|
Ghs inhibitor screen
|
$38.92 |
$38.92 |
$151.54 |
$191.88
|
|
Ghs inj transforaminal cerv ea add bil
|
$703.34 |
$703.34 |
$703.34 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$893.98 |
$893.98 |
$893.98 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$182.52 |
$182.52 |
$182.52 |
$431.28
|
|
Ghs intro needle/intracath vein - 36000
|
$27.02 |
$27.02 |
$27.02 |
$200.20
|
|
Ghs IV inf sq injection, on-body injector
|
$107.18 |
$107.18 |
$107.18 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$376.38 |
$376.38 |
$384.67 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$162.61 |
$162.61 |
$162.61 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$203.94 |
$203.94 |
$203.94 |
$583.10
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$283.89 |
$283.89 |
$283.89 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$312.42 |
$312.42 |
$312.42 |
$760.20
|
|
Ghs leukocyte alkaline phos (mayo)
|
$4.50 |
$4.50 |
$4.50 |
$75.00
|
|
Ghs mbp
|
$10.46 |
$10.46 |
$16.93 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$105.54 |
$105.54 |
$202.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$105.78 |
$105.78 |
$202.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$105.78 |
$105.78 |
$222.00 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$80.69 |
$80.69 |
$102.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$102.00 |
$102.00 |
$105.78 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$45.27 |
$45.27 |
$120.70 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$678.60 |
$678.60 |
$678.60 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$542.57 |
$542.57 |
$542.57 |
$1,160.00
|
|
Ghs nerve block brachial plexus
|
$325.71 |
$325.71 |
$325.71 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$414.14 |
$414.14 |
$414.14 |
$1,661.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$424.27 |
$424.27 |
$424.27 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$268.88 |
$268.88 |
$590.98 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$256.58 |
$256.58 |
$275.38 |
$485.00
|
|
Ghs o2 saturation
|
$4.98 |
$4.98 |
$27.31 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$207.90 |
$207.90 |
$207.90 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$198.18 |
$198.18 |
$198.18 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$530.50 |
$530.50 |
$582.53 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$2,107.86 |
$2,107.86 |
$2,107.86 |
$2,194.40
|
|
Ghs ot group caregiver training
|
$44.76 |
$44.76 |
$44.76 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$38.12 |
$38.12 |
$38.12 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$44.52 |
$44.52 |
$44.52 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$28.54 |
$28.54 |
$57.28 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$276.26 |
$276.26 |
$340.08 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$310.38 |
$310.38 |
$310.38 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$682.15 |
$682.15 |
$682.15 |
$962.00
|
|
Ghs phenylketonurid
|
$2.82 |
$2.82 |
$2.82 |
$53.76
|
|
Ghs picc line insert < 5
|
$650.84 |
$650.84 |
$650.84 |
$2,019.50
|
|
Ghs ppd (tb intradermal)
|
$25.59 |
$25.59 |
$25.59 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$9.51 |
$9.51 |
$9.96 |
$43.55
|
|
Ghs protoporphyrins fract
|
$14.13 |
$14.13 |
$18.43 |
$60.75
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$11.12 |
$11.12 |
$11.12 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$56.58 |
$56.58 |
$114.29 |
$285.60
|
|
Ghs quinidine
|
$9.96 |
$9.96 |
$9.96 |
$85.00
|
|
Ghs refill of implantable pump
|
$271.04 |
$271.04 |
$271.04 |
$539.13
|
|
Ghs respiratory syncytical virus igg/m
|
$10.58 |
$10.58 |
$10.58 |
$74.82
|
|
Ghs reticulocyte count
|
$2.25 |
$2.25 |
$18.95 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$98.40 |
$98.40 |
$98.40 |
$99.00
|
|
Ghs sedimentation rate
|
$2.25 |
$2.25 |
$2.25 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$3.75 |
$3.75 |
$48.27 |
$57.60
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$211.07 |
$211.07 |
$211.07 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$187.21 |
$187.21 |
$187.21 |
$436.80
|
|
Ghs somatosensory testing lower extremit
|
$409.46 |
$409.46 |
$409.46 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$530.63 |
$530.63 |
$901.63 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$84.00 |
$84.00 |
$84.00 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$149.20 |
$149.20 |
$149.20 |
$252.75
|
|
Ghs st - eval for alt comm
|
$23.37 |
$23.37 |
$23.37 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$158.60 |
$158.60 |
$158.60 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$210.00 |
$210.00 |
$210.00 |
$309.60
|
|
Ghs urine, porphyrins quant
|
$10.29 |
$10.29 |
$14.48 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$446.00 |
$446.00 |
$722.59 |
$1,932.00
|
|
Giardia ag if
|
$9.94 |
$9.94 |
$9.94 |
$38.58
|
|
Giardia lamblia antibody
|
$9.85 |
$9.85 |
$126.94 |
$83.44
|
|
Gi inhouse confirmation
|
$10.27 |
$10.27 |
$101.11 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$883.88 |
$883.88 |
$1,071.60 |
$2,215.20
|
|
Glucagon 1 mg solution for injection
|
$325.22 |
$325.22 |
$325.22 |
$613.79
|
|
Glucagon plasma - sendout
|
$11.12 |
$11.12 |
$22.39 |
$64.35
|
|
Glucose 1 hr post dose
|
$2.49 |
$2.49 |
$92.75 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$16.24 |
$16.24 |
$16.24 |
$23.12
|
|
Glucose blood quantitative
|
$41.09 |
$41.09 |
$41.09 |
$42.25
|
|
Glucose body fluid
|
$10.13 |
$10.13 |
$62.98 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$6.47 |
$6.47 |
$75.53 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$1.99 |
$1.99 |
$24.60 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$143.91 |
$143.91 |
$143.91 |
$37.40
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$9.63 |
$9.63 |
$308.73 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$9.63 |
$9.63 |
$229.52 |
$129.03
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$3,934.04 |
$3,934.04 |
$3,934.04 |
$73.83
|
|
Graft axiofill 1000mg
|
$16.99 |
$16.99 |
$2,325.69 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$40.95 |
$40.95 |
$39,964.18 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$21,682.20 |
$21,682.20 |
$43,959.47 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$17,740.20 |
$17,740.20 |
$90,834.77 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$8,648.63 |
$8,648.63 |
$8,648.63 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$3,934.04 |
$3,934.04 |
$3,934.04 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$198.96 |
$198.96 |
$5,115.57 |
$1,132.47
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$1,375.39 |
$1,375.39 |
$1,375.39 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$26.79 |
$26.79 |
$53,189.88 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$21,708.60 |
$21,708.60 |
$53,189.88 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,946.10 |
$1,946.10 |
$2,325.69 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$1,324.71 |
$1,324.71 |
$1,324.71 |
$2,698.02
|
|
Growth stimulation gene 2
|
$149.40 |
$149.40 |
$149.40 |
$180.50
|
|
G-tube reposition
|
$411.69 |
$411.69 |
$411.69 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$481.43 |
$481.43 |
$760.91 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$792.98 |
$792.98 |
$1,505.28 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$2,570.57 |
$2,570.57 |
$11,244.17 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,129.42 |
$1,129.42 |
$3,025.07 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$161.24 |
$161.24 |
$161.24 |
$535.60
|
|
Gw stiffened micro access kit
|
$2,588.10 |
$2,588.10 |
$39,964.18 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$54.37 |
$54.37 |
$54.37 |
$91.09
|
