|
Ghs pacing - transcutaneous
|
$566.46 |
$566.46 |
$566.46 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$681.75 |
$681.75 |
$681.75 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$681.75 |
$681.75 |
$681.75 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$111.15 |
$111.15 |
$111.15 |
$90.15
|
|
Ghs phenylketonurid
|
$78.84 |
$78.84 |
$78.84 |
$51.58
|
|
Ghs plt ct-manual
|
$48.78 |
$48.78 |
$48.78 |
$39.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,056.95 |
$2,056.95 |
$2,056.95 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$11.88 |
$11.88 |
$11.88 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$41.40 |
$41.40 |
$41.40 |
$40.56
|
|
Ghs protoporphyrins fract
|
$68.13 |
$68.13 |
$68.13 |
$64.35
|
|
Ghs pt - work hardening/int 2hrs
|
$61.02 |
$61.02 |
$61.02 |
$255.60
|
|
Ghs quinidine
|
$68.40 |
$68.40 |
$68.40 |
$68.40
|
|
Ghs refill of implantable pump
|
$250.65 |
$250.65 |
$250.65 |
$539.13
|
|
Ghs rsv eia (respir synctial vrs)
|
$78.39 |
$78.39 |
$78.39 |
$101.15
|
|
Ghs sedimentation rate
|
$31.86 |
$31.86 |
$31.86 |
$45.50
|
|
Ghs semen analysis fert
|
$59.31 |
$59.31 |
$59.31 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$58.95 |
$58.95 |
$58.95 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$394.29 |
$394.29 |
$394.29 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$550.17 |
$550.17 |
$550.17 |
$1,435.00
|
|
Ghs speech-gen aug dev eval iii, st
|
$139.68 |
$139.68 |
$139.68 |
$124.80
|
|
Ghs sp train/fitting sp device - kx
|
$108.99 |
$108.99 |
$108.99 |
$261.95
|
|
Ghs st - eval for alt comm
|
$51.75 |
$51.75 |
$51.75 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$88.29 |
$88.29 |
$88.29 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$193.95 |
$193.95 |
$193.95 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$72.00 |
$72.00 |
$72.00 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$205.20 |
$205.20 |
$205.20 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$263.25 |
$263.25 |
$263.25 |
$976.98
|
|
Ghs trypsin (fecal)
|
$85.14 |
$85.14 |
$85.14 |
$21.84
|
|
Ghs urine, hydroxproline total
|
$155.97 |
$155.97 |
$155.97 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$438.48 |
$438.48 |
$438.48 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$690.93 |
$690.93 |
$690.93 |
$1,843.00
|
|
Giardia lamblia antibody
|
$164.97 |
$164.97 |
$164.97 |
$81.60
|
|
Gi inhouse confirmation
|
$276.57 |
$276.57 |
$276.57 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,761.03 |
$1,761.03 |
$1,761.03 |
$2,382.90
|
|
Gi wireless capsule measure
|
$1,761.03 |
$1,761.03 |
$1,761.03 |
$1,247.13
|
|
Glucagon plasma - sendout
|
$98.64 |
$98.64 |
$98.64 |
$58.56
|
|
Glucose 1 hr post dose
|
$40.59 |
$40.59 |
$40.59 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$55.62 |
$55.62 |
$55.62 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$15.66 |
$15.66 |
$15.66 |
$22.00
|
|
Glucose blood quantitative
|
$36.54 |
$36.54 |
$36.54 |
$44.76
|
|
Glucose body fluid
|
$65.16 |
$65.16 |
$65.16 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$67.05 |
$67.05 |
$67.05 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$30.96 |
$30.96 |
$30.96 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$2.07 |
$2.07 |
$2.07 |
$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)
|
$138.33 |
$138.33 |
$138.33 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$129.96 |
$129.96 |
$129.96 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$513.81 |
$513.81 |
$513.81 |
$2,802.00
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$727.83 |
$727.83 |
$727.83 |
$2,274.83
