|
Ghs corneal fb without slit lamp bilat
|
$206.05 |
$206.05 |
$206.05 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$150.80 |
$150.80 |
$150.80 |
$362.21
|
|
Ghs dislocation elbow closed treatment
|
$720.85 |
$720.85 |
$720.85 |
$687.73
|
|
Ghs excision ingrown nail
|
$204.10 |
$204.10 |
$204.10 |
$436.80
|
|
Ghs fat & muscle
|
$40.30 |
$40.30 |
$40.30 |
$45.75
|
|
Ghs febrile agglutinns(mayo)
|
$57.85 |
$57.85 |
$57.85 |
$51.99
|
|
Ghs fish cytogen
|
$308.75 |
$308.75 |
$308.75 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$109.85 |
$109.85 |
$109.85 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$304.20 |
$304.20 |
$304.20 |
$385.60
|
|
Ghs hgb stability-thal
|
$80.60 |
$80.60 |
$80.60 |
$85.20
|
|
Ghs histoplasma antigen
|
$169.65 |
$169.65 |
$169.65 |
$157.30
|
|
Ghs HIV antibody
|
$89.70 |
$89.70 |
$89.70 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$472.55 |
$472.55 |
$472.55 |
$475.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,020.50 |
$1,020.50 |
$1,020.50 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$557.05 |
$557.05 |
$557.05 |
$1,468.35
|
|
Ghs i and d pilonidal cyst simple
|
$291.85 |
$291.85 |
$291.85 |
$762.75
|
|
Ghs immun0electrophoresis
|
$102.70 |
$102.70 |
$102.70 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$331.50 |
$331.50 |
$331.50 |
$534.60
|
|
Ghs inhibitor screen
|
$232.05 |
$232.05 |
$232.05 |
$138.06
|
|
Ghs init tx 1st degree burn
|
$139.10 |
$139.10 |
$139.10 |
$295.00
|
|
Ghs insertion of needle - bone
|
$261.95 |
$261.95 |
$261.95 |
$436.10
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$783.25 |
$783.25 |
$783.25 |
$876.00
|
|
Ghs irrigate corpora cavernosa for priapism
|
$434.20 |
$434.20 |
$434.20 |
$615.58
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$449.15 |
$449.15 |
$449.15 |
$536.80
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$367.25 |
$367.25 |
$367.25 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$453.70 |
$453.70 |
$453.70 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$464.10 |
$464.10 |
$464.10 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$437.45 |
$437.45 |
$437.45 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$445.90 |
$445.90 |
$445.90 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$542.10 |
$542.10 |
$542.10 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$504.40 |
$504.40 |
$504.40 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$664.95 |
$664.95 |
$664.95 |
$740.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$737.10 |
$737.10 |
$737.10 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$573.95 |
$573.95 |
$573.95 |
$993.00
|
|
Ghs low level laser therapy
|
$65.00 |
$65.00 |
$65.00 |
$106.00
|
|
Ghs mbp
|
$114.40 |
$114.40 |
$114.40 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$176.15 |
$176.15 |
$176.15 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$189.15 |
$189.15 |
$189.15 |
$125.34
|
|
Ghs nailbed repair/nail removal
|
$444.60 |
$444.60 |
$444.60 |
$818.00
|
|
Ghs ot dds rom
|
$66.95 |
$66.95 |
$66.95 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$78.00 |
$78.00 |
$78.00 |
$92.35
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$41.60 |
$41.60 |
$41.60 |
$82.80
|
|
Ghs peritonsillar abscess i andd
|
$385.45 |
$385.45 |
$385.45 |
$694.20
|
|
Ghs phenylketonurid
|
$32.50 |
$32.50 |
$32.50 |
$61.20
|
|
Ghs picc line insert < 5
|
$1,160.25 |
$1,160.25 |
$1,160.25 |
$1,990.40
|
|
Ghs plngl fx pm cl
|
$642.20 |
$642.20 |
$642.20 |
$611.64
|
|
Ghs ppd (tb intradermal)
|
$49.40 |
$49.40 |
$49.40 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$53.95 |
$53.95 |
$53.95 |
$49.77
|
|
Ghs protein, misc fluid
|
$26.00 |
