|
Ghs o2 uptake rest & exercise
|
$189.00 |
$189.00 |
$189.00 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$183.00 |
$183.00 |
$183.00 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$1,556.25 |
$1,556.25 |
$1,556.25 |
$1,229.24
|
|
Ghs optokenetic
|
$417.00 |
$417.00 |
$417.00 |
$203.50
|
|
Ghs oscillating trac
|
$723.75 |
$723.75 |
$723.75 |
$325.00
|
|
Ghs ot sensory integrative tech/15min
|
$169.50 |
$169.50 |
$169.50 |
$96.00
|
|
Ghs pacing - transcutaneous
|
$1,728.75 |
$1,728.75 |
$1,728.75 |
$819.60
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$181.50 |
$181.50 |
$181.50 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$131.25 |
$131.25 |
$131.25 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$108.75 |
$108.75 |
$108.75 |
$76.56
|
|
Ghs peritonsillar abscess i andd
|
$648.75 |
$648.75 |
$648.75 |
$544.44
|
|
Ghs phenylketonurid
|
$33.75 |
$33.75 |
$33.75 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,458.50 |
$2,458.50 |
$2,458.50 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$772.50 |
$772.50 |
$772.50 |
$580.32
|
|
Ghs plt ct-manual
|
$27.00 |
$27.00 |
$27.00 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,343.50 |
$3,343.50 |
$3,343.50 |
$3,557.58
|
|
Ghs pos nystagmus
|
$86.25 |
$86.25 |
$86.25 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$29.25 |
$29.25 |
$29.25 |
$37.50
|
|
Ghs prostatic acid phosphatase (mayo)
|
$58.50 |
$58.50 |
$58.50 |
$43.55
|
|
Ghs protein, misc fluid
|
$25.50 |
$25.50 |
$25.50 |
$24.60
|
|
Ghs protoporphyrins fract
|
$90.75 |
$90.75 |
$90.75 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$74.25 |
$74.25 |
$74.25 |
$50.05
|
|
Ghs quinidine
|
$89.25 |
$89.25 |
$89.25 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$485.25 |
$485.25 |
$485.25 |
$294.00
|
|
Ghs removal pharyngeal foreign body
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$4,853.25 |
$4,853.25 |
$4,853.25 |
$2,211.05
|
|
Ghs respiratory syncytical virus igg/m
|
$78.75 |
$78.75 |
$78.75 |
$73.50
|
|
Ghs reticulocyte count
|
$27.00 |
$27.00 |
$27.00 |
$36.80
|
|
Ghs rsv eia (respir synctial vrs)
|
$72.75 |
$72.75 |
$72.75 |
$99.00
|
|
Ghs sedimentation rate
|
$30.00 |
$30.00 |
$30.00 |
$45.50
|
|
Ghs semen analysis fert
|
$45.00 |
$45.00 |
$45.00 |
$129.00
|
|
Ghs semen analysis, post-vas
|
$30.75 |
$30.75 |
$30.75 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$54.75 |
$54.75 |
$54.75 |
$58.95
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$675.75 |
$675.75 |
$675.75 |
$558.97
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$531.00 |
$531.00 |
$531.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$743.25 |
$743.25 |
$743.25 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$390.00 |
$390.00 |
$390.00 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$399.75 |
$399.75 |
$399.75 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$424.50 |
$424.50 |
$424.50 |
$492.80
|
|
Ghs sleep study unattended
|
$465.00 |
$465.00 |
$465.00 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$830.25 |
$830.25 |
$830.25 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,441.50 |
$1,441.50 |
$1,441.50 |
$1,390.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$144.75 |
$144.75 |
$144.75 |
$153.00
|
|
Ghs sphenopalatine ganglion block
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$628.16
|
|
Ghs spont nystagmus
|
$86.25 |
$86.25 |
$86.25 |
$241.80
|
|
Ghs sp train/fitting sp device - kx
|
$305.25 |
$305.25 |
$305.25 |
$243.60
|
|
Ghs st - eval for alt comm
|
$84.75 |
$84.75 |
$84.75 |
$93.60
|
|
Ghs st - re-eval for alt comm
|
$238.50 |
$238.50 |
$238.50 |
$301.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,100.25 |
$1,100.25 |
$1,100.25 |
$890.40
|
|
Ghs superficial wnd dehis w packing12021
|
$1,118.25 |
$1,118.25 |
$1,118.25 |
$696.68
|
|
Ghs trypsin (fecal)
