|
Ghs musc tst done w/n tst non ext
|
$76.99 |
$76.99 |
$76.99 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$105.29 |
$105.29 |
$244.10 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$778.65 |
$841.72 |
$1,327.45 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$622.56 |
$672.99 |
$1,021.85 |
$1,160.00
|
|
Ghs nerve block celiac plexus
|
$482.94 |
$522.06 |
$1,099.02 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$869.94 |
$869.94 |
$940.41 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$494.76 |
$534.83 |
$1,078.39 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$689.15 |
$744.98 |
$1,047.07 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$321.13 |
$321.13 |
$347.14 |
$485.00
|
|
Ghs o2 saturation
|
$4.74 |
$4.80 |
$187.95 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$142.45 |
$142.45 |
$271.81 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$135.79 |
$135.79 |
$259.10 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$570.21 |
$618.62 |
$668.74 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$627.25 |
$2,458.03 |
$2,657.14 |
$2,194.40
|
|
Ghs ot group caregiver training
|
$16.05 |
$16.05 |
$16.05 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$14.41 |
$18.08 |
$93.98 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$16.83 |
$25.25 |
$75.64 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$319.37 |
$346.94 |
$589.81 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$361.94 |
$391.26 |
$1,071.13 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$795.48 |
$859.91 |
$1,285.43 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$28.65 |
$28.65 |
$28.65 |
$74.10
|
|
Ghs phenylketonurid
|
$2.69 |
$2.69 |
$2.72 |
$53.76
|
|
Ghs picc line insert < 5
|
$758.96 |
$820.44 |
$2,565.52 |
$2,019.50
|
|
Ghs plt ct-manual
|
$3.90 |
$3.90 |
$3.90 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,628.94 |
$2,628.94 |
$2,628.94 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$39.73 |
$39.73 |
$39.73 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$9.48 |
$9.60 |
$22.92 |
$43.55
|
|
Ghs protoporphyrins fract
|
$17.54 |
$17.76 |
$33.24 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$61.09 |
$61.09 |
$61.09 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$17.18 |
$17.18 |
$28.65 |
$47.55
|
|
Ghs quinidine
|
$9.48 |
$9.48 |
$9.60 |
$85.00
|
|
Ghs refill of implantable pump
|
$220.00 |
$220.00 |
$261.36 |
$539.13
|
|
Ghs respiratory syncytical virus igg/m
|
$13.68 |
$17.64 |
$32.47 |
$74.82
|
|
Ghs reticulocyte count
|
$2.38 |
$2.94 |
$58.07 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$76.26 |
$76.26 |
$126.06 |
$99.00
|
|
Ghs sedimentation rate
|
$2.38 |
$2.94 |
$16.05 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$5.08 |
$6.23 |
$68.76 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$395.23 |
$395.23 |
$395.23 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$705.00 |
$705.00 |
$705.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$483.29 |
$483.29 |
$483.29 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$783.73 |
$783.73 |
$783.73 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$381.77 |
$381.77 |
$381.77 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$307.17 |
$307.17 |
$307.17 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$478.63 |
$478.63 |
$478.63 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$600.36 |
$600.36 |
$600.36 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$882.67 |
$882.67 |
$882.67 |
$537.60
|
|
Ghs sleep study unattended
|
$558.12 |
$558.12 |
$558.12 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$355.51 |
$390.89 |
$401.10 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$860.74 |
$860.74 |
$963.03 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$68.70 |
$73.80 |
$84.81 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$322.20 |
$348.30 |
$438.92 |
$630.24
|
|
Ghs sp train/fitting sp device - kx
|
$66.00 |
$66.00 |
$189.86 |
$252.75
|
|
Ghs st - re-eval for alt comm
|
$61.93 |
$92.90 |
$95.89 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$414.56 |
$414.56 |
$414.56 |
$953.27
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,323.71 |
$2,323.71 |
$2,323.71 |
$1,867.84
|
|
Ghs urine, porphyrins quant
|
$9.80 |
$9.92 |
$34.77 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$653.11 |
$653.11 |
$1,579.96 |
$1,932.00
|
|
Giardia ag if
|
$13.48 |
$13.48 |
$16.53 |
$38.58
|
|
Giardia lamblia antibody
|
$12.73 |
$16.41 |
$75.57 |
$83.44
|
|
Gi inhouse confirmation
|
$13.92 |
$17.07 |
$93.44 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,176.83 |
$1,176.83 |
$1,372.53 |
$2,215.20
|
|
Gjb2 gene full sequence
|
$739.17 |
$739.17 |
$739.17 |
$502.80
|
|
Glove finger flexion right lg xl
|
$233.79 |
$233.79 |
$233.79 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$302.74 |
$302.74 |
$513.41 |
$613.79
|
|
Glucagon plasma - sendout
|
$10.59 |
$10.72 |
$34.00 |
$64.35
|
|
Glucose 1 hr post dose
|
$2.37 |
$2.40 |
$46.61 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$19.47 |
$19.47 |
$20.25 |
$23.12
|
|
Glucose blood quantitative
|
$13.74 |
$13.74 |
$59.60 |
$42.25
|
|
Glucose body fluid
|
$9.64 |
$9.76 |
$89.39 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$6.16 |
$6.24 |
$129.12 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$1.90 |
$1.92 |
$42.41 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$27.51 |
$27.51 |
$133.97 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,334.48 |
$3,334.48 |
$3,334.48 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$9.16 |
$9.28 |
$119.57 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$9.16 |
$9.28 |
$125.68 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,494.54 |
$3,494.54 |
$3,494.54 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,848.96 |
$2,848.96 |
$2,848.96 |
$73.83
|
|
Graft axiofill 1000mg
|
$14.75 |
$16.22 |
$1,492.10 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$37.40 |
$60.35 |
$8,517.84 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$8,796.35 |
$16,281.99 |
$27,560.10 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$10,109.63 |
$16,202.72 |
$16,912.32 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$3,876.54 |
$3,876.54 |
$3,876.54 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,685.39 |
$1,685.39 |
$1,685.39 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$181.72 |
$598.74 |
$2,981.51 |
$1,132.47
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$8,517.84 |
$8,517.84 |
$8,517.84 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$24.47 |
$25.54 |
$23,837.95 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$12,990.95 |
$25,827.79 |
$38,207.88 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$159.62 |
$1,472.20 |
$1,855.28 |
$2,905.40
|
|
Granisetron hcl injection
|
$118.81 |
$118.81 |
$118.81 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$1,378.56 |
$1,448.57 |
$3,545.35 |
$2,698.02
|
|
Growth stimulation gene 2
|
$144.00 |
$144.00 |
$144.00 |
$180.50
|
|
G-tube reposition
|
$480.08 |
$518.97 |
$723.13 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$668.68 |
$722.48 |
$2,000.16 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$924.71 |
$999.62 |
$1,454.66 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$308.47 |
$2,515.00 |
$5,039.73 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,105.00 |
$1,312.58 |
$2,191.54 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$160.89 |
$160.89 |
$648.26 |
$535.60
|
|
Gw stiffened micro access kit
|
$270.68 |
$3,568.23 |
$4,238.51 |
$6,893.38
|
|
Halo cervical into jckt vest
|
$2,981.51 |
$2,981.51 |
$2,981.51 |
$5,015.12
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$14.90 |
$14.90 |
$18.78 |
$24.30
|
