|
Ghs ng placement w fluoro guidance
|
$330.00 |
$420.00 |
$43,353.96 |
$485.00
|
|
Ghs o2 saturation
|
$22.11 |
$50.00 |
$53.20 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$154.00 |
$154.00 |
$200.00 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$1,335.00 |
$1,335.00 |
$2,343.60 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$1,095.00 |
$1,470.00 |
$7,105.70 |
$2,194.40
|
|
Ghs optokenetic
|
$108.24 |
$108.24 |
$266.00 |
$214.00
|
|
Ghs oscillating trac
|
$108.24 |
$108.24 |
$182.00 |
$325.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$37.50 |
$37.50 |
$55.30 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$37.50 |
$37.50 |
$37.50 |
$64.50
|
|
Ghs ot group caregiver training
|
$21.00 |
$21.00 |
$26.40 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$62.70 |
$85.00 |
$179.20 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$60.39 |
$85.00 |
$154.00 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$57.75 |
$109.90 |
$222.50 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$960.00 |
$960.00 |
$1,703.10 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$770.00 |
$770.00 |
$5,310.54 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$467.50 |
$655.00 |
$5,828.24 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$275.00 |
$275.00 |
$281.40 |
$555.00
|
|
Ghs phenylketonurid
|
$40.00 |
$40.00 |
$40.00 |
$53.76
|
|
Ghs picc line insert < 5
|
$3,766.00 |
$3,766.00 |
$3,766.00 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$270.00 |
$270.00 |
$557.20 |
$564.80
|
|
Ghs plt ct-manual
|
$33.60 |
$33.60 |
$33.60 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,419.33 |
$1,419.33 |
$3,235.00 |
$3,557.58
|
|
Ghs pos nystagmus
|
$76.23 |
$76.23 |
$196.00 |
$241.80
|
|
Ghs ppd (tb intradermal)
|
$16.83 |
$25.00 |
$32.20 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$26.73 |
$26.73 |
$74.20 |
$43.55
|
|
Ghs protoporphyrins fract
|
$20.13 |
$77.50 |
$114.80 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$137.50 |
$137.50 |
$137.50 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$22.40 |
$67.50 |
$67.50 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$131.67 |
$445.00 |
$698.60 |
$285.60
|
|
Ghs quinidine
|
$47.60 |
$48.51 |
$85.00 |
$85.00
|
|
Ghs refill of implantable pump
|
$174.90 |
$426.30 |
$427.50 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$267.50 |
$267.50 |
$455.00 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$211.40 |
$347.50 |
$347.50 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,878.00 |
$3,878.00 |
$3,878.00 |
$2,517.00
|
|
Ghs respiratory syncytical virus igg/m
|
$78.40 |
$78.40 |
$78.40 |
$74.82
|
|
Ghs reticulocyte count
|
$25.74 |
$30.00 |
$30.00 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$33.99 |
$33.99 |
$33.99 |
$99.00
|
|
Ghs sedimentation rate
|
$58.10 |
$58.10 |
$58.10 |
$45.50
|
|
Ghs semen analysis fert
|
$115.00 |
$115.00 |
$115.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$21.12 |
$45.00 |
$118.30 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$535.00 |
$535.00 |
$910.70 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$526.40 |
$535.00 |
$535.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$516.60 |
$575.00 |
$575.00 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$575.00 |
$575.00 |
$721.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$472.50 |
$472.50 |
$1,286.60 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$495.00 |
$495.00 |
$819.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$495.00 |
$495.00 |
$1,481.90 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$620.00 |
$620.00 |
$891.80 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$620.00 |
$620.00 |
$620.00 |
$537.60
|
|
Ghs sleep study unattended
|
$495.00 |
$495.00 |
