|
Ghs removal pharyngeal foreign body
|
$480.48 |
$480.48 |
$480.48 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,420.32 |
$1,420.32 |
$1,420.32 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,168.86 |
$1,168.86 |
$1,168.86 |
$4,108.00
|
|
Ghs reticulocyte count
|
$61.38 |
$61.38 |
$61.38 |
$35.40
|
|
Ghs semen analysis fert
|
$106.26 |
$106.26 |
$106.26 |
$124.80
|
|
Ghs semen analysis, post-vas
|
$25.74 |
$25.74 |
$25.74 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$26.22 |
$26.22 |
$26.22 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$406.56 |
$406.56 |
$406.56 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$503.58 |
$503.58 |
$503.58 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$469.92 |
$469.92 |
$469.92 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$330.00 |
$330.00 |
$330.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$326.70 |
$326.70 |
$326.70 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$306.24 |
$306.24 |
$306.24 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$396.00 |
$396.00 |
$396.00 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$521.40 |
$521.40 |
$521.40 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$373.56 |
$373.56 |
$373.56 |
$537.60
|
|
Ghs sleep study unattended
|
$62.70 |
$62.70 |
$62.70 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$263.34 |
$263.34 |
$263.34 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$502.26 |
$502.26 |
$502.26 |
$616.00
|
|
Ghs spont nystagmus
|
$51.48 |
$51.48 |
$51.48 |
$228.00
|
|
Ghs sp train/fitting sp device - kx
|
$295.02 |
$295.02 |
$295.02 |
$249.60
|
|
Ghs st - eval for alt comm
|
$51.48 |
$51.48 |
$51.48 |
$94.60
|
|
Ghs strapping shoulder - 29240
|
$69.30 |
$69.30 |
$69.30 |
$217.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$158.40 |
$158.40 |
$158.40 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$405.24 |
$405.24 |
$405.24 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$700.26 |
$700.26 |
$700.26 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$409.86 |
$409.86 |
$409.86 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$699.60 |
$699.60 |
$699.60 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$788.70 |
$788.70 |
$788.70 |
$525.60
|
|
Ghs vaginal delivery only
|
$1,720.62 |
$1,720.62 |
$1,720.62 |
$3,338.40
|
|
Ghs windowing of cast
|
$151.80 |
$151.80 |
$151.80 |
$212.55
|
|
Giardia lamblia antibody
|
$27.06 |
$27.06 |
$27.06 |
$83.44
|
|
Gi inhouse confirmation
|
$91.74 |
$91.74 |
$91.74 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,207.14 |
$1,207.14 |
$1,207.14 |
$2,195.76
|
|
Glucagon 1 mg solution for injection
|
$297.66 |
$297.66 |
$297.66 |
$601.79
|
|
Glucose 1 hr post dose
|
$29.70 |
$29.70 |
$29.70 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$11.22 |
$11.22 |
$11.22 |
$22.75
|
|
Glucose blood quantitative
|
$25.08 |
$25.08 |
$25.08 |
$41.40
|
|
Glucose body fluid
|
$80.52 |
$80.52 |
$80.52 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$114.18 |
$114.18 |
$114.18 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$79.20 |
$79.20 |
$79.20 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$24.42 |
$24.42 |
$24.42 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$24.24 |
$24.24 |
$24.24 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,087.55 |
$3,087.55 |
$3,087.55 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$114.84 |
$114.84 |
$114.84 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$113.52 |
$113.52 |
$113.52 |
$129.00
|
|
Gonioscopy
|
$45.54 |
$45.54 |
$45.54 |
$135.52
|
|
Goniotomy
|
$1,904.76 |
$1,904.76 |
$1,904.76 |
$4,456.60
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,123.32 |
$1,123.32 |
$1,123.32 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$50.16 |
