|
Ghs diphtheria toxoid ab igg
|
$63.20 |
$63.20 |
$63.20 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$900.00 |
$900.00 |
$900.00 |
$583.80
|
|
Ghs flow volume loop
|
$1,039.20 |
$1,039.20 |
$1,039.20 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$456.00 |
$456.00 |
$456.00 |
$365.40
|
|
Ghs histoplasma antigen
|
$55.20 |
$55.20 |
$55.20 |
$141.00
|
|
Ghs i and d perirectal abscess 46040
|
$6,372.80 |
$6,372.80 |
$6,372.80 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$535.20 |
$535.20 |
$535.20 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$829.60 |
$829.60 |
$829.60 |
$696.80
|
|
Ghs init tx 1st degree burn
|
$556.00 |
$556.00 |
$556.00 |
$275.50
|
|
Ghs insertion of needle - bone
|
$680.00 |
$680.00 |
$680.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,440.80 |
$1,440.80 |
$1,440.80 |
$865.60
|
|
Ghs intro needle/intracath vein - 36000
|
$100.80 |
$100.80 |
$100.80 |
$202.47
|
|
Ghs IV thrombolytics - cerebral
|
$804.00 |
$804.00 |
$804.00 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,125.60 |
$1,125.60 |
$1,125.60 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$750.12
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,440.80 |
$1,440.80 |
$1,440.80 |
$967.20
|
|
Ghs mbp
|
$85.60 |
$85.60 |
$85.60 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$128.80 |
$128.80 |
$128.80 |
$242.64
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$149.60 |
$149.60 |
$149.60 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$128.80 |
$128.80 |
$128.80 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$128.80 |
$128.80 |
$128.80 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$548.00 |
$548.00 |
$548.00 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$315.20 |
$315.20 |
$315.20 |
$272.25
|
|
Ghs myocardial strain img spckl track
|
$235.20 |
$235.20 |
$235.20 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$724.37
|
|
Ghs nerve block brachial plexus
|
$2,051.20 |
$2,051.20 |
$2,051.20 |
$1,695.24
|
|
Ghs ng placement w fluoro guidance
|
$368.00 |
$368.00 |
$368.00 |
$478.50
|
|
Ghs o2 saturation
|
$40.80 |
$40.80 |
$40.80 |
$69.50
|
|
Ghs ot prosthetic training/15 min
|
$110.40 |
$110.40 |
$110.40 |
$92.35
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$116.80 |
$116.80 |
$116.80 |
$75.00
|
|
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 removal intranasal foreign body
|
$165.60 |
$165.60 |
$165.60 |
$283.51
|
|
Ghs sensitivity (per antimicro)
|
$37.60 |
$37.60 |
$37.60 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$881.60 |
$881.60 |
$881.60 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,122.40 |
$1,122.40 |
$1,122.40 |
$436.80
|
|
Ghs simple repair over 30 cm - 12007
|
$1,588.00 |
$1,588.00 |
$1,588.00 |
$584.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$993.60 |
$993.60 |
$993.60 |
$909.00
|
|
Ghs urine, porphyrins quant
|
$61.60 |
$61.60 |
$61.60 |
$73.80
|
|
Gi inhouse confirmation
|
$47.20 |
$47.20 |
$47.20 |
$86.40
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$653.00 |
$653.00 |
$653.00 |
$491.67
|
|
Glucose 1 hr post dose
|
$20.00 |
$20.00 |
$20.00 |
$48.25
|
|
Glucose blood quantitative
|
$20.00 |
$20.00 |
$20.00 |
$41.40
|
|
Glucose body fluid
|
$20.00 |
$20.00 |
$20.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$64.00 |
$64.00 |
$64.00 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$20.00 |
$20.00 |
$20.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$34.20 |
$34.20 |
$34.20 |
$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
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$236.00 |
$236.00 |
$236.00 |
$1,132.47
|
|
Guided cath fluid drainage 10030
|
$1,889.60 |
$1,889.60 |
$1,889.60 |
$1,327.76
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$12.80 |
$12.80 |
$12.80 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$28.00 |
$28.00 |
$28.00 |
$23.30
|
|
Hand X-ray
|
$445.60 |
$445.60 |
$445.60 |
$345.87
|
|
Haptoglobin quantitative
|
$45.00 |
$45.00 |
$45.00 |
$91.80
|
|
Hcg quantitative
|
$55.00 |
$55.00 |
$55.00 |
$137.15
|
|
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
|
|
Heart image spect
|
$1,697.60 |
$1,697.60 |
$1,697.60 |
$1,131.00
|
|
Hematocrit
|
$35.20 |
$35.20 |
$35.20 |
$33.57
|
|
Hemoglobin
|
$14.40 |
$14.40 |
$14.40 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$34.40 |
$34.40 |
$34.40 |
$52.32
|
|
Hemophilus influenza antibdy
|
$65.60 |
$65.60 |
$65.60 |
$62.70
|
|
Heparin bolus from bag
|
$30.00 |
$30.00 |
$30.00 |
$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
|
$60.00 |
$60.00 |
$60.00 |
$77.50
|
|
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
|
$65.60 |
$65.60 |
$65.60 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$96.80 |
$96.80 |
$96.80 |
$87.10
|
|
Heterophile antibodies screening
|
$25.60 |
$25.60 |
$25.60 |
$72.00
|
|
Hip X-ray
|
$489.60 |
$489.60 |
$489.60 |
$296.05
|
|
Histamine
|
$123.20 |
$123.20 |
$123.20 |
$114.84
|
|
Histochemical stains add-on
|
$283.20 |
$283.20 |
$283.20 |
$152.75
|
|
Hla ii typing 1 loc hr
|
$514.40 |
$514.40 |
$514.40 |
$290.94
|
|
Hla i low res one antigen equiv ea
|
$309.60 |
$309.60 |
$309.60 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$588.00 |
$588.00 |
$588.00 |
$304.20
|
|
Hocm 350-399mg/ml iodine,1ml
|
$5.60 |
$5.60 |
$5.60 |
$79.78
|
|
Homocysteine
|
$89.60 |
$89.60 |
$89.60 |
$125.00
|
|
Homogenization tissue
|
$28.80 |
$28.80 |
$28.80 |
$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
|
$155.80 |
$155.80 |
$155.80 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$8.60 |
$8.60 |
$8.60 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$154.40 |
$154.40 |
$154.40 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$548.00 |
$548.00 |
$548.00 |
$385.20
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$68.80 |
$68.80 |
$68.80 |
$153.08
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$7.40 |
$7.40 |
$7.40 |
$120.72
|
