|
Ghs st - re-eval for alt comm
|
$309.60 |
$309.60 |
$309.60 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$130.80 |
$130.80 |
$130.80 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$291.20 |
$291.20 |
$291.20 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$2,251.60 |
$2,251.60 |
$2,251.60 |
$909.00
|
|
Ghs urine, porphyrins quant
|
$53.20 |
$53.20 |
$53.20 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$3,558.80 |
$3,558.80 |
$3,558.80 |
$1,932.00
|
|
Giardia lamblia antibody
|
$130.00 |
$130.00 |
$130.00 |
$83.44
|
|
Gi inhouse confirmation
|
$116.00 |
$116.00 |
$116.00 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,773.20 |
$2,773.20 |
$2,773.20 |
$2,195.76
|
|
Gi trc img intral colon i&r
|
$1,715.20 |
$1,715.20 |
$1,715.20 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$1,897.82
|
|
Gi wireless capsule measure
|
$1,519.20 |
$1,519.20 |
$1,519.20 |
$1,579.30
|
|
Glucose 1 hr post dose
|
$29.20 |
$29.20 |
$29.20 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$2.80 |
$2.80 |
$2.80 |
$22.75
|
|
Glucose blood quantitative
|
$27.20 |
$27.20 |
$27.20 |
$41.40
|
|
Glucose body fluid
|
$52.00 |
$52.00 |
$52.00 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$126.80 |
$126.80 |
$126.80 |
$126.80
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$95.20 |
$95.20 |
$95.20 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$108.00 |
$108.00 |
$108.00 |
$129.00
|
|
Gonioscopy
|
$122.00 |
$122.00 |
$122.00 |
$135.52
|
|
Graft nerve adv 3-4x70mm
|
$24,444.00 |
$24,444.00 |
$24,444.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$40,320.00 |
$40,320.00 |
$40,320.00 |
$29,995.44
|
|
Graft xenmtrx sft rect 15x20cm
|
$24,793.02 |
$24,793.02 |
$24,793.02 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$4,626.72 |
$4,626.72 |
$4,626.72 |
$3,076.20
|
|
G-tube reposition
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$816.00 |
$816.00 |
$816.00 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$1,311.60 |
$1,311.60 |
$1,311.60 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$2,665.91 |
$2,665.91 |
$2,665.91 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$902.16 |
$902.16 |
$902.16 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$535.60 |
$535.60 |
$535.60 |
$535.60
|
|
Gw stiffened micro access kit
|
$7,084.98 |
$7,084.98 |
$7,084.98 |
$6,600.00
|
|
Handpiece aquabeam hp2000
|
$4,305.70 |
$4,305.70 |
$4,305.70 |
$6,628.05
|
|
Hand X-ray
|
$201.60 |
$201.60 |
$201.60 |
$345.87
|
|
Haptoglobin quantitative
|
$108.40 |
$108.40 |
$108.40 |
$91.80
|
|
Hbot, full body chamber, 30m
|
$506.80 |
$506.80 |
$506.80 |
$526.90
|
|
Hcg qualitative
|
$78.00 |
$78.00 |
$78.00 |
$88.00
|
|
Hcg quantitative
|
$113.20 |
$113.20 |
$113.20 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$143.69 |
$143.69 |
$143.69 |
$117.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$820.40 |
$820.40 |
$820.40 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$3,840.40 |
$3,840.40 |
$3,840.40 |
$3,840.40
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$7,371.20 |
$7,371.20 |
$7,371.20 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,931.20 |
$2,931.20 |
$2,931.20 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,312.40 |
$3,312.40 |
$3,312.40 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,694.80 |
$3,694.80 |
$3,694.80 |
$3,694.80
|
|
Hdr rdncl skn surf brachytx
|
$2,931.20 |
$2,931.20 |
$2,931.20 |
$877.50
|
|
Hdr rdncl skn surf brachytx
|
$3,694.80 |
$3,694.80 |
$3,694.80 |
$992.50
|
|
Head CT scan (with and without contrast)
|
$908.80 |
$908.80 |
$908.80 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$795.20 |
