|
Ghs sensitivity (per antimicro)
|
$33.80 |
$33.80 |
$33.80 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$779.35 |
$779.35 |
$779.35 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$779.35 |
$779.35 |
$779.35 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$387.40 |
$387.40 |
$387.40 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$387.40 |
$387.40 |
$387.40 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$387.40 |
$387.40 |
$387.40 |
$489.72
|
|
Ghs speech-gen aug dev eval iii, st
|
$111.80 |
$111.80 |
$111.80 |
$157.50
|
|
Ghs spont nystagmus
|
$335.40 |
$335.40 |
$335.40 |
$246.50
|
|
Ghs sp train/fitting sp device - kx
|
$408.85 |
$408.85 |
$408.85 |
$252.75
|
|
Ghs st - eval for alt comm
|
$102.05 |
$102.05 |
$102.05 |
$96.40
|
|
Ghs st - re-eval for alt comm
|
$413.40 |
$413.40 |
$413.40 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$953.27
|
|
Ghs tracheostomy emergency - transtracheal
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$716.95 |
$716.95 |
$716.95 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$65.65 |
$65.65 |
$65.65 |
$73.80
|
|
Giardia lamblia antibody
|
$66.30 |
$66.30 |
$66.30 |
$83.44
|
|
Gi inhouse confirmation
|
$42.25 |
$42.25 |
$42.25 |
$87.75
|
|
Glove finger flexion right lg xl
|
$21.45 |
$21.45 |
$21.45 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$655.20 |
$655.20 |
$655.20 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$654.73 |
$654.73 |
$654.73 |
$491.67
|
|
Glucagon plasma - sendout
|
$64.35 |
$64.35 |
$64.35 |
$64.35
|
|
Glucose 1 hr post dose
|
$21.45 |
$21.45 |
$21.45 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$14.95 |
$14.95 |
$14.95 |
$23.12
|
|
Glucose blood quantitative
|
$17.55 |
$17.55 |
$17.55 |
$42.25
|
|
Glucose body fluid
|
$17.55 |
$17.55 |
$17.55 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$57.85 |
$57.85 |
$57.85 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$17.55 |
$17.55 |
$17.55 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$30.42 |
$30.42 |
$30.42 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$29,700.35 |
$29,700.35 |
$29,700.35 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$83.20 |
$83.20 |
$83.20 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$83.20 |
$83.20 |
$83.20 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$10,024.27 |
$10,024.27 |
$10,024.27 |
$4,417.13
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$11.70 |
$11.70 |
$11.70 |
$23,233.80
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$375.70 |
$375.70 |
$375.70 |
$1,132.47
|
|
Granisetron hcl injection
|
$21.06 |
$21.06 |
$21.06 |
$45.03
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$120.47 |
$120.47 |
$120.47 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$14.02 |
$14.02 |
$14.02 |
$24.30
|
|
Handle/convey/speciman/office-lab 99000
|
$31.85 |
$31.85 |
$31.85 |
$23.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$156.65 |
$156.65 |
$156.65 |
$105.30
|
|
Hand X-ray
|
$395.20 |
$395.20 |
$395.20 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$477.10 |
$477.10 |
$477.10 |
$294.90
|
|
Haptoglobin quantitative
|
$56.55 |
$56.55 |
$56.55 |
$92.80
|
|
Hcg qualitative
|
$33.80 |
$33.80 |
$33.80 |
$90.10
|
|
Hcg quantitative
|
$67.60 |
$67.60 |
$67.60 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$117.00 |
$117.00 |
$117.00 |
$113.12
|
|
Head CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$395.20 |
$395.20 |
$395.20 |
$276.00
|
|
Heinz bodies direct
|
$18.85 |
$18.85 |
$18.85 |
$43.15
|
|
Helicobacter pylori antibody igm
