|
Ghs prostatic acid phosphatase (mayo)
|
$47.82 |
$47.82 |
$47.82 |
$49.77
|
|
Ghs protoporphyrins fract
|
$53.00 |
$53.00 |
$53.00 |
$68.38
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$45.05 |
$45.05 |
$45.05 |
$55.25
|
|
Ghs refill of implantable pump
|
$219.87 |
$219.87 |
$219.87 |
$458.99
|
|
Ghs removal intranasal foreign body
|
$283.24 |
$283.24 |
$283.24 |
$320.00
|
|
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
|
$200.82 |
$200.82 |
$200.82 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$221.82 |
$221.82 |
$221.82 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$242.07 |
$242.07 |
$242.07 |
$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
|
$139.12 |
$139.12 |
$139.12 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$275.56 |
$275.56 |
$275.56 |
$560.80
|
|
Ghs simple repair over 30 cm - 12018
|
$288.23 |
$288.23 |
$288.23 |
$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 speech-gen aug dev eval iii, st
|
$59.85 |
$59.85 |
$59.85 |
$134.50
|
|
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 st - re-eval for alt comm
|
$106.01 |
$106.01 |
$106.01 |
$321.00
|
|
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
|
$252.90 |
$252.90 |
$252.90 |
$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 1 mg solution for injection
|
$354.90 |
$354.90 |
$354.90 |
$351.53
|
|
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 monitoring continual min 72hr pt
|
$65.95 |
$65.95 |
$65.95 |
$154.70
|
|
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
|
|
Goserelin 10.8 mg subcutaneous implant
|
$790.43 |
$790.43 |
$790.43 |
$1,598.97
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$63.51 |
$63.51 |
$63.51 |
$56.71
|
|
Graft axiofill 1000mg
|
$1,395.12 |
$1,395.12 |
$1,395.12 |
$2,890.20
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$1,837.09 |
$1,837.09 |
$1,837.09 |
$1,837.09
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$543.12 |
$543.12 |
$543.12 |
$1,123.34
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$74.43 |
$74.43 |
$74.43 |
$5,533.20
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$543.12 |
$543.12 |
$543.12 |
$543.12
|
|
Granisetron hcl injection
|
$1.83 |
$1.83 |
$1.83 |
$21.42
|
|
Great toe with reduction 28495
|
$329.30 |
$329.30 |
$329.30 |
$581.25
|
|
Group mnt 2 or more 30 mins
|
$37.00 |
$37.00 |
$37.00 |
$31.27
|
|
G-tube reposition
|
$536.50 |
$536.50 |
$536.50 |
$727.35
|
|
Gu dilat ureter/urethra s&i
|
$1,213.69 |
$1,213.69 |
$1,213.69 |
$1,585.00
|
|
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
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$91.09 |
$91.09 |
$91.09 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$17.61 |
$17.61 |
$17.61 |
$11.25
|
|
Hand-held pefr meter a4614
|
$16.59 |
$16.59 |
$16.59 |
$33.10
|
|
Hand X-ray
|
$262.70 |
$262.70 |
$262.70 |
$317.78
|
|
Haptoglobin quantitative
|
$57.17 |
$57.17 |
$57.17 |
$75.00
|
|
Hbot, full body chamber, 30m
|
$207.29 |
$207.29 |
$207.29 |
$524.17
|
|
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 i-131 sodium iodide cap dx per mci
|
$178.25 |
$178.25 |
$178.25 |
$184.20
|
|
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
|
|
Hemodialysis one evaluation
|
$824.45 |
$824.45 |
$824.45 |
$1,131.00
|
|
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
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$596.72 |
$596.72 |
$596.72 |
$1,073.68
|
|
Hepagam b im injection
|
$1,118.05 |
$1,118.05 |
$1,118.05 |
$1,118.05
|
|
Heparin assay
|
$77.24 |
$77.24 |
$77.24 |
$107.50
|
|
Heparin bolus from bag
|
$48.58 |
$48.58 |
$48.58 |
$50.95
|
|
Heparin neutralization
|
$49.21 |
$49.21 |
$49.21 |
$56.55
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$4.69 |
$4.69 |
$4.69 |
$7.15
|
|
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
|