|
Ghs superficial wnd dehiscence simp12020
|
$1,399.20 |
$1,399.20 |
$1,399.20 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$768.80 |
$768.80 |
$768.80 |
$695.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$624.00 |
$624.00 |
$624.00 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$50.40 |
$50.40 |
$50.40 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,338.40 |
$3,338.40 |
$3,338.40 |
$3,341.93
|
|
Ghs windowing of cast
|
$299.20 |
$299.20 |
$299.20 |
$212.55
|
|
Giardia lamblia antibody
|
$72.80 |
$72.80 |
$72.80 |
$83.44
|
|
Gi inhouse confirmation
|
$69.60 |
$69.60 |
$69.60 |
$87.75
|
|
Glucagon 1 mg solution for injection
|
$302.72 |
$302.72 |
$302.72 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$289.36 |
$289.36 |
$289.36 |
$491.67
|
|
Glucose 1 hr post dose
|
$37.60 |
$37.60 |
$37.60 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$28.80 |
$28.80 |
$28.80 |
$23.12
|
|
Glucose blood quantitative
|
$35.20 |
$35.20 |
$35.20 |
$42.25
|
|
Glucose body fluid
|
$60.80 |
$60.80 |
$60.80 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$85.60 |
$85.60 |
$85.60 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$25.60 |
$25.60 |
$25.60 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$13.60 |
$13.60 |
$13.60 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,221.83 |
$2,221.83 |
$2,221.83 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$97.60 |
$97.60 |
$97.60 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$103.20 |
$103.20 |
$103.20 |
$129.03
|
|
Group train without patient
|
$56.80 |
$56.80 |
$56.80 |
$47.60
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$36.84 |
$36.84 |
$36.84 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$27.79 |
$27.79 |
$27.79 |
$24.30
|
|
Handle/convey/speciman/office-lab 99000
|
$31.20 |
$31.20 |
$31.20 |
$23.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$104.80 |
$104.80 |
$104.80 |
$105.30
|
|
Hand X-ray
|
$216.80 |
$216.80 |
$216.80 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$193.60 |
$193.60 |
$193.60 |
$294.90
|
|
Haptoglobin quantitative
|
$76.80 |
$76.80 |
$76.80 |
$92.80
|
|
Hcg qualitative
|
$49.60 |
$49.60 |
$49.60 |
$90.10
|
|
Hcg quantitative
|
$72.80 |
$72.80 |
$72.80 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,292.00 |
$2,292.00 |
$2,292.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,760.80 |
$1,760.80 |
$1,760.80 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$168.00 |
$168.00 |
$168.00 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$84.80 |
$84.80 |
$84.80 |
$92.00
|
|
Hematocrit
|
$16.80 |
$16.80 |
$16.80 |
$33.80
|
|
Hemoglobin
|
$21.60 |
$21.60 |
$21.60 |
$33.54
|
|
Hemoglobin plasma
|
$28.80 |
$28.80 |
$28.80 |
$41.40
|
|
Hemophilus influenza antibdy
|
$56.80 |
$56.80 |
$56.80 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,683.20 |
$1,683.20 |
$1,683.20 |
$1,178.02
|
|
Heparin assay
|
$88.80 |
$88.80 |
$88.80 |
$139.15
|
|
Heparin bolus from bag
|
$94.00 |
$94.00 |
$94.00 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.52 |
$1.52 |
$1.52 |
$12.00
|
|
Hepatitis a antibody igm
|
$60.00 |
$60.00 |
$60.00 |
$89.44
|
|
Hepatitis b core antibody igm
|
$67.20 |
$67.20 |
$67.20 |
$89.60
|
|
Hepatitis b core antibody total
|
$66.40 |
$66.40 |
$66.40 |
$77.50
|
|
Hepatitis b surface antibody
|
$63.20 |
$63.20 |
$63.20 |
$82.32
|
|
Hepatitis c antibody
|
$81.60 |
$81.60 |
$81.60 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$71.20 |
$71.20 |
$71.20 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$103.20 |
$103.20 |
$103.20 |
$87.36
|
|
Heterophile antibodies screening
|
$43.20 |
$43.20 |
$43.20 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$423.20 |
