|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$94.05 |
$94.05 |
$94.05 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$124.64 |
$124.64 |
$124.64 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$114.00 |
$114.00 |
$114.00 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$150.10 |
$150.10 |
$150.10 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$107.54 |
$107.54 |
$107.54 |
$537.60
|
|
Ghs sleep study unattended
|
$18.05 |
$18.05 |
$18.05 |
$503.38
|
|
Ghs somatosensory testing upper & lower limbs
|
$355.30 |
$355.30 |
$355.30 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$60.04 |
$60.04 |
$60.04 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$144.59 |
$144.59 |
$144.59 |
$616.00
|
|
Ghs spont nystagmus
|
$14.82 |
$14.82 |
$14.82 |
$228.00
|
|
Ghs sp train/fitting sp device - kx
|
$123.69 |
$123.69 |
$123.69 |
$249.60
|
|
Ghs st - eval for alt comm
|
$14.82 |
$14.82 |
$14.82 |
$94.60
|
|
Ghs strapping shoulder - 29240
|
$48.07 |
$48.07 |
$48.07 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$102.79 |
$102.79 |
$102.79 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$201.59 |
$201.59 |
$201.59 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$117.99 |
$117.99 |
$117.99 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$201.40 |
$201.40 |
$201.40 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$227.05 |
$227.05 |
$227.05 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$2.49 |
$2.49 |
$2.49 |
$73.80
|
|
Ghs vaginal delivery only
|
$495.33 |
$495.33 |
$495.33 |
$3,338.40
|
|
Ghs windowing of cast
|
$43.70 |
$43.70 |
$43.70 |
$212.55
|
|
Giardia ag if
|
$19.76 |
$19.76 |
$19.76 |
$38.58
|
|
Giardia lamblia antibody
|
$11.97 |
$11.97 |
$11.97 |
$83.44
|
|
Gi inhouse confirmation
|
$50.54 |
$50.54 |
$50.54 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$347.51 |
$347.51 |
$347.51 |
$2,195.76
|
|
Gjb2 gene full sequence
|
$19.21 |
$19.21 |
$19.21 |
$502.80
|
|
Gjb6 gene com variants
|
$6.65 |
$6.65 |
$6.65 |
$84.70
|
|
Glucagon 1 mg solution for injection
|
$85.69 |
$85.69 |
$85.69 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$281.57 |
$281.57 |
$281.57 |
$491.67
|
|
Glucagon plasma - sendout
|
$2.41 |
$2.41 |
$2.41 |
$63.20
|
|
Glucose 1 hr post dose
|
$28.69 |
$28.69 |
$28.69 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$3.80 |
$3.80 |
$3.80 |
$22.75
|
|
Glucose blood quantitative
|
$30.59 |
$30.59 |
$30.59 |
$41.40
|
|
Glucose body fluid
|
$35.34 |
$35.34 |
$35.34 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$32.87 |
$32.87 |
$32.87 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$64.22 |
$64.22 |
$64.22 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$13.11 |
$13.11 |
$13.11 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$17.50 |
$17.50 |
$17.50 |
$37.16
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$69.92 |
$69.92 |
$69.92 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$69.92 |
$69.92 |
$69.92 |
$129.00
|
|
Gonioscopy
|
$13.11 |
$13.11 |
$13.11 |
$135.52
|
|
Goniotomy
|
$548.34 |
$548.34 |
$548.34 |
$4,456.60
|
|
Goserelin 10.8 mg subcutaneous implant
|
$323.38 |
$323.38 |
$323.38 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$30.59 |
$30.59 |
$30.59 |
$143.50
|
|
Graft axiofill 1000mg
|
$52.20 |
$52.20 |
$52.20 |
$5,125.68
|
|
Graft hand or finger tendon
|
$615.98 |
$615.98 |
$615.98 |
$3,839.54
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$3,264.96 |
$3,264.96 |
$3,264.96 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$33,868.26 |
$33,868.26 |
$33,868.26 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$14,970.86 |
$14,970.86 |
$14,970.86 |
$29,995.44
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$112.48 |
$112.48 |
$112.48 |
$892.38
