|
Ghs ot work hardening-additional hours
|
$125.34 |
$125.34 |
$125.34 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$725.98 |
$725.98 |
$725.98 |
$854.70
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$556.30 |
$556.30 |
$556.30 |
$804.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$55.44 |
$55.44 |
$55.44 |
$971.33
|
|
Ghs peritonsillar abscess i andd
|
$345.64 |
$345.64 |
$345.64 |
$694.20
|
|
Ghs phenylketonurid
|
$51.58 |
$51.58 |
$51.58 |
$55.80
|
|
Ghs picc line insert < 5
|
$1,731.06 |
$1,731.06 |
$1,731.06 |
$2,035.00
|
|
Ghs plngl fx pm cl
|
$242.00 |
$242.00 |
$242.00 |
$642.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,516.07 |
$1,516.07 |
$1,516.07 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$21.70 |
$21.70 |
$21.70 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$54.00 |
$54.00 |
$54.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$131.12 |
$131.12 |
$131.12 |
$64.35
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$39.53 |
$39.53 |
$39.53 |
$45.05
|
|
Ghs pt - work hardening/int 2hrs
|
$124.86 |
$124.86 |
$124.86 |
$233.70
|
|
Ghs quinidine
|
$46.76 |
$46.76 |
$46.76 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$154.26 |
$154.26 |
$154.26 |
$320.00
|
|
Ghs removal pharyngeal foreign body
|
$82.44 |
$82.44 |
$82.44 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,274.07 |
$1,274.07 |
$1,274.07 |
$2,055.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,370.49 |
$1,370.49 |
$1,370.49 |
$3,839.54
|
|
Ghs respiratory syncytical virus igg/m
|
$104.61 |
$104.61 |
$104.61 |
$42.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$67.49 |
$67.49 |
$67.49 |
$101.15
|
|
Ghs sedimentation rate
|
$27.96 |
$27.96 |
$27.96 |
$45.50
|
|
Ghs semen analysis fert
|
$60.74 |
$60.74 |
$60.74 |
$124.80
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$339.85 |
$339.85 |
$339.85 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$374.08 |
$374.08 |
$374.08 |
$680.80
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$339.85 |
$339.85 |
$339.85 |
$626.60
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$374.08 |
$374.08 |
$374.08 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$374.08 |
$374.08 |
$374.08 |
$472.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$339.85 |
$339.85 |
$339.85 |
$449.23
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$374.08 |
$374.08 |
$374.08 |
$510.15
|
|
Ghs simple repair over 30 cm - 12007
|
$339.85 |
$339.85 |
$339.85 |
$620.00
|
|
Ghs simple repair over 30 cm - 12018
|
$374.08 |
$374.08 |
$374.08 |
$452.80
|
|
Ghs sleep study unattended
|
$185.11 |
$185.11 |
$185.11 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$108.95 |
$108.95 |
$108.95 |
$118.20
|
|
Ghs sp train/fitting sp device - kx
|
$201.50 |
$201.50 |
$201.50 |
$249.60
|
|
Ghs strapping shoulder - 29240
|
$129.68 |
$129.68 |
$129.68 |
$240.35
|
|
Ghs st - re-eval for alt comm
|
$286.83 |
$286.83 |
$286.83 |
$314.10
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$208.25 |
$208.25 |
$208.25 |
$93.60
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$186.56 |
$186.56 |
$186.56 |
$342.40
|
|
Ghs superficial wnd dehiscence simp12020
|
$296.95 |
$296.95 |
$296.95 |
$972.40
|
|
Ghs superficial wnd dehis w packing12021
|
$296.95 |
$296.95 |
$296.95 |
$765.68
|
|
Ghs trypsin (fecal)
|
$47.25 |
$47.25 |
$47.25 |
$21.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$251.16 |
$251.16 |
$251.16 |
$572.00
|
|
Ghs urine, hydroxproline total
|
$107.99 |
$107.99 |
$107.99 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$160.53 |
$160.53 |
$160.53 |
$72.60
|
|
Ghs vaginal delivery only
|
$1,352.17 |
$1,352.17 |
$1,352.17 |
$3,433.76
|
|
Giardia lamblia antibody
|
$123.41 |
$123.41 |
$123.41 |
$81.60
|
|
Gi inhouse confirmation
|
$88.22 |
$88.22 |
$88.22 |
$84.60
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,045.58 |
$1,045.58 |
$1,045.58 |
$2,418.92
|
|
Gi wireless capsule measure
