|
Ghs antibodies (torch) igm
|
$5.78 |
$5.78 |
$5.78 |
$73.70
|
|
Ghs aspiration bladder - needle
|
$349.53 |
$349.53 |
$349.53 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$263.68 |
$263.68 |
$263.68 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$161.19 |
$161.19 |
$161.19 |
$55.90
|
|
Ghs central line insert < age 5, failed
|
$1,179.54 |
$1,179.54 |
$1,179.54 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$387.20 |
$387.20 |
$387.20 |
$699.60
|
|
Ghs chemo >8 hrs
|
$589.99 |
$589.99 |
$589.99 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$192.72 |
$192.72 |
$192.72 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$32.85 |
$32.85 |
$32.85 |
$134.55
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,550.18 |
$2,550.18 |
$2,550.18 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$198.42 |
$198.42 |
$198.42 |
$89.28
|
|
Ghs cricothyroidotomy
|
$342.96 |
$342.96 |
$342.96 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$498.01 |
$498.01 |
$498.01 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$102.93 |
$102.93 |
$102.93 |
$152.54
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$718.76 |
$718.76 |
$718.76 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$374.49 |
$374.49 |
$374.49 |
$586.80
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$583.08 |
$583.08 |
$583.08 |
$470.51
|
|
Ghs fb removal foot - deep - left
|
$1,403.79 |
$1,403.79 |
$1,403.79 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$1,676.23 |
$1,676.23 |
$1,676.23 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$795.41 |
$795.41 |
$795.41 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$2,129.12 |
$2,129.12 |
$2,129.12 |
$1,794.93
|
|
Ghs fish cytogen
|
$219.41 |
$219.41 |
$219.41 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$42.40 |
$42.40 |
$42.40 |
$229.45
|
|
Ghs flow volume loop
|
$219.44 |
$219.44 |
$219.44 |
$309.12
|
|
Ghs histoplasma antigen
|
$19.71 |
$19.71 |
$19.71 |
$137.80
|
|
Ghs HIV antibody
|
$8.88 |
$8.88 |
$8.88 |
$91.00
|
|
Ghs immun0electrophoresis
|
$277.26 |
$277.26 |
$277.26 |
$110.00
|
|
Ghs inf midline insertion
|
$505.89 |
$505.89 |
$505.89 |
$1,234.20
|
|
Ghs inj tendon origin/insertion
|
$448.52 |
$448.52 |
$448.52 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$732.34 |
$732.34 |
$732.34 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$1,464.24 |
$1,464.24 |
$1,464.24 |
$1,861.60
|
|
Ghs IV inf sq injection, on-body injector
|
$75.34 |
$75.34 |
$75.34 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$1,272.83 |
$1,272.83 |
$1,272.83 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$275.98 |
$275.98 |
$275.98 |
$617.60
|
|
Ghs mbp
|
$10.30 |
$10.30 |
$10.30 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$135.78 |
$135.78 |
$135.78 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$171.70 |
$171.70 |
$171.70 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$127.02 |
$127.02 |
$127.02 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$113.88 |
$113.88 |
$113.88 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$113.88 |
$113.88 |
$113.88 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$191.41 |
$191.41 |
$191.41 |
$349.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,334.59 |
$1,334.59 |
$1,334.59 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,029.30 |
$1,029.30 |
$1,029.30 |
$1,230.80
|
|
Ghs nerve block celiac plexus
|
$717.45 |
$717.45 |
$717.45 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$938.64 |
$938.64 |
$938.64 |
$1,607.45
|
|
Ghs ng placement w fluoro guidance
|
$204.55 |
$204.55 |
$204.55 |
$468.75
|
|
Ghs o2 saturation
|
$246.60 |
$246.60 |
$246.60 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$515.09 |
$515.09 |
$515.09 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$848.41 |
$848.41 |
$848.41 |
$2,430.56
|
|
Ghs ot prosthetic training/15 min
|
$75.78 |
$75.78 |
$75.78 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$290.40 |
