|
Ghs nerve block lumbar or thoracic symp
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,706.50
|
|
Ghs nerve block suprascapular
|
$515.00 |
$515.00 |
$515.00 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$485.00 |
$485.00 |
$485.00 |
$472.21
|
|
Ghs o2 saturation
|
$65.00 |
$65.00 |
$65.00 |
$66.70
|
|
Ghs opcc repair cvp without subq port
|
$610.00 |
$610.00 |
$610.00 |
$1,214.40
|
|
Ghs opcc repair cvp w subq port
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,164.52
|
|
Ghs ot prosthetic training/15 min
|
$87.50 |
$87.50 |
$87.50 |
$88.12
|
|
Ghs ot sensory integrative tech/15min
|
$87.50 |
$87.50 |
$87.50 |
$91.56
|
|
Ghs ot work hardening-additional hours
|
$135.00 |
$135.00 |
$135.00 |
$120.00
|
|
Ghs pacing - transcutaneous
|
$815.00 |
$815.00 |
$815.00 |
$815.00
|
|
Ghs phenylketonurid
|
$12.50 |
$12.50 |
$12.50 |
$53.30
|
|
Ghs picc line insert < 5
|
$920.00 |
$920.00 |
$920.00 |
$2,035.00
|
|
Ghs ppd (tb intradermal)
|
$17.50 |
$17.50 |
$17.50 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$67.50 |
$67.50 |
$67.50 |
$43.00
|
|
Ghs protoporphyrins fract
|
$57.50 |
$57.50 |
$57.50 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$175.00 |
$175.00 |
$175.00 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$87.50 |
$87.50 |
$87.50 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$270.00 |
$270.00 |
$270.00 |
$270.00
|
|
Ghs quinidine
|
$85.00 |
$85.00 |
$85.00 |
$83.20
|
|
Ghs refill of implantable pump
|
$550.00 |
$550.00 |
$550.00 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$140.00 |
$140.00 |
$140.00 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$140.00 |
$140.00 |
$140.00 |
$442.06
|
|
Ghs reticulocyte count
|
$30.00 |
$30.00 |
$30.00 |
$33.60
|
|
Ghs semen analysis fert
|
$105.00 |
$105.00 |
$105.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$27.50 |
$27.50 |
$27.50 |
$54.95
|
|
Ghs somatosensory testing lower extremit
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$885.81
|
|
Ghs speech-gen aug dev eval iii, st
|
$175.00 |
$175.00 |
$175.00 |
$134.60
|
|
Ghs sphenopalatine ganglion block
|
$695.00 |
$695.00 |
$695.00 |
$616.00
|
|
Ghs sp train/fitting sp device - kx
|
$217.50 |
$217.50 |
$217.50 |
$243.60
|
|
Ghs strapping shoulder - 29240
|
$110.00 |
$110.00 |
$110.00 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$345.00 |
$345.00 |
$345.00 |
$309.00
|
|
Ghs tracheostomy emergency - transtracheal
|
$570.00 |
$570.00 |
$570.00 |
$1,752.89
|
|
Ghs urine, porphyrins quant
|
$110.00 |
$110.00 |
$110.00 |
$73.80
|
|
Ghs vaginal delivery only
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$3,142.35
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$1,843.00
|
|
Giardia lamblia antibody
|
$85.00 |
$85.00 |
$85.00 |
$81.60
|
|
Gi inhouse confirmation
|
$80.00 |
$80.00 |
$80.00 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,975.00 |
$2,975.00 |
$2,975.00 |
$2,103.50
|
|
Gi trc img intral esophagus
|
$2,790.00 |
$2,790.00 |
$2,790.00 |
$1,897.82
|
|
Gjb2 gene full sequence
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$502.80
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$362.02 |
$362.02 |
$362.02 |
$487.50
|
|
Glucagon plasma - sendout
|
$107.50 |
$107.50 |
$107.50 |
$63.00
|
|
Glucose 1 hr post dose
|
$55.00 |
$55.00 |
$55.00 |
$46.15
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$10.00 |
$10.00 |
$10.00 |
$22.80
|
|
Glucose blood quantitative
|
$27.50 |
$27.50 |
$27.50 |
$40.80
|
|
Glucose body fluid
|
$50.00 |
$50.00 |
$50.00 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$107.50 |
$107.50 |
$107.50 |
$99.20
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$35.00 |
$35.00 |
$35.00 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$13.49 |
