|
Ghs speech-gen aug dev eval iii, st
|
$64.74 |
$64.74 |
$64.74 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$422.07 |
$422.07 |
$422.07 |
$644.00
|
|
Ghs spont nystagmus
|
$182.95 |
$182.95 |
$182.95 |
$242.00
|
|
Ghs sp train/fitting sp device - kx
|
$139.31 |
$139.31 |
$139.31 |
$254.15
|
|
Ghs st - eval for alt comm
|
$51.36 |
$51.36 |
$51.36 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$182.95 |
$182.95 |
$182.95 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$97.39 |
$97.39 |
$97.39 |
$309.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$64.39 |
$64.39 |
$64.39 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$292.48 |
$292.48 |
$292.48 |
$360.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,016.25 |
$1,016.25 |
$1,016.25 |
$975.00
|
|
Ghs superficial wnd dehis w packing12021
|
$558.97 |
$558.97 |
$558.97 |
$696.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,133.48 |
$2,133.48 |
$2,133.48 |
$1,867.84
|
|
Ghs trypsin (fecal)
|
$10.07 |
$10.07 |
$10.07 |
$50.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$426.23 |
$426.23 |
$426.23 |
$535.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$390.35 |
$390.35 |
$390.35 |
$513.80
|
|
Ghs urine, hydroxproline total
|
$33.53 |
$33.53 |
$33.53 |
$109.20
|
|
Ghs urine, porphyrins quant
|
$20.30 |
$20.30 |
$20.30 |
$73.80
|
|
Ghs vaginal delivery only
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$513.11 |
$513.11 |
$513.11 |
$1,932.00
|
|
Ghs windowing of cast
|
$223.45 |
$223.45 |
$223.45 |
$212.55
|
|
Giardia ag if
|
$18.78 |
$18.78 |
$18.78 |
$38.58
|
|
Giardia lamblia antibody
|
$20.31 |
$20.31 |
$20.31 |
$83.44
|
|
Gi endoscopic ultrasound
|
$328.08 |
$328.08 |
$328.08 |
$582.31
|
|
Gi inhouse confirmation
|
$13.03 |
$13.03 |
$13.03 |
$86.40
|
|
Gingivoplasty each quadrant
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$4,296.60
|
|
Gi protein loss
|
$549.70 |
$549.70 |
$549.70 |
$700.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$2,254.16
|
|
Gi trc img intral colon i&r
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$1,897.82
|
|
Gi wireless capsule measure
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$1,579.30
|
|
Gjb2 gene full sequence
|
$139.55 |
$139.55 |
$139.55 |
$502.80
|
|
Gjb2 gene known fam variants
|
$84.90 |
$84.90 |
$84.90 |
$116.00
|
|
Gjb6 gene com variants
|
$48.30 |
$48.30 |
$48.30 |
$84.70
|
|
Glassia injection
|
$7.86 |
$7.86 |
$7.86 |
$20.32
|
|
Glaucoma scrn hgh risk direc
|
$87.22 |
$87.22 |
$87.22 |
$116.17
|
|
Glaucoma scrn hgh risk direc
|
$54.43 |
$54.43 |
$54.43 |
$88.00
|
|
Glaucoma surgery
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
$4,760.49
|
|
Glaucoma surgery
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
$4,340.80
|
|
Glaucoma surgery
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$4,684.00
|
|
Glaucoma surgery
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
$4,786.53
|
|
Glove finger flexion right lg xl
|
$162.62 |
$162.62 |
$162.62 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$227.51 |
$227.51 |
$227.51 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$197.69 |
$197.69 |
$197.69 |
$491.67
|
|
Glucagon plasma - sendout
|
$19.72 |
$19.72 |
$19.72 |
$64.35
|
|
Glucagon tolerance panel
|
$63.58 |
$63.58 |
$63.58 |
$115.70
|
|
Glucagon tolerance panel
|
$69.69 |
$69.69 |
$69.69 |
$69.69
|
|
Glucagon tolerance test
|
$24.52 |
$24.52 |
$24.52 |
$36.00
|
|
Glucose 1 hr post dose
|
$6.56 |
$6.56 |
$6.56 |
$48.11
|
|
Glucose-6-phosphate dhydrogenase screen
|
$8.35 |
$8.35 |
