94.00 |
$94.00 |
$94.00 |
$44.76
|
|
Glucose body fluid
|
$111.00 |
$111.00 |
$111.00 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$209.00 |
$209.00 |
$209.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$61.00 |
$61.00 |
$61.00 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$38.73 |
$38.73 |
$38.73 |
$49.20
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$1,449.08 |
$1,449.08 |
$1,449.08 |
$4,880.83
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$208.00 |
$208.00 |
$208.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$207.00 |
$207.00 |
$207.00 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$252.85 |
$252.85 |
$252.85 |
$672.50
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,219.88 |
$1,219.88 |
$1,219.88 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$694.61 |
$694.61 |
$694.61 |
$765.06
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$2,794.34 |
$2,794.34 |
$2,794.34 |
$821.11
|
|
Guided cath fluid drainage 10030
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$1,461.15
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$57.73 |
$57.73 |
$57.73 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$19.13 |
$19.13 |
$19.13 |
$36.04
|
|
Hand X-ray
|
$427.00 |
$427.00 |
$427.00 |
$338.58
|
|
Haptoglobin quantitative
|
$147.00 |
$147.00 |
$147.00 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$4,300.00 |
$4,300.00 |
$4,300.00 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$2,167.00 |
$2,167.00 |
$2,167.00 |
$406.25
|
|
Hbb full gene sequence
|
$2,326.00 |
$2,326.00 |
$2,326.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$1,611.86 |
$1,611.86 |
$1,611.86 |
$404.80
|
|
Hcg qualitative
|
$169.00 |
$169.00 |
$169.00 |
$77.50
|
|
Hcg quantitative
|
$112.00 |
$112.00 |
$112.00 |
$124.80
|
|
Head CT scan (with and without contrast)
|
$5,394.00 |
$5,394.00 |
$5,394.00 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$4,673.00 |
$4,673.00 |
$4,673.00 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$2,848.00 |
$2,848.00 |
$2,848.00 |
$1,268.90
|
|
Hematocrit
|
$40.00 |
$40.00 |
$40.00 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,727.00 |
$1,727.00 |
$1,727.00 |
$1,329.90
|
|
Hemodialysis repeated eval
|
$2,675.00 |
$2,675.00 |
$2,675.00 |
$1,357.00
|
|
Hemoglobin
|
$36.00 |
$36.00 |
$36.00 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$140.00 |
$140.00 |
$140.00 |
$49.40
|
|
Heparin assay
|
$312.00 |
$312.00 |
$312.00 |
$130.20
|
|
Heparin bolus from bag
|
$72.52 |
$72.52 |
$72.52 |
$72.61
|
|
Heparin neutralization
|
$194.00 |
$194.00 |
$194.00 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$22.52 |
$22.52 |
$22.52 |
$22.75
|
|
Hepatitis a antibody igm
|
$151.00 |
$151.00 |
$151.00 |
$85.15
|
|
Hepatitis b core antibody igm
|
$133.00 |
$133.00 |
$133.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$141.00 |
$141.00 |
$141.00 |
$83.29
|
|
Hepatitis b surface antibody
|
$171.00 |
$171.00 |
$171.00 |
$83.79
|
|
Hepatitis c antibody
|
$105.00 |
$105.00 |
$105.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,177.00 |
$2,177.00 |
$2,177.00 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$110.00 |
$110.00 |
$110.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$128.00 |
$128.00 |
$128.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$114.00 |
$114.00 |
$114.00 |
$93.32
|
|
Heterophile antibodies screening
|
$96.00 |
$96.00 |
$96.00 |
$73.60
|
|
Hip X-ray
|
$430.00 |
$430.00 |
$430.00 |
$292.05
|
|
Histamine
|
$141.00 |
$141.00 |
$141.00 |
$125.40
|
|
Hla class i&ii antibody qual
|
$411.00 |
$411.00 |
$411.00 |
$207.60
|
|
Hla ii typing 1 loc hr
|
$932.00 |
$932.00 |
$932.00 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$776.00 |
$776.00 |
$776.00 |
$164.00
|
|
Hla i typing 1 locus hr
|
$1,217.00 |
$1,217.00 |
$1,217.00 |
$398.40
|
|
Hla i typing high res 1 allele grp ea
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$307.53
|
|
Hocm 350-399mg/ml iodine,1ml
|
$67.55 |
$67.55 |
$67.55 |
$79.78
|
|
Homocysteine
|
$271.00 |
$271.00 |
$271.00 |
$113.10
|
|
Homogenization tissue
|
$78.00 |
$78.00 |
$78.00 |
$39.00
|
|
Hpa-1 genotyping
|
$342.00 |
$342.00 |
$342.00 |
$147.17
|
