|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$55.20 |
$55.20 |
$55.20 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$55.20 |
$55.20 |
$55.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$55.20 |
$55.20 |
$55.20 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$86.48 |
$86.48 |
$86.48 |
$582.00
|
|
Ghs sleep study unattended
|
$123.05 |
$123.05 |
$123.05 |
$495.00
|
|
Ghs sp train/fitting sp device - kx
|
$88.78 |
$88.78 |
$88.78 |
$250.50
|
|
Ghs strapping shoulder - 29240
|
$33.81 |
$33.81 |
$33.81 |
$213.20
|
|
Ghs superficial wnd dehiscence simp12020
|
$144.90 |
$144.90 |
$144.90 |
$861.75
|
|
Ghs tx distal phalangeal fx with manipulation
|
$72.22 |
$72.22 |
$72.22 |
$523.00
|
|
Ghs vaginal delivery only
|
$1,278.80 |
$1,278.80 |
$1,278.80 |
$3,152.00
|
|
Giardia ag if
|
$10.58 |
$10.58 |
$10.58 |
$39.13
|
|
Gi inhouse confirmation
|
$74.06 |
$74.06 |
$74.06 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$504.16 |
$504.16 |
$504.16 |
$2,098.85
|
|
Gi trc img intral colon i&r
|
$570.63 |
$570.63 |
$570.63 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$504.16 |
$504.16 |
$504.16 |
$1,897.82
|
|
Gi wireless capsule measure
|
$504.16 |
$504.16 |
$504.16 |
$1,579.30
|
|
Glucagon 1 mg solution for injection
|
$343.10 |
$343.10 |
$343.10 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$196.87 |
$196.87 |
$196.87 |
$491.67
|
|
Glucose 1 hr post dose
|
$51.06 |
$51.06 |
$51.06 |
$47.20
|
|
Glucose blood quantitative
|
$51.06 |
$51.06 |
$51.06 |
$40.00
|
|
Glucose body fluid
|
$9.66 |
$9.66 |
$9.66 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$114.31 |
$114.31 |
$114.31 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$161.69 |
$161.69 |
$161.69 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$200.93 |
$200.93 |
$200.93 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$81.42 |
$81.42 |
$81.42 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$73.83 |
$73.83 |
$73.83 |
$129.00
|
|
Granisetron 1 mg tab
|
$2.66 |
$2.66 |
$2.66 |
$53.15
|
|
Granisetron hcl injection
|
$24.25 |
$24.25 |
$24.25 |
$45.03
|
|
Great toe with reduction 28495
|
$72.22 |
$72.22 |
$72.22 |
$482.40
|
|
Ground mileage
|
$15.41 |
$15.41 |
$15.41 |
$17.55
|
|
Group mnt 2 or more 30 mins
|
$17.48 |
$17.48 |
$17.48 |
$43.12
|
|
Guide wire threaded 1.4x150mm
|
$300.84 |
$300.84 |
$300.84 |
$3,284.50
|
|
Gw stiffened micro access kit
|
$33.58 |
$33.58 |
$33.58 |
$6,696.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$347.97 |
$347.97 |
$347.97 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$12.68 |
$12.68 |
$12.68 |
$23.06
|
|
Handle/convey/speciman/office-lab 99000
|
$8.74 |
$8.74 |
$8.74 |
$23.40
|
|
Hand X-ray
|
$97.29 |
$97.29 |
$97.29 |
$356.00
|
|
Haptoglobin quantitative
|
$46.23 |
$46.23 |
$46.23 |
$91.14
|
|
Hbb gene dup/del variants
|
$145.13 |
$145.13 |
$145.13 |
$455.00
|
|
Hcg qualitative
|
$76.59 |
$76.59 |
$76.59 |
$89.70
|
|
Hcg quantitative
|
$64.86 |
$64.86 |
$64.86 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$89.31 |
$89.31 |
$89.31 |
$117.00
|
|
Hc nm kidney imaging with flow
|
$379.04 |
$379.04 |
$379.04 |
$822.60
|
|
Head CT scan (with and without contrast)
|
$887.57 |
$887.57 |
$887.57 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$808.68 |
$808.68 |
$808.68 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$688.16 |
$688.16 |
$688.16 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$92.23 |
$92.23 |
$92.23 |
$91.98
|
|
Hematocrit
|
$22.31 |
$22.31 |
$22.31 |
$33.57
|
|
Hemoglobin
|
$22.31 |
$22.31 |
$22.31 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$67.62 |