$290.40 |
$290.40 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$242.66 |
$242.66 |
$242.66 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$290.84 |
$290.84 |
$290.84 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$9.93 |
$9.93 |
$9.93 |
$90.15
|
|
Ghs picc line insert < 5
|
$1,025.80 |
$1,025.80 |
$1,025.80 |
$2,060.40
|
|
Ghs plt ct-manual
|
$74.90 |
$74.90 |
$74.90 |
$39.20
|
|
Ghs respiratory syncytical virus igg/m
|
$328.07 |
$328.07 |
$328.07 |
$42.40
|
|
Ghs sedimentation rate
|
$82.35 |
$82.35 |
$82.35 |
$45.50
|
|
Ghs semen analysis fert
|
$93.74 |
$93.74 |
$93.74 |
$123.20
|
|
Ghs semen analysis, post-vas
|
$47.75 |
$47.75 |
$47.75 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$1.86 |
$1.86 |
$1.86 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$749.86 |
$749.86 |
$749.86 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$945.21 |
$945.21 |
$945.21 |
$1,435.00
|
|
Ghs sp train/fitting sp device - kx
|
$219.44 |
$219.44 |
$219.44 |
$261.95
|
|
Ghs superficial wnd dehiscence simp12020
|
$816.31 |
$816.31 |
$816.31 |
$976.98
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,288.99 |
$2,288.99 |
$2,288.99 |
$2,225.73
|
|
Ghs urine, porphyrins quant
|
$11.39 |
$11.39 |
$11.39 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$707.81 |
$707.81 |
$707.81 |
$1,843.00
|
|
Giardia lamblia antibody
|
$208.93 |
$208.93 |
$208.93 |
$81.60
|
|
Gi inhouse confirmation
|
$303.54 |
$303.54 |
$303.54 |
$87.00
|
|
Glucagon 1 mg solution for injection
|
$270.69 |
$270.69 |
$270.69 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$204.55 |
$204.55 |
$204.55 |
$509.06
|
|
Glucagon plasma - sendout
|
$8.76 |
$8.76 |
$8.76 |
$58.56
|
|
Glucose 1 hr post dose
|
$64.39 |
$64.39 |
$64.39 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$31.54 |
$31.54 |
$31.54 |
$22.00
|
|
Glucose blood quantitative
|
$87.60 |
$87.60 |
$87.60 |
$44.76
|
|
Glucose body fluid
|
$56.94 |
$56.94 |
$56.94 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$155.06 |
$155.06 |
$155.06 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$48.62 |
$48.62 |
$48.62 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$29.35 |
$29.35 |
$29.35 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$32.79 |
$32.79 |
$32.79 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$24.53 |
$24.53 |
$24.53 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$83.22 |
$83.22 |
$83.22 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$230.70 |
$230.70 |
$230.70 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,651.02 |
$2,651.02 |
$2,651.02 |
$2,648.81
|
|
Graft axiofill 1000mg
|
$2,151.46 |
$2,151.46 |
$2,151.46 |
$5,278.73
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$36,964.14 |
$36,964.14 |
$36,964.14 |
$25,762.70
|
|
Graft nerve adv 3-4x70mm
|
$44,725.06 |
$44,725.06 |
$44,725.06 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$17,578.26 |
$17,578.26 |
$17,578.26 |
$25,728.84
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$7,999.20 |
$7,999.20 |
$7,999.20 |
$10,989.38
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$28,944.59 |
$28,944.59 |
$28,944.59 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$16,655.20 |
$16,655.20 |
$16,655.20 |
$2,369.10
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$22,951.20 |
$22,951.20 |
$22,951.20 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$5,829.51 |
$5,829.51 |
$5,829.51 |
$3,070.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$72,028.23 |
$72,028.23 |
$72,028.23 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,151.46 |
$2,151.46 |
$2,151.46 |
$2,653.10
|
|
Granisetron hcl injection
|
$29.35 |
$29.35 |
$29.35 |
$41.65
|
|
Granulocyte pheresis ea unit
|
$1,466.87 |
$1,466.87 |
$1,466.87 |
$2,950.30
|
|
G-tube reposition
|
$663.57 |
$663.57 |
$663.57 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$1,996.41 |
$1,996.41 |
$1,996.41 |
$1,793.00
|
