|
Ghs peritonsillar abscess i andd
|
$423.81 |
$423.81 |
$423.81 |
$694.20
|
|
Ghs picc line insert < 5
|
$1,828.35 |
$1,828.35 |
$1,828.35 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$1,141.89 |
$1,141.89 |
$1,141.89 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$37.74 |
$37.74 |
$37.74 |
$43.45
|
|
Ghs removal intranasal foreign body
|
$557.43 |
$557.43 |
$557.43 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$467.16 |
$467.16 |
$467.16 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$115.26 |
$115.26 |
$115.26 |
$101.15
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,075.08 |
$1,075.08 |
$1,075.08 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$978.18 |
$978.18 |
$978.18 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,290.81 |
$1,290.81 |
$1,290.81 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$978.18 |
$978.18 |
$978.18 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$978.18 |
$978.18 |
$978.18 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$886.89 |
$886.89 |
$886.89 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$978.18 |
$978.18 |
$978.18 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$1,290.81 |
$1,290.81 |
$1,290.81 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$978.18 |
$978.18 |
$978.18 |
$589.18
|
|
Ghs sphenopalatine ganglion block
|
$1,061.82 |
$1,061.82 |
$1,061.82 |
$706.56
|
|
Ghs st - eval for alt comm
|
$44.37 |
$44.37 |
$44.37 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$142.80 |
$142.80 |
$142.80 |
$243.07
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$152.49 |
$152.49 |
$152.49 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$210.63 |
$210.63 |
$210.63 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$714.00 |
$714.00 |
$714.00 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$458.49 |
$458.49 |
$458.49 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,415.76 |
$1,415.76 |
$1,415.76 |
$2,225.73
|
|
Ghs tx distal phalangeal fx with manipulation
|
$825.69 |
$825.69 |
$825.69 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$254.49 |
$254.49 |
$254.49 |
$540.00
|
|
Ghs vaginal delivery only
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$3,525.06
|
|
Ghs windowing of cast
|
$179.52 |
$179.52 |
$179.52 |
$204.00
|
|
Gi inhouse confirmation
|
$79.05 |
$79.05 |
$79.05 |
$87.00
|
|
Glucagon 1 mg solution for injection
|
$934.25 |
$934.25 |
$934.25 |
$655.20
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$402.35 |
$402.35 |
$402.35 |
$496.93
|
|
Glucose 1 hr post dose
|
$44.37 |
$44.37 |
$44.37 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$53.04 |
$53.04 |
$53.04 |
$22.00
|
|
Glucose blood quantitative
|
$32.64 |
$32.64 |
$32.64 |
$44.76
|
|
Glucose body fluid
|
$42.33 |
$42.33 |
$42.33 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$87.21 |
$87.21 |
$87.21 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$32.64 |
$32.64 |
$32.64 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$49.20
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$136.17 |
$136.17 |
$136.17 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$135.66 |
$135.66 |
$135.66 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,470.95 |
$2,470.95 |
$2,470.95 |
$672.50
|
|
Graft axiofill 1000mg
|
$11,046.00 |
$11,046.00 |
$11,046.00 |
$3,591.00
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$15,648.94 |
$15,648.94 |
$15,648.94 |
$944.03
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$25,861.44 |
$25,861.44 |
$25,861.44 |
$27,279.40
|
|
Graft nerve adv 3-4x70mm
|
$33,150.00 |
$33,150.00 |
$33,150.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$30,335.31 |
$30,335.31 |
$30,335.31 |
$25,515.36
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$26,249.61 |
$26,249.61 |
$26,249.61 |
$1,366.45
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$7,587.27 |
