|
Ghs protoporphyrins fract
|
$94.60 |
$94.60 |
$94.60 |
$64.35
|
|
Ghs quinidine
|
$116.05 |
$116.05 |
$116.05 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$253.55 |
$253.55 |
$253.55 |
$320.00
|
|
Ghs removal pharyngeal foreign body
|
$713.35 |
$713.35 |
$713.35 |
$460.00
|
|
Ghs semen analysis fert
|
$138.60 |
$138.60 |
$138.60 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$63.80 |
$63.80 |
$63.80 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$452.10 |
$452.10 |
$452.10 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$452.10 |
$452.10 |
$452.10 |
$680.80
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$452.10 |
$452.10 |
$452.10 |
$626.60
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$391.60 |
$391.60 |
$391.60 |
$472.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$391.60 |
$391.60 |
$391.60 |
$449.23
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$391.60 |
$391.60 |
$391.60 |
$510.15
|
|
Ghs simple repair over 30 cm - 12007
|
$552.20 |
$552.20 |
$552.20 |
$620.00
|
|
Ghs sleep study unattended
|
$187.00 |
$187.00 |
$187.00 |
$503.38
|
|
Ghs strapping shoulder - 29240
|
$298.10 |
$298.10 |
$298.10 |
$240.35
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$81.95 |
$81.95 |
$81.95 |
$93.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$996.60 |
$996.60 |
$996.60 |
$972.40
|
|
Ghs superficial wnd dehis w packing12021
|
$596.20 |
$596.20 |
$596.20 |
$765.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,322.10 |
$2,322.10 |
$2,322.10 |
$2,224.80
|
|
Ghs tx distal phalangeal fx with manipulation
|
$522.50 |
$522.50 |
$522.50 |
$572.00
|
|
Ghs urine, porphyrins quant
|
$88.55 |
$88.55 |
$88.55 |
$72.60
|
|
Ghs vaginal delivery only
|
$2,263.25 |
$2,263.25 |
$2,263.25 |
$3,433.76
|
|
Gi inhouse confirmation
|
$109.45 |
$109.45 |
$109.45 |
$84.60
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$982.44 |
$982.44 |
$982.44 |
$2,418.92
|
|
Glucagon plasma - sendout
|
$128.70 |
$128.70 |
$128.70 |
$58.00
|
|
Glucose 1 hr post dose
|
$106.70 |
$106.70 |
$106.70 |
$45.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$6.60 |
$6.60 |
$6.60 |
$21.18
|
|
Glucose blood quantitative
|
$53.35 |
$53.35 |
$53.35 |
$44.76
|
|
Glucose body fluid
|
$53.35 |
$53.35 |
$53.35 |
$50.70
|
|
Glucose monitoring continual min 72hr pt
|
$68.64 |
$68.64 |
$68.64 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$172.15 |
$172.15 |
$172.15 |
$99.00
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$52.80 |
$52.80 |
$52.80 |
$33.57
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$81.95 |
$81.95 |
$81.95 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$110.00 |
$110.00 |
$110.00 |
$124.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$602.17 |
$602.17 |
$602.17 |
$25,824.49
|
|
Great toe with reduction 28495
|
$422.95 |
$422.95 |
$422.95 |
$577.03
|
|
G-tube reposition
|
$463.10 |
$463.10 |
$463.10 |
$741.00
|
|
Guide wire threaded 1.4x150mm
|
$760.65 |
$760.65 |
$760.65 |
$1,087.31
|
|
Guide worley csg 9fx50cm std
|
$71.50 |
$71.50 |
$71.50 |
$576.41
|
|
Guid loc target vol rad tx
|
$421.30 |
$421.30 |
$421.30 |
$500.00
|
|
Gw stiffened micro access kit
|
$86.90 |
$86.90 |
$86.90 |
$2,745.36
|
|
Hand X-ray
|
$297.55 |
$297.55 |
$297.55 |
$325.85
|
|
Haptoglobin quantitative
|
$80.30 |
$80.30 |
$80.30 |
$80.30
|
|
Hbot, full body chamber, 30m
|
$393.80 |
$393.80 |
$393.80 |
$490.80
|
|
Hcg qualitative
|
$26.95 |
$26.95 |
$26.95 |
$77.50
|
|
Hcg quantitative
|
$101.75 |
$101.75 |
$101.75 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$37.40 |
$37.40 |
$37.40 |
$142.49
|
|
Head CT scan (with and without contrast)
|
$1,630.75 |
$1,630.75 |
$1,630.75 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,288.65 |
