|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$2,253.74 |
$2,253.74 |
$2,253.74 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$2,258.71 |
$2,258.71 |
$2,258.71 |
$670.08
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$1,510.64 |
$1,510.64 |
$1,510.64 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$660.00
|
|
Ghs strapping shoulder - 29240
|
$352.52 |
$352.52 |
$352.52 |
$243.07
|
|
Ghs superficial wnd dehiscence simp12020
|
$3,916.08 |
$3,916.08 |
$3,916.08 |
$976.98
|
|
Ghs tx distal phalangeal fx with manipulation
|
$1,445.05 |
$1,445.05 |
$1,445.05 |
$591.00
|
|
Ghs urine, porphyrins quant
|
$174.49 |
$174.49 |
$174.49 |
$70.20
|
|
Ghs vaginal delivery only
|
$6,363.87 |
$6,363.87 |
$6,363.87 |
$3,525.06
|
|
Gi inhouse confirmation
|
$584.44 |
$584.44 |
$584.44 |
$87.00
|
|
Glucagon plasma - sendout
|
$332.22 |
$332.22 |
$332.22 |
$58.56
|
|
Glucose 1 hr post dose
|
$80.40 |
$80.40 |
$80.40 |
$46.28
|
|
Glucose blood quantitative
|
$152.88 |
$152.88 |
$152.88 |
$44.76
|
|
Glucose body fluid
|
$116.35 |
$116.35 |
$116.35 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$219.32 |
$219.32 |
$219.32 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$87.83 |
$87.83 |
$87.83 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$59.61 |
$59.61 |
$59.61 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,733.54 |
$2,733.54 |
$2,733.54 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$305.52 |
$305.52 |
$305.52 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$292.16 |
$292.16 |
$292.16 |
$123.75
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,679.75 |
$1,679.75 |
$1,679.75 |
$1,679.75
|
|
Great toe with reduction 28495
|
$1,346.17 |
$1,346.17 |
$1,346.17 |
$577.03
|
|
Guided cath fluid drainage 10030
|
$6,389.61 |
$6,389.61 |
$6,389.61 |
$1,461.15
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$122.68 |
$122.68 |
$122.68 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$23.06 |
$23.06 |
$23.06 |
$35.40
|
|
Hand X-ray
|
$586.01 |
$586.01 |
$586.01 |
$338.58
|
|
Haptoglobin quantitative
|
$154.31 |
$154.31 |
$154.31 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$4,514.74 |
$4,514.74 |
$4,514.74 |
$777.60
|
|
Hcg qualitative
|
$208.14 |
$208.14 |
$208.14 |
$77.50
|
|
Hcg quantitative
|
$351.32 |
$351.32 |
$351.32 |
$124.80
|
|
Hc metata joint dislocation anes
|
$8,794.01 |
$8,794.01 |
$8,794.01 |
$2,423.85
|
|
Hc nm kidney imaging with flow
|
$2,996.23 |
$2,996.23 |
$2,996.23 |
$1,008.39
|
|
Head CT scan (with and without contrast)
|
$3,802.18 |
$3,802.18 |
$3,802.18 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$3,494.18 |
$3,494.18 |
$3,494.18 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$3,436.17 |
$3,436.17 |
$3,436.17 |
$1,268.90
|
|
Hematocrit
|
$93.83 |
$93.83 |
$93.83 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,813.65 |
$1,813.65 |
$1,813.65 |
$1,329.90
|
|
Hemoglobin
|
$64.20 |
$64.20 |
$64.20 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$89.75 |
$89.75 |
$89.75 |
$49.40
|
|
Hemoglobin plasma
|
$181.39 |
$181.39 |
$181.39 |
$40.56
|
|
Hemoglobin urine
|
$66.85 |
$66.85 |
$66.85 |
$23.31
|
|
Heparin assay
|
$292.44 |
$292.44 |
$292.44 |
$130.20
|
|
Heparin bolus from bag
|
$182.58 |
$182.58 |
$182.58 |
$79.04
|
|
Heparin neutralization
|
$177.50 |
$177.50 |
$177.50 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$30.12 |
$30.12 |
$30.12 |
$32.27
|
|
Hepatitis a antibody igm
|
$289.31 |
$289.31 |
$289.31 |
$85.15
|
|
Hepatitis b core antibody igm
|
$319.50 |
$319.50 |
$319.50 |
$87.98
|
|
Hepatitis b core antibody total
|
$147.80 |
$147.80 |
$147.80 |
$83.29
|
|
Hepatitis b surface antibody
|
$214.95 |
$214.95 |
$214.95 |
$83.79
|
|
Hepatitis c antibody
|
