|
Ghs superficial wnd dehis w packing12021
|
$1,232.79 |
$1,232.79 |
$1,232.79 |
$695.93
|
|
Ghs tracheostomy emergency - transtracheal
|
$3,304.08 |
$3,304.08 |
$3,304.08 |
$1,867.84
|
|
Ghs trypsin (fecal)
|
$21.84 |
$21.84 |
$21.84 |
$55.59
|
|
Ghs tx distal phalangeal fx with manipulation
|
$900.51 |
$900.51 |
$900.51 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$806.13 |
$806.13 |
$806.13 |
$513.80
|
|
Ghs urine, hydroxproline total
|
$157.56 |
$157.56 |
$157.56 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$207.48 |
$207.48 |
$207.48 |
$73.80
|
|
Ghs vaginal delivery only
|
$5,171.40 |
$5,171.40 |
$5,171.40 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,176.59 |
$2,176.59 |
$2,176.59 |
$1,932.00
|
|
Ghs windowing of cast
|
$184.86 |
$184.86 |
$184.86 |
$212.55
|
|
Giardia lamblia antibody
|
$281.58 |
$281.58 |
$281.58 |
$83.44
|
|
Gi inhouse confirmation
|
$134.16 |
$134.16 |
$134.16 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,224.91 |
$3,224.91 |
$3,224.91 |
$2,215.20
|
|
Gi trc img intral esophagus
|
$1,545.57 |
$1,545.57 |
$1,545.57 |
$1,897.82
|
|
Gi wireless capsule measure
|
$1,049.49 |
$1,049.49 |
$1,049.49 |
$1,579.30
|
|
Glucagon plasma - sendout
|
$205.92 |
$205.92 |
$205.92 |
$64.35
|
|
Glucose 1 hr post dose
|
$77.61 |
$77.61 |
$77.61 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$5.46 |
$5.46 |
$5.46 |
$23.12
|
|
Glucose blood quantitative
|
$83.85 |
$83.85 |
$83.85 |
$42.25
|
|
Glucose body fluid
|
$140.01 |
$140.01 |
$140.01 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$73.32 |
$73.32 |
$73.32 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$189.54 |
$189.54 |
$189.54 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$48.36 |
$48.36 |
$48.36 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$219.18 |
$219.18 |
$219.18 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$253.11 |
$253.11 |
$253.11 |
$129.03
|
|
Gonioscopy
|
$145.86 |
$145.86 |
$145.86 |
$135.52
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$17,618.72 |
$17,618.72 |
$17,618.72 |
$605.00
|
|
Graft nerve adv 3-4x70mm
|
$24,646.06 |
$24,646.06 |
$24,646.06 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$44,279.60 |
$44,279.60 |
$44,279.60 |
$29,293.39
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,413.85 |
$1,413.85 |
$1,413.85 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$5,089.62 |
$5,089.62 |
$5,089.62 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$208.78 |
$208.78 |
$208.78 |
$349.41
|
|
Graft xenmtrx sft rect 15x20cm
|
$55,695.63 |
$55,695.63 |
$55,695.63 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$25,834.81 |
$25,834.81 |
$25,834.81 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$1,967.55 |
$1,967.55 |
$1,967.55 |
$2,698.02
|
|
Great toe with reduction 28495
|
$900.51 |
$900.51 |
$900.51 |
$495.00
|
|
Grfg autol soft tiss dir exc
|
$4,128.93 |
$4,128.93 |
$4,128.93 |
$4,627.00
|
|
Ground mileage
|
$17.55 |
$17.55 |
$17.55 |
$17.60
|
|
Growth stimulation gene 2
|
$223.47 |
$223.47 |
$223.47 |
$180.50
|
|
G-tube reposition
|
$4,334.85 |
$4,334.85 |
$4,334.85 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$821.73 |
$821.73 |
$821.73 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$7,100.34 |
$7,100.34 |
$7,100.34 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$3,531.94 |
$3,531.94 |
$3,531.94 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$945.75 |
$945.75 |
$945.75 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$1,051.44 |
$1,051.44 |
$1,051.44 |
$535.60
|
|
Gw stiffened micro access kit
|
$13,326.50 |
$13,326.50 |
$13,326.50 |
$6,893.38
|
|
Hand-held pefr meter a4614
|
$33.10 |
$33.10 |
$33.10 |
$26.40
|
|
Handpiece aquabeam hp2000
|
$6,104.40 |
$6,104.40 |
$6,104.40 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$97.50 |
$97.50 |
$97.50 |
$105.30
|
|
Hand X-ray
|