$7,587.27 |
$7,587.27 |
$1,057.31
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$12,852.00 |
$12,852.00 |
$12,852.00 |
$765.06
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$32,267.24 |
$32,267.24 |
$32,267.24 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,544.10 |
$4,544.10 |
$4,544.10 |
$821.11
|
|
Graft xenmtrx sft rect 15x20cm
|
$41,743.50 |
$41,743.50 |
$41,743.50 |
$33,720.69
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,207.90 |
$3,207.90 |
$3,207.90 |
$2,677.50
|
|
Great toe with reduction 28495
|
$516.63 |
$516.63 |
$516.63 |
$577.03
|
|
G-tube reposition
|
$264.18 |
$264.18 |
$264.18 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$797.64 |
$797.64 |
$797.64 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$6,727.41 |
$6,727.41 |
$6,727.41 |
$7,499.50
|
|
Guide wire threaded 1.4x150mm
|
$4,289.97 |
$4,289.97 |
$4,289.97 |
$2,622.00
|
|
Guide worley csg 9fx50cm std
|
$11,067.00 |
$11,067.00 |
$11,067.00 |
$986.55
|
|
Gw stiffened micro access kit
|
$12,780.60 |
$12,780.60 |
$12,780.60 |
$6,500.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$36.04
|
|
Handpiece aquabeam hp2000
|
$5,304.00 |
$5,304.00 |
$5,304.00 |
$6,628.05
|
|
Hand tendon reconstruction
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$4,192.86
|
|
Hand X-ray
|
$425.85 |
$425.85 |
$425.85 |
$338.58
|
|
Haptoglobin quantitative
|
$109.65 |
$109.65 |
$109.65 |
$89.95
|
|
Hbot, full body chamber, 30m
|
$401.88 |
$401.88 |
$401.88 |
$558.35
|
|
Hcg qualitative
|
$62.22 |
$62.22 |
$62.22 |
$77.50
|
|
Hcg quantitative
|
$123.42 |
$123.42 |
$123.42 |
$124.80
|
|
Hc metata joint dislocation anes
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,423.85
|
|
Head CT scan (with and without contrast)
|
$1,496.85 |
$1,496.85 |
$1,496.85 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,329.57 |
$1,329.57 |
$1,329.57 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$676.26 |
$676.26 |
$676.26 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$121.89 |
$121.89 |
$121.89 |
$84.80
|
|
Hematocrit
|
$14.79 |
$14.79 |
$14.79 |
$33.57
|
|
Hemoglobin
|
$14.79 |
$14.79 |
$14.79 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$90.27 |
$90.27 |
$90.27 |
$49.40
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,021.02 |
$1,021.02 |
$1,021.02 |
$1,141.40
|
|
Hemorrhoidopexy stapling 46947
|
$3,157.41 |
$3,157.41 |
$3,157.41 |
$3,316.74
|
|
Heparin assay
|
$128.52 |
$128.52 |
$128.52 |
$130.20
|
|
Heparin bolus from bag
|
$84.15 |
$84.15 |
$84.15 |
$72.61
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$22.75
|
|
Hepatitis b core antibody total
|
$94.86 |
$94.86 |
$94.86 |
$83.29
|
|
Hepatitis b surface antibody
|
$135.15 |
$135.15 |
$135.15 |
$83.79
|
|
Hepatitis c antibody
|
$94.35 |
$94.35 |
$94.35 |
$108.00
|
|
Hernia Repair (Inguinal)
|
$4,352.85 |
$4,352.85 |
$4,352.85 |
$5,870.15
|
|
Heterophile antibodies screening
|
$97.92 |
$97.92 |
$97.92 |
$73.60
|
|
Hip arthr0 w/debridement
|
$1,100.58 |
$1,100.58 |
$1,100.58 |
$5,855.00
|
|
Hip arthro acetabuloplasty
|
$1,098.54 |
$1,098.54 |
$1,098.54 |
$5,886.74
|
|
Hip arthro w/femoroplasty
|
$1,077.63 |
$1,077.63 |
$1,077.63 |
$5,903.59
|
|
Hip arthro w/labral repair
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$6,920.22
|
|
Hip X-ray
|
$379.95 |
$379.95 |
$379.95 |
$292.05
|
|
Hocm 250-299mg/ml iodine,1ml
|
$45.90 |
$45.90 |
$45.90 |
$33.91
|
|
Home visit est patient 99348
|
$148.41 |
$148.41 |
$148.41 |
$151.20
|
|
Hpv types 16 & 18 only
|
$114.75 |
$114.75 |
$114.75 |
$93.60
|
|
H pylori (c-13) breath
|
$109.65 |
$109.65 |
$109.65 |
$219.05
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$4,160.07 |
$4,160.07 |
$4,160.07 |
$4,190.44
|
|
Hydralazine 20 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$63.91
|
|
Hydration IV infusion each additional hour
|
$134.64 |
$134.64 |
$134.64 |
$134.53
|
