|
Ghs moderate sedation ea addtl 15 min
|
$72.81 |
$72.81 |
$72.81 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$115.83 |
$115.83 |
$115.83 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$519.03 |
$519.03 |
$519.03 |
$503.85
|
|
Ghs nerve block celiac plexus
|
$787.32 |
$787.32 |
$787.32 |
$1,712.00
|
|
Ghs ng placement w fluoro guidance
|
$296.91 |
$296.91 |
$296.91 |
$468.75
|
|
Ghs o2 saturation
|
$144.90 |
$144.90 |
$144.90 |
$72.45
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$31.23 |
$31.23 |
$31.23 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$60.03 |
$60.03 |
$60.03 |
$57.65
|
|
Ghs ot dds rom
|
$44.64 |
$44.64 |
$44.64 |
$56.55
|
|
Ghs ot prosthetic training/15 min
|
$58.50 |
$58.50 |
$58.50 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$66.78 |
$66.78 |
$66.78 |
$101.05
|
|
Ghs ot work hardening-additional hours
|
$38.34 |
$38.34 |
$38.34 |
$121.54
|
|
Ghs pacing - transcutaneous
|
$349.92 |
$349.92 |
$349.92 |
$868.68
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$276.66 |
$276.66 |
$276.66 |
$90.15
|
|
Ghs phenylketonurid
|
$73.08 |
$73.08 |
$73.08 |
$51.58
|
|
Ghs plt ct-manual
|
$32.76 |
$32.76 |
$32.76 |
$39.20
|
|
Ghs ppd (tb intradermal)
|
$8.73 |
$8.73 |
$8.73 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$88.83 |
$88.83 |
$88.83 |
$40.56
|
|
Ghs protoporphyrins fract
|
$53.64 |
$53.64 |
$53.64 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$92.43 |
$92.43 |
$92.43 |
$156.70
|
|
Ghs pt - work hardening/int 2hrs
|
$82.89 |
$82.89 |
$82.89 |
$255.60
|
|
Ghs quinidine
|
$82.35 |
$82.35 |
$82.35 |
$68.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$72.90 |
$72.90 |
$72.90 |
$101.15
|
|
Ghs sedimentation rate
|
$18.09 |
$18.09 |
$18.09 |
$45.50
|
|
Ghs semen analysis fert
|
$55.08 |
$55.08 |
$55.08 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$77.31 |
$77.31 |
$77.31 |
$59.90
|
|
Ghs speech-gen aug dev eval iii, st
|
$109.26 |
$109.26 |
$109.26 |
$124.80
|
|
Ghs sp train/fitting sp device - kx
|
$108.99 |
$108.99 |
$108.99 |
$261.95
|
|
Ghs st - eval for alt comm
|
$22.23 |
$22.23 |
$22.23 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$176.85 |
$176.85 |
$176.85 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$193.95 |
$193.95 |
$193.95 |
$309.00
|
|
Ghs trypsin (fecal)
|
$102.78 |
$102.78 |
$102.78 |
$21.84
|
|
Ghs urine, hydroxproline total
|
$334.35 |
$334.35 |
$334.35 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$73.71 |
$73.71 |
$73.71 |
$70.20
|
|
Giardia lamblia antibody
|
$202.50 |
$202.50 |
$202.50 |
$81.60
|
|
Gi inhouse confirmation
|
$257.13 |
$257.13 |
$257.13 |
$87.00
|
|
Glucagon plasma - sendout
|
$53.10 |
$53.10 |
$53.10 |
$58.56
|
|
Glucose 1 hr post dose
|
$19.89 |
$19.89 |
$19.89 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$71.82 |
$71.82 |
$71.82 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$14.49 |
$14.49 |
$14.49 |
$22.00
|
|
Glucose blood quantitative
|
$44.10 |
$44.10 |
$44.10 |
$44.76
|
|
Glucose body fluid
|
$83.34 |
$83.34 |
$83.34 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$117.09 |
$117.09 |
$117.09 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$17.37 |
$17.37 |
$17.37 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$57.24 |
$57.24 |
$57.24 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,078.36 |
$3,078.36 |
$3,078.36 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$65.70 |
$65.70 |
$65.70 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$179.91 |
$179.91 |
$179.91 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$513.81 |
$513.81 |
$513.81 |
$2,802.00
