|
Ghs nerve block lumbar or thoracic symp
|
$5,755.86 |
$5,755.86 |
$5,755.86 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$861.90 |
$861.90 |
$861.90 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$666.06 |
$666.06 |
$666.06 |
$468.75
|
|
Ghs o2 uptake rest & indirect
|
$60.69 |
$60.69 |
$60.69 |
$195.00
|
|
Ghs ob unlisted IV or art inj or infusion
|
$54.06 |
$54.06 |
$54.06 |
$86.19
|
|
Ghs opcc repair cvp without subq port
|
$774.18 |
$774.18 |
$774.18 |
$1,302.54
|
|
Ghs pacing - transcutaneous
|
$786.93 |
$786.93 |
$786.93 |
$868.68
|
|
Ghs peritonsillar abscess i andd
|
$633.42 |
$633.42 |
$633.42 |
$694.20
|
|
Ghs picc line insert < 5
|
$1,990.02 |
$1,990.02 |
$1,990.02 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$1,642.71 |
$1,642.71 |
$1,642.71 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$44.88 |
$44.88 |
$44.88 |
$43.45
|
|
Ghs pr without cont pulse ox
|
$158.61 |
$158.61 |
$158.61 |
$156.70
|
|
Ghs removal intranasal foreign body
|
$321.30 |
$321.30 |
$321.30 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$504.90 |
$504.90 |
$504.90 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,198.21 |
$3,198.21 |
$3,198.21 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$124.95 |
$124.95 |
$124.95 |
$101.15
|
|
Ghs sedimentation rate
|
$87.21 |
$87.21 |
$87.21 |
$45.50
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
$589.18
|
|
Ghs sphenopalatine ganglion block
|
$363.63 |
$363.63 |
$363.63 |
$706.56
|
|
Ghs strapping shoulder - 29240
|
$155.55 |
$155.55 |
$155.55 |
$243.07
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$54.06 |
$54.06 |
$54.06 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$263.67 |
$263.67 |
$263.67 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,316.31 |
$1,316.31 |
$1,316.31 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$499.29 |
$499.29 |
$499.29 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,770.21 |
$1,770.21 |
$1,770.21 |
$2,225.73
|
|
Ghs tx distal phalangeal fx with manipulation
|
$1,493.79 |
$1,493.79 |
$1,493.79 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$493.68 |
$493.68 |
$493.68 |
$540.00
|
|
Ghs urine, porphyrins quant
|
$66.94 |
$66.94 |
$66.94 |
$70.20
|
|
Ghs vaginal delivery only
|
$9,802.71 |
$9,802.71 |
$9,802.71 |
$3,525.06
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,296.93 |
$1,296.93 |
$1,296.93 |
$1,843.00
|
|
Ghs windowing of cast
|
$195.33 |
$195.33 |
$195.33 |
$204.00
|
|
Gi inhouse confirmation
|
$209.10 |
$209.10 |
$209.10 |
$87.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$402.35 |
$402.35 |
$402.35 |
$509.06
|
|
Glucagon plasma - sendout
|
$69.32 |
$69.32 |
$69.32 |
$58.56
|
|
Glucose 1 hr post dose
|
$72.93 |
$72.93 |
$72.93 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$36.72 |
$36.72 |
$36.72 |
$22.00
|
|
Glucose blood quantitative
|
$72.93 |
$72.93 |
$72.93 |
$44.76
|
|
Glucose body fluid
|
$72.93 |
$72.93 |
$72.93 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$194.31 |
$194.31 |
$194.31 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$59.67 |
$59.67 |
$59.67 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$56.70
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$153.00 |
$153.00 |
$153.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$129.03 |
$129.03 |
$129.03 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,913.12 |
$2,913.12 |
$2,913.12 |
$2,648.81
|
|
Graft axiofill 1000mg
|
$3,561.53 |
$3,561.53 |
$3,561.53 |
$5,278.73
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$13,301.60 |