$795.20 |
$795.20 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$637.20 |
$637.20 |
$637.20 |
$1,268.90
|
|
Heart infarct image
|
$552.00 |
$552.00 |
$552.00 |
$942.29
|
|
Helicobacter pylori antibody igm
|
$40.00 |
$40.00 |
$40.00 |
$92.23
|
|
Hematocrit
|
$24.40 |
$24.40 |
$24.40 |
$33.57
|
|
Hematopoietic nuclear tx
|
$688.00 |
$688.00 |
$688.00 |
$928.98
|
|
Hemodialysis one evaluation
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,338.00
|
|
Hemoglobin
|
$16.00 |
$16.00 |
$16.00 |
$32.76
|
|
Hemoglobin fetal qualitative
|
$14.00 |
$14.00 |
$14.00 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$35.20 |
$35.20 |
$35.20 |
$52.32
|
|
Hemoglobin plasma
|
$36.00 |
$36.00 |
$36.00 |
$41.25
|
|
Heparin assay
|
$51.60 |
$51.60 |
$51.60 |
$138.84
|
|
Hepatitis a antibody igm
|
$76.80 |
$76.80 |
$76.80 |
$88.92
|
|
Hepatitis b core antibody igm
|
$100.80 |
$100.80 |
$100.80 |
$88.80
|
|
Hepatitis b core antibody total
|
$12.00 |
$12.00 |
$12.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$70.40 |
$70.40 |
$70.40 |
$81.12
|
|
Hepatitis c antibody
|
$109.60 |
$109.60 |
$109.60 |
$108.00
|
|
Hepatobiliary system imaging
|
$799.20 |
$799.20 |
$799.20 |
$1,438.99
|
|
Herpes simplex type 1 antibody igg
|
$63.60 |
$63.60 |
$63.60 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$58.80 |
$58.80 |
$58.80 |
$87.10
|
|
Herpes simplex virus isolation
|
$93.20 |
$93.20 |
$93.20 |
$106.21
|
|
Heterophile antibodies screening
|
$68.00 |
$68.00 |
$68.00 |
$72.00
|
|
Hfo nontorsion jnts pre cst
|
$47.46 |
$47.46 |
$47.46 |
$110.88
|
|
Hip X-ray
|
$183.60 |
$183.60 |
$183.60 |
$296.05
|
|
Histamine
|
$27.20 |
$27.20 |
$27.20 |
$114.84
|
|
Hla class i phenotype qual
|
$1,466.80 |
$1,466.80 |
$1,466.80 |
$367.50
|
|
Hla ii typing ag equiv lr
|
$199.20 |
$199.20 |
$199.20 |
$448.80
|
|
Hla i typing complete hr
|
$1,581.60 |
$1,581.60 |
$1,581.60 |
$607.86
|
|
Hla i typing complete lr
|
$338.00 |
$338.00 |
$338.00 |
$719.20
|
|
Hla i typing high res 1 allele grp ea
|
$512.40 |
$512.40 |
$512.40 |
$304.20
|
|
Hla typing a b or c
|
$58.00 |
$58.00 |
$58.00 |
$364.00
|
|
Hla typing dr/dq
|
$89.60 |
$89.60 |
$89.60 |
$137.28
|
|
Home sleep test/type 2 porta
|
$340.00 |
$340.00 |
$340.00 |
$503.13
|
|
Home sleep test/type 3 porta
|
$340.00 |
$340.00 |
$340.00 |
$570.00
|
|
Home sleep test/type 4 porta
|
$340.00 |
$340.00 |
$340.00 |
$613.60
|
|
Homocysteine
|
$133.20 |
$133.20 |
$133.20 |
$125.00
|
|
Homogenization tissue
|
$242.40 |
$242.40 |
$242.40 |
$41.00
|
|
Hpa-1 genotyping
|
$353.20 |
$353.20 |
$353.20 |
$200.40
|
|
H pylori (c-13) breath
|
$316.40 |
$316.40 |
$316.40 |
$213.00
|
|
Human epididymis protein 4 (he4)
|
$754.40 |
$754.40 |
$754.40 |
$156.65
|
|
Hydration IV infusion each additional hour
|
$130.80 |
$130.80 |
$130.80 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$291.20 |
$291.20 |
$291.20 |
$385.20
|
|
#hypersens-actinomyces ab
|
$181.20 |
$181.20 |
$181.20 |
$32.40
|
|
Hypnotherapy
|
$806.00 |
$806.00 |
$806.00 |
$244.80
|
|
Hysterosalpingography s&i
|
$458.00 |
$458.00 |
$458.00 |
$663.50
|
|
I-123 iobenguane diag
|
$614.32 |
$614.32 |
$614.32 |
$5,170.70
|
|
I-123 ioflupane diag
|
$2,546.72 |
$2,546.72 |
$2,546.72 |
$4,077.15
|
|
I-123 sod iodide diag per 100 uci
|
$51.45 |
$51.45 |
$51.45 |
$144.24
|
|
I-131 iobenguane sulf diag mibg
|
$1,819.20 |
$1,819.20 |
$1,819.20 |
$3,638.48
|
|
I131 iodide cap, rx
|
$59.20 |
$59.20 |
$59.20 |
$71.70
|
|
I131 iodide sol, rx
|
$43.66 |
$43.66 |
$43.66 |
$42.01
|
|
I131 max 100uci
|
$7.60 |
$7.60 |
$7.60 |
$53.39
|
|
I-131 sod iodide sol diag per mci
|
$14.40 |
$14.40 |
$14.40 |
$33.60
|
