|
Ghs paravert facet/nerve lumb ea add bil
|
$680.35 |
$680.35 |
$680.35 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$110.00 |
$110.00 |
$110.00 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$239.25 |
$239.25 |
$239.25 |
$694.20
|
|
Ghs phenylketonurid
|
$42.35 |
$42.35 |
$42.35 |
$51.58
|
|
Ghs picc line insert < 5
|
$382.25 |
$382.25 |
$382.25 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$159.50 |
$159.50 |
$159.50 |
$662.20
|
|
Ghs plt ct-manual
|
$37.40 |
$37.40 |
$37.40 |
$39.20
|
|
Ghs pos nystagmus
|
$163.90 |
$163.90 |
$163.90 |
$211.90
|
|
Ghs ppd (tb intradermal)
|
$36.30 |
$36.30 |
$36.30 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$79.20 |
$79.20 |
$79.20 |
$40.56
|
|
Ghs protein, misc fluid
|
$24.75 |
$24.75 |
$24.75 |
$24.60
|
|
Ghs protoporphyrins fract
|
$94.60 |
$94.60 |
$94.60 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$175.45 |
$175.45 |
$175.45 |
$156.70
|
|
Ghs pt - work hardening/int 2hrs
|
$519.20 |
$519.20 |
$519.20 |
$255.60
|
|
Ghs removal intranasal foreign body
|
$63.25 |
$63.25 |
$63.25 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$383.35 |
$383.35 |
$383.35 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$2,211.05
|
|
Ghs rsv eia (respir synctial vrs)
|
$72.60 |
$72.60 |
$72.60 |
$101.15
|
|
Ghs sensitivity (per antimicro)
|
$66.55 |
$66.55 |
$66.55 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$526.35 |
$526.35 |
$526.35 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$636.90 |
$636.90 |
$636.90 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$603.90 |
$603.90 |
$603.90 |
$670.08
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$526.35 |
$526.35 |
$526.35 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$447.70 |
$447.70 |
$447.70 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$579.70 |
$579.70 |
$579.70 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$663.30 |
$663.30 |
$663.30 |
$660.00
|
|
Ghs sp train/fitting sp device - kx
|
$337.70 |
$337.70 |
$337.70 |
$261.95
|
|
Ghs st - eval for alt comm
|
$94.60 |
$94.60 |
$94.60 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$113.30 |
$113.30 |
$113.30 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$268.95 |
$268.95 |
$268.95 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$158.40 |
$158.40 |
$158.40 |
$976.98
|
|
Ghs tx distal phalangeal fx with manipulation
|
$209.55 |
$209.55 |
$209.55 |
$591.00
|
|
Ghs urine, porphyrins quant
|
$124.30 |
$124.30 |
$124.30 |
$70.20
|
|
Ghs vaginal delivery only
|
$1,416.80 |
$1,416.80 |
$1,416.80 |
$3,525.06
|
|
Ghs windowing of cast
|
$77.55 |
$77.55 |
$77.55 |
$204.00
|
|
Gi inhouse confirmation
|
$65.45 |
$65.45 |
$65.45 |
$87.00
|
|
Glucagon plasma - sendout
|
$121.00 |
$121.00 |
$121.00 |
$58.56
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$24.75 |
$24.75 |
$24.75 |
$22.00
|
|
Glucose blood quantitative
|
$35.75 |
$35.75 |
$35.75 |
$44.76
|
|
Glucose body fluid
|
$70.95 |
$70.95 |
$70.95 |
$50.70
|
|
Glucose monitoring continual min 72hr pt
|
$183.70 |
$183.70 |
$183.70 |
$139.10
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$105.60 |
$105.60 |
$105.60 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$105.60 |
$105.60 |
$105.60 |
$123.75
|
|
Graft patch felt ptfe 2x2
|
$622.67 |
$622.67 |
$622.67 |
$25,728.84
|
|
Graft xenmtrx sft rect 15x20cm
|
$386.48 |
$386.48 |
$386.48 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$668.29 |
$668.29 |
$668.29 |
$2,653.10
|
|
Great toe with reduction 28495
|
$448.80 |
$448.80 |
$448.80 |
$577.03
|
|
G-tube reposition
|
$692.45 |
$692.45 |
$692.45 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$1,081.85 |
$1,081.85 |