$13,301.60 |
$13,301.60 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$21,934.33 |
$21,934.33 |
$21,934.33 |
$25,762.70
|
|
Graft nerve adv 3-4x70mm
|
$28,560.00 |
$28,560.00 |
$28,560.00 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$25,728.84 |
$25,728.84 |
$25,728.84 |
$25,728.84
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$22,263.56 |
$22,263.56 |
$22,263.56 |
$10,989.38
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$6,357.61 |
$6,357.61 |
$6,357.61 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$10,924.20 |
$10,924.20 |
$10,924.20 |
$2,369.10
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$27,367.40 |
$27,367.40 |
$27,367.40 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,199.85 |
$4,199.85 |
$4,199.85 |
$3,070.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$36,734.28 |
$36,734.28 |
$36,734.28 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,572.04 |
$3,572.04 |
$3,572.04 |
$2,653.10
|
|
Great toe with reduction 28495
|
$276.93 |
$276.93 |
$276.93 |
$577.03
|
|
G-tube reposition
|
$413.10 |
$413.10 |
$413.10 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$868.02 |
$868.02 |
$868.02 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$5,852.85 |
$5,852.85 |
$5,852.85 |
$7,133.49
|
|
Guide wire threaded 1.4x150mm
|
$3,964.97 |
$3,964.97 |
$3,964.97 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$9,406.95 |
$9,406.95 |
$9,406.95 |
$2,229.99
|
|
Gw stiffened micro access kit
|
$10,863.51 |
$10,863.51 |
$10,863.51 |
$6,285.56
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$35.40
|
|
Handpiece aquabeam hp2000
|
$4,790.18 |
$4,790.18 |
$4,790.18 |
$6,605.63
|
|
Hand tendon reconstruction
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$4,192.86
|
|
Hand X-ray
|
$912.90 |
$912.90 |
$912.90 |
$338.58
|
|
Haptoglobin quantitative
|
$105.57 |
$105.57 |
$105.57 |
$89.95
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$970.53 |
$970.53 |
$970.53 |
$759.72
|
|
Hcg free betachain test
|
$3.57 |
$3.57 |
$3.57 |
$54.59
|
|
Hcg qualitative
|
$113.73 |
$113.73 |
$113.73 |
$77.50
|
|
Hcg quantitative
|
$255.51 |
$255.51 |
$255.51 |
$124.80
|
|
Hc metata joint dislocation anes
|
$1,919.13 |
$1,919.13 |
$1,919.13 |
$2,423.85
|
|
Head CT scan (with and without contrast)
|
$2,681.07 |
$2,681.07 |
$2,681.07 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$2,108.34 |
$2,108.34 |
$2,108.34 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,879.35 |
$1,879.35 |
$1,879.35 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$199.41 |
$199.41 |
$199.41 |
$84.80
|
|
Hematocrit
|
$60.69 |
$60.69 |
$60.69 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,188.30 |
$1,188.30 |
$1,188.30 |
$1,329.90
|
|
Hemoglobin
|
$68.85 |
$68.85 |
$68.85 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$70.89 |
$70.89 |
$70.89 |
$49.40
|
|
Hemoglobin plasma
|
$37.77 |
$37.77 |
$37.77 |
$40.56
|
|
Hemophilus influenza antibdy
|
$33.15 |
$33.15 |
$33.15 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,111.80 |
$1,111.80 |
$1,111.80 |
$1,141.40
|
|
Hemorrhoidopexy stapling 46947
|
$3,436.38 |
$3,436.38 |
$3,436.38 |
$3,316.74
|
|
Heparin assay
|
$189.72 |
$189.72 |
$189.72 |
$130.20
|
|
Heparin bolus from bag
|
$84.15 |
$84.15 |
$84.15 |
$79.04
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$32.27
|
|
Hepatitis a antibody igm
|
$209.10 |
$209.10 |
$209.10 |
$85.15
|
|
Hepatitis b core antibody igm
|
$211.14 |
$211.14 |
$211.14 |
$87.98
|
|
Hepatitis b core antibody total
|
$148.92 |
$148.92 |
$148.92 |
$83.29
|