|
Ghs nerve block sciatic nerve
|
$150.39 |
$150.39 |
$150.39 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$81.54 |
$81.54 |
$81.54 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$36.18 |
$36.18 |
$36.18 |
$478.50
|
|
Ghs o2 uptake rest & exercise
|
$8.10 |
$8.10 |
$8.10 |
$239.05
|
|
Ghs opcc repair cvp without subq port
|
$30.24 |
$30.24 |
$30.24 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$165.51 |
$165.51 |
$165.51 |
$2,194.40
|
|
Ghs optokenetic
|
$21.06 |
$21.06 |
$21.06 |
$211.20
|
|
Ghs oscillating trac
|
$21.06 |
$21.06 |
$21.06 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$21.33 |
$21.33 |
$21.33 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$30.78 |
$30.78 |
$30.78 |
$64.50
|
|
Ghs ot dds rom
|
$19.98 |
$19.98 |
$19.98 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$43.74 |
$43.74 |
$43.74 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$46.98 |
$46.98 |
$46.98 |
$96.00
|
|
Ghs pacing - transcutaneous
|
$231.66 |
$231.66 |
$231.66 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$82.62 |
$82.62 |
$82.62 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$47.52 |
$47.52 |
$47.52 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$6.40 |
$6.40 |
$6.40 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$184.68 |
$184.68 |
$184.68 |
$545.40
|
|
Ghs picc line insert < 5
|
$82.35 |
$82.35 |
$82.35 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$341.82 |
$341.82 |
$341.82 |
$564.50
|
|
Ghs plt ct-manual
|
$17.55 |
$17.55 |
$17.55 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$687.15 |
$687.15 |
$687.15 |
$3,557.58
|
|
Ghs pos nystagmus
|
$21.06 |
$21.06 |
$21.06 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$63.99 |
$63.99 |
$63.99 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$2.32 |
$2.32 |
$2.32 |
$43.55
|
|
Ghs protoporphyrins fract
|
$3.44 |
$3.44 |
$3.44 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$68.04 |
$68.04 |
$68.04 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$2.94 |
$2.94 |
$2.94 |
$47.55
|
|
Ghs refill of implantable pump
|
$61.83 |
$61.83 |
$61.83 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$201.96 |
$201.96 |
$201.96 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$196.56 |
$196.56 |
$196.56 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$581.04 |
$581.04 |
$581.04 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$478.17 |
$478.17 |
$478.17 |
$4,108.00
|
|
Ghs sedimentation rate
|
$57.24 |
$57.24 |
$57.24 |
$45.50
|
|
Ghs semen analysis, post-vas
|
$10.53 |
$10.53 |
$10.53 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$23.22 |
$23.22 |
$23.22 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$166.32 |
$166.32 |
$166.32 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$206.01 |
$206.01 |
$206.01 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$192.24 |
$192.24 |
$192.24 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$135.00 |
$135.00 |
$135.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$133.65 |
$133.65 |
$133.65 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$125.28 |
$125.28 |
$125.28 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$162.00 |
$162.00 |
$162.00 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$213.30 |
$213.30 |
$213.30 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$152.82 |
$152.82 |
$152.82 |
$537.60
|
|
Ghs sleep study unattended
|
$98.28 |
$98.28 |
$98.28 |
$503.38
|
|
Ghs sphenopalatine ganglion block
|
$205.47 |
$205.47 |
$205.47 |
$616.00
|
|
Ghs spont nystagmus
|
$21.06 |
$21.06 |
$21.06 |
$228.00
|
|
Ghs st - eval for alt comm
|
$21.06 |
$21.06 |
$21.06 |
$94.60
|
|
Ghs strapping shoulder - 29240
|
$77.22 |
$77.22 |
$77.22 |
$217.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$48.33 |
