|
Ghs nerve block celiac plexus
|
$2,615.05 |
$2,615.05 |
$2,615.05 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$2,740.75 |
$2,740.75 |
$2,740.75 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,740.75 |
$2,740.75 |
$2,740.75 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$2,211.20 |
$2,211.20 |
$2,211.20 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,977.25 |
$1,977.25 |
$1,977.25 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$86.65 |
$86.65 |
$86.65 |
$485.00
|
|
Ghs opcc repair cvp without subq port
|
$2,134.50 |
$2,134.50 |
$2,134.50 |
$1,236.67
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$86.70 |
$86.70 |
$86.70 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$92.65 |
$92.65 |
$92.65 |
$64.50
|
|
Ghs ot group caregiver training
|
$32.15 |
$32.15 |
$32.15 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$180.65 |
$180.65 |
$180.65 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$167.20 |
$167.20 |
$167.20 |
$96.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$896.50 |
$896.50 |
$896.50 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$545.55 |
$545.55 |
$545.55 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$715.70 |
$715.70 |
$715.70 |
$555.00
|
|
Ghs phenylketonurid
|
$183.25 |
$183.25 |
$183.25 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$1,091.90 |
$1,091.90 |
$1,091.90 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$50.29 |
$50.29 |
$50.29 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$93.90 |
$93.90 |
$93.90 |
$43.55
|
|
Ghs protoporphyrins fract
|
$145.65 |
$145.65 |
$145.65 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$181.95 |
$181.95 |
$181.95 |
$147.00
|
|
Ghs quinidine
|
$141.45 |
$141.45 |
$141.45 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$723.90 |
$723.90 |
$723.90 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$602.60 |
$602.60 |
$602.60 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,936.00 |
$2,936.00 |
$2,936.00 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$9,428.65 |
$9,428.65 |
$9,428.65 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$113.30 |
$113.30 |
$113.30 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$163.65 |
$163.65 |
$163.65 |
$99.00
|
|
Ghs sedimentation rate
|
$21.00 |
$21.00 |
$21.00 |
$45.50
|
|
Ghs semen analysis fert
|
$133.40 |
$133.40 |
$133.40 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$78.15 |
$78.15 |
$78.15 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$833.05 |
$833.05 |
$833.05 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$316.95 |
$316.95 |
$316.95 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$846.60 |
$846.60 |
$846.60 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$113.20 |
$113.20 |
$113.20 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$734.65 |
$734.65 |
$734.65 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$668.60 |
$668.60 |
$668.60 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$708.95 |
$708.95 |
$708.95 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$704.95 |
$704.95 |
$704.95 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$113.20 |
$113.20 |
$113.20 |
$537.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$227.85 |
$227.85 |
$227.85 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$834.35 |
$834.35 |
$834.35 |
$630.24
|
|
Ghs sp train/fitting sp device - kx
|
$241.25 |
$241.25 |
$241.25 |
$252.75
|
|
Ghs strapping shoulder - 29240
|
$372.10 |
$372.10 |
$372.10 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,711.25 |
$1,711.25 |
$1,711.25 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$508.20 |
$508.20 |
$508.20 |
$695.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$904.60 |
$904.60 |
$904.60 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$141.45 |
$141.45 |