$67.62 |
$67.62 |
$53.60
|
|
Hemophilus influenza antibdy
|
$66.01 |
$66.01 |
$66.01 |
$62.70
|
|
Heparin assay
|
$224.71 |
$224.71 |
$224.71 |
$140.10
|
|
Heparin bolus from bag
|
$39.90 |
$39.90 |
$39.90 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.40 |
$1.40 |
$1.40 |
$10.61
|
|
Hepatitis a antibody igm
|
$120.98 |
$120.98 |
$120.98 |
$87.75
|
|
Hepatitis b core antibody igm
|
$89.93 |
$89.93 |
$89.93 |
$87.98
|
|
Hepatitis b core antibody total
|
$61.64 |
$61.64 |
$61.64 |
$77.50
|
|
Hepatitis b surface ag quan
|
$11.27 |
$11.27 |
$11.27 |
$54.88
|
|
Hepatitis b surface antibody
|
$119.83 |
$119.83 |
$119.83 |
$82.05
|
|
Hepatitis c antibody
|
$44.39 |
$44.39 |
$44.39 |
$108.00
|
|
Hepatitis c rna dir probe
|
$26.22 |
$26.22 |
$26.22 |
$63.20
|
|
Hepatitis d quantification
|
$30.82 |
$30.82 |
$30.82 |
$91.28
|
|
Hepatobiliary system imaging
|
$507.38 |
$507.38 |
$507.38 |
$1,438.58
|
|
Herpes simplex 2 ag if
|
$16.79 |
$16.79 |
$16.79 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$65.09 |
$65.09 |
$65.09 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$32.20 |
$32.20 |
$32.20 |
$87.10
|
|
Heterophile antibodies screening
|
$32.43 |
$32.43 |
$32.43 |
$74.00
|
|
Hip X-ray
|
$118.22 |
$118.22 |
$118.22 |
$292.05
|
|
Histochemical stains add-on
|
$31.97 |
$31.97 |
$31.97 |
$153.29
|
|
Hla class ii semiquant panel
|
$241.04 |
$241.04 |
$241.04 |
$724.80
|
|
Hla class i semiquant panel
|
$267.03 |
$267.03 |
$267.03 |
$802.40
|
|
Hla i typing high res 1 allele grp ea
|
$84.64 |
$84.64 |
$84.64 |
$293.15
|
|
Hla i typing low res one locus ea
|
$52.21 |
$52.21 |
$52.21 |
$320.70
|
|
Hocm 350-399mg/ml iodine,1ml
|
$77.21 |
$77.21 |
$77.21 |
$79.78
|
|
Homocysteine
|
$63.25 |
$63.25 |
$63.25 |
$121.92
|
|
Homogenization tissue
|
$7.82 |
$7.82 |
$7.82 |
$39.20
|
|
Homovanillic acid (hva)
|
$50.14 |
$50.14 |
$50.14 |
$59.95
|
|
Hopd covid-19 spec collect
|
$17.94 |
$17.94 |
$17.94 |
$26.40
|
|
Hpv combo assay ca screen
|
$26.22 |
$26.22 |
$26.22 |
$70.40
|
|
Hpv types 16 & 18 only
|
$31.51 |
$31.51 |
$31.51 |
$110.70
|
|
H pylori (c-13) breath
|
$41.86 |
$41.86 |
$41.86 |
$213.00
|
|
Hydralazine 20 mg/ml injection solution
|
$19.16 |
$19.16 |
$19.16 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$63.71 |
$63.71 |
$63.71 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$184.00 |
$184.00 |
$184.00 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$24.18 |
$24.18 |
$24.18 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$325.59 |
$325.59 |
$325.59 |
$131.47
|
|
Hydromorphone injection
|
$64.86 |
$64.86 |
$64.86 |
$85.79
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$37.34 |
$37.34 |
$37.34 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$89.70 |
$89.70 |
$89.70 |
$76.13
|
|
Hymenotomy
|
$1,778.13 |
$1,778.13 |
$1,778.13 |
$4,446.00
|
|
Hyoscyamine sulfate inj
|
$143.62 |
$143.62 |
$143.62 |
$123.83
|
|
Hysterosalpingography s&i
|
$180.78 |
$180.78 |
$180.78 |
$651.85
|
|
I-123 sod iodide diag per 100 uci
|
$60.71 |
$60.71 |
$60.71 |
$139.20
|
|
I131 max 100uci
|
$61.40 |
$61.40 |
$61.40 |
$53.39
|
|
I131 serum albumin, dx
|
$265.65 |
$265.65 |
$265.65 |
$847.84
|
|
Ia nfct ab sarscov2 covid19
|
$42.78 |
$42.78 |
$42.78 |
$55.35
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$159.65 |
$159.65 |
$159.65 |
$635.44
|
|
Ibmfs seq alys pnl 30 genes
|
$1,827.58 |
$1,827.58 |
$1,827.58 |
$2,828.00
|
|
Ibuprofen injection
|
$438.85 |
$438.85 |
$438.85 |
$350.58
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$476.03 |
$476.03 |
$476.03 |
$980.94
|