|
$45.00 |
$45.00 |
$45.00 |
$61.20
|
|
Ghs tx distal phalangeal fx with manipulation
|
$772.50 |
$772.50 |
$772.50 |
$526.35
|
|
Ghs urine, hydroxproline total
|
$148.50 |
$148.50 |
$148.50 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$92.25 |
$92.25 |
$92.25 |
$75.00
|
|
Ghs vaginal delivery only
|
$2,419.50 |
$2,419.50 |
$2,419.50 |
$3,142.35
|
|
Giardia ag if
|
$72.75 |
$72.75 |
$72.75 |
$39.13
|
|
Giardia lamblia antibody
|
$92.25 |
$92.25 |
$92.25 |
$83.44
|
|
Gi endoscopic ultrasound
|
$740.25 |
$740.25 |
$740.25 |
$574.20
|
|
Gi inhouse confirmation
|
$59.25 |
$59.25 |
$59.25 |
$84.80
|
|
Gi protein loss
|
$997.50 |
$997.50 |
$997.50 |
$735.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$2,096.00
|
|
Gi trc img intral esophagus
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$1,897.82
|
|
Gi wireless capsule measure
|
$3,575.25 |
$3,575.25 |
$3,575.25 |
$1,579.30
|
|
Glassia injection
|
$27.21 |
$27.21 |
$27.21 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$723.77 |
$723.77 |
$723.77 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$658.49 |
$658.49 |
$658.49 |
$491.67
|
|
Glucagon plasma - sendout
|
$90.00 |
$90.00 |
$90.00 |
$63.00
|
|
Glucagon tolerance panel
|
$279.75 |
$279.75 |
$279.75 |
$116.00
|
|
Glucagon tolerance panel
|
$307.50 |
$307.50 |
$307.50 |
$69.69
|
|
Glucagon tolerance test
|
$91.50 |
$91.50 |
$91.50 |
$36.00
|
|
Glucose 1 hr post dose
|
$23.25 |
$23.25 |
$23.25 |
$50.40
|
|
Glucose-6-phosphate dhydrogenase screen
|
$36.75 |
$36.75 |
$36.75 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$27.00 |
$27.00 |
$27.00 |
$24.26
|
|
Glucose blood quantitative
|
$55.50 |
$55.50 |
$55.50 |
$41.50
|
|
Glucose body fluid
|
$45.75 |
$45.75 |
$45.75 |
$51.12
|
|
Glucose tolerance test (gtt) 3 specimens
|
$64.50 |
$64.50 |
$64.50 |
$103.35
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$19.50 |
$19.50 |
$19.50 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$21.35 |
$21.35 |
$21.35 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$17,081.47 |
$17,081.47 |
$17,081.47 |
$4,846.65
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$117.00 |
$117.00 |
$117.00 |
$117.00
|
|
Gonadotropin hormone panel
|
$903.00 |
$903.00 |
$903.00 |
$372.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$116.25 |
$116.25 |
$116.25 |
$131.20
|
|
Goserelin 10.8 mg subcutaneous implant
|
$7,551.96 |
$7,551.96 |
$7,551.96 |
$4,653.16
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$0.75 |
$0.75 |
$0.75 |
$359.00
|
|
Graft axiofill 1000mg
|
$52,009.23 |
$52,009.23 |
$52,009.23 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$2,223.75 |
$2,223.75 |
$2,223.75 |
$23,253.65
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$2.25 |
$2.25 |
$2.25 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$748.80 |
$748.80 |
$748.80 |
$19,658.53
|
|
Graft patch felt ptfe 2x2
|
$749.93 |
$749.93 |
$749.93 |
$27,317.20
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$732.72 |
$732.72 |
$732.72 |
$855.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$12.75 |
$12.75 |
$12.75 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$705.38 |
$705.38 |
$705.38 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$734.40 |
$734.40 |
$734.40 |
$427.89
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$2.25 |
$2.25 |
$2.25 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$3,426.75 |
$3,426.75 |
$3,426.75 |
$28,666.90
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$675.00 |
$675.00 |
$675.00 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$747.59 |
$747.59 |
$747.59 |
$30,586.01
|
|
Graft xenmtrx sft rect 19x28cm
|
$608.04 |
$608.04 |
$608.04 |
$3,076.20
|
|
Granisetron hcl injection
|
$64.95 |
$64.95 |
$64.95 |
$46.00
|
|
Great toe with reduction 28495
|
$626.25 |
$626.25 |
$626.25 |
$502.00
|