$450.29 |
$450.29 |
$450.29 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,456.01 |
$2,456.01 |
$2,456.01 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$173.36 |
$173.36 |
$173.36 |
$40.28
|
|
Herpes simplex 2 ag if
|
$93.71 |
$93.71 |
$93.71 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$104.46 |
$104.46 |
$104.46 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$100.62 |
$100.62 |
$100.62 |
$87.10
|
|
Herpes simplex virus isolation
|
$422.15 |
$422.15 |
$422.15 |
$93.32
|
|
Heterophile antibodies screening
|
$246.56 |
$246.56 |
$246.56 |
$73.60
|
|
Hhv-6 dna quant
|
$387.58 |
$387.58 |
$387.58 |
$200.25
|
|
Hip X-ray
|
$656.42 |
$656.42 |
$656.42 |
$292.05
|
|
Histamine
|
$376.18 |
$376.18 |
$376.18 |
$125.40
|
|
Hla i low res one antigen equiv ea
|
$815.01 |
$815.01 |
$815.01 |
$164.00
|
|
Hlth bhv ivntj fam 1st 30
|
$197.46 |
$197.46 |
$197.46 |
$151.00
|
|
Hlth bhv ivntj indiv 1st 30
|
$972.87 |
$972.87 |
$972.87 |
$190.13
|
|
Hocm 350-399mg/ml iodine,1ml
|
$68.86 |
$68.86 |
$68.86 |
$68.86
|
|
Home sleep test/type 3 porta
|
$479.02 |
$479.02 |
$479.02 |
$632.40
|
|
Homocysteine
|
$284.27 |
$284.27 |
$284.27 |
$113.10
|
|
Homogenization tissue
|
$70.83 |
$70.83 |
$70.83 |
$39.00
|
|
Homovanillic acid (hva)
|
$281.97 |
$281.97 |
$281.97 |
$56.00
|
|
Hpv types 16 & 18 only
|
$86.52 |
$86.52 |
$86.52 |
$93.60
|
|
H pylori (c-13) breath
|
$907.32 |
$907.32 |
$907.32 |
$219.05
|
|
Htt gene detc abnor alleles
|
$957.76 |
$957.76 |
$957.76 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$628.17 |
$628.17 |
$628.17 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$144.94 |
$144.94 |
$144.94 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$120.86 |
$120.86 |
$120.86 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$357.20 |
$357.20 |
$357.20 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$1,833.06 |
$1,833.06 |
$1,833.06 |
$394.40
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$705.89 |
$705.89 |
$705.89 |
$112.22
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$183.04 |
$183.04 |
$183.04 |
$86.47
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$266.61 |
$266.61 |
$266.61 |
$76.13
|
|
Hyoscyamine sulfate inj
|
$659.92 |
$659.92 |
$659.92 |
$215.75
|
|
Hysterosalpingography s&i
|
$1,350.39 |
$1,350.39 |
$1,350.39 |
$629.46
|
|
Iadna legionella pneumophila amplified probe tq
|
$296.60 |
$296.60 |
$296.60 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$753.66 |
$753.66 |
$753.66 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$722.88 |
$722.88 |
$722.88 |
$891.89
|
|
Ihc/icc per specimen each additional single antibody stain
|
$541.08 |
$541.08 |
$541.08 |
$191.75
|
|
Ihc/icc per specimen initial single antibody stain
|
$900.77 |
$900.77 |
$900.77 |
$266.76
|
|
Immune complex assay
|
$331.25 |
$331.25 |
$331.25 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$6,392.42 |
$6,392.42 |
$6,392.42 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$16,350.75 |
$16,350.75 |
$16,350.75 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$337.27 |
$337.27 |
$337.27 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$343.89 |
$343.89 |
$343.89 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$122.82 |
$122.82 |
$122.82 |
$53.95
|
|
Immunodiffusion nes
|
$128.18 |
$128.18 |
$128.18 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$505.14 |
$505.14 |
$505.14 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$1,091.77 |
$1,091.77 |
$1,091.77 |
$156.00
|
|
Immunology procedure
|
$281.45 |
$281.45 |
$281.45 |
$281.45
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$7,821.42 |
$7,821.42 |
$7,821.42 |
$2,261.20
|
|
Incision of tongue fold
|
$9,247.11 |
$9,247.11 |
$9,247.11 |
$1,865.58
|