|
Ghs ng placement w fluoro guidance
|
$643.20 |
$643.20 |
$3,216.00 |
$478.50
|
|
Ghs o2 saturation
|
$135.60 |
$135.60 |
$135.60 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$888.00 |
$888.00 |
$888.00 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$2,259.00 |
$2,259.00 |
$2,259.00 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$4,034.40 |
$4,034.40 |
$4,034.40 |
$2,194.40
|
|
Ghs optokenetic
|
$598.80 |
$598.80 |
$598.80 |
$211.20
|
|
Ghs oscillating trac
|
$598.80 |
$598.80 |
$598.80 |
$280.50
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$126.00 |
$126.00 |
$126.00 |
$58.00
|
|
Ghs ot group caregiver training
|
$34.80 |
$34.80 |
$34.80 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$123.00 |
$123.00 |
$123.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$108.00 |
$108.00 |
$184.80 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$127.80 |
$127.80 |
$127.80 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$1,127.40 |
$1,127.40 |
$1,127.40 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$2,581.20 |
$2,581.20 |
$2,581.20 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$2,592.60 |
$2,592.60 |
$2,592.60 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$545.40 |
$545.40 |
$545.40 |
$545.40
|
|
Ghs phenylketonurid
|
$316.80 |
$316.80 |
$316.80 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$999.60 |
$999.60 |
$999.60 |
$564.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$7,486.80 |
$7,486.80 |
$7,486.80 |
$3,557.58
|
|
Ghs pos nystagmus
|
$598.80 |
$598.80 |
$598.80 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$49.80 |
$49.80 |
$49.80 |
$37.00
|
|
Ghs prostatic acid phosphatase (mayo)
|
$121.20 |
$121.20 |
$121.20 |
$43.55
|
|
Ghs protoporphyrins fract
|
$354.60 |
$354.60 |
$354.60 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$226.20 |
$226.20 |
$226.20 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$361.20 |
$361.20 |
$361.20 |
$285.60
|
|
Ghs quinidine
|
$115.80 |
$115.80 |
$115.80 |
$82.35
|
|
Ghs refill of implantable pump
|
$259.80 |
$259.80 |
$259.80 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$268.80 |
$268.80 |
$268.80 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$502.80 |
$502.80 |
$502.80 |
$436.10
|
|
Ghs reticulocyte count
|
$13.20 |
$13.20 |
$13.20 |
$35.40
|
|
Ghs sedimentation rate
|
$34.20 |
$34.20 |
$34.20 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$84.60 |
$84.60 |
$215.40 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$574.20 |
$574.20 |
$574.20 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$640.80 |
$640.80 |
$640.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$576.60 |
$576.60 |
$576.60 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$860.40 |
$860.40 |
$860.40 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$494.40 |
$494.40 |
$494.40 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$461.40 |
$461.40 |
$461.40 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$494.40 |
$494.40 |
$494.40 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$738.00 |
$738.00 |
$738.00 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$977.40 |
$977.40 |
$977.40 |
$537.60
|
|
Ghs sleep study unattended
|
$1,338.60 |
$1,338.60 |
$1,338.60 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$771.60 |
$771.60 |
$2,845.80 |
$906.18
|
|
Ghs somatosensory testing upper & lower limbs
|
$4,261.80 |
$4,261.80 |
$4,261.80 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$183.00 |
$183.00 |
$183.00 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$582.00 |
$582.00 |
$582.00 |
$616.00
|
|
Ghs spont nystagmus
|
$598.80 |
$598.80 |
$598.80 |
$228.00
|
|
Ghs sp train/fitting sp device - kx
|
$286.80 |
$286.80 |
$286.80 |
$244.80
|
|
Ghs st - eval for alt comm
|
$166.80 |
$166.80 |
$166.80 |
$95.25
|
|
Ghs strapping shoulder - 29240
|
$171.60 |
$171.60 |
$171.60 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$402.00 |
$402.00 |
$402.00 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$160.80 |
$160.80 |
$160.80 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$317.40 |
$317.40 |
$317.40 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$783.60 |
$783.60 |
$783.60 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$864.00 |
$864.00 |
$864.00 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$557.40 |
$557.40 |
$557.40 |
$525.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$407.40 |
$407.40 |
$407.40 |
$493.68
|
|
Ghs urine, porphyrins quant
|
$169.80 |
$169.80 |
$169.80 |
$73.71
|
|
Ghs vaginal delivery only
|
$3,920.40 |
$3,920.40 |
$3,920.40 |
$3,338.40
|
|
Ghs veeg 12-26 hr intmt mont
|
$5,045.40 |
$5,045.40 |
$5,045.40 |
$1,932.00
|
|
Gi endoscopic ultrasound
|
$642.60 |
$642.60 |
$642.60 |
$582.31
|
|
Gi inhouse confirmation
|
$88.20 |
$88.20 |
$120.00 |
$85.20
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,758.20 |
$2,758.20 |
$2,758.20 |
$2,179.25
|
|
Gjb2 gene full sequence
|
$1,061.40 |
$1,061.40 |
$1,061.40 |
$502.80
|
|
Glucose 1 hr post dose
|
$120.60 |
$120.60 |
$120.60 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$0.01 |
$0.01 |
$56.40 |
$22.75
|
|
Glucose blood quantitative
|
$7.80 |
$7.80 |
$85.80 |
$41.34
|
|
Glucose body fluid
|
$40.80 |
$40.80 |
$139.80 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$372.60 |
$372.60 |
$372.60 |
$103.35
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$68.40 |
$68.40 |
$68.40 |
$35.31
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$63.60 |
$63.60 |
$226.20 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$84.60 |
$84.60 |
$399.00 |
$129.00
|
|
Gonioscopy
|
$112.20 |
$112.20 |
$112.20 |
$135.52
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$132.60 |
$132.60 |
$132.60 |
$167.20
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$91.80 |
$91.80 |
$91.80 |
$23,253.65
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$168.00 |
$168.00 |
$168.00 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$307.20 |
$307.20 |
$307.20 |
$1,057.31
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$597.60 |
$597.60 |
$597.60 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$73.20 |
$73.20 |
$73.20 |
$28,799.96
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$289.80 |
$289.80 |
$289.80 |
$1,132.47
|
|
Granulocyte pheresis ea unit
|
$2,047.80 |
$2,047.80 |
$2,047.80 |
$2,698.02
|
|
Great toe with reduction 28495
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$495.00
|
|
Group behave couns 2-10
|
$171.60 |
$171.60 |
$171.60 |
$100.17
|
|
G-tube reposition
|
$1,328.40 |
$1,328.40 |
$1,328.40 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$3,862.20 |
$3,862.20 |
$3,862.20 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$8,029.20 |
$8,029.20 |
$8,029.20 |
$1,327.76
|
|
Guid loc target vol rad tx
|
$821.40 |
$821.40 |
$821.40 |
$535.60
|
|
Hand X-ray
|
$210.60 |
$210.60 |
$851.40 |
$345.87
|
|
Haptoglobin quantitative
|
$84.60 |
$84.60 |
$355.20 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$652.80 |
$652.80 |
$922.20 |
$403.25
|
|
Hbb full gene sequence
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$633.25
|
|
Hbb gene dup/del variants
|
$992.40 |
$992.40 |
$992.40 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$705.00
|
|
Hcg qualitative
|
$135.60 |
$135.60 |
$135.60 |
$86.94
|
|
Hcg quantitative
|
$315.60 |
$315.60 |
$315.60 |
$134.40
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$1,070.00
|
