|
Ghs HIV antibody
|
$108.80 |
$108.80 |
$108.80 |
$89.70
|
|
Ghs incision thrombosed ext hemorrhoid
|
$643.20 |
$643.20 |
$643.20 |
$526.50
|
|
Ghs init tx 1st degree burn
|
$400.00 |
$400.00 |
$400.00 |
$275.88
|
|
Ghs insertion of needle - bone
|
$489.60 |
$489.60 |
$489.60 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$804.80 |
$804.80 |
$804.80 |
$886.07
|
|
Ghs intro needle/intracath vein - 36000
|
$186.40 |
$186.40 |
$186.40 |
$200.20
|
|
Ghs IV thrombolytics - cerebral
|
$752.80 |
$752.80 |
$752.80 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$506.40 |
$506.40 |
$506.40 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$506.40 |
$506.40 |
$506.40 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$580.00 |
$580.00 |
$580.00 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$552.00 |
$552.00 |
$552.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$528.80 |
$528.80 |
$528.80 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$572.00 |
$572.00 |
$572.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$608.80 |
$608.80 |
$608.80 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$764.00 |
$764.00 |
$764.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$608.80 |
$608.80 |
$608.80 |
$740.00
|
|
Ghs mbp
|
$71.20 |
$71.20 |
$71.20 |
$76.00
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$263.20 |
$263.20 |
$263.20 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$160.00 |
$160.00 |
$160.00 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$566.40 |
$566.40 |
$566.40 |
$457.80
|
|
Ghs ot group caregiver training
|
$52.80 |
$52.80 |
$52.80 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$120.00 |
$120.00 |
$120.00 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$115.20 |
$115.20 |
$115.20 |
$96.20
|
|
Ghs phenylketonurid
|
$20.80 |
$20.80 |
$20.80 |
$53.76
|
|
Ghs plngl fx pm cl
|
$621.60 |
$621.60 |
$621.60 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$26.40 |
$26.40 |
$26.40 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$48.80 |
$48.80 |
$48.80 |
$43.55
|
|
Ghs pr without cont pulse ox
|
$204.00 |
$204.00 |
$204.00 |
$147.00
|
|
Ghs removal intranasal foreign body
|
$336.00 |
$336.00 |
$336.00 |
$283.24
|
|
Ghs rsv eia (respir synctial vrs)
|
$153.60 |
$153.60 |
$153.60 |
$99.00
|
|
Ghs sedimentation rate
|
$24.00 |
$24.00 |
$24.00 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$45.60 |
$45.60 |
$45.60 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$572.00 |
$572.00 |
$572.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$708.00 |
$708.00 |
$708.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$504.00 |
$504.00 |
$504.00 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$506.40 |
$506.40 |
$506.40 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$504.00 |
$504.00 |
$504.00 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$509.60 |
$509.60 |
$509.60 |
$590.88
|
|
Ghs sleep study unattended
|
$608.00 |
$608.00 |
$608.00 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$220.80 |
$220.80 |
$220.80 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$280.00 |
$280.00 |
$280.00 |
$252.75
|
|
Ghs urine, porphyrins quant
|
$43.20 |
$43.20 |
$43.20 |
$73.80
|
|
Gi inhouse confirmation
|
$68.00 |
$68.00 |
$68.00 |
$87.75
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$247.06 |
$247.06 |
$247.06 |
$491.67
|
|
Glucagon plasma - sendout
|
$48.80 |
$48.80 |
$48.80 |
$64.35
|
|
Glucose 1 hr post dose
|
$30.40 |
$30.40 |
$30.40 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$24.80 |
$24.80 |
$24.80 |
$23.12
|
|
Glucose blood quantitative
|
$40.00 |
$40.00 |
$40.00 |
$42.25
|
|
Glucose body fluid
|
$40.00 |
$40.00 |