$1,288.65 |
$1,288.65 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,279.30 |
$1,279.30 |
$1,279.30 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$40.70 |
$40.70 |
$40.70 |
$83.85
|
|
Hematocrit
|
$27.50 |
$27.50 |
$27.50 |
$33.57
|
|
Hemodialysis one evaluation
|
$746.90 |
$746.90 |
$746.90 |
$1,261.20
|
|
Hemoglobin
|
$13.75 |
$13.75 |
$13.75 |
$32.50
|
|
Hemoglobin methemoglobin quantitative
|
$95.15 |
$95.15 |
$95.15 |
$48.75
|
|
Hemoglobin-oxygen affinity
|
$253.55 |
$253.55 |
$253.55 |
$73.00
|
|
Hemoglobin plasma
|
$30.25 |
$30.25 |
$30.25 |
$38.20
|
|
Heparin assay
|
$60.50 |
$60.50 |
$60.50 |
$129.80
|
|
Heparin neutralization
|
$68.75 |
$68.75 |
$68.75 |
$45.00
|
|
Hepatitis a antibody igm
|
$73.70 |
$73.70 |
$73.70 |
$84.00
|
|
Hepatitis b core antibody igm
|
$61.05 |
$61.05 |
$61.05 |
$84.20
|
|
Hepatitis b core antibody total
|
$54.45 |
$54.45 |
$54.45 |
$79.95
|
|
Hepatitis b surface antibody
|
$69.30 |
$69.30 |
$69.30 |
$81.12
|
|
Hepatitis c antibody
|
$69.30 |
$69.30 |
$69.30 |
$108.00
|
|
Hepatobiliary system imaging
|
$574.75 |
$574.75 |
$574.75 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$25.85 |
$25.85 |
$25.85 |
$40.28
|
|
Herpes simplex 2 ag if
|
$25.85 |
$25.85 |
$25.85 |
$41.22
|
|
Herpes simplex type 1 antibody igg
|
$15.95 |
$15.95 |
$15.95 |
$71.50
|
|
Herpes simplex type 2 antibody igg
|
$22.00 |
$22.00 |
$22.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$79.75 |
$79.75 |
$79.75 |
$97.06
|
|
Heterophile antibodies screening
|
$69.30 |
$69.30 |
$69.30 |
$72.00
|
|
Hip X-ray
|
$328.35 |
$328.35 |
$328.35 |
$283.80
|
|
Histamine
|
$202.95 |
$202.95 |
$202.95 |
$125.45
|
|
Hla ii typing 1 loc hr
|
$150.70 |
$150.70 |
$150.70 |
$333.60
|
|
Hla i low res one antigen equiv ea
|
$90.75 |
$90.75 |
$90.75 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$187.00 |
$187.00 |
$187.00 |
$316.55
|
|
Home sleep test/type 3 porta
|
$549.45 |
$549.45 |
$549.45 |
$632.40
|
|
Homocysteine
|
$191.40 |
$191.40 |
$191.40 |
$111.06
|
|
Homogenization tissue
|
$33.55 |
$33.55 |
$33.55 |
$40.30
|
|
Homovanillic acid (hva)
|
$127.05 |
$127.05 |
$127.05 |
$57.00
|
|
Hpv types 16 & 18 only
|
$54.45 |
$54.45 |
$54.45 |
$93.50
|
|
H pylori (c-13) breath
|
$129.25 |
$129.25 |
$129.25 |
$213.00
|
|
Human epididymis protein 4 (he4)
|
$247.50 |
$247.50 |
$247.50 |
$135.00
|
|
Hydration IV infusion each additional hour
|
$175.45 |
$175.45 |
$175.45 |
$132.80
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$266.20 |
$266.20 |
$266.20 |
$390.00
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$84.15 |
$84.15 |
$84.15 |
$73.45
|
|
Hysterosalpingography s&i
|
$408.10 |
$408.10 |
$408.10 |
$571.42
|
|
I-123 sod iodide diag per 100 uci
|
$48.95 |
$48.95 |
$48.95 |
$157.80
|
|
I131 iodide cap, rx
|
$30.80 |
$30.80 |
$30.80 |
$98.98
|
|
I-131 sod iodide sol diag per mci
|
$174.35 |
$174.35 |
$174.35 |
$135.45
|
|
Iaadi respiratory synctial virus
|
$8.25 |
$8.25 |
$8.25 |
$46.02
|
|
Iadna legionella pneumophila amplified probe tq
|
$154.00 |
$154.00 |
$154.00 |
$117.11
|
|
Icd cobalt xt dr MRI is1 df1
|
$23,673.65 |
$23,673.65 |
$23,673.65 |
$32,319.18
|
|
Icd crtd cobalt hf MRI is1 df1
|
$35,579.50 |
$35,579.50 |
$35,579.50 |
$37,490.48
|
|
Icd crtp serena MRI
|
$19,417.20 |
$19,417.20 |
$19,417.20 |
$15,738.14
|
|
Icd reliance df4 ib 64cm
|
$5,197.50 |
$5,197.50 |
$5,197.50 |
$8,597.15
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$3,313.20 |
$3,313.20 |
$3,313.20 |
$3,370.52
|
|
Igh@ var region somatic mutation analy
|
$1,361.25 |
$1,361.25 |
$1,361.25 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$371.80 |
$371.80 |
$371.80 |
$191.10
|
|
Ihc/icc per specimen initial single antibody stain
|
$238.70 |
$238.70 |
$238.70 |
$265.60
|
