|
Ghs ng placement w fluoro guidance
|
$749.52 |
$749.52 |
$749.52 |
$478.50
|
|
Ghs o2 saturation
|
$131.04 |
$131.04 |
$131.04 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$583.92 |
$583.92 |
$583.92 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$3,074.40 |
$3,074.40 |
$3,074.40 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$57.60 |
$57.60 |
$57.60 |
$58.00
|
|
Ghs ot dds rom
|
$209.52 |
$209.52 |
$209.52 |
$69.00
|
|
Ghs ot group caregiver training
|
$47.52 |
$47.52 |
$47.52 |
$34.80
|
|
Ghs ot sensory integrative tech/15min
|
$164.88 |
$164.88 |
$164.88 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$234.00 |
$234.00 |
$234.00 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$2,144.16 |
$2,144.16 |
$2,144.16 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,148.40 |
$1,148.40 |
$1,148.40 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$117.36 |
$117.36 |
$117.36 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$750.96 |
$750.96 |
$750.96 |
$545.40
|
|
Ghs phenylketonurid
|
$154.80 |
$154.80 |
$154.80 |
$53.76
|
|
Ghs picc line insert < 5
|
$4,060.80 |
$4,060.80 |
$4,060.80 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$730.80 |
$730.80 |
$730.80 |
$564.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$5,449.68 |
$5,449.68 |
$5,449.68 |
$3,557.58
|
|
Ghs prostatic acid phosphatase (mayo)
|
$36.72 |
$36.72 |
$36.72 |
$43.55
|
|
Ghs protoporphyrins fract
|
$203.04 |
$203.04 |
$203.04 |
$60.75
|
|
Ghs pt - work hardening/int 2hrs
|
$439.20 |
$439.20 |
$439.20 |
$285.60
|
|
Ghs quinidine
|
$2,179.44 |
$2,179.44 |
$2,179.44 |
$83.20
|
|
Ghs removal intranasal foreign body
|
$515.52 |
$515.52 |
$515.52 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$749.52 |
$749.52 |
$749.52 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$6,094.08 |
$6,094.08 |
$6,094.08 |
$4,108.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$194.40 |
$194.40 |
$194.40 |
$99.00
|
|
Ghs sensitivity (per antimicro)
|
$138.24 |
$138.24 |
$138.24 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$863.28 |
$863.28 |
$863.28 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$863.28 |
$863.28 |
$863.28 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$863.28 |
$863.28 |
$863.28 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$782.64 |
$782.64 |
$782.64 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$743.76 |
$743.76 |
$743.76 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$696.24 |
$696.24 |
$696.24 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$718.56 |
$718.56 |
$718.56 |
$584.00
|
|
Ghs somatosensory testing lower extremit
|
$1,285.20 |
$1,285.20 |
$1,285.20 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,494.08 |
$2,494.08 |
$2,494.08 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$128.16 |
$128.16 |
$128.16 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$637.92 |
$637.92 |
$637.92 |
$616.00
|
|
Ghs sp train/fitting sp device - kx
|
$238.32 |
$238.32 |
$238.32 |
$249.60
|
|
Ghs strapping shoulder - 29240
|
$334.08 |
$334.08 |
$334.08 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$561.60 |
$561.60 |
$561.60 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$180.72 |
$180.72 |
$180.72 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$455.04 |
$455.04 |
$455.04 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,149.84 |
$1,149.84 |
$1,149.84 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$3,199.68 |
$3,199.68 |
$3,199.68 |
$1,752.89
|
|
Ghs trypsin (fecal)
|
$61.20 |
$61.20 |
$61.20 |
$55.59
|
|
Ghs tx distal phalangeal fx with manipulation
|
$653.04 |
$653.04 |
$653.04 |
$525.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$527.04 |
$527.04 |
$527.04 |
$493.68
|
|
Ghs urine, porphyrins quant
|
$48.24 |
$48.24 |
$48.24 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,279.44 |
$1,279.44 |
$1,279.44 |
$1,932.00
|
|
Giardia ag if
|
$77.04 |
$77.04 |
$77.04 |
$38.58
|
|
Giardia lamblia antibody
|
$46.80 |
$46.80 |
$46.80 |
$83.44
|
|
Gi inhouse confirmation
|
$151.20 |
$151.20 |
$151.20 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,306.24 |
$3,306.24 |
$3,306.24 |
$2,195.76
|
|
Glucagon 1 mg solution for injection
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$601.79
|
|
Glucagon plasma - sendout
|
$155.52 |
$155.52 |
$155.52 |
$63.20
|
|
Glucose 1 hr post dose
|
$61.92 |
$61.92 |
$61.92 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$20.16 |
$20.16 |
$20.16 |
$22.75
|
|
Glucose blood quantitative
|
$33.84 |
$33.84 |
$33.84 |
$41.40
|
|
Glucose body fluid
|
$51.84 |
$51.84 |
$51.84 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$146.88 |
$146.88 |
$146.88 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$64.80 |
$64.80 |
$64.80 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$43.20 |
$43.20 |
$43.20 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$103.64 |
$103.64 |
$103.64 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$213.84 |
$213.84 |
$213.84 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$213.84 |
$213.84 |
$213.84 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,913.30 |
$2,913.30 |
$2,913.30 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$79.20 |
$79.20 |
$79.20 |
$143.50
|
|
Graft axiofill 1000mg
|
$327.38 |
$327.38 |
$327.38 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$156.24 |
$156.24 |
$156.24 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$19,620.00 |
$19,620.00 |
$19,620.00 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$19,620.00 |
$19,620.00 |
$19,620.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$10,584.00 |
$10,584.00 |
$10,584.00 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$25.92 |
$25.92 |
$25.92 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$335.52 |
$335.52 |
$335.52 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$781.92 |
$781.92 |
$781.92 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$0.01 |
$0.01 |
$0.01 |
$427.89
|
|
Graft xenmtrx sft rect 15x20cm
|
$49,320.00 |
$49,320.00 |
$49,320.00 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$14,220.00 |
$14,220.00 |
$14,220.00 |
$3,076.20
|
|
Granulocyte pheresis ea unit
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$2,698.02
|
|
Great toe with reduction 28495
|
$653.04 |
$653.04 |
$653.04 |
$495.00
|
|
Grfg autol soft tiss dir exc
|
$8,149.68 |
$8,149.68 |
$8,149.68 |
$4,332.25
|
|
Growth hormone antibody
|
$188.64 |
$188.64 |
$188.64 |
$73.10
|
|
Gstrst open wo constj tube
|
$4,754.16 |
$4,754.16 |
$4,754.16 |
$2,756.00
|
|
G-tube reposition
|
$2,080.08 |
$2,080.08 |
$2,080.08 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$4,425.12 |
$4,425.12 |
$4,425.12 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$2,231.28 |
$2,231.28 |
$2,231.28 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$5,832.00 |
$5,832.00 |
$5,832.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$858.24 |
$858.24 |
$858.24 |
$535.60
|
|
Gw stiffened micro access kit
|
$6,696.00 |
$6,696.00 |
$6,696.00 |
$6,600.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$95.04 |
$95.04 |
$95.04 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$43.20 |
$43.20 |
$43.20 |
$24.41
|
|
Hand X-ray
|
$502.56 |
$502.56 |
$502.56 |
$345.87
|
|
Haptoglobin quantitative
|
$131.04 |
$131.04 |
$131.04 |
$91.80
|
|
Hba1/hba2 full gene sequence
|
$797.04 |
$797.04 |
$797.04 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$780.48 |
$780.48 |
$780.48 |
$403.25
|