|
|
Graft repair of spine defect 63710
|
$701.86 |
$701.86 |
$701.86 |
$2,054.40
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$151.24 |
$151.24 |
$151.24 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$2,611.93 |
$2,611.93 |
$2,611.93 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$110.39 |
$110.39 |
$110.39 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$22,584.73 |
$22,584.73 |
$22,584.73 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$4,763.87 |
$4,763.87 |
$4,763.87 |
$3,076.20
|
|
Great toe with reduction 28495
|
$127.68 |
$127.68 |
$127.68 |
$495.00
|
|
Grfg autol soft tiss dir exc
|
$317.49 |
$317.49 |
$317.49 |
$4,332.25
|
|
Group health education
|
$3.99 |
$3.99 |
$3.99 |
$61.92
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$1,211.82 |
$1,211.82 |
$1,211.82 |
$3,604.20
|
|
Gstrst open wo constj tube
|
$451.82 |
$451.82 |
$451.82 |
$2,756.00
|
|
G-tube reposition
|
$65.17 |
$65.17 |
$65.17 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$29.07 |
$29.07 |
$29.07 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$428.45 |
$428.45 |
$428.45 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$15,399.31 |
$15,399.31 |
$15,399.31 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$999.59 |
$999.59 |
$999.59 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$635.74 |
$635.74 |
$635.74 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$13.49 |
$13.49 |
$13.49 |
$535.60
|
|
Gw stiffened micro access kit
|
$846.45 |
$846.45 |
$846.45 |
$6,600.00
|
|
Gynecomastia (males) 19300
|
$287.66 |
$287.66 |
$287.66 |
$3,735.20
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.89 |
$7.89 |
$7.89 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$3.80 |
$3.80 |
$3.80 |
$23.30
|
|
Hand tendon reconstruction
|
$465.31 |
$465.31 |
$465.31 |
$5,023.20
|
|
Hand tendon reconstruction
|
$508.63 |
$508.63 |
$508.63 |
$4,454.10
|
|
Hand X-ray
|
$185.25 |
$185.25 |
$185.25 |
$345.87
|
|
Haptoglobin quantitative
|
$2.03 |
$2.03 |
$2.03 |
$91.80
|
|
Harness chest/shlder saddle
|
$128.25 |
$128.25 |
$128.25 |
$254.80
|
|
Harvest cultured skin graft 15040
|
$81.51 |
$81.51 |
$81.51 |
$2,164.64
|
|
Harvest femoropopliteal vein 35572
|
$205.39 |
$205.39 |
$205.39 |
$844.00
|
|
Harvest vein for bypass 35500
|
$189.43 |
$189.43 |
$189.43 |
$780.00
|
|
Hba1/hba2 full gene sequence
|
$88.83 |
$88.83 |
$88.83 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$30.76 |
$30.76 |
$30.76 |
$403.25
|
|
Hbb full gene sequence
|
$171.00 |
$171.00 |
$171.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$30.76 |
$30.76 |
$30.76 |
$404.80
|
|
Hb glycosylated a1c home dev
|
$7.41 |
$7.41 |
$7.41 |
$24.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$376.58 |
$376.58 |
$376.58 |
$721.00
|
|
Hcg free betachain test
|
$2.54 |
$2.54 |
$2.54 |
$68.90
|
|
Hcg qualitative
|
$41.42 |
$41.42 |
$41.42 |
$88.00
|
|
Hcg quantitative
|
$74.29 |
$74.29 |
$74.29 |
$137.15
|
|
Hc metata joint dislocation anes
|
$88.35 |
$88.35 |
$88.35 |
$2,383.09
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$33.63 |
$33.63 |
$33.63 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$17.29 |
$17.29 |
$17.29 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$32.11 |
$32.11 |
$32.11 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$988.19 |
$988.19 |
$988.19 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$834.67 |
$834.67 |
$834.67 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$597.17 |
$597.17 |
$597.17 |
$1,268.90
|
|
Heart infarct image
|
$23.75 |
$23.75 |
$23.75 |
$942.29
|
|
Heinz bodies direct
|
$10.78 |
$10.78 |
$10.78 |
$43.15
|
|
Heinz bodies induced
|
$10.78 |
$10.78 |
$10.78 |
$37.20
|
|
Helicobacter pylori antibody igm
|
$42.37 |
$42.37 |
$42.37 |
$92.23
|
