|
Ghs removal pharyngeal foreign body
|
$348.36 |
$348.36 |
$348.36 |
$456.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,554.46 |
$1,554.46 |
$1,554.46 |
$2,055.00
|
|
Ghs respiratory syncytical virus igg/m
|
$30.16 |
$30.16 |
$30.16 |
$48.57
|
|
Ghs sensitivity (per antimicro)
|
$29.14 |
$29.14 |
$29.14 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$201.10 |
$201.10 |
$201.10 |
$535.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$191.94 |
$191.94 |
$191.94 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$161.78 |
$161.78 |
$161.78 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$216.08 |
$216.08 |
$216.08 |
$564.61
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$136.16 |
$136.16 |
$136.16 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$178.34 |
$178.34 |
$178.34 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$102.49 |
$102.49 |
$102.49 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$275.56 |
$275.56 |
$275.56 |
$560.80
|
|
Ghs simple repair over 30 cm - 12018
|
$223.85 |
$223.85 |
$223.85 |
$432.00
|
|
Ghs somatosensory testing lower extremit
|
$365.01 |
$365.01 |
$365.01 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$385.54 |
$385.54 |
$385.54 |
$1,506.58
|
|
Ghs sphenopalatine ganglion block
|
$605.69 |
$605.69 |
$605.69 |
$762.91
|
|
Ghs sp train/fitting sp device - kx
|
$85.75 |
$85.75 |
$85.75 |
$240.80
|
|
Ghs strapping shoulder - 29240
|
$126.82 |
$126.82 |
$126.82 |
$210.91
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$66.51 |
$66.51 |
$66.51 |
$72.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$144.58 |
$144.58 |
$144.58 |
$342.40
|
|
Ghs superficial wnd dehiscence simp12020
|
$583.03 |
$583.03 |
$583.03 |
$1,016.25
|
|
Ghs superficial wnd dehis w packing12021
|
$265.85 |
$265.85 |
$265.85 |
$765.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,242.46 |
$1,242.46 |
$1,242.46 |
$2,379.20
|
|
Ghs tx distal phalangeal fx with manipulation
|
$135.42 |
$135.42 |
$135.42 |
$548.92
|
|
Ghs urine, porphyrins quant
|
$321.25 |
$321.25 |
$321.25 |
$85.15
|
|
Ghs vaginal delivery only
|
$968.66 |
$968.66 |
$968.66 |
$3,341.93
|
|
Giardia lamblia antibody
|
$85.93 |
$85.93 |
$85.93 |
$81.60
|
|
Gi inhouse confirmation
|
$46.34 |
$46.34 |
$46.34 |
$79.50
|
|
Glucagon plasma - sendout
|
$77.42 |
$77.42 |
$77.42 |
$67.50
|
|
Glucose 1 hr post dose
|
$22.85 |
$22.85 |
$22.85 |
$40.00
|
|
Glucose blood quantitative
|
$25.35 |
$25.35 |
$25.35 |
$40.80
|
|
Glucose body fluid
|
$27.01 |
$27.01 |
$27.01 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$46.25 |
$46.25 |
$46.25 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$12.12 |
$12.12 |
$12.12 |
$33.15
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$61.33 |
$61.33 |
$61.33 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$59.48 |
$59.48 |
$59.48 |
$117.65
|
|
Great toe with reduction 28495
|
$329.30 |
$329.30 |
$329.30 |
$581.25
|
|
G-tube reposition
|
$536.50 |
$536.50 |
$536.50 |
$727.35
|
|
Guided cath fluid drainage 10030
|
$1,261.42 |
$1,261.42 |
$1,261.42 |
$1,451.40
|
|
Guide endoanchr sg-64 aaa 62cm
|
$7,743.36 |
$7,743.36 |
$7,743.36 |
$2,108.25
|
|
Hand X-ray
|
$262.70 |
$262.70 |
$262.70 |
$317.78
|
|
Haptoglobin quantitative
|
$57.17 |
$57.17 |
$57.17 |
$75.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$425.78 |
$425.78 |
$425.78 |
$527.13
|
|
Hcg qualitative
|
$33.39 |
$33.39 |
$33.39 |
$72.50
|
|
Hcg quantitative
|
$64.47 |
$64.47 |
$64.47 |
$105.00
|
|
Hc metata joint dislocation anes
|
$2,307.69 |
$2,307.69 |
$2,307.69 |
$1,964.56
|
|
Head CT scan (with and without contrast)
|
$1,065.14 |
$1,065.14 |
$1,065.14 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$883.28 |