$1,081.85 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$969.65 |
$969.65 |
$969.65 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$177.97 |
$177.97 |
$177.97 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$38.26 |
$38.26 |
$38.26 |
$2,229.99
|
|
Gw stiffened micro access kit
|
$113.54 |
$113.54 |
$113.54 |
$6,285.56
|
|
Handle/convey/speciman/office-lab 99000
|
$52.25 |
$52.25 |
$52.25 |
$30.36
|
|
Hand X-ray
|
$220.55 |
$220.55 |
$220.55 |
$338.58
|
|
Haptoglobin quantitative
|
$80.85 |
$80.85 |
$80.85 |
$89.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$2,519.55 |
$2,519.55 |
$2,519.55 |
$406.25
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$684.20 |
$684.20 |
$684.20 |
$759.72
|
|
Hcg qualitative
|
$58.85 |
$58.85 |
$58.85 |
$77.50
|
|
Hcg quantitative
|
$99.55 |
$99.55 |
$99.55 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$341.02 |
$341.02 |
$341.02 |
$136.50
|
|
Hc pet myocardial imaging metabolic eval single study
|
$4,789.40 |
$4,789.40 |
$4,789.40 |
$3,309.00
|
|
Head CT scan (with and without contrast)
|
$1,426.70 |
$1,426.70 |
$1,426.70 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,316.70 |
$1,316.70 |
$1,316.70 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,234.75 |
$1,234.75 |
$1,234.75 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$115.50 |
$115.50 |
$115.50 |
$84.80
|
|
Hematocrit
|
$25.30 |
$25.30 |
$25.30 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,141.25 |
$1,141.25 |
$1,141.25 |
$1,329.90
|
|
Hemoglobin
|
$26.40 |
$26.40 |
$26.40 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$36.30 |
$36.30 |
$36.30 |
$49.40
|
|
Hemoglobin plasma
|
$39.60 |
$39.60 |
$39.60 |
$40.56
|
|
Hemoglobin urine
|
$25.30 |
$25.30 |
$25.30 |
$23.31
|
|
Hemolysins and agglutinins incubated
|
$75.90 |
$75.90 |
$75.90 |
$67.50
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$257.95 |
$257.95 |
$257.95 |
$1,141.40
|
|
Heparin assay
|
$96.80 |
$96.80 |
$96.80 |
$130.20
|
|
Heparin neutralization
|
$82.50 |
$82.50 |
$82.50 |
$47.45
|
|
Hepatitis a antibody igm
|
$89.10 |
$89.10 |
$89.10 |
$85.15
|
|
Hepatitis b core antibody igm
|
$96.80 |
$96.80 |
$96.80 |
$87.98
|
|
Hepatitis b core antibody total
|
$90.75 |
$90.75 |
$90.75 |
$83.29
|
|
Hepatitis b surface antibody
|
$290.40 |
$290.40 |
$290.40 |
$83.79
|
|
Hepatitis c antibody
|
$128.70 |
$128.70 |
$128.70 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,529.55 |
$1,529.55 |
$1,529.55 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$85.25 |
$85.25 |
$85.25 |
$40.28
|
|
Herpes simplex 2 ag if
|
$85.25 |
$85.25 |
$85.25 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$22.00 |
$22.00 |
$22.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$22.00 |
$22.00 |
$22.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$127.05 |
$127.05 |
$127.05 |
$93.32
|
|
Heterophile antibodies screening
|
$57.75 |
$57.75 |
$57.75 |
$73.60
|
|
Hip X-ray
|
$128.70 |
$128.70 |
$128.70 |
$292.05
|
|
Histamine
|
$34.10 |
$34.10 |
$34.10 |
$125.40
|
|
Histochemical stains add-on
|
$90.75 |
$90.75 |
$90.75 |
$169.65
|
|
Histoplasmosis skin test
|
$66.55 |
$66.55 |
$66.55 |
$46.22
|
|
Hla class i&ii antibody qual
|
$378.40 |
$378.40 |
$378.40 |
$207.60
|
|
Hla ii typing 1 loc hr
|
$796.40 |
$796.40 |
$796.40 |
$323.40
|
|
Hla ii typing ag equiv lr
|
$65.45 |
$65.45 |
$65.45 |
$354.24
|
|
Hla i typing complete lr
|
$277.75 |
$277.75 |
$277.75 |
$588.55
|
|
Hla i typing high res 1 allele grp ea
|
$356.95 |
$356.95 |
$356.95 |
$307.53
|
|
Hla typing dr/dq
|
$231.55 |
$231.55 |
$231.55 |
$135.20
|
|
Homocysteine
|
$87.45 |
$87.45 |
$87.45 |
$113.10
|
|
Homogenization tissue
|
$32.45 |
$32.45 |
$32.45 |
$39.00
|