|
Ghs speech-gen aug dev eval iii, st
|
$26.77 |
$68.70 |
$96.30 |
|
|
Ghs sphenopalatine ganglion block
|
$207.76 |
$322.20 |
$438.92 |
|
|
Ghs spont nystagmus
|
$39.33 |
$76.65 |
$117.74 |
|
|
Ghs sp train/fitting sp device - kx
|
$30.80 |
$75.20 |
$249.32 |
|
|
Ghs st - eval for alt comm
|
$23.37 |
$25.46 |
$118.08 |
|
|
Ghs strapping shoulder - 29240
|
$61.05 |
$86.89 |
$226.91 |
|
|
Ghs st - re-eval for alt comm
|
$44.97 |
$95.89 |
$210.00 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$327.71 |
$409.93 |
$2,283.14 |
|
|
Ghs superficial wnd dehis w packing12021
|
$761.30 |
$761.30 |
$761.30 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$395.64 |
$395.64 |
$2,323.71 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$655.19 |
$655.19 |
$655.19 |
|
|
Ghs urine, porphyrins quant
|
$5.21 |
$10.29 |
$130.60 |
|
|
Ghs vaginal delivery only
|
$999.93 |
$999.93 |
$1,118.20 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$98.82 |
$467.06 |
$1,579.96 |
|
|
Giardia ag if
|
$9.94 |
$13.60 |
$34.16 |
|
|
Giardia lamblia antibody
|
$8.78 |
$14.40 |
$138.29 |
|
|
Gi inhouse confirmation
|
$10.27 |
$15.94 |
$212.96 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$678.83 |
$985.76 |
$1,372.53 |
|
|
Gjb2 gene full sequence
|
$739.17 |
$739.17 |
$739.17 |
|
|
Glassia injection
|
$1,184.56 |
$1,184.56 |
$1,184.56 |
|
|
Glove finger flexion right lg xl
|
$233.79 |
$233.79 |
$233.79 |
|
|
Glucagon 1 mg solution for injection
|
$302.74 |
$326.54 |
$928.99 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$88.52 |
$88.52 |
$88.52 |
|
|
Glucagon plasma - sendout
|
$5.63 |
$11.12 |
$197.38 |
|
|
Glucose 1 hr post dose
|
$1.26 |
$2.49 |
$101.04 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$5.61 |
$19.47 |
$21.52 |
|
|
Glucose blood quantitative
|
$13.74 |
$41.09 |
$59.60 |
|
|
Glucose body fluid
|
$5.12 |
$10.13 |
$113.53 |
|
|
Glucose monitoring continual min 72hr pt
|
$173.63 |
$173.63 |
$173.63 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$3.28 |
$6.47 |
$129.85 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$1.01 |
$1.94 |
$42.41 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$0.42 |
$133.97 |
$156.78 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,334.48 |
$3,334.48 |
$3,334.48 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$4.87 |
$9.63 |
$336.34 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$4.87 |
$9.63 |
$250.05 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,494.54 |
$3,494.54 |
$3,494.54 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,848.96 |
$3,934.04 |
$4,285.86 |
|
|
Graft axiofill 1000mg
|
$10.51 |
$15.49 |
$14,463.81 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$27.39 |
$38.63 |
$43,538.21 |
|
|
Graft nerve adv 3-4x70mm
|
$8,796.35 |
$20,381.27 |
$47,890.80 |
|
|
Graft patch felt ptfe 2x2
|
$10,109.63 |
$16,084.45 |
$98,958.20 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$3,876.54 |
$8,648.63 |
$9,422.08 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,685.39 |
$3,934.04 |
$4,285.86 |
|
|
Graft repair of spine defect 63710
|
$1,545.59 |
$1,545.59 |
$1,545.59 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$114.00 |
$181.72 |
$5,573.06 |
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$1,375.39 |
$1,498.39 |
$8,517.84 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$19.04 |
$25.27 |
$57,946.70 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$12,990.95 |
$21,416.21 |
$57,946.70 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$159.62 |
