|
Ghs ot prosthetic training/15 min
|
$118.40 |
$118.40 |
$118.40 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$125.60 |
$125.60 |
$125.60 |
$96.00
|
|
Ghs peritonsillar abscess i andd
|
$595.20 |
$595.20 |
$595.20 |
$545.40
|
|
Ghs plngl fx pm cl
|
$452.00 |
$452.00 |
$452.00 |
$564.50
|
|
Ghs ppd (tb intradermal)
|
$104.80 |
$104.80 |
$104.80 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$40.00 |
$40.00 |
$40.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$60.00 |
$60.00 |
$60.00 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$284.00 |
$284.00 |
$284.00 |
$146.86
|
|
Ghs quinidine
|
$60.80 |
$60.80 |
$60.80 |
$83.20
|
|
Ghs removal intranasal foreign body
|
$505.60 |
$505.60 |
$505.60 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$135.20 |
$135.20 |
$135.20 |
$436.10
|
|
Ghs sensitivity (per antimicro)
|
$30.40 |
$30.40 |
$30.40 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,545.60 |
$1,545.60 |
$1,545.60 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,215.20 |
$1,215.20 |
$1,215.20 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$492.00
|
|
Ghs sleep study unattended
|
$847.20 |
$847.20 |
$847.20 |
$503.38
|
|
Ghs st - eval for alt comm
|
$140.80 |
$140.80 |
$140.80 |
$94.60
|
|
Ghs st - re-eval for alt comm
|
$737.60 |
$737.60 |
$737.60 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,043.20 |
$1,043.20 |
$1,043.20 |
$909.00
|
|
Ghs urine, porphyrins quant
|
$61.60 |
$61.60 |
$61.60 |
$73.80
|
|
Gi inhouse confirmation
|
$39.20 |
$39.20 |
$39.20 |
$86.40
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,770.20 |
$1,770.20 |
$1,770.20 |
$491.67
|
|
Glucose 1 hr post dose
|
$20.00 |
$20.00 |
$20.00 |
$48.25
|
|
Glucose blood quantitative
|
$16.80 |
$16.80 |
$16.80 |
$41.40
|
|
Glucose body fluid
|
$16.80 |
$16.80 |
$16.80 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$53.60 |
$53.60 |
$53.60 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$16.80 |
$16.80 |
$16.80 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$208.80 |
$208.80 |
$208.80 |
$37.16
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$77.60 |
$77.60 |
$77.60 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$77.60 |
$77.60 |
$77.60 |
$129.00
|
|
Gu dilat ureter/urethra s&i
|
$5,041.60 |
$5,041.60 |
$5,041.60 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
$1,327.76
|
|
Guid loc target vol rad tx
|
$1,685.60 |
$1,685.60 |
$1,685.60 |
$535.60
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$226.20 |
$226.20 |
$226.20 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$44.40 |
$44.40 |
$44.40 |
$24.41
|
|
Hand X-ray
|
$369.60 |
$369.60 |
$369.60 |
$345.87
|
|
Haptoglobin quantitative
|
$45.00 |
$45.00 |
$45.00 |
$91.80
|
|
Hba1/hba2 full gene sequence
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$769.95
|
|
Hbot, full body chamber, 30m
|
$591.20 |
$591.20 |
$591.20 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$867.20 |
$867.20 |
$867.20 |
$721.00
|
|
Hcg quantitative
|
$55.00 |
$55.00 |
$55.00 |
$137.15
|
|
Hc hearing aid chck binaurl
|
$85.60 |
$85.60 |
$85.60 |
$78.40
|
|
Hc hearing aid chck monarl
|
$67.20 |
$67.20 |
$67.20 |
$48.75
|
|
Head CT scan (with and without contrast)
|
$569.00 |
$569.00 |
$569.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$478.00 |
$478.00 |
$478.00 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$296.00 |
$296.00 |
$296.00 |
$1,268.90
|
|
Hematocrit
|
$17.60 |
$17.60 |
$17.60 |
$33.57
|
|
Hemodialysis one evaluation
|
$830.40 |
$830.40 |
$830.40 |
$1,338.00
|
|
Hemoglobin
|
$17.60 |
$17.60 |