$883.28 |
$883.28 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$891.79 |
$891.79 |
$891.79 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$65.49 |
$65.49 |
$65.49 |
$84.80
|
|
Hematocrit
|
$19.24 |
$19.24 |
$19.24 |
$32.50
|
|
Hematopoietic nuclear tx
|
$1,555.57 |
$1,555.57 |
$1,555.57 |
$878.33
|
|
Hemoglobin
|
$19.61 |
$19.61 |
$19.61 |
$28.60
|
|
Hemoglobin fetal qualitative
|
$26.36 |
$26.36 |
$26.36 |
$54.60
|
|
Hemoglobin methemoglobin quantitative
|
$43.01 |
$43.01 |
$43.01 |
$43.01
|
|
Hemoglobin plasma
|
$46.81 |
$46.81 |
$46.81 |
$43.80
|
|
Hemolysins/agglutinins auto
|
$27.75 |
$27.75 |
$27.75 |
$57.14
|
|
Hemolysins and agglutinins incubated
|
$61.79 |
$61.79 |
$61.79 |
$67.50
|
|
Heparin assay
|
$77.24 |
$77.24 |
$77.24 |
$107.50
|
|
Heparin neutralization
|
$49.21 |
$49.21 |
$49.21 |
$56.55
|
|
Hepatitis a antibody igm
|
$69.38 |
$69.38 |
$69.38 |
$80.60
|
|
Hepatitis b core antibody igm
|
$50.97 |
$50.97 |
$50.97 |
$85.80
|
|
Hepatitis b core antibody total
|
$46.25 |
$46.25 |
$46.25 |
$84.75
|
|
Hepatitis b surface antibody
|
$41.26 |
$41.26 |
$41.26 |
$81.12
|
|
Hepatitis c antibody
|
$53.10 |
$53.10 |
$53.10 |
$106.50
|
|
Hepatobiliary system imaging
|
$528.18 |
$528.18 |
$528.18 |
$1,438.58
|
|
Herpes simplex 1 ag if
|
$50.97 |
$50.97 |
$50.97 |
$49.40
|
|
Herpes simplex 2 ag if
|
$47.45 |
$47.45 |
$47.45 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$60.68 |
$60.68 |
$60.68 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$77.52 |
$77.52 |
$77.52 |
$96.20
|
|
Herpes simplex virus isolation
|
$59.44 |
$59.44 |
$59.44 |
$110.50
|
|
Heterophile antibodies screening
|
$24.14 |
$24.14 |
$24.14 |
$59.40
|
|
Hhv-6 dna quant
|
$184.63 |
$184.63 |
$184.63 |
$232.80
|
|
Hip X-ray
|
$122.10 |
$122.10 |
$122.10 |
$262.64
|
|
Histamine
|
$162.62 |
$162.62 |
$162.62 |
$132.60
|
|
Histochemical stains add-on
|
$57.07 |
$57.07 |
$57.07 |
$179.04
|
|
Hla class i high defin qual
|
$264.18 |
$264.18 |
$264.18 |
$574.86
|
|
Hla ii typing 1 loc hr
|
$658.39 |
$658.39 |
$658.39 |
$342.60
|
|
Hla i low res one antigen equiv ea
|
$100.73 |
$100.73 |
$100.73 |
$164.00
|
|
Hla i typing complete lr
|
$2,871.02 |
$2,871.02 |
$2,871.02 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$153.00 |
$153.00 |
$153.00 |
$340.00
|
|
Hla i typing low res one locus ea
|
$978.84 |
$978.84 |
$978.84 |
$320.70
|
|
Hla typing a b or c
|
$100.73 |
$100.73 |
$100.73 |
$379.20
|
|
Homocysteine
|
$142.54 |
$142.54 |
$142.54 |
$100.00
|
|
Homogenization tissue
|
$15.45 |
$15.45 |
$15.45 |
$39.20
|
|
Homovanillic acid (hva)
|
$76.87 |
$76.87 |
$76.87 |
$66.60
|
|
Hpv types 16 & 18 only
|
$140.32 |
$140.32 |
$140.32 |
$114.33
|
|
H pylori (c-13) breath
|
$74.77 |
$74.77 |
$74.77 |
$236.00
|
|
Htt gene detc abnor alleles
|
$152.07 |
$152.07 |
$152.07 |
$345.75
|
|
Human epididymis protein 4 (he4)
|
$98.51 |
$98.51 |
$98.51 |
$154.00
|
|
Hydration IV infusion each additional hour
|
$67.06 |
$67.06 |
$67.06 |
$125.45
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$144.67 |
$144.67 |
$144.67 |
$388.70
|
|
Hysterosalpingography s&i
|
$252.25 |
$252.25 |
$252.25 |
$555.39
|
|
Iaadi respiratory synctial virus
|
$49.40 |
$49.40 |
$49.40 |
$46.02
|
|
Iadna legionella pneumophila amplified probe tq
|
$99.70 |
$99.70 |
$99.70 |
$109.00
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,814.67 |
$1,814.67 |
$1,814.67 |
$2,812.80
|
|
Idh1 common variants
|
$130.61 |
$130.61 |
$130.61 |
$406.90
|
|
Idh2 common variants
|
$196.01 |
$196.01 |
$196.01 |
$463.45
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$1,262.35 |
$1,262.35 |
$1,262.35 |
$2,147.18
|
|
Igh gene rearrange amp meth
|
$209.51 |
$209.51 |
$209.51 |
$464.00
|