$1,595.80 |
$2,713.37 |
|
|
Granisetron hcl injection
|
$15.15 |
$26.72 |
$118.81 |
|
|
Granulocyte pheresis ea unit
|
$608.50 |
$1,459.34 |
$3,545.35 |
|
|
Growth stimulation gene 2
|
$37.26 |
$142.20 |
$149.40 |
|
|
Gstrst open wo constj tube
|
$994.28 |
$994.28 |
$994.28 |
|
|
G-tube reposition
|
$254.79 |
$427.78 |
$723.13 |
|
|
Gu dilat ureter/urethra s&i
|
$481.43 |
$668.68 |
$2,000.16 |
|
|
Guided cath fluid drainage 10030
|
$203.46 |
$914.38 |
$2,013.05 |
|
|
Guide wire threaded 1.4x150mm
|
$308.47 |
$2,765.10 |
$12,249.75 |
|
|
Guide worley csg 9fx50cm std
|
$716.71 |
$1,214.89 |
$3,295.60 |
|
|
Guid loc target vol rad tx
|
$76.89 |
$160.89 |
$648.26 |
|
|
Gw stiffened micro access kit
|
$270.68 |
$2,545.44 |
$43,538.21 |
|
|
Halo cervical into jckt vest
|
$2,981.51 |
$2,981.51 |
$2,981.51 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$54.37 |
$54.37 |
$59.23 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$14.84 |
$18.78 |
$21.98 |
|
|
Halo repl liner/interface
|
$515.70 |
$515.70 |
$515.70 |
|
|
Handle/convey/speciman/office-lab 99000
|
$23.01 |
$23.01 |
$23.01 |
|
|
Handpiece aquabeam hp2000
|
$765.53 |
$3,487.28 |
$9,422.08 |
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$15.04 |
$33.12 |
$132.82 |
|
|
Hand X-ray
|
$68.40 |
$106.92 |
$958.67 |
|
|
Hand X-ray (2 views, both hands)
|
$61.94 |
$96.82 |
$728.65 |
|
|
Haptoglobin quantitative
|
$4.96 |
$9.79 |
$113.53 |
|
|
Harvest allogeneic stem cell
|
$916.46 |
$1,610.87 |
$1,872.99 |
|
|
Harvest auto stem cells
|
$816.30 |
$1,407.25 |
$1,647.78 |
|
|
Harvest cultured skin graft 15040
|
$410.33 |
$410.33 |
$410.33 |
|
|
Harvest femoropopliteal vein 35572
|
$15,821.67 |
$15,821.67 |
$15,821.67 |
|
|
Harvest vein for bypass 35500
|
$1,966.30 |
$1,966.30 |
$1,966.30 |
|
|
Hast w/i&r phys/qhp
|
$6.51 |
$55.06 |
$181.07 |
|
|
Hast w/oxygen titrate
|
$8.93 |
$75.28 |
$181.07 |
|
|
Hba1/hba2 full gene sequence
|
$193.70 |
$627.35 |
$2,086.20 |
|
|
Hba1/hba2 gene dup/del vrnts
|
$107.62 |
$267.52 |
$1,038.80 |
|
|
Hbb full gene sequence
|
$276.83 |
$355.03 |
$2,671.20 |
|
|
Hbb gene dup/del variants
|
$199.17 |
$321.64 |
$1,367.61 |
|
|
Hb glycosylated a1c home dev
|
$14.84 |
$14.84 |
$14.84 |
|
|
Hbot, full body chamber, 30m
|
$226.21 |
$264.52 |
$360.19 |
|
|
Hc ea ha check monaural
|
$39.29 |
$39.29 |
$39.29 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$375.44 |
$569.09 |
$1,559.79 |
|
|
Hcg qualitative
|
$10.81 |
$39.50 |
$308.68 |
|
|
Hcg quantitative
|
$24.34 |
$48.19 |
$499.29 |
|
|
Hc hearing aid chck binaurl
|
$81.25 |
$81.25 |
$81.25 |
|
|
Hc hearing aid chck monarl
|
$77.26 |
$77.26 |
$77.26 |
|
|
Hc hearing aid exam both ears
|
$82.19 |
$82.19 |
$359.31 |
|
|
Hc hearing aid exam one ear
|
$341.33 |
$341.33 |
$341.33 |
|
|
Hc i-131 sodium iodide cap dx per mci
|
$10.50 |
$113.44 |
$1,171.61 |
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$83.72 |
$352.06 |
$570.49 |
|
|
Hc nm fusion spect CT unlisted
|
$472.16 |
$472.16 |
$472.16 |
|
|
Hc nm kidney imaging with flow
|
$518.98 |
$779.09 |
$1,456.95 |
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$252.72 |
$528.08 |
$748.74 |
|
|
Hc pet myocardial imaging metabolic eval single study
|
$979.63 |
$1,247.31 |
$3,931.12 |
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$206.28 |
$2,102.86 |
$14,700.89 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$692.46 |
$1,053.36 |
$1,204.56 |
|
|
Hdr rdncl ntrstl/icav brchtx
|
$917.95 |
$1,880.58 |
$2,150.52 |
|
