|
Ghs ot work hardening-additional hours
|
$110.40 |
$110.40 |
$110.40 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$250.88 |
$250.88 |
$250.88 |
$822.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$27.20 |
$27.20 |
$27.20 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$113.60 |
$113.60 |
$113.60 |
$545.40
|
|
Ghs ppd (tb intradermal)
|
$13.44 |
$13.44 |
$13.44 |
$37.00
|
|
Ghs prostatic acid phosphatase (mayo)
|
$8.64 |
$8.64 |
$8.64 |
$43.55
|
|
Ghs protein, misc fluid
|
$3.52 |
$3.52 |
$3.52 |
$24.60
|
|
Ghs protoporphyrins fract
|
$74.24 |
$74.24 |
$74.24 |
$60.75
|
|
Ghs pt - work hardening/int 2hrs
|
$220.48 |
$220.48 |
$220.48 |
$285.60
|
|
Ghs repair extensor tendon hand, ea tendon
|
$439.68 |
$439.68 |
$439.68 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$413.76 |
$413.76 |
$413.76 |
$4,108.00
|
|
Ghs respiratory syncytical virus igg/m
|
$39.36 |
$39.36 |
$39.36 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$43.84 |
$43.84 |
$43.84 |
$98.40
|
|
Ghs sedimentation rate
|
$25.60 |
$25.60 |
$25.60 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$41.92 |
$41.92 |
$41.92 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$176.64 |
$176.64 |
$176.64 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$153.60 |
$153.60 |
$153.60 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$129.28 |
$129.28 |
$129.28 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$102.72 |
$102.72 |
$102.72 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$140.80 |
$140.80 |
$140.80 |
$492.00
|
|
Ghs somatosensory testing lower extremit
|
$292.48 |
$292.48 |
$292.48 |
$906.18
|
|
Ghs somatosensory testing upper & lower limbs
|
$220.48 |
$220.48 |
$220.48 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$59.52 |
$59.52 |
$59.52 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$100.80 |
$100.80 |
$100.80 |
$244.80
|
|
Ghs st - eval for alt comm
|
$17.60 |
$17.60 |
$17.60 |
$95.25
|
|
Ghs strapping shoulder - 29240
|
$135.68 |
$135.68 |
$135.68 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$169.60 |
$169.60 |
$169.60 |
$309.00
|
|
Ghs superficial wnd dehis w packing12021
|
$115.84 |
$115.84 |
$115.84 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$243.52 |
$243.52 |
$243.52 |
$1,752.89
|
|
Ghs trypsin (fecal)
|
$7.36 |
$7.36 |
$7.36 |
$50.93
|
|
Ghs urine, porphyrins quant
|
$89.60 |
$89.60 |
$89.60 |
$73.71
|
|
Ghs vaginal delivery only
|
$606.40 |
$606.40 |
$606.40 |
$3,338.40
|
|
Giardia ag if
|
$25.60 |
$25.60 |
$25.60 |
$38.58
|
|
Giardia lamblia antibody
|
$13.44 |
$13.44 |
$13.44 |
$83.44
|
|
Gi inhouse confirmation
|
$36.80 |
$36.80 |
$36.80 |
$85.20
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$89.60 |
$89.60 |
$89.60 |
$2,179.25
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$271.68 |
$271.68 |
$271.68 |
$491.67
|
|
Glucagon plasma - sendout
|
$13.12 |
$13.12 |
$13.12 |
$63.00
|
|
Glucose 1 hr post dose
|
$21.76 |
$21.76 |
$21.76 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$43.20 |
$43.20 |
$43.20 |
$22.75
|
|
Glucose blood quantitative
|
$44.80 |
$44.80 |
$44.80 |
$41.34
|
|
Glucose body fluid
|
$43.20 |
$43.20 |
$43.20 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$53.76 |
$53.76 |
$53.76 |
$103.35
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$6.40 |
$6.40 |
$6.40 |
$35.31
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$12.16 |
$12.16 |
$12.16 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$1,612.15 |
$1,612.15 |
$1,612.15 |
$4,959.63
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$84.16 |
$84.16 |
$84.16 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$83.52 |
$83.52 |
$83.52 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$927.93 |
$927.93 |
$927.93 |
$4,524.00
|
|
Graft axiofill 1000mg
|
$49.73 |
$49.73 |
$49.73 |
$5,857.92