$50.16 |
$50.16 |
$143.50
|
|
Graft axiofill 1000mg
|
$85.51 |
$85.51 |
$85.51 |
$5,125.68
|
|
Graft hand or finger tendon
|
$2,139.72 |
$2,139.72 |
$2,139.72 |
$3,839.54
|
|
Graft nerve adv 3-4x70mm
|
$14,652.00 |
$14,652.00 |
$14,652.00 |
$20,782.10
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$390.72 |
$390.72 |
$390.72 |
$892.38
|
|
Graft repair of spine defect 63710
|
$2,438.04 |
$2,438.04 |
$2,438.04 |
$2,054.40
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$229.02 |
$229.02 |
$229.02 |
$1,132.47
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$225.72 |
$225.72 |
$225.72 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$4,301.88 |
$4,301.88 |
$4,301.88 |
$31,191.20
|
|
Great toe with reduction 28495
|
$443.52 |
$443.52 |
$443.52 |
$495.00
|
|
Grfg autol soft tiss dir exc
|
$1,102.86 |
$1,102.86 |
$1,102.86 |
$4,332.25
|
|
Ground mileage
|
$29.04 |
$29.04 |
$29.04 |
$17.60
|
|
Group health education
|
$13.86 |
$13.86 |
$13.86 |
$61.92
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$4,209.48 |
$4,209.48 |
$4,209.48 |
$3,604.20
|
|
Gstrst open wo constj tube
|
$1,569.48 |
$1,569.48 |
$1,569.48 |
$2,756.00
|
|
G-tube reposition
|
$226.38 |
$226.38 |
$226.38 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$100.98 |
$100.98 |
$100.98 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$1,576.08 |
$1,576.08 |
$1,576.08 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$2,509.98 |
$2,509.98 |
$2,509.98 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$885.06 |
$885.06 |
$885.06 |
$3,401.81
|
|
Guid loc target vol rad tx
|
$46.86 |
$46.86 |
$46.86 |
$535.60
|
|
Gw stiffened micro access kit
|
$93.72 |
$93.72 |
$93.72 |
$6,600.00
|
|
Gynecomastia (males) 19300
|
$999.24 |
$999.24 |
$999.24 |
$3,735.20
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$18.33 |
$18.33 |
$18.33 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$13.20 |
$13.20 |
$13.20 |
$23.30
|
|
Hand tendon reconstruction
|
$1,616.34 |
$1,616.34 |
$1,616.34 |
$5,023.20
|
|
Hand tendon reconstruction
|
$1,766.82 |
$1,766.82 |
$1,766.82 |
$4,454.10
|
|
Hand X-ray
|
$718.08 |
$718.08 |
$718.08 |
$345.87
|
|
Haptoglobin quantitative
|
$7.06 |
$7.06 |
$7.06 |
$91.80
|
|
Harness chest/shlder saddle
|
$445.50 |
$445.50 |
$445.50 |
$254.80
|
|
Harvest cultured skin graft 15040
|
$283.14 |
$283.14 |
$283.14 |
$2,164.64
|
|
Harvest femoropopliteal vein 35572
|
$713.46 |
$713.46 |
$713.46 |
$844.00
|
|
Harvest vein for bypass 35500
|
$658.02 |
$658.02 |
$658.02 |
$780.00
|
|
Hba1/hba2 full gene sequence
|
$308.55 |
$308.55 |
$308.55 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$106.87 |
$106.87 |
$106.87 |
$403.25
|
|
Hbb full gene sequence
|
$594.00 |
$594.00 |
$594.00 |
$633.25
|
|
Hb glycosylated a1c home dev
|
$25.74 |
$25.74 |
$25.74 |
$24.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$143.22 |
$143.22 |
$143.22 |
$721.00
|
|
Hcg qualitative
|
$162.36 |
$162.36 |
$162.36 |
$88.00
|
|
Hcg quantitative
|
$182.16 |
$182.16 |
$182.16 |
$137.15
|
|
Hc metata joint dislocation anes
|
$306.90 |
$306.90 |
$306.90 |
$2,383.09
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$116.82 |
$116.82 |
$116.82 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$60.06 |
$60.06 |
$60.06 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$111.54 |
$111.54 |
$111.54 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,131.80 |
$2,131.80 |
$2,131.80 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$1,696.20 |
$1,696.20 |
$1,696.20 |
$1,268.90
|
|
Heart infarct image
|
$630.96 |
$630.96 |
$630.96 |
$942.29
|
|
Helicobacter pylori antibody igm
|
$65.34 |
$65.34 |
$65.34 |
$92.23
|
|
Hematocrit
|
$14.52 |
$14.52 |
$14.52 |
$33.57
|
|
Hemodialysis one evaluation
|
$114.18 |
$114.18 |
$114.18 |
$1,338.00
|