|
Ghs nerve block brachial plexus
|
$141.60 |
$141.60 |
$141.60 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$98.40 |
$98.40 |
$98.40 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$79.50 |
$79.50 |
$79.50 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$245.10 |
$245.10 |
$245.10 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$167.10 |
$167.10 |
$167.10 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$311.70 |
$311.70 |
$311.70 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$40.20 |
$40.20 |
$40.20 |
$478.50
|
|
Ghs o2 uptake rest & exercise
|
$208.80 |
$208.80 |
$208.80 |
$239.05
|
|
Ghs opcc repair cvp without subq port
|
$742.50 |
$742.50 |
$742.50 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$183.90 |
$183.90 |
$183.90 |
$2,194.40
|
|
Ghs optokenetic
|
$23.40 |
$23.40 |
$23.40 |
$211.20
|
|
Ghs oscillating trac
|
$23.40 |
$23.40 |
$23.40 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$23.70 |
$23.70 |
$23.70 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$45.30 |
$45.30 |
$45.30 |
$64.50
|
|
Ghs ot dds rom
|
$83.10 |
$83.10 |
$83.10 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$64.20 |
$64.20 |
$64.20 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$41.70 |
$41.70 |
$41.70 |
$96.00
|
|
Ghs pacing - transcutaneous
|
$601.20 |
$601.20 |
$601.20 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$91.80 |
$91.80 |
$91.80 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$52.80 |
$52.80 |
$52.80 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$7.11 |
$7.11 |
$7.11 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$205.20 |
$205.20 |
$205.20 |
$545.40
|
|
Ghs picc line insert < 5
|
$91.50 |
$91.50 |
$91.50 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$379.80 |
$379.80 |
$379.80 |
$564.50
|
|
Ghs plt ct-manual
|
$113.10 |
$113.10 |
$113.10 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$763.50 |
$763.50 |
$763.50 |
$3,557.58
|
|
Ghs pos nystagmus
|
$23.40 |
$23.40 |
$23.40 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$12.60 |
$12.60 |
$12.60 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$2.58 |
$2.58 |
$2.58 |
$43.55
|
|
Ghs protoporphyrins fract
|
$3.83 |
$3.83 |
$3.83 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$12.90 |
$12.90 |
$12.90 |
$146.86
|
|
Ghs refill of implantable pump
|
$68.70 |
$68.70 |
$68.70 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$224.40 |
$224.40 |
$224.40 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$218.40 |
$218.40 |
$218.40 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$645.60 |
$645.60 |
$645.60 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$531.30 |
$531.30 |
$531.30 |
$4,108.00
|
|
Ghs reticulocyte count
|
$166.20 |
$166.20 |
$166.20 |
$35.40
|
|
Ghs semen analysis, post-vas
|
$11.70 |
$11.70 |
$11.70 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$54.00 |
$54.00 |
$54.00 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$184.80 |
$184.80 |
$184.80 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$228.90 |
$228.90 |
$228.90 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$213.60 |
$213.60 |
$213.60 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$150.00 |
$150.00 |
$150.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$148.50 |
$148.50 |
$148.50 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$139.20 |
$139.20 |
$139.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$180.00 |
$180.00 |
$180.00 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$237.00 |
$237.00 |
$237.00 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$169.80 |
$169.80 |
$169.80 |
$537.60
|
|
Ghs sleep study unattended
|
$28.50 |
$28.50 |
$28.50 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$82.50 |
$82.50 |
$82.50 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$228.30 |
$228.30 |
$228.30 |
$616.00
|
|
Ghs spont nystagmus
|
$23.40 |
$23.40 |
$23.40 |
$228.00
|
|
Ghs sp train/fitting sp device - kx
|
$83.40 |
$83.40 |
$83.40 |
$249.60
|
|
Ghs st - eval for alt comm
|
$23.40 |
$23.40 |
$23.40 |
$94.60
|
|
Ghs strapping shoulder - 29240
|
$126.00 |
$126.00 |
$126.00 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$204.90 |
$204.90 |
$204.90 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$318.30 |
$318.30 |
$318.30 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$186.30 |
$186.30 |
$186.30 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$318.00 |
$318.00 |
$318.00 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$358.50 |
$358.50 |
$358.50 |
$525.60
|
|
Ghs vaginal delivery only
|
$782.10 |
$782.10 |
$782.10 |
$3,338.40
|
|
Ghs windowing of cast
|
$69.00 |
$69.00 |
$69.00 |
$212.55
|
|
Gi inhouse confirmation
|
$76.80 |
$76.80 |
$76.80 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$548.70 |
$548.70 |
$548.70 |
$2,195.76
|
|
Glucagon 1 mg solution for injection
|
$135.30 |
$135.30 |
$135.30 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$468.47 |
$468.47 |
$468.47 |
$491.67
|
|
Glucagon plasma - sendout
|
$3.81 |
$3.81 |
$3.81 |
$63.20
|
|
Glucose 1 hr post dose
|
$35.70 |
$35.70 |
$35.70 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$35.40 |
$35.40 |
$35.40 |
$22.75
|
|
Glucose blood quantitative
|
$38.10 |
$38.10 |
$38.10 |
$41.40
|
|
Glucose body fluid
|
$58.50 |
$58.50 |
$58.50 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$51.90 |
$51.90 |
$51.90 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$94.50 |
$94.50 |
$94.50 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$24.90 |
$24.90 |
$24.90 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$59.05 |
$59.05 |
$59.05 |
$37.16
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$115.50 |
$115.50 |
$115.50 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$122.10 |
$122.10 |
$122.10 |
$129.00
|
|
Gonioscopy
|
$20.70 |
$20.70 |
$20.70 |
$135.52
|
|
Goniotomy
|
$865.80 |
$865.80 |
$865.80 |
$4,456.60
|
|
Goserelin 10.8 mg subcutaneous implant
|
$510.60 |
$510.60 |
$510.60 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$22.80 |
$22.80 |
$22.80 |
$143.50
|
|
Graft axiofill 1000mg
|
$88.20 |
$88.20 |
$88.20 |
$5,125.68
|
|
Graft hand or finger tendon
|
$972.60 |
$972.60 |
$972.60 |
$3,839.54
|
|
Graft nerve adv 3-4x70mm
|
$6,424.50 |
$6,424.50 |
$6,424.50 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$825.00 |
$825.00 |
$825.00 |
$29,995.44
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$79.20 |
$79.20 |
$79.20 |
$892.38
|
|
Graft repair of spine defect 63710
|
$1,108.20 |
$1,108.20 |
$1,108.20 |
$2,054.40
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$4,860.00 |
$4,860.00 |
$4,860.00 |
$1,132.47
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$102.60 |
$102.60 |
$102.60 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$6,480.00 |
$6,480.00 |
$6,480.00 |
$31,191.20
|
|
Great toe with reduction 28495
|
$201.60 |
$201.60 |
$201.60 |
$495.00
|
|
Grfg autol soft tiss dir exc
|
$501.30 |
$501.30 |
$501.30 |
$4,332.25
|
|
Group health education
|
$6.30 |
$6.30 |
$6.30 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$8.70 |
$8.70 |
$8.70 |
$40.14
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$1,913.40 |
$1,913.40 |
$1,913.40 |
$3,604.20
|
|
Gstrst open wo constj tube
|
$713.40 |
$713.40 |
$713.40 |
$2,756.00
|
|
G-tube reposition
|
$102.90 |
$102.90 |
$102.90 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$45.90 |
$45.90 |
$45.90 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$801.30 |
$801.30 |
$801.30 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$3,401.81
|
