|
Ghs antibodies (torch) igm
|
$83.06 |
$83.06 |
$83.06 |
|
|
Ghs aspiration bladder - needle
|
$540.68 |
$540.68 |
$540.68 |
|
|
Ghs bladder cath - complex-foley
|
$333.14 |
$333.18 |
$333.18 |
|
|
Ghs change cysto/gastrost
|
$509.13 |
$509.13 |
$607.29 |
|
|
Ghs chemo IV push, ea addtl
|
$126.77 |
$126.77 |
$190.89 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$161.01 |
$161.01 |
$161.01 |
|
|
Ghs community re-entry 15 minutes
|
$39.26 |
$56.19 |
$56.19 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$796.05 |
$796.05 |
$796.05 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$598.17 |
$598.17 |
$598.17 |
|
|
Ghs febrile agglutinns(mayo)
|
$81.45 |
$81.45 |
$81.45 |
|
|
Ghs flow volume loop
|
$308.69 |
$308.69 |
$324.14 |
|
|
Ghs hcv amplificaiton
|
$276.87 |
$276.87 |
$276.87 |
|
|
Ghs histoplasma antigen
|
$265.31 |
$265.31 |
$265.31 |
|
|
Ghs HIV antibody
|
$90.14 |
$90.14 |
$90.14 |
|
|
Ghs hla-dr/dq, multiple antigens
|
$156.38 |
$156.38 |
$156.38 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$542.16 |
$542.18 |
$542.18 |
|
|
Ghs insertion of needle - bone
|
$315.50 |
$315.50 |
$315.50 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$114.66 |
$114.66 |
$114.66 |
|
|
Ghs mbp
|
$117.84 |
$117.84 |
$117.84 |
|
|
Ghs myocardial strain img spckl track
|
$81.47 |
$81.47 |
$81.47 |
|
|
Ghs nerve block brachial plexus
|
$1,258.46 |
$1,258.46 |
$1,258.46 |
|
|
Ghs nerve block celiac plexus
|
$1,076.61 |
$1,076.61 |
$1,076.61 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,076.75 |
$1,076.75 |
$1,076.75 |
|
|
Ghs ng placement w fluoro guidance
|
$348.78 |
$348.78 |
$348.78 |
|
|
Ghs o2 saturation
|
$76.50 |
$76.52 |
$76.52 |
|
|
Ghs opcc repair cvp without subq port
|
$1,792.77 |
$1,792.77 |
$1,792.77 |
|
|
Ghs opcc repair cvp w subq port
|
$2,699.93 |
$2,699.93 |
$2,699.93 |
|
|
Ghs ot dds rom
|
$10.71 |
$10.71 |
$14.28 |
|
|
Ghs ot prosthetic training/15 min
|
$39.26 |
$39.26 |
$39.26 |
|
|
Ghs ot sensory integrative tech/15min
|
$41.73 |
$43.83 |
$43.83 |
|
|
Ghs ot work hardening-additional hours
|
$67.71 |
$67.71 |
$67.76 |
|
|
Ghs pacing - transcutaneous
|
$856.44 |
$856.44 |
$856.44 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$758.24 |
$758.24 |
$758.24 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$758.24 |
$758.24 |
$758.24 |
|
|
Ghs ppd (tb intradermal)
|
$23.06 |
$23.06 |
$23.06 |
|
|
Ghs protoporphyrins fract
|
$60.74 |
$60.74 |
$60.74 |
|
|
Ghs pr without cont pulse ox
|
$105.44 |
$105.44 |
$105.44 |
|
|
Ghs pt - work hardening/int 2hrs
|
$108.45 |
$108.45 |
$120.63 |
|
|
Ghs sedimentation rate
|
$48.89 |
$48.89 |
$48.89 |
|
|
Ghs semen analysis fert
|
$62.78 |
$62.78 |
$62.78 |
|
|
Ghs sensitivity (per antimicro)
|
$49.55 |
$49.55 |
$49.55 |
|
|
Ghs sphenopalatine ganglion block
|
$1,384.34 |
$1,384.34 |
$1,384.34 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$36.90 |
$36.90 |
$36.90 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$148.44 |
$148.44 |
$148.44 |
|
|
Ghs urine, porphyrins quant
|
$100.26 |
$100.26 |
$100.26 |
|
|
Ghs vaginal delivery only
|
$1,479.59 |
$1,479.59 |
$1,479.59 |
|
|
Gi inhouse confirmation
|
$7.97 |
$7.97 |
$98.39 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
|
|
Glucagon 1 mg solution for injection
|
$601.79 |
$601.79 |
$601.79 |
|
|
Glucagon plasma - sendout
|
$95.67 |
$95.67 |
$95.67 |
|
|
Glucose 1 hr post dose
|
$50.82 |
$50.82 |