$1,086.40 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$185.79 |
$795.00 |
$1,628.20 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,255.00 |
$1,255.00 |
$3,391.50 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$87.78 |
$87.78 |
$192.50 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$367.50 |
$452.50 |
$1,407.87 |
$630.24
|
|
Ghs spont nystagmus
|
$76.23 |
$76.23 |
$196.00 |
$246.50
|
|
Ghs sp train/fitting sp device - kx
|
$99.99 |
$217.50 |
$449.40 |
$252.75
|
|
Ghs st - eval for alt comm
|
$87.50 |
$90.75 |
$151.20 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$112.20 |
$142.50 |
$554.40 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$105.60 |
$240.00 |
$447.30 |
$309.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$65.80 |
$65.80 |
$131.67 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$267.40 |
$267.40 |
$455.07 |
$360.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$765.00 |
$765.00 |
$13,206.26 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$840.00 |
$840.00 |
$18,379.19 |
$695.93
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,735.00 |
$1,735.00 |
$2,365.30 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$270.00 |
$270.00 |
$409.50 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$31.02 |
$90.00 |
$231.00 |
$73.80
|
|
Ghs vaginal delivery only
|
$1,370.00 |
$1,550.00 |
$4,699.80 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$885.00 |
$885.00 |
$3,707.20 |
$1,932.00
|
|
Giardia ag if
|
$33.99 |
$33.99 |
$33.99 |
$38.58
|
|
Giardia lamblia antibody
|
$46.86 |
$85.00 |
$92.40 |
$83.44
|
|
Gi endoscopic ultrasound
|
$1,530.90 |
$1,530.90 |
$1,530.90 |
$582.31
|
|
Gi inhouse confirmation
|
$65.01 |
$82.50 |
$288.40 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,001.60 |
$3,001.60 |
$3,001.60 |
$2,215.20
|
|
Gi trc img intral colon i&r
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$2,041.20 |
$2,041.20 |
$2,041.20 |
$1,897.82
|
|
Gi wireless capsule measure
|
$3,831.10 |
$3,831.10 |
$3,831.10 |
$1,579.30
|
|
Gjb2 gene full sequence
|
$108.57 |
$174.30 |
$990.00 |
$502.80
|
|
Gjb2 gene known fam variants
|
$129.50 |
$129.50 |
$129.50 |
$116.00
|
|
Gjb6 gene com variants
|
$84.70 |
$84.70 |
$84.70 |
$84.70
|
|
Glaucoma surgery
|
$38,025.97 |
$38,025.97 |
$38,025.97 |
$4,684.00
|
|
Glaucoma surgery
|
$27,530.74 |
$27,530.74 |
$27,530.74 |
$4,786.53
|
|
Glove finger flexion right lg xl
|
$79.70 |
$79.70 |
$79.70 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$634.79 |
$634.79 |
$634.79 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$375.00 |
$375.00 |
$803.25 |
$491.67
|
|
Glucagon plasma - sendout
|
$17.16 |
$67.50 |
$98.00 |
$64.35
|
|
Glucose 1 hr post dose
|
$14.19 |
$40.00 |
$154.70 |
$49.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$163.80 |
$163.80 |
$163.80 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$8.91 |
$20.00 |
$44.10 |
$23.12
|
|
Glucose blood quantitative
|
$15.84 |
$40.00 |
$99.40 |
$42.25
|
|
Glucose body fluid
|
$19.14 |
$32.50 |
$86.10 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$125.00 |
$125.00 |
$389.20 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$17.82 |
$40.00 |
$124.60 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$24.28 |
$34.20 |
$490.87 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$91.94 |
$91.94 |
$2,239.88 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$115.00 |
$115.00 |
$339.50 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$95.00 |
$95.00 |
$175.56 |
$129.03
|
|
Goniotomy
|
$19,671.97 |
$19,671.97 |
$19,671.97 |
$4,396.50
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,675.35 |
$2,675.35 |
$3,153.87 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$25.64 |
$25.64 |
$805.80 |
$73.83
|
|
Graft axiofill 1000mg
|
$12,889.84 |
$12,889.84 |
$12,889.84 |
$5,125.68
|