$13.49 |
$13.49 |
$38.73
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$137.50 |
$137.50 |
$137.50 |
$115.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$95.00 |
$95.00 |
$95.00 |
$125.68
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$3,595.21 |
$3,595.21 |
$3,595.21 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$368.71 |
$368.71 |
$368.71 |
$27,300.00
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$65.00 |
$65.00 |
$65.00 |
$366.92
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$85.00 |
$85.00 |
$85.00 |
$27,367.40
|
|
Graft xenmtrx sft rect 15x20cm
|
$8,516.77 |
$8,516.77 |
$8,516.77 |
$30,927.03
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,751.20 |
$1,751.20 |
$1,751.20 |
$2,661.33
|
|
Group train without patient
|
$37.50 |
$37.50 |
$37.50 |
$39.77
|
|
Growth hormone panel
|
$115.00 |
$115.00 |
$115.00 |
$168.00
|
|
Growth stimulation gene 2
|
$72.50 |
$72.50 |
$72.50 |
$170.04
|
|
Gu dilat ureter/urethra s&i
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,772.00
|
|
Guided cath fluid drainage 10030
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$3,531.94
|
|
Guide worley csg 9fx50cm std
|
$72.63 |
$72.63 |
$72.63 |
$1,070.69
|
|
Guid loc target vol rad tx
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$526.20
|
|
Gw stiffened micro access kit
|
$538.63 |
$538.63 |
$538.63 |
$7,173.60
|
|
Hand X-ray
|
$415.00 |
$415.00 |
$415.00 |
$345.98
|
|
Haptoglobin quantitative
|
$70.00 |
$70.00 |
$70.00 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$565.00 |
$565.00 |
$565.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$404.80
|
|
Hbb full gene sequence
|
$565.00 |
$565.00 |
$565.00 |
$626.60
|
|
Hbb gene com variants
|
$482.50 |
$482.50 |
$482.50 |
$345.95
|
|
Hbb gene dup/del variants
|
$845.00 |
$845.00 |
$845.00 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$555.00 |
$555.00 |
$555.00 |
$526.90
|
|
Hcg free betachain test
|
$112.50 |
$112.50 |
$112.50 |
$68.90
|
|
Hcg qualitative
|
$105.00 |
$105.00 |
$105.00 |
$85.60
|
|
Hcg quantitative
|
$160.00 |
$160.00 |
$160.00 |
$135.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$127.50 |
$127.50 |
$127.50 |
$117.00
|
|
Hc nm fusion spect CT unlisted
|
$1,355.00 |
$1,355.00 |
$1,355.00 |
$463.68
|
|
Hc pet myocardial imaging metabolic eval single study
|
$4,060.00 |
$4,060.00 |
$4,060.00 |
$3,783.57
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,485.00 |
$5,485.00 |
$5,485.00 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,035.00 |
$6,035.00 |
$6,035.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$6,730.00 |
$6,730.00 |
$6,730.00 |
$3,410.55
|
|
Hdr rdncl skn surf brachytx
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$530.35
|
|
Hdr rdncl skn surf brachytx
|
$3,360.00 |
$3,360.00 |
$3,360.00 |
$730.00
|
|
Head CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,815.00
|
|
Head CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,268.90
|
|
Heart image spect
|
$1,590.00 |
$1,590.00 |
$1,590.00 |
$655.35
|
|
Heinz bodies induced
|
$25.00 |
$25.00 |
$25.00 |
$30.40
|
|
Helicobacter pylori antibody igm
|
$110.00 |
$110.00 |
$110.00 |
$91.00
|
|
Hematocrit
|
$17.50 |
$17.50 |
$17.50 |
$33.48
|
|
Hemodialysis one evaluation
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,291.00
|
|
Hemoglobin
|
$17.50 |
$17.50 |
$17.50 |
$31.20
|
|
Hemoglobin fetal qualitative
|
$20.00 |
$20.00 |
$20.00 |
$47.46
|
|
Hemoglobin methemoglobin quantitative
|
$30.00 |
$30.00 |
$30.00 |
$51.10
|
|
Hemoglobin plasma
|
$60.00 |
$60.00 |
$60.00 |
$40.80
|
|
Hemolysins/agglutinins auto
|
$17.50 |
$17.50 |
$17.50 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$30.00 |
$30.00 |
$30.00 |
$57.14
|
