|
Ghs picc line insert < 5
|
$2,200.80 |
$2,200.80 |
$2,200.80 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$636.00 |
$636.00 |
$636.00 |
$564.80
|
|
Ghs pr without cont pulse ox
|
$165.60 |
$165.60 |
$165.60 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$402.40 |
$402.40 |
$402.40 |
$285.60
|
|
Ghs removal intranasal foreign body
|
$283.20 |
$283.20 |
$283.20 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$608.00 |
$608.00 |
$608.00 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$4,123.20 |
$4,123.20 |
$4,123.20 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,710.40 |
$4,710.40 |
$4,710.40 |
$4,150.20
|
|
Ghs semen analysis fert
|
$100.00 |
$100.00 |
$100.00 |
$124.80
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$553.60 |
$553.60 |
$553.60 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$733.60 |
$733.60 |
$733.60 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$573.60 |
$573.60 |
$573.60 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$892.80 |
$892.80 |
$892.80 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$565.60 |
$565.60 |
$565.60 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$539.20 |
$539.20 |
$539.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$588.80 |
$588.80 |
$588.80 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$665.60 |
$665.60 |
$665.60 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$564.00 |
$564.00 |
$564.00 |
$537.60
|
|
Ghs sleep study unattended
|
$660.80 |
$660.80 |
$660.80 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$925.91
|
|
Ghs speech-gen aug dev eval iii, st
|
$207.20 |
$207.20 |
$207.20 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$851.20 |
$851.20 |
$851.20 |
$630.24
|
|
Ghs sp train/fitting sp device - kx
|
$315.20 |
$315.20 |
$315.20 |
$252.75
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,839.20 |
$1,839.20 |
$1,839.20 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$980.80 |
$980.80 |
$980.80 |
$695.93
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,300.00 |
$2,300.00 |
$2,300.00 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$700.00 |
$700.00 |
$700.00 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$761.60 |
$761.60 |
$761.60 |
$513.80
|
|
Ghs vaginal delivery only
|
$3,480.80 |
$3,480.80 |
$3,480.80 |
$3,341.93
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,599.20 |
$2,599.20 |
$2,599.20 |
$2,215.20
|
|
Glove finger flexion right lg xl
|
$54.62 |
$54.62 |
$54.62 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$289.01 |
$289.01 |
$289.01 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$185.88 |
$185.88 |
$185.88 |
$491.67
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$45.51 |
$45.51 |
$45.51 |
$37.40
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,895.00 |
$1,895.00 |
$1,895.00 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$187.14 |
$187.14 |
$187.14 |
$73.83
|
|
Graft axiofill 1000mg
|
$1,821.51 |
$1,821.51 |
$1,821.51 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$660.00 |
$660.00 |
$660.00 |
$605.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$180.60 |
$180.60 |
$180.60 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$12,239.50 |
$12,239.50 |
$12,239.50 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$11,776.00 |
$11,776.00 |
$11,776.00 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$124.20 |
$124.20 |
$124.20 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$402.60 |
$402.60 |
$402.60 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$596.00 |
$596.00 |
$596.00 |
$1,132.47
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$633.60 |
$633.60 |
$633.60 |
$1,103.05
|
|
Graft xenmtrx sft rect 15x20cm
|
$56,028.00 |
$56,028.00 |
$56,028.00 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,136.96 |
$2,136.96 |
$2,136.96 |
$2,905.40
|
|
Great toe with reduction 28495
|
$600.80 |
$600.80 |
$600.80 |
$495.00
|
|
Group train without patient
|
$59.20 |
$59.20 |
$59.20 |