$8.35 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$4.53 |
$4.53 |
$4.53 |
$23.12
|
|
Glucose blood quantitative
|
$5.42 |
$5.42 |
$5.42 |
$41.40
|
|
Glucose body fluid
|
$5.42 |
$5.42 |
$5.42 |
$51.00
|
|
Glucose monitoring continual min 72hr pt
|
$81.12 |
$81.12 |
$81.12 |
$138.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$17.76 |
$17.76 |
$17.76 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$5.41 |
$5.41 |
$5.41 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$0.52 |
$0.52 |
$0.52 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$16.05 |
$16.05 |
$16.05 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$25.64 |
$25.64 |
$25.64 |
$116.64
|
|
Gonadotropin hormone panel
|
$204.81 |
$204.81 |
$204.81 |
$372.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$25.56 |
$25.56 |
$25.56 |
$129.03
|
|
Gonioscopy
|
$182.95 |
$182.95 |
$182.95 |
$135.52
|
|
Goniotomy
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
$4,396.50
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,072.95 |
$1,072.95 |
$1,072.95 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$73.83
|
|
Graft bone flex 2.5cm x 5cm grafton-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$1.00
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$605.00
|
|
Graft hand or finger tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$23,233.80
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$886.17
|
|
Graft repair of spine defect 63710
|
$1,571.76 |
$1,571.76 |
$1,571.76 |
$2,054.40
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$1,126.25
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$349.41
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$28,894.71
|
|
Graft viashield 2layer amnion patch 2x2cm-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$1.00
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$1,114.96
|
|
Granisetron hcl injection
|
$0.20 |
$0.20 |
$0.20 |
$45.03
|
|
Great toe-hand transfer
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,413.38
|
|
Great toe with reduction 28495
|
$339.18 |
$339.18 |
$339.18 |
$513.36
|
|
Grfg autol fat lipo 25 cc/<
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$5,110.00
|
|
Grfg autol fat lipo 50 cc/<
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$187.03 |
$187.03 |
$187.03 |
$4,026.40
|
|
Grfg autol soft tiss dir exc
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$4,562.50
|
|
Group behave couns 2-10
|
$51.52 |
$51.52 |
$51.52 |
$94.87
|
|
Group mnt 2 or more 30 mins
|
$17.19 |
$17.19 |
$17.19 |
$43.12
|
|
Group train without patient
|
$39.77 |
$39.77 |
$39.77 |
$47.60
|
|
Growth hormone antibody
|
$21.72 |
$21.72 |
$21.72 |
$72.81
|
|
Growth hormone panel
|
$92.05 |
$92.05 |
$92.05 |
$173.00
|
|
Growth hormone panel
|
$178.48 |
$178.48 |
$178.48 |
$259.20
|
|
Growth stimulation gene 2
|
$104.33 |
$104.33 |
$104.33 |
$180.50
|
|
Grp adapt bhv tx by phy/qhp
|
$51.52 |
$51.52 |
$51.52 |
$51.52
|
|
Grp adapt bhv tx by tech
|
$51.52 |
$51.52 |
$51.52 |
$61.71
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$2,689.97 |
$2,689.97 |
$2,689.97 |
$3,604.20
|
|
Gstr rstcv oth/thn v-band
|
$1,823.75 |
$1,823.75 |
$1,823.75 |
$3,141.60
|
|
Gstr rstcv px shrt roux-en-y
|
$2,341.82 |
$2,341.82 |
$2,341.82 |
$3,987.20
|
|
Gstr rstcv px sm int rcnstj
|
$2,558.19 |
$2,558.19 |
$2,558.19 |
$4,424.00
|
|
Gstrst open wo constj tube
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,756.00
|
|
G-tube reposition
|
$343.55 |
$343.55 |
$343.55 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
$2,057.58
|