|
$1,045.58 |
$1,045.58 |
$1,045.58 |
$1,247.13
|
|
Glucagon 1 mg solution for injection
|
$195.02 |
$195.02 |
$195.02 |
$592.05
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$222.11 |
$222.11 |
$222.11 |
$509.06
|
|
Glucagon plasma - sendout
|
$55.92 |
$55.92 |
$55.92 |
$58.00
|
|
Glucose 1 hr post dose
|
$46.28 |
$46.28 |
$46.28 |
$45.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$107.02 |
$107.02 |
$107.02 |
$39.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$13.02 |
$13.02 |
$13.02 |
$21.18
|
|
Glucose blood quantitative
|
$29.41 |
$29.41 |
$29.41 |
$44.76
|
|
Glucose body fluid
|
$26.52 |
$26.52 |
$26.52 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$82.92 |
$82.92 |
$82.92 |
$99.00
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$21.70 |
$21.70 |
$21.70 |
$33.57
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$6,178.86 |
$6,178.86 |
$6,178.86 |
$3,932.31
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$65.56 |
$65.56 |
$65.56 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$65.56 |
$65.56 |
$65.56 |
$124.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,529.74 |
$2,529.74 |
$2,529.74 |
$2,529.74
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$35.19 |
$35.19 |
$35.19 |
$63.51
|
|
Graft axiofill 1000mg
|
$817.09 |
$817.09 |
$817.09 |
$3,111.49
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$74.24 |
$74.24 |
$74.24 |
$841.56
|
|
Graft nerve adv 3-4x70mm
|
$1,876.16 |
$1,876.16 |
$1,876.16 |
$16,281.99
|
|
Graft patch felt ptfe 2x2
|
$8,469.70 |
$8,469.70 |
$8,469.70 |
$16,712.63
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$293.58 |
$293.58 |
$293.58 |
$676.05
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,166.58 |
$1,166.58 |
$1,166.58 |
$925.29
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$37.61 |
$37.61 |
$37.61 |
$349.41
|
|
Graft xenmtrx sft rect 15x20cm
|
$4,549.10 |
$4,549.10 |
$4,549.10 |
$25,824.49
|
|
Graft xenmtrx sft rect 19x28cm
|
$479.65 |
$479.65 |
$479.65 |
$1,928.17
|
|
Granisetron hcl injection
|
$40.43 |
$40.43 |
$40.43 |
$36.78
|
|
Great toe with reduction 28495
|
$355.76 |
$355.76 |
$355.76 |
$577.03
|
|
G-tube reposition
|
$377.45 |
$377.45 |
$377.45 |
$741.00
|
|
Guide wire threaded 1.4x150mm
|
$286.65 |
$286.65 |
$286.65 |
$1,087.31
|
|
Guide worley csg 9fx50cm std
|
$546.17 |
$546.17 |
$546.17 |
$576.41
|
|
Gw stiffened micro access kit
|
$6,893.38 |
$6,893.38 |
$6,893.38 |
$2,745.36
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$243.74 |
$243.74 |
$243.74 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$28.22 |
$28.22 |
$28.22 |
$27.12
|
|
Handpiece aquabeam hp2000
|
$1,634.17 |
$1,634.17 |
$1,634.17 |
$5,507.21
|
|
Hand X-ray
|
$248.74 |
$248.74 |
$248.74 |
$325.85
|
|
Haptoglobin quantitative
|
$43.87 |
$43.87 |
$43.87 |
$80.30
|
|
Hba1/hba2 full gene sequence
|
$759.24 |
$759.24 |
$759.24 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$255.98 |
$255.98 |
$255.98 |
$404.80
|
|
Hbb full gene sequence
|
$410.72 |
$410.72 |
$410.72 |
$633.25
|
|
Hbb gene dup/del variants
|
$255.98 |
$255.98 |
$255.98 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$392.40 |
$392.40 |
$392.40 |
$490.80
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$348.05 |
$348.05 |
$348.05 |
$757.08
|
|
Hcg free betachain test
|
$57.85 |
$57.85 |
$57.85 |
$64.28
|
|
Hcg qualitative
|
$53.03 |
$53.03 |
$53.03 |
$77.50
|
|
Hcg quantitative
|
$96.90 |
$96.90 |
$96.90 |
$124.80
|
|
Hc nm kidney imaging with flow
|
$459.40 |
$459.40 |
$459.40 |
$1,008.39
|
|
Head CT scan (with and without contrast)
|
$835.40 |
$835.40 |
$835.40 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$742.85 |
$742.85 |
$742.85 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$439.64 |
$439.64 |
$439.64 |
$1,268.90
|
|
Heart infarct image (ef)
|
$662.35 |
$662.35 |
$662.35 |
$636.97
|
|
Helicobacter pylori antibody igm
|
$118.11 |
$118.11 |
$118.11 |
$83.85
|