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$4,128.00 |
$4,128.00 |
$4,128.00 |
$23,253.65
|
|
Graft nerve adv 3-4x70mm
|
$23,911.04 |
$23,911.04 |
$23,911.04 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$21,838.40 |
$21,838.40 |
$21,838.40 |
$29,995.44
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$3,417.60 |
$3,417.60 |
$3,417.60 |
$28,799.96
|
|
Graft xenmtrx sft rect 15x20cm
|
$15,679.04 |
$15,679.04 |
$15,679.04 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,398.72 |
$5,398.72 |
$5,398.72 |
$3,076.20
|
|
Granisetron hcl injection
|
$320.72 |
$320.72 |
$320.72 |
$46.40
|
|
Group mnt 2 or more 30 mins
|
$11.52 |
$11.52 |
$11.52 |
$40.14
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$3,604.20
|
|
Gstr rstcv px shrt roux-en-y
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$3,987.20
|
|
G-tube reposition
|
$78.72 |
$78.72 |
$78.72 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$784.64 |
$784.64 |
$784.64 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$795.52 |
$795.52 |
$795.52 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$9,799.36 |
$9,799.36 |
$9,799.36 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$2,227.20 |
$2,227.20 |
$2,227.20 |
$3,402.00
|
|
Guide worley csg 9fx50cm std
|
$1,070.72 |
$1,070.72 |
$1,070.72 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$233.92 |
$233.92 |
$233.92 |
$535.60
|
|
Gw stiffened micro access kit
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$6,600.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$39.43 |
$39.43 |
$39.43 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$11.94 |
$11.94 |
$11.94 |
$24.30
|
|
Handle/convey/speciman/office-lab 99000
|
$8.00 |
$8.00 |
$8.00 |
$23.30
|
|
Hand X-ray
|
$195.84 |
$195.84 |
$195.84 |
$345.87
|
|
Haptoglobin quantitative
|
$71.36 |
$71.36 |
$71.36 |
$91.14
|
|
Hast w/oxygen titrate
|
$158.08 |
$158.08 |
$158.08 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$299.20 |
$299.20 |
$299.20 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$168.32 |
$168.32 |
$168.32 |
$403.25
|
|
Hbb full gene sequence
|
$576.00 |
$576.00 |
$576.00 |
$633.25
|
|
Hbb gene com variants
|
$272.00 |
$272.00 |
$272.00 |
$345.95
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$444.48 |
$444.48 |
$444.48 |
$705.00
|
|
Hcg free betachain test
|
$9.92 |
$9.92 |
$9.92 |
$68.90
|
|
Hcg qualitative
|
$43.84 |
$43.84 |
$43.84 |
$86.94
|
|
Hcg quantitative
|
$71.36 |
$71.36 |
$71.36 |
$134.40
|
|
Hc i-131 sodium iodide cap dx per mci
|
$47.36 |
$47.36 |
$47.36 |
$117.00
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$367.04 |
$367.04 |
$367.04 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$412.16 |
$412.16 |
$412.16 |
$824.19
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$514.88 |
$514.88 |
$514.88 |
$1,325.25
|
|
Head CT scan (with and without contrast)
|
$738.56 |
$738.56 |
$738.56 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$600.96 |
$600.96 |
$600.96 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$501.76 |
$501.76 |
$501.76 |
$1,268.90
|
|
Heart infarct image
|
$430.08 |
$430.08 |
$430.08 |
$942.29
|
|
Helicobacter pylori antibody igm
|
$51.84 |
$51.84 |
$51.84 |
$92.23
|
|
Hematocrit
|
$9.60 |
$9.60 |
$9.60 |
$33.57
|
|
Hemodialysis one evaluation
|
$883.20 |
$883.20 |
$883.20 |
$1,338.00
|
|
Hemoglobin
|
$33.92 |
$33.92 |
$33.92 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$12.80 |
$12.80 |
$12.80 |
$51.35
|
|
Hemoglobin plasma
|
$6.72 |
$6.72 |
$6.72 |
$41.25
|
|
Hemoglobin urine
|
$2.24 |
$2.24 |
$2.24 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$8.00 |
$8.00 |
$8.00 |
$57.14
|
|
Hemolysins and agglutinins incubated
|
$11.84 |
$11.84 |
$11.84 |
$59.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$160.00 |
$160.00 |
$160.00 |
$1,170.54
|