$264.42 |
$264.42 |
$264.42 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$237.90 |
$237.90 |
$237.90 |
$294.90
|
|
Haptoglobin quantitative
|
$235.17 |
$235.17 |
$235.17 |
$92.80
|
|
Harvest auto stem cells
|
$4,212.00 |
$4,212.00 |
$4,212.00 |
$3,624.31
|
|
Harvest stem cell concentrte
|
$1,287.78 |
$1,287.78 |
$1,287.78 |
$1,355.25
|
|
Hast w/oxygen titrate
|
$154.05 |
$154.05 |
$154.05 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$847.86 |
$847.86 |
$847.86 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$190.32 |
$190.32 |
$190.32 |
$403.25
|
|
Hbb full gene sequence
|
$459.42 |
$459.42 |
$459.42 |
$633.25
|
|
Hbb gene com variants
|
$228.54 |
$228.54 |
$228.54 |
$345.95
|
|
Hbb gene dup/del variants
|
$228.54 |
$228.54 |
$228.54 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$969.54 |
$969.54 |
$969.54 |
$526.90
|
|
Hc ea ha check monaural
|
$35.10 |
$35.10 |
$35.10 |
$57.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$759.72 |
$759.72 |
$759.72 |
$726.00
|
|
Hcg qualitative
|
$173.16 |
$173.16 |
$173.16 |
$90.10
|
|
Hcg quantitative
|
$182.52 |
$182.52 |
$182.52 |
$139.20
|
|
Hc hearing aid chck binaurl
|
$55.77 |
$55.77 |
$55.77 |
$78.40
|
|
Hc hearing aid chck monarl
|
$35.10 |
$35.10 |
$35.10 |
$48.75
|
|
Hc hearing aid exam both ears
|
$98.67 |
$98.67 |
$98.67 |
$175.20
|
|
Hc hearing aid exam one ear
|
$48.36 |
$48.36 |
$48.36 |
$150.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$459.22 |
$459.22 |
$459.22 |
$113.12
|
|
Hc metata joint dislocation anes
|
$8,713.38 |
$8,713.38 |
$8,713.38 |
$2,383.09
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$577.98 |
$577.98 |
$577.98 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$584.61 |
$584.61 |
$584.61 |
$858.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$730.08 |
$730.08 |
$730.08 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$366.60 |
$366.60 |
$366.60 |
$564.00
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$617.76 |
$617.76 |
$617.76 |
$845.60
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$645.06 |
$645.06 |
$645.06 |
$1,070.00
|
|
Hc nm fusion spect CT unlisted
|
$239.85 |
$239.85 |
$239.85 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$755.43 |
$755.43 |
$755.43 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$834.21 |
$834.21 |
$834.21 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,460.12 |
$2,460.12 |
$2,460.12 |
$3,958.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$6,654.57 |
$6,654.57 |
$6,654.57 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,781.83 |
$3,781.83 |
$3,781.83 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,046.25 |
$4,046.25 |
$4,046.25 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,184.70 |
$4,184.70 |
$4,184.70 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$1,545.18 |
$1,545.18 |
$1,545.18 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$2,264.34 |
$2,264.34 |
$2,264.34 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$1,881.36 |
$1,881.36 |
$1,881.36 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,587.69 |
$1,587.69 |
$1,587.69 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,418.82 |
$1,418.82 |
$1,418.82 |
$1,268.90
|
|
Heart first pass add-on
|
$176.28 |
$176.28 |
$176.28 |
$485.27
|
|
Heart image spect
|
$497.25 |
$497.25 |
$497.25 |
$1,135.68
|
|
Heart infarct image (ef)
|
$714.87 |
$714.87 |
$714.87 |
$865.98
|
|
Heavy metal qual any number
|
$331.89 |
$331.89 |
$331.89 |
$72.50
|
|
Heel (Calcaneus) X-ray (both feet)
|
$230.10 |
$230.10 |
$230.10 |
$276.00
|
|
Heinz bodies direct
|
$107.64 |
$107.64 |
$107.64 |
$43.15
|
|
Helicobacter pylori antibody igm
|
$141.57 |
$141.57 |
$141.57 |
$92.00
|
|
Hematocrit
|
$34.32 |
$34.32 |
$34.32 |
$33.80
|
|
Hematopoietic nuclear tx
|
$928.98 |
$928.98 |
$928.98 |
$928.98
|
|
Hemoglobin
|
$34.71 |
$34.71 |
$34.71 |
$33.54
|