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$357.84 |
$357.84 |
$357.84 |
$2,369.10
|
|
Granisetron hcl injection
|
$21.42 |
$21.42 |
$21.42 |
$41.65
|
|
Granulocyte pheresis ea unit
|
$365.94 |
$365.94 |
$365.94 |
$2,950.30
|
|
G-tube reposition
|
$1,166.13 |
$1,166.13 |
$1,166.13 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$497.43 |
$497.43 |
$497.43 |
$1,793.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$148.77 |
$148.77 |
$148.77 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$11.25 |
$11.25 |
$11.25 |
$35.40
|
|
Hand X-ray
|
$573.75 |
$573.75 |
$573.75 |
$338.58
|
|
Haptoglobin quantitative
|
$91.80 |
$91.80 |
$91.80 |
$89.95
|
|
Harvest allogeneic stem cell
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
$3,766.50
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$178.65 |
$178.65 |
$178.65 |
$759.72
|
|
Hcg qualitative
|
$155.25 |
$155.25 |
$155.25 |
$77.50
|
|
Hcg quantitative
|
$162.99 |
$162.99 |
$162.99 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$366.12 |
$366.12 |
$366.12 |
$136.50
|
|
Hc nm fusion spect CT unlisted
|
$482.40 |
$482.40 |
$482.40 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$1,026.81 |
$1,026.81 |
$1,026.81 |
$1,008.39
|
|
Head CT scan (with and without contrast)
|
$1,652.58 |
$1,652.58 |
$1,652.58 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,473.66 |
$1,473.66 |
$1,473.66 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,347.21 |
$1,347.21 |
$1,347.21 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$103.14 |
$103.14 |
$103.14 |
$84.80
|
|
Hemagglutination inhibition
|
$13.23 |
$13.23 |
$13.23 |
$17.60
|
|
Hematocrit
|
$26.10 |
$26.10 |
$26.10 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,391.13 |
$1,391.13 |
$1,391.13 |
$1,329.90
|
|
Hemoglobin
|
$39.78 |
$39.78 |
$39.78 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$58.50 |
$58.50 |
$58.50 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$48.06 |
$48.06 |
$48.06 |
$49.40
|
|
Hemoglobin-oxygen affinity
|
$93.42 |
$93.42 |
$93.42 |
$73.00
|
|
Hemoglobin plasma
|
$77.04 |
$77.04 |
$77.04 |
$40.56
|
|
Hemolysin acid
|
$101.07 |
$101.07 |
$101.07 |
$31.74
|
|
Hemolysins and agglutinins incubated
|
$138.33 |
$138.33 |
$138.33 |
$67.50
|
|
Heparin assay
|
$267.93 |
$267.93 |
$267.93 |
$130.20
|
|
Heparin bolus from bag
|
$16.83 |
$16.83 |
$16.83 |
$79.04
|
|
Heparin neutralization
|
$58.95 |
$58.95 |
$58.95 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$8.73 |
$8.73 |
$8.73 |
$32.27
|
|
Hepatitis a antibody igm
|
$161.64 |
$161.64 |
$161.64 |
$85.15
|
|
Hepatitis b core antibody igm
|
$84.78 |
$84.78 |
$84.78 |
$87.98
|
|
Hepatitis b core antibody total
|
$74.97 |
$74.97 |
$74.97 |
$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
|
$83.79 |
$83.79 |
$83.79 |
$83.79
|
|
Hepatitis c antibody
|
$64.44 |
$64.44 |
$64.44 |
$108.00
|
|
Hepatitis d quantification
|
$144.18 |
$144.18 |
$144.18 |
$145.06
|
|
Hepatobiliary system imaging
|
$1,007.55 |
$1,007.55 |
$1,007.55 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$119.79 |
$119.79 |
$119.79 |
$40.28
|
|
Herpes simplex 2 ag if
|
$104.58 |
$104.58 |
$104.58 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$79.92 |
$79.92 |
$79.92 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$89.37 |
$89.37 |
$89.37 |
$87.10
|
|
Herpes simplex virus isolation
|
$142.47 |
$142.47 |
$142.47 |
$93.32
|
|
Heterophile antibodies screening
|
$74.61 |
$74.61 |
$74.61 |
$73.60
|
|
Hhv-6 dna quant
|
$200.25 |
$200.25 |
$200.25 |
$200.25
|
|
Hip X-ray
|
$130.32 |
$130.32 |
$130.32 |
$292.05
|
|
Histochemical stains add-on
|
$148.23 |
$148.23 |
$148.23 |
$169.65
|
