|
Ghs nerve block celiac plexus
|
$1,918.62 |
$1,918.62 |
$1,918.62 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$1,918.62 |
$1,918.62 |
$1,918.62 |
$1,607.45
|
|
Ghs nerve block sciatic nerve
|
$1,450.44 |
$1,450.44 |
$1,450.44 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$850.17 |
$850.17 |
$850.17 |
$468.75
|
|
Ghs o2 uptake rest & exercise
|
$230.01 |
$230.01 |
$230.01 |
$185.15
|
|
Ghs ob unlisted IV or art inj or infusion
|
$82.62 |
$82.62 |
$82.62 |
$86.19
|
|
Ghs opcc repair cvp without subq port
|
$1,302.54 |
$1,302.54 |
$1,302.54 |
$1,302.54
|
|
Ghs ot prosthetic training/15 min
|
$192.27 |
$192.27 |
$192.27 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$1,323.96 |
$1,323.96 |
$1,323.96 |
$868.68
|
|
Ghs peritonsillar abscess i andd
|
$1,826.82 |
$1,826.82 |
$1,826.82 |
$694.20
|
|
Ghs phenylketonurid
|
$5.61 |
$5.61 |
$5.61 |
$51.58
|
|
Ghs picc line insert < 5
|
$3,349.68 |
$3,349.68 |
$3,349.68 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$662.20
|
|
Ghs removal intranasal foreign body
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$4,970.46 |
$4,970.46 |
$4,970.46 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$1,109.76 |
$1,109.76 |
$1,109.76 |
$101.15
|
|
Ghs sedimentation rate
|
$149.43 |
$149.43 |
$149.43 |
$45.50
|
|
Ghs semen analysis fert
|
$468.18 |
$468.18 |
$468.18 |
$123.20
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$589.18
|
|
Ghs sphenopalatine ganglion block
|
$612.51 |
$612.51 |
$612.51 |
$706.56
|
|
Ghs strapping shoulder - 29240
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$953.19 |
$953.19 |
$953.19 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$82.62 |
$82.62 |
$82.62 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$400.86 |
$400.86 |
$400.86 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$2,510.73 |
$2,510.73 |
$2,510.73 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$839.97 |
$839.97 |
$839.97 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$3,058.98 |
$3,058.98 |
$3,058.98 |
$2,225.73
|
|
Ghs tx distal phalangeal fx with manipulation
|
$1,145.97 |
$1,145.97 |
$1,145.97 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$466.14 |
$466.14 |
$466.14 |
$540.00
|
|
Ghs urine, porphyrins quant
|
$66.94 |
$66.94 |
$66.94 |
$70.20
|
|
Ghs vaginal delivery only
|
$8,673.57 |
$8,673.57 |
$8,673.57 |
$3,525.06
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,278.57 |
$1,278.57 |
$1,278.57 |
$1,843.00
|
|
Ghs windowing of cast
|
$328.44 |
$328.44 |
$328.44 |
$204.00
|
|
Gi inhouse confirmation
|
$1,076.10 |
$1,076.10 |
$1,076.10 |
$87.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$402.35 |
$402.35 |
$402.35 |
$496.93
|
|
Glucagon plasma - sendout
|
$69.32 |
$69.32 |
$69.32 |
$58.56
|
|
Glucose 1 hr post dose
|
$207.06 |
$207.06 |
$207.06 |
$46.28
|
|
Glucose blood quantitative
|
$114.24 |
$114.24 |
$114.24 |
$44.76
|
|
Glucose body fluid
|
$114.24 |
$114.24 |
$114.24 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$362.61 |
$362.61 |
$362.61 |
$100.10
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$49.20
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,478.72 |
$4,478.72 |
$4,478.72 |
$4,573.83
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$387.60 |
$387.60 |
$387.60 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$426.36 |
$426.36 |
$426.36 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$9,256.25 |
$9,256.25 |
$9,256.25 |
$3,414.56
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$3,745.44 |
$3,745.44 |