$26.00 |
$26.00 |
$24.60
|
|
Ghs protoporphyrins fract
|
$70.20 |
$70.20 |
$70.20 |
$68.38
|
|
Ghs quinidine
|
$63.70 |
$63.70 |
$63.70 |
$70.85
|
|
Ghs removal intranasal foreign body
|
$378.30 |
$378.30 |
$378.30 |
$320.00
|
|
Ghs reticulocyte count
|
$44.20 |
$44.20 |
$44.20 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$136.50 |
$136.50 |
$136.50 |
$117.60
|
|
Ghs sedimentation rate
|
$49.40 |
$49.40 |
$49.40 |
$36.57
|
|
Ghs sensitivity (per antimicro)
|
$63.05 |
$63.05 |
$63.05 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$541.45 |
$541.45 |
$541.45 |
$535.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$787.15 |
$787.15 |
$787.15 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$546.00 |
$546.00 |
$546.00 |
$563.75
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$487.50 |
$487.50 |
$487.50 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$462.15 |
$462.15 |
$462.15 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$600.60 |
$600.60 |
$600.60 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$604.50 |
$604.50 |
$604.50 |
$560.80
|
|
Ghs sleep study unattended
|
$505.70 |
$505.70 |
$505.70 |
$503.38
|
|
Ghs sp train/fitting sp device - kx
|
$216.45 |
$216.45 |
$216.45 |
$240.80
|
|
Ghs strapping shoulder - 29240
|
$192.40 |
$192.40 |
$192.40 |
$210.91
|
|
Ghs superficial wnd dehiscence simp12020
|
$464.10 |
$464.10 |
$464.10 |
$1,016.25
|
|
Ghs tracheostomy emergency - transtracheal
|
$902.20 |
$902.20 |
$902.20 |
$2,379.20
|
|
Ghs tx distal phalangeal fx with manipulation
|
$457.60 |
$457.60 |
$457.60 |
$548.92
|
|
Ghs urine, porphyrins quant
|
$85.15 |
$85.15 |
$85.15 |
$85.15
|
|
Ghs vaginal delivery only
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$3,341.93
|
|
Gi inhouse confirmation
|
$102.70 |
$102.70 |
$102.70 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$1,224.86 |
$1,224.86 |
$1,224.86 |
$351.53
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,105.35 |
$1,105.35 |
$1,105.35 |
$509.06
|
|
Glucagon plasma - sendout
|
$89.05 |
$89.05 |
$89.05 |
$67.50
|
|
Glucose 1 hr post dose
|
$41.60 |
$41.60 |
$41.60 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$24.70 |
$24.70 |
$24.70 |
$20.00
|
|
Glucose blood quantitative
|
$35.10 |
$35.10 |
$35.10 |
$40.80
|
|
Glucose body fluid
|
$63.70 |
$63.70 |
$63.70 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$137.15 |
$137.15 |
$137.15 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$34.45 |
$34.45 |
$34.45 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$91.00 |
$91.00 |
$91.00 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$99.45 |
$99.45 |
$99.45 |
$117.65
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$79.30 |
$79.30 |
$79.30 |
$56.71
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Handle/convey/speciman/office-lab 99000
|
$20.80 |
$20.80 |
$20.80 |
$30.36
|
|
Hand X-ray
|
$472.55 |
$472.55 |
$472.55 |
$317.78
|
|
Haptoglobin quantitative
|
$115.05 |
$115.05 |
$115.05 |
$75.00
|
|
Hba1/hba2 full gene sequence
|
$459.55 |
$459.55 |
$459.55 |
$847.86
|
|
Hba1/hba2 gene dup/del vrnts
|
$252.85 |
$252.85 |
$252.85 |
$407.57
|
|
Hbb full gene sequence
|
$447.85 |
$447.85 |
$447.85 |
$633.25
|
|
Hbb gene dup/del variants
|
$489.45 |
$489.45 |
$489.45 |
$436.80
|
|
Hcg free betachain test
|
$58.50 |
$58.50 |
$58.50 |
$64.28
|
|
Hcg qualitative
|
$72.80 |
$72.80 |
$72.80 |
$72.50
|
|
Hcg quantitative
|
$105.95 |
$105.95 |
$105.95 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,880.45 |
$1,880.45 |
$1,880.45 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,318.20 |
$1,318.20 |
$1,318.20 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$91.65 |
$91.65 |
$91.65 |
$84.80
|