$50.82 |
|
|
Glucose blood quantitative
|
$29.42 |
$36.75 |
$50.82 |
|
|
Glucose body fluid
|
$50.82 |
$50.82 |
$50.82 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$48.56 |
$48.56 |
$48.56 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$29.42 |
$29.42 |
$29.42 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$85.94 |
$85.94 |
$85.94 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$62.25 |
$62.25 |
$62.25 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$62.01 |
$62.01 |
$62.01 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$65.51 |
$65.51 |
$65.51 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$132.26 |
$148.74 |
$152.31 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$71.10 |
$71.10 |
$71.10 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$343.64 |
$343.64 |
$343.64 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$433.50 |
$441.84 |
$635.07 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$108.21 |
$108.21 |
$357.21 |
|
|
G-tube reposition
|
$373.91 |
$373.91 |
$479.82 |
|
|
Gu dilat ureter/urethra s&i
|
$416.43 |
$416.43 |
$416.43 |
|
|
Guided cath fluid drainage 10030
|
$1,465.77 |
$1,465.77 |
$1,465.77 |
|
|
Guid loc target vol rad tx
|
$800.55 |
$800.55 |
$800.55 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$60.35 |
$60.35 |
$60.35 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$12.87 |
$12.87 |
$12.87 |
|
|
Hand X-ray
|
$86.67 |
$112.23 |
$117.84 |
|
|
Haptoglobin quantitative
|
$64.40 |
$64.41 |
$64.41 |
|
|
Hbot, full body chamber, 30m
|
$1,092.66 |
$1,092.66 |
$1,092.66 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$527.13 |
$527.13 |
$527.13 |
|
|
Hcg qualitative
|
$62.90 |
$62.90 |
$62.90 |
|
|
Hcg quantitative
|
$104.48 |
$104.48 |
$104.48 |
|
|
Hc i-131 sodium iodide cap dx per mci
|
$49.95 |
$178.53 |
$178.56 |
|
|
Hc nm kidney imaging with flow
|
$567.17 |
$567.18 |
$567.18 |
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$458.24 |
$458.24 |
$458.24 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,908.60 |
$1,908.60 |
$1,908.60 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,908.60 |
$1,908.60 |
$1,908.60 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,817.79 |
$1,817.79 |
$1,817.79 |
|
|
Head CT scan (with and without contrast)
|
$802.19 |
$843.75 |
$885.95 |
|
|
Head CT scan (with contrast)
|
$746.03 |
$839.87 |
$881.88 |
|
|
Head CT scan (without contrast)
|
$581.79 |
$773.55 |
$812.24 |
|
|
Helicobacter pylori antibody igm
|
$64.83 |
$64.83 |
$64.83 |
|
|
Hematocrit
|
$37.20 |
$37.20 |
$37.20 |
|
|
Hemin 350 mg intravenous powder for solution
|
$43.82 |
$43.82 |
$43.82 |
|
|
Hemoglobin
|
$37.20 |
$37.20 |
$37.20 |
|
|
Hemoglobin methemoglobin quantitative
|
$72.72 |
$72.72 |
$72.72 |
|
|
Hemoglobin plasma
|
$79.34 |
$79.34 |
$79.34 |
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$608.81 |
$672.71 |
$1,284.93 |
|
|
Heparin assay
|
$140.10 |
$140.10 |
$140.10 |
|
|
Heparin bolus from bag
|
$1.46 |
$8.31 |
$62.54 |
|
|
Heparin neutralization
|
$22.32 |
$22.32 |
$22.32 |
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.12 |
$0.12 |
$1.01 |
|
|
Hepatitis a antibody igm
|
$79.34 |
$79.34 |
$79.34 |
|
|
Hepatitis b core antibody igm
|
$54.14 |
$54.15 |
$54.15 |
|
|
Hepatitis b core antibody total
|
$79.34 |
$79.34 |
$79.34 |
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,617.78 |
$1,617.78 |
$1,617.78 |
|