$3,745.44 |
$1,339.92
|
|
Graft axiofill 1000mg
|
$11,046.00 |
$11,046.00 |
$11,046.00 |
$3,456.79
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$25,261.86 |
$25,261.86 |
$25,261.86 |
$1,261.41
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$39,271.07 |
$39,271.07 |
$39,271.07 |
$19,838.44
|
|
Graft nerve adv 3-4x70mm
|
$49,725.00 |
$49,725.00 |
$49,725.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$67,861.21 |
$67,861.21 |
$67,861.21 |
$25,018.02
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$39,860.52 |
$39,860.52 |
$39,860.52 |
$2,643.60
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$11,904.17 |
$11,904.17 |
$11,904.17 |
$1,219.88
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$20,746.80 |
$20,746.80 |
$20,746.80 |
$1,123.34
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$70,088.34 |
$70,088.34 |
$70,088.34 |
$33,626.36
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$7,160.40 |
$7,160.40 |
$7,160.40 |
$958.73
|
|
Graft xenmtrx sft rect 15x20cm
|
$61,780.38 |
$61,780.38 |
$61,780.38 |
$33,720.69
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,410.08 |
$5,410.08 |
$5,410.08 |
$2,677.50
|
|
Great toe with reduction 28495
|
$466.14 |
$466.14 |
$466.14 |
$577.03
|
|
G-tube reposition
|
$483.99 |
$483.99 |
$483.99 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$1,461.15 |
$1,461.15 |
$1,461.15 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$13,679.07 |
$13,679.07 |
$13,679.07 |
$7,499.50
|
|
Guide wire threaded 1.4x150mm
|
$8,007.94 |
$8,007.94 |
$8,007.94 |
$2,582.48
|
|
Guide worley csg 9fx50cm std
|
$23,952.15 |
$23,952.15 |
$23,952.15 |
$946.28
|
|
Guid loc target vol rad tx
|
$1,858.44 |
$1,858.44 |
$1,858.44 |
$503.80
|
|
Gw stiffened micro access kit
|
$27,660.87 |
$27,660.87 |
$27,660.87 |
$5,951.40
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$128.29 |
$128.29 |
$128.29 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$36.10
|
|
Handpiece aquabeam hp2000
|
$8,453.25 |
$8,453.25 |
$8,453.25 |
$6,628.05
|
|
Hand tendon reconstruction
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$4,192.86
|
|
Hand X-ray
|
$973.08 |
$973.08 |
$973.08 |
$338.58
|
|
Haptoglobin quantitative
|
$448.29 |
$448.29 |
$448.29 |
$89.95
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,993.59 |
$1,993.59 |
$1,993.59 |
$759.72
|
|
Hcg free betachain test
|
$3.57 |
$3.57 |
$3.57 |
$54.59
|
|
Hcg qualitative
|
$363.12 |
$363.12 |
$363.12 |
$77.50
|
|
Hcg quantitative
|
$524.28 |
$524.28 |
$524.28 |
$124.80
|
|
Hc metata joint dislocation anes
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$2,423.85
|
|
Hc nm kidney imaging with flow
|
$2,429.13 |
$2,429.13 |
$2,429.13 |
$1,008.39
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$9,271.29 |
$9,271.29 |
$9,271.29 |
$3,228.40
|
|
Head CT scan (with and without contrast)
|
$2,882.01 |
$2,882.01 |
$2,882.01 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$2,839.17 |
$2,839.17 |
$2,839.17 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$2,399.55 |
$2,399.55 |
$2,399.55 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$215.73 |
$215.73 |
$215.73 |
$84.80
|
|
Hematocrit
|
$88.74 |
$88.74 |
$88.74 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,993.08 |
$1,993.08 |
$1,993.08 |
$1,329.90
|
|
Hemoglobin
|
$54.06 |
$54.06 |
$54.06 |
$31.75
|
|
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
|
$1,870.68 |
$1,870.68 |
$1,870.68 |
$1,141.40
|
|
Hemorrhoidopexy stapling 46947
|
$5,783.91 |
$5,783.91 |
$5,783.91 |
$3,316.74
|