$17.60 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$34.40 |
$34.40 |
$34.40 |
$52.32
|
|
Hemoglobin plasma
|
$30.40 |
$30.40 |
$30.40 |
$41.25
|
|
Hemophilus influenza antibdy
|
$65.60 |
$65.60 |
$65.60 |
$62.70
|
|
Heparin assay
|
$86.40 |
$86.40 |
$86.40 |
$138.84
|
|
Heparin bolus from bag
|
$172.40 |
$172.40 |
$172.40 |
$68.00
|
|
Hepatitis a antibody igm
|
$46.40 |
$46.40 |
$46.40 |
$88.92
|
|
Hepatitis b core antibody igm
|
$48.80 |
$48.80 |
$48.80 |
$88.80
|
|
Hepatitis b core antibody total
|
$49.60 |
$49.60 |
$49.60 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$44.80 |
$44.80 |
$44.80 |
$81.12
|
|
Hepatitis c antibody
|
$55.00 |
$55.00 |
$55.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,438.99
|
|
Herpes simplex type 1 antibody igg
|
$55.20 |
$55.20 |
$55.20 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$80.80 |
$80.80 |
$80.80 |
$87.10
|
|
Heterophile antibodies screening
|
$21.60 |
$21.60 |
$21.60 |
$72.00
|
|
Hip X-ray
|
$453.60 |
$453.60 |
$453.60 |
$296.05
|
|
Hla ii typing 1 loc hr
|
$514.40 |
$514.40 |
$514.40 |
$290.94
|
|
Hla i typing high res 1 allele grp ea
|
$575.20 |
$575.20 |
$575.20 |
$304.20
|
|
Homocysteine
|
$75.20 |
$75.20 |
$75.20 |
$125.00
|
|
Homogenization tissue
|
$24.00 |
$24.00 |
$24.00 |
$41.00
|
|
Hpv combo assay ca screen
|
$150.40 |
$150.40 |
$150.40 |
$70.40
|
|
H pylori (c-13) breath
|
$280.00 |
$280.00 |
$280.00 |
$213.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$598.80 |
$598.80 |
$598.80 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$165.00 |
$165.00 |
$165.00 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$160.00 |
$160.00 |
$160.00 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$664.00 |
$664.00 |
$664.00 |
$385.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$264.60 |
$264.60 |
$264.60 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$64.00 |
$64.00 |
$64.00 |
$120.72
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$215.40 |
$215.40 |
$215.40 |
$294.92
|
|
Hysterosalpingography s&i
|
$784.00 |
$784.00 |
$784.00 |
$663.50
|
|
Iadna legionella pneumophila amplified probe tq
|
$145.60 |
$145.60 |
$145.60 |
$109.00
|
|
I&d/bursa/foot 28001
|
$2,223.20 |
$2,223.20 |
$2,223.20 |
$1,917.33
|
|
Igh@ var region somatic mutation analy
|
$1,225.60 |
$1,225.60 |
$1,225.60 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$183.20 |
$183.20 |
$183.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$761.60 |
$761.60 |
$761.60 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$244.00 |
$244.00 |
$244.00 |
$272.30
|
|
Immobilizer shldr dlx str 24-36in med
|
$159.20 |
$159.20 |
$159.20 |
$114.60
|
|
Immune complex assay
|
$101.60 |
$101.60 |
$101.60 |
$100.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$85.00 |
$85.00 |
$85.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$85.00 |
$85.00 |
$85.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$49.60 |
$49.60 |
$49.60 |
$48.38
|
|
Immunofixation electrophoresis serum
|
$92.80 |
$92.80 |
$92.80 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$90.40 |
$90.40 |
$90.40 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$55.20 |
$55.20 |
$55.20 |
$231.40
|
|
Immunoglobulin assay
|
$62.40 |
$62.40 |
$62.40 |
$75.88
|
|
In-111 autol wbc diag per dose
|
$6,836.00 |
$6,836.00 |
$6,836.00 |
$3,523.65
|
|
In-111 pentetreotide
|
$5,104.80 |
$5,104.80 |
$5,104.80 |
$5,201.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,214.40 |
$3,214.40 |
$3,214.40 |
$2,056.93
|
|
Incision of foot fascia
|
$4,448.00 |
$4,448.00 |
$4,448.00 |
$4,570.33
|