$423.20 |
$423.20 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$331.20 |
$331.20 |
$331.20 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$185.60 |
$185.60 |
$185.60 |
$233.50
|
|
Hip X-ray
|
$248.00 |
$248.00 |
$248.00 |
$294.75
|
|
Histamine
|
$130.40 |
$130.40 |
$130.40 |
$115.00
|
|
Histochemical stains add-on
|
$187.20 |
$187.20 |
$187.20 |
$152.75
|
|
Hla class i high defin qual
|
$804.00 |
$804.00 |
$804.00 |
$631.15
|
|
Hla class ii high defin qual
|
$808.80 |
$808.80 |
$808.80 |
$569.25
|
|
Hla ii typing ag equiv lr
|
$294.40 |
$294.40 |
$294.40 |
$475.00
|
|
Hla i low res one antigen equiv ea
|
$152.00 |
$152.00 |
$152.00 |
$164.00
|
|
Hla i typing complete lr
|
$788.00 |
$788.00 |
$788.00 |
$720.00
|
|
Home sleep test/type 2 porta
|
$474.40 |
$474.40 |
$474.40 |
$503.13
|
|
Homocysteine
|
$96.00 |
$96.00 |
$96.00 |
$125.40
|
|
Homogenization tissue
|
$39.20 |
$39.20 |
$39.20 |
$41.30
|
|
Hopd mntl hlt, 15-29 min
|
$488.00 |
$488.00 |
$488.00 |
$60.00
|
|
Hopd mntl hlt, 30-60 min
|
$640.80 |
$640.80 |
$640.80 |
$152.25
|
|
Hopd mntl hlt, grp
|
$605.60 |
$605.60 |
$605.60 |
$57.85
|
|
H pylori (c-13) breath
|
$308.00 |
$308.00 |
$308.00 |
$212.25
|
|
Hyaluronidase 200 units/ml inj
|
$115.87 |
$115.87 |
$115.87 |
$245.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$98.87 |
$98.87 |
$98.87 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$29.28 |
$29.28 |
$29.28 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$66.75 |
$66.75 |
$66.75 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$13.66 |
$13.66 |
$13.66 |
$112.66
|
|
Ihc/icc per specimen each additional single antibody stain
|
$213.60 |
$213.60 |
$213.60 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$338.40 |
$338.40 |
$338.40 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$238.40 |
$238.40 |
$238.40 |
$277.90
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$2,525.52 |
$2,525.52 |
$2,525.52 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$101.60 |
$101.60 |
$101.60 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$101.60 |
$101.60 |
$101.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$90.40 |
$90.40 |
$90.40 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$141.60 |
$141.60 |
$141.60 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$215.20 |
$215.20 |
$215.20 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$288.00 |
$288.00 |
$288.00 |
$234.27
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,047.20 |
$2,047.20 |
$2,047.20 |
$2,086.70
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$131.20 |
$131.20 |
$131.20 |
$140.80
|
|
Infect ag ia optc obs influenza
|
$69.60 |
$69.60 |
$69.60 |
$72.93
|
|
Infect ag na hpv high-risk types
|
$131.20 |
$131.20 |
$131.20 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$248.80 |
$248.80 |
$248.80 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$144.00 |
$144.00 |
$144.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$80.80 |
$80.80 |
$80.80 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$72.00 |
$72.00 |
$72.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$72.00 |
$72.00 |
$72.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$164.80 |
$164.80 |
$164.80 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$60.80 |
$60.80 |
$60.80 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$67.20 |
$67.20 |
$67.20 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$116.80 |
$116.80 |
$116.80 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$169.60 |
$169.60 |
$169.60 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$59.20 |
$59.20 |
$59.20 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$63.20 |
$63.20 |
$63.20 |
$55.31
|