|
$75.40 |
$75.40 |
$75.40 |
$92.00
|
|
Hematocrit
|
$10.40 |
$10.40 |
$10.40 |
$33.80
|
|
Hemin 350 mg intravenous powder for solution
|
$26,739.55 |
$26,739.55 |
$26,739.55 |
$20,618.46
|
|
Hemoglobin
|
$10.40 |
$10.40 |
$10.40 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$35.75 |
$35.75 |
$35.75 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$37.05 |
$37.05 |
$37.05 |
$52.32
|
|
Hemoglobin plasma
|
$32.50 |
$32.50 |
$32.50 |
$41.40
|
|
Heparin assay
|
$58.50 |
$58.50 |
$58.50 |
$139.15
|
|
Heparin bolus from bag
|
$39.21 |
$39.21 |
$39.21 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$3.76 |
$3.76 |
$3.76 |
$12.00
|
|
Hepatitis a antibody igm
|
$50.70 |
$50.70 |
$50.70 |
$89.44
|
|
Hepatitis b core antibody igm
|
$52.65 |
$52.65 |
$52.65 |
$89.60
|
|
Hepatitis b core antibody total
|
$53.95 |
$53.95 |
$53.95 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$426.35 |
$426.35 |
$426.35 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$48.10 |
$48.10 |
$48.10 |
$82.32
|
|
Hepatitis c antibody
|
$63.70 |
$63.70 |
$63.70 |
$108.25
|
|
Hepb vacc 3 dose immunsup im
|
$457.10 |
$457.10 |
$457.10 |
$319.52
|
|
Herpes simplex type 1 antibody igg
|
$59.15 |
$59.15 |
$59.15 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$87.10 |
$87.10 |
$87.10 |
$87.36
|
|
Herpes simplex virus isolation
|
$152.10 |
$152.10 |
$152.10 |
$110.00
|
|
Heterophile antibodies screening
|
$23.40 |
$23.40 |
$23.40 |
$73.87
|
|
Heterophile antibodies titer
|
$29.25 |
$29.25 |
$29.25 |
$29.25
|
|
Hfo nontorsion jnts pre cst
|
$66.30 |
$66.30 |
$66.30 |
$110.88
|
|
Hhv-6 dna quant
|
$187.20 |
$187.20 |
$187.20 |
$253.68
|
|
High inten beh couns std 30m
|
$414.70 |
$414.70 |
$414.70 |
$108.93
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$477.10 |
$477.10 |
$477.10 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$477.10 |
$477.10 |
$477.10 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$395.20 |
$395.20 |
$395.20 |
$233.50
|
|
Hip X-ray
|
$395.20 |
$395.20 |
$395.20 |
$294.75
|
|
Histamine
|
$132.60 |
$132.60 |
$132.60 |
$115.00
|
|
Histochemical stains add-on
|
$119.60 |
$119.60 |
$119.60 |
$152.75
|
|
HIV prep, inj, cabotegravir
|
$3,298.62 |
$3,298.62 |
$3,298.62 |
$7,320.13
|
|
Hla class i high defin qual
|
$1,452.10 |
$1,452.10 |
$1,452.10 |
$631.15
|
|
Hla class ii high defin qual
|
$1,461.20 |
$1,461.20 |
$1,461.20 |
$569.25
|
|
Hla ii typing 1 loc hr
|
$554.45 |
$554.45 |
$554.45 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$333.45 |
$333.45 |
$333.45 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$761.80 |
$761.80 |
$761.80 |
$304.20
|
|
Hocm 250-299mg/ml iodine,1ml
|
$0.96 |
$0.96 |
$0.96 |
$37.80
|
|
Hocm 350-399mg/ml iodine,1ml
|
$1.09 |
$1.09 |
$1.09 |
$79.78
|
|
Homocysteine
|
$80.60 |
$80.60 |
$80.60 |
$125.40
|
|
Homogenization tissue
|
$26.65 |
$26.65 |
$26.65 |
$41.30
|
|
Hopd mntl hlt, grp
|
$57.85 |
$57.85 |
$57.85 |
$57.85
|
|
Hpv low-risk types
|
$157.30 |
$157.30 |
$157.30 |
$77.60
|
|
H pylori (c-13) breath
|
$302.25 |
$302.25 |
$302.25 |
$212.25
|
|
Human epididymis protein 4 (he4)
|
$93.60 |
$93.60 |
$93.60 |
$157.32
|
|
Hyaluronidase 150 unit/ml injection solution
|
$130.57 |
$130.57 |
$130.57 |
$126.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$130.57 |
$130.57 |
$130.57 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$39.88 |
$39.88 |
$39.88 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$470.46 |
$470.46 |
$470.46 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$182.66 |
$182.66 |
$182.66 |
$112.66
|