$141.45 |
$73.80
|
|
Gi inhouse confirmation
|
$103.80 |
$103.80 |
$103.80 |
$87.75
|
|
Glove finger flexion right lg xl
|
$72.45 |
$72.45 |
$72.45 |
$110.62
|
|
Glucagon plasma - sendout
|
$139.05 |
$139.05 |
$139.05 |
$64.35
|
|
Glucose 1 hr post dose
|
$54.00 |
$54.00 |
$54.00 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$17.00 |
$17.00 |
$17.00 |
$23.12
|
|
Glucose blood quantitative
|
$46.65 |
$46.65 |
$46.65 |
$42.25
|
|
Glucose body fluid
|
$47.15 |
$47.15 |
$47.15 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$141.55 |
$141.55 |
$141.55 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$33.70 |
$33.70 |
$33.70 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$4.32 |
$4.32 |
$4.32 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$6,080.35 |
$6,080.35 |
$6,080.35 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$199.90 |
$199.90 |
$199.90 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$199.95 |
$199.95 |
$199.95 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$8,880.95 |
$8,880.95 |
$8,880.95 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$1,295.00 |
$1,295.00 |
$1,295.00 |
$73.83
|
|
Graft nerve adv 3-4x70mm
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$20,782.10
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$1,295.00 |
$1,295.00 |
$1,295.00 |
$349.41
|
|
Graft xenmtrx sft rect 15x20cm
|
$4,900.00 |
$4,900.00 |
$4,900.00 |
$29,676.26
|
|
Great toe with reduction 28495
|
$696.50 |
$696.50 |
$696.50 |
$495.00
|
|
Ground mileage
|
$48.50 |
$48.50 |
$48.50 |
$17.60
|
|
Group mnt 2 or more 30 mins
|
$26.95 |
$26.95 |
$26.95 |
$43.12
|
|
Guide wire threaded 1.4x150mm
|
$319.62 |
$319.62 |
$319.62 |
$3,284.36
|
|
Gw stiffened micro access kit
|
$24.00 |
$24.00 |
$24.00 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$72.19 |
$72.19 |
$72.19 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$5.36 |
$5.36 |
$5.36 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$191.35 |
$191.35 |
$191.35 |
$105.30
|
|
Hand X-ray
|
$262.90 |
$262.90 |
$262.90 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$226.50 |
$226.50 |
$226.50 |
$294.90
|
|
Haptoglobin quantitative
|
$133.20 |
$133.20 |
$133.20 |
$92.80
|
|
Hbb gene com variants
|
$1,246.50 |
$1,246.50 |
$1,246.50 |
$345.95
|
|
Hb glycosylated a1c home dev
|
$73.00 |
$73.00 |
$73.00 |
$24.00
|
|
Hcg qualitative
|
$70.15 |
$70.15 |
$70.15 |
$90.10
|
|
Hcg quantitative
|
$164.50 |
$164.50 |
$164.50 |
$139.20
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,287.30 |
$1,287.30 |
$1,287.30 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$2,322.65 |
$2,322.65 |
$2,322.65 |
$849.00
|
|
Head CT scan (with and without contrast)
|
$2,032.85 |
$2,032.85 |
$2,032.85 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,652.65 |
$1,652.65 |
$1,652.65 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,287.30 |
$1,287.30 |
$1,287.30 |
$1,268.90
|
|
Heart infarct image
|
$1,473.40 |
$1,473.40 |
$1,473.40 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$221.10 |
$221.10 |
$221.10 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$159.05 |
$159.05 |
$159.05 |
$92.00
|
|
Hematocrit
|
$28.30 |
$28.30 |
$28.30 |
$33.80
|
|
Hemoglobin
|
$28.00 |
$28.00 |
$28.00 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$63.20 |
$63.20 |
$63.20 |
$52.32
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,647.15 |
$2,647.15 |
$2,647.15 |
$1,178.02
|
|
Heparin assay
|
$140.90 |
$140.90 |
$140.90 |
$139.15
|
|
Heparin bolus from bag
|
$176.40 |
$176.40 |
$176.40 |
$66.06
|
|
Hepatitis a antibody igm
|
$126.70 |
$126.70 |
$126.70 |
$89.44
|
|
Hepatitis b core antibody igm
|
$130.75 |
$130.75 |
$130.75 |
$89.60
|
|
Hepatitis b core antibody total
|
$133.40 |
$133.40 |
$133.40 |
$77.50
|
|
Hepatitis b surface antibody
|
$115.95 |
$115.95 |
$115.95 |
$82.32
|