$47.60
|
|
G-tube reposition
|
$1,484.80 |
$1,484.80 |
$1,484.80 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$2,719.20 |
$2,719.20 |
$2,719.20 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$2,044.80 |
$2,044.80 |
$2,044.80 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$2,385.60 |
$2,385.60 |
$2,385.60 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$4,600.00 |
$4,600.00 |
$4,600.00 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$2,395.60 |
$2,395.60 |
$2,395.60 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$873.60 |
$873.60 |
$873.60 |
$535.60
|
|
Gw stiffened micro access kit
|
$2,383.20 |
$2,383.20 |
$2,383.20 |
$6,893.38
|
|
Hallus-valgus nt dyn pre ots
|
$14.04 |
$14.04 |
$14.04 |
$80.16
|
|
Halo cervical into jckt vest
|
$2,410.55 |
$2,410.55 |
$2,410.55 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$49.76 |
$49.76 |
$49.76 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$53.61 |
$53.61 |
$53.61 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$132.80 |
$132.80 |
$132.80 |
$105.30
|
|
Hand X-ray
|
$505.60 |
$505.60 |
$505.60 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$348.80 |
$348.80 |
$348.80 |
$294.90
|
|
Hbot, full body chamber, 30m
|
$370.40 |
$370.40 |
$370.40 |
$526.90
|
|
Hc metata joint dislocation anes
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
$2,383.09
|
|
Head CT scan (with and without contrast)
|
$2,363.20 |
$2,363.20 |
$2,363.20 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,047.20 |
$2,047.20 |
$2,047.20 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,863.20 |
$1,863.20 |
$1,863.20 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$408.00 |
$408.00 |
$408.00 |
$276.00
|
|
Hemodialysis one evaluation
|
$1,652.00 |
$1,652.00 |
$1,652.00 |
$1,364.27
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,217.60 |
$1,217.60 |
$1,217.60 |
$1,178.02
|
|
Hepagam b intravenous, inj
|
$571.20 |
$571.20 |
$571.20 |
$386.40
|
|
Heparin bolus from bag
|
$53.76 |
$53.76 |
$53.76 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$44.91 |
$44.91 |
$44.91 |
$12.00
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$142.36 |
$142.36 |
$142.36 |
$210.40
|
|
Hinge extension/flex wrist/f
|
$2,491.32 |
$2,491.32 |
$2,491.32 |
$1,653.00
|
|
Hinge ext/flex wrist finger
|
$3,167.80 |
$3,167.80 |
$3,167.80 |
$3,276.85
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$506.40 |
$506.40 |
$506.40 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$582.40 |
$582.40 |
$582.40 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$292.80 |
$292.80 |
$292.80 |
$233.50
|
|
Hip X-ray
|
$350.40 |
$350.40 |
$350.40 |
$294.75
|
|
Histochemical stains add-on
|
$185.60 |
$185.60 |
$185.60 |
$152.75
|
|
Hla class i high defin qual
|
$776.80 |
$776.80 |
$776.80 |
$631.15
|
|
Hla class ii high defin qual
|
$782.40 |
$782.40 |
$782.40 |
$569.25
|
|
Hla ii typing 1 loc hr
|
$296.80 |
$296.80 |
$296.80 |
$299.20
|
|
Hla ii typing ag equiv lr
|
$529.60 |
$529.60 |
$529.60 |
$475.00
|
|
Hla i low res one antigen equiv ea
|
$178.40 |
$178.40 |
$178.40 |
$164.00
|
|
Hla i typing complete lr
|
$968.80 |
$968.80 |
$968.80 |
$720.00
|
|
Hla x-match noncytotoxc addl
|
$288.00 |
$288.00 |
$288.00 |
$163.80
|
|
Hla x-math non-cytotoxic
|
$288.00 |
$288.00 |
$288.00 |
$364.80
|
|
Hocm 350-399mg/ml iodine,1ml
|
$45.84 |
$45.84 |
$45.84 |
$79.78
|
|
Home sleep test/type 3 porta
|
$378.40 |
$378.40 |
$378.40 |
$570.00
|
|
Ho post-op hip abduction
|
$758.30 |
$758.30 |
$758.30 |
$1,753.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$81.48 |
$81.48 |
$81.48 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$56.40 |
$56.40 |
$56.40 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$61.14 |
$61.14 |
$61.14 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$71.60 |
$71.60 |
$71.60 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$762.71 |
$762.71 |
$762.71 |
$294.92
|
|
Hydroxocobalamin im 10mcg
|
$66.53 |
$66.53 |
$66.53 |
$4.86
|