$48.33 |
$48.33 |
$99.98
|
|
Ghs superficial wnd dehiscence simp12020
|
$286.47 |
$286.47 |
$286.47 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$167.67 |
$167.67 |
$167.67 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$286.20 |
$286.20 |
$286.20 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$322.65 |
$322.65 |
$322.65 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$3.53 |
$3.53 |
$3.53 |
$73.80
|
|
Ghs vaginal delivery only
|
$703.89 |
$703.89 |
$703.89 |
$3,338.40
|
|
Ghs veeg 12-26 hr intmt mont
|
$429.84 |
$429.84 |
$429.84 |
$1,932.00
|
|
Ghs windowing of cast
|
$62.10 |
$62.10 |
$62.10 |
$212.55
|
|
Giardia lamblia antibody
|
$17.01 |
$17.01 |
$17.01 |
$83.44
|
|
Gi inhouse confirmation
|
$34.02 |
$34.02 |
$34.02 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,683.45 |
$1,683.45 |
$1,683.45 |
$2,195.76
|
|
Gi trc img intral esophagus
|
$1,940.76 |
$1,940.76 |
$1,940.76 |
$1,897.82
|
|
Gjb2 gene full sequence
|
$27.30 |
$27.30 |
$27.30 |
$502.80
|
|
Gjb6 gene com variants
|
$9.45 |
$9.45 |
$9.45 |
$84.70
|
|
Glucagon 1 mg solution for injection
|
$121.77 |
$121.77 |
$121.77 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$424.09 |
$424.09 |
$424.09 |
$491.67
|
|
Glucagon plasma - sendout
|
$3.43 |
$3.43 |
$3.43 |
$63.20
|
|
Glucose 1 hr post dose
|
$18.63 |
$18.63 |
$18.63 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$12.69 |
$12.69 |
$12.69 |
$22.75
|
|
Glucose blood quantitative
|
$44.55 |
$44.55 |
$44.55 |
$41.40
|
|
Glucose body fluid
|
$62.64 |
$62.64 |
$62.64 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$46.71 |
$46.71 |
$46.71 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$34.02 |
$34.02 |
$34.02 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$16.20 |
$16.20 |
$16.20 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$67.54 |
$67.54 |
$67.54 |
$37.16
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$69.93 |
$69.93 |
$69.93 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$93.42 |
$93.42 |
$93.42 |
$129.00
|
|
Gonioscopy
|
$18.63 |
$18.63 |
$18.63 |
$135.52
|
|
Goniotomy
|
$779.22 |
$779.22 |
$779.22 |
$4,456.60
|
|
Goserelin 10.8 mg subcutaneous implant
|
$459.54 |
$459.54 |
$459.54 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$20.52 |
$20.52 |
$20.52 |
$143.50
|
|
Graft axiofill 1000mg
|
$4,298.27 |
$4,298.27 |
$4,298.27 |
$5,125.68
|
|
Graft hand or finger tendon
|
$875.34 |
$875.34 |
$875.34 |
$3,839.54
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$3,766.77 |
$3,766.77 |
$3,766.77 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$7,869.96 |
$7,869.96 |
$7,869.96 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$4,704.48 |
$4,704.48 |
$4,704.48 |
$29,995.44
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$729.00 |
$729.00 |
$729.00 |
$892.38
|
|
Graft repair of spine defect 63710
|
$997.38 |
$997.38 |
$997.38 |
$2,054.40
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$2,770.20 |
$2,770.20 |
$2,770.20 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$959.58 |
$959.58 |
$959.58 |
$427.89
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$92.34 |
$92.34 |
$92.34 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$21,834.63 |
$21,834.63 |
$21,834.63 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$734.67 |
$734.67 |
$734.67 |
$3,076.20
|
|
Great toe with reduction 28495
|
$181.44 |
$181.44 |
$181.44 |
$495.00
|
|
Grfg autol soft tiss dir exc
|
$451.17 |
$451.17 |
$451.17 |
$4,332.25
|
|
Group health education
|
$5.67 |
$5.67 |
$5.67 |
$61.92
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$1,722.06 |
$1,722.06 |
$1,722.06 |
$3,604.20
|
|
Gstrst open wo constj tube
|
$642.06 |
$642.06 |
$642.06 |
$2,756.00
|
|
G-tube reposition
|
$92.61 |
$92.61 |
$92.61 |
$745.80
|