$40.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$72.80 |
$72.80 |
$72.80 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$29.60 |
$29.60 |
$29.60 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$62.96 |
$62.96 |
$62.96 |
$37.40
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$84.00 |
$84.00 |
$84.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$84.00 |
$84.00 |
$84.00 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,238.49 |
$1,238.49 |
$1,238.49 |
$4,417.13
|
|
Graft axiofill 1000mg
|
$2,352.85 |
$2,352.85 |
$2,352.85 |
$5,125.68
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,642.40 |
$1,642.40 |
$1,642.40 |
$29,676.26
|
|
Granisetron hcl injection
|
$61.52 |
$61.52 |
$61.52 |
$45.03
|
|
Great toe with reduction 28495
|
$525.60 |
$525.60 |
$525.60 |
$495.00
|
|
Group train without patient
|
$52.80 |
$52.80 |
$52.80 |
$47.60
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$60.59 |
$60.59 |
$60.59 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$128.00 |
$128.00 |
$128.00 |
$105.30
|
|
Hand X-ray
|
$302.40 |
$302.40 |
$302.40 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$225.60 |
$225.60 |
$225.60 |
$294.90
|
|
Haptoglobin quantitative
|
$62.40 |
$62.40 |
$62.40 |
$92.80
|
|
Hcg qualitative
|
$63.20 |
$63.20 |
$63.20 |
$90.10
|
|
Hcg quantitative
|
$97.60 |
$97.60 |
$97.60 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,418.40 |
$2,418.40 |
$2,418.40 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,299.20 |
$2,299.20 |
$2,299.20 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,756.80 |
$1,756.80 |
$1,756.80 |
$1,268.90
|
|
Heart infarct image
|
$1,365.60 |
$1,365.60 |
$1,365.60 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$241.60 |
$241.60 |
$241.60 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$79.20 |
$79.20 |
$79.20 |
$92.00
|
|
Hematocrit
|
$29.60 |
$29.60 |
$29.60 |
$33.80
|
|
Hemoglobin
|
$28.80 |
$28.80 |
$28.80 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$89.60 |
$89.60 |
$89.60 |
$52.32
|
|
Hemophilus influenza antibdy
|
$56.80 |
$56.80 |
$56.80 |
$62.70
|
|
Heparin assay
|
$120.00 |
$120.00 |
$120.00 |
$139.15
|
|
Heparin bolus from bag
|
$189.68 |
$189.68 |
$189.68 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.61 |
$1.61 |
$1.61 |
$12.00
|
|
Hepatitis a antibody igm
|
$58.40 |
$58.40 |
$58.40 |
$89.44
|
|
Hepatitis b core antibody igm
|
$61.60 |
$61.60 |
$61.60 |
$89.60
|
|
Hepatitis b core antibody total
|
$58.40 |
$58.40 |
$58.40 |
$77.50
|
|
Hepatitis b surface antibody
|
$59.20 |
$59.20 |
$59.20 |
$82.32
|
|
Hepatitis c antibody
|
$87.20 |
$87.20 |
$87.20 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$75.20 |
$75.20 |
$75.20 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$75.20 |
$75.20 |
$75.20 |
$87.36
|
|
Heterophile antibodies screening
|
$60.80 |
$60.80 |
$60.80 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$444.00 |
$444.00 |
$444.00 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$429.60 |
$429.60 |
$429.60 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$255.20 |
$255.20 |
$255.20 |
$233.50
|
|
Hip X-ray
|
$329.60 |
$329.60 |
$329.60 |
$294.75
|
|
Hla ii typing 1 loc hr
|
$299.20 |
$299.20 |
$299.20 |
$299.20
|
|
Home sleep test/type 3 porta
|
$648.80 |
$648.80 |
$648.80 |
$570.00
|
|
Homocysteine
|
$96.00 |
$96.00 |
$96.00 |
$125.40
|
|
Homovanillic acid (hva)
|
$58.40 |
$58.40 |
$58.40 |
$59.95
|
|
H pylori (c-13) breath
|
$228.00 |
$228.00 |
$228.00 |
$212.25
|
|
Hyaluronidase 150 unit/ml injection solution
|
$72.56 |
$72.56 |
$72.56 |
$126.37
|
|
Hydralazine 20 mg/ml injection solution
|
$63.36 |
$63.36 |
$63.36 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$70.49 |
$70.49 |
$70.49 |
$140.54
|