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$6,210.45 |
$6,210.45 |
$6,210.45 |
$2,369.10
|
|
Granisetron hcl injection
|
$21.42 |
$21.42 |
$21.42 |
$41.65
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$163.62 |
$163.62 |
$163.62 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$5.97 |
$5.97 |
$5.97 |
$35.40
|
|
Hand X-ray
|
$514.98 |
$514.98 |
$514.98 |
$338.58
|
|
Haptoglobin quantitative
|
$147.15 |
$147.15 |
$147.15 |
$89.95
|
|
Hcg qualitative
|
$227.43 |
$227.43 |
$227.43 |
$77.50
|
|
Hcg quantitative
|
$92.07 |
$92.07 |
$92.07 |
$124.80
|
|
Head CT scan (with and without contrast)
|
$1,627.38 |
$1,627.38 |
$1,627.38 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,187.10 |
$1,187.10 |
$1,187.10 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,267.56 |
$1,267.56 |
$1,267.56 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$229.32 |
$229.32 |
$229.32 |
$84.80
|
|
Hemagglutination inhibition
|
$17.46 |
$17.46 |
$17.46 |
$17.60
|
|
Hematocrit
|
$18.54 |
$18.54 |
$18.54 |
$33.57
|
|
Hemoglobin
|
$24.12 |
$24.12 |
$24.12 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$36.36 |
$36.36 |
$36.36 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$90.00 |
$90.00 |
$90.00 |
$49.40
|
|
Hemoglobin-oxygen affinity
|
$147.15 |
$147.15 |
$147.15 |
$73.00
|
|
Hemoglobin plasma
|
$68.22 |
$68.22 |
$68.22 |
$40.56
|
|
Hemolysin acid
|
$130.95 |
$130.95 |
$130.95 |
$31.74
|
|
Hemolysins and agglutinins incubated
|
$178.65 |
$178.65 |
$178.65 |
$67.50
|
|
Heparin assay
|
$205.83 |
$205.83 |
$205.83 |
$130.20
|
|
Heparin bolus from bag
|
$4.68 |
$4.68 |
$4.68 |
$79.04
|
|
Heparin neutralization
|
$167.58 |
$167.58 |
$167.58 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$7.56 |
$7.56 |
$7.56 |
$32.27
|
|
Hepatitis a antibody igm
|
$44.01 |
$44.01 |
$44.01 |
$85.15
|
|
Hepatitis b core antibody igm
|
$88.65 |
$88.65 |
$88.65 |
$87.98
|
|
Hepatitis b core antibody total
|
$105.21 |
$105.21 |
$105.21 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$191.25 |
$191.25 |
$191.25 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$118.98 |
$118.98 |
$118.98 |
$83.79
|
|
Hepatitis c antibody
|
$54.45 |
$54.45 |
$54.45 |
$108.00
|
|
Hepatitis d quantification
|
$140.13 |
$140.13 |
$140.13 |
$145.06
|
|
Hepatobiliary system imaging
|
$579.51 |
$579.51 |
$579.51 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$88.83 |
$88.83 |
$88.83 |
$40.28
|
|
Herpes simplex 2 ag if
|
$80.28 |
$80.28 |
$80.28 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$108.90 |
$108.90 |
$108.90 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$115.92 |
$115.92 |
$115.92 |
$87.10
|
|
Herpes simplex virus isolation
|
$225.72 |
$225.72 |
$225.72 |
$93.32
|
|
Heterophile antibodies screening
|
$54.27 |
$54.27 |
$54.27 |
$73.60
|
|
Hhv-6 dna quant
|
$192.96 |
$192.96 |
$192.96 |
$200.25
|
|
Hip X-ray
|
$111.42 |
$111.42 |
$111.42 |
$292.05
|
|
Histochemical stains add-on
|
$91.98 |
$91.98 |
$91.98 |
$169.65
|
|
Histoplasmosis skin test
|
$15.30 |
$15.30 |
$15.30 |
$46.22
|
|
Hiv-1 ag ia
|
$127.80 |
$127.80 |
$127.80 |
$84.67
|
|
Hla class i high defin qual
|
$1,955.43 |
$1,955.43 |
$1,955.43 |
$574.86
|
|
Hla class ii high defin qual
|
$1,900.35 |
$1,900.35 |
$1,900.35 |
$568.50
|
|
Hla class i&ii antibody qual
|
$161.46 |
$161.46 |
$161.46 |
$207.60
|
|
Hla class ii semiquant panel
|
$696.87 |
$696.87 |
$696.87 |
$696.87
|
|
Hla class i semiquant panel
|
$628.65 |
$628.65 |
$628.65 |
$697.50
|
|
Hla ii typing 1 loc hr
|
$1,283.04 |
$1,283.04 |
$1,283.04 |
$323.40
|
|
Hla ii typing ag equiv lr
|
$2,139.75 |
$2,139.75 |
$2,139.75 |
$354.24
|