|
Ghs elect torsion swing
|
$846.83 |
$846.83 |
$846.83 |
$266.29
|
|
Ghs elect vertical elct
|
$177.97 |
$177.97 |
$177.97 |
$116.00
|
|
Ghs fb removal - non-incisional
|
$316.68 |
$316.68 |
$316.68 |
$1,706.20
|
|
Ghs fish cytogen
|
$572.15 |
$572.15 |
$572.15 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$787.81 |
$787.81 |
$787.81 |
$226.20
|
|
Ghs flow volume loop
|
$250.71 |
$250.71 |
$250.71 |
$308.69
|
|
Ghs hcv amplificaiton
|
$293.89 |
$293.89 |
$293.89 |
$196.20
|
|
Ghs histoplasma antigen
|
$203.78 |
$203.78 |
$203.78 |
$142.00
|
|
Ghs HIV antibody
|
$74.54 |
$74.54 |
$74.54 |
$89.70
|
|
Ghs inj neurolytic other perph nerve
|
$862.68 |
$862.68 |
$862.68 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$318.47 |
$318.47 |
$318.47 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$459.93 |
$459.93 |
$459.93 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,521.07 |
$1,521.07 |
$1,521.07 |
$1,814.80
|
|
Ghs IV inf sq injection, on-body injector
|
$74.59 |
$74.59 |
$74.59 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$304.81 |
$304.81 |
$304.81 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$304.81 |
$304.81 |
$304.81 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$304.81 |
$304.81 |
$304.81 |
$566.87
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$223.89 |
$223.89 |
$223.89 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$223.89 |
$223.89 |
$223.89 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$223.89 |
$223.89 |
$223.89 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$74.70 |
$74.70 |
$74.70 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$74.70 |
$74.70 |
$74.70 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$173.26 |
$173.26 |
$173.26 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$141.62 |
$141.62 |
$141.62 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$480.98 |
$480.98 |
$480.98 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$480.59 |
$480.59 |
$480.59 |
$1,710.80
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,592.98 |
$1,592.98 |
$1,592.98 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,282.29 |
$1,282.29 |
$1,282.29 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$775.77 |
$775.77 |
$775.77 |
$485.00
|
|
Ghs o2 saturation
|
$88.03 |
$88.03 |
$88.03 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$731.81 |
$731.81 |
$731.81 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$366.97 |
$366.97 |
$366.97 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$468.78 |
$468.78 |
$468.78 |
$1,236.67
|
|
Ghs optokenetic
|
$144.59 |
$144.59 |
$144.59 |
$214.00
|
|
Ghs oscillating trac
|
$82.32 |
$82.32 |
$82.32 |
$325.00
|
|
Ghs ot dds rom
|
$146.61 |
$146.61 |
$146.61 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$81.48 |
$81.48 |
$81.48 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$81.48 |
$81.48 |
$81.48 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$240.35 |
$240.35 |
$240.35 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$5,358.08 |
$5,358.08 |
$5,358.08 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$507.92 |
$507.92 |
$507.92 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$701.90 |
$701.90 |
$701.90 |
$962.00
|
|
Ghs phenylketonurid
|
$18.93 |
$18.93 |
$18.93 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,208.76 |
$1,208.76 |
$1,208.76 |
$2,019.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,961.38 |
$3,961.38 |
$3,961.38 |
$3,557.58
|
|
Ghs pos nystagmus
|
$542.98 |
$542.98 |
$542.98 |
$241.80
|
|
Ghs ppd (tb intradermal)
|
$27.05 |
$27.05 |
$27.05 |
$37.44
|
|
Ghs protoporphyrins fract
|
$40.99 |
$40.99 |
$40.99 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$257.82 |
$257.82 |
$257.82 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$407.06 |
$407.06 |
$407.06 |
$285.60
|
|
Ghs sedimentation rate
|
$32.42 |
$32.42 |
$32.42 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$25.98 |
$25.98 |
$25.98 |
$57.60
|
|
Ghs sleep study unattended
|
$1,289.96 |
$1,289.96 |
$1,289.96 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$862.96 |
$862.96 |
$862.96 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,725.47 |
$1,725.47 |
$1,725.47 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$240.35 |
$240.35 |
$240.35 |
$157.50
|
|
Ghs spont nystagmus
|
$206.25 |
$206.25 |
$206.25 |
$246.50
|
|
Ghs sp train/fitting sp device - kx
|
$240.35 |
$240.35 |
$240.35 |
$252.75
|
|
Ghs st - eval for alt comm
|
$77.45 |
$77.45 |
$77.45 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$81.48 |
$81.48 |
$81.48 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$240.35 |
$240.35 |
$240.35 |
$309.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$236.60 |
$236.60 |
$236.60 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$371.73 |
$371.73 |
$371.73 |
$360.80
|
|
Ghs urine, porphyrins quant
|
$89.71 |
$89.71 |
$89.71 |
$73.80
|
|
Gi inhouse confirmation
|
$20.16 |
$20.16 |
$20.16 |
$87.75
|
|
Gi protein loss
|
$793.63 |
$793.63 |
$793.63 |
$700.00
|
|
Glove finger flexion right lg xl
|
$207.31 |
$207.31 |
$207.31 |
$110.62
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$260.54 |
$260.54 |
$260.54 |
$491.67
|
|
Glucose 1 hr post dose
|
$66.70 |
$66.70 |
$66.70 |
$49.00
|
|
Glucose blood quantitative
|
$80.86 |
$80.86 |
$80.86 |
$42.25
|
|
Glucose body fluid
|
$23.46 |
$23.46 |
$23.46 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$62.33 |
$62.33 |
$62.33 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$25.09 |
$25.09 |
$25.09 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$66.70 |
$66.70 |
$66.70 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$90.63 |
$90.63 |
$90.63 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,778.91 |
$3,778.91 |
$3,778.91 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$198.41 |
$198.41 |
$198.41 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$189.67 |
$189.67 |
$189.67 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,621.70 |
$2,621.70 |
$2,621.70 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$51.02 |
$51.02 |
$51.02 |
$73.83
|
|
Graft axiofill 1000mg
|
$1,543.88 |
$1,543.88 |
$1,543.88 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$514.47 |
$514.47 |
$514.47 |
$605.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$3,461.42 |
$3,461.42 |
$3,461.42 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$16,946.16 |
$16,946.16 |
$16,946.16 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$53,347.84 |
$53,347.84 |
$53,347.84 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$297.81 |
$297.81 |
$297.81 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$678.16 |
$678.16 |
$678.16 |
$886.17
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$563.47 |
$563.47 |
$563.47 |
$349.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$51.02 |
$51.02 |
$51.02 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$58,544.64 |
$58,544.64 |
$58,544.64 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$8,036.06 |
$8,036.06 |
$8,036.06 |
$2,905.40
|
|
Granisetron hcl injection
|
$64.57 |
$64.57 |
$64.57 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$5,216.68 |
$5,216.68 |
$5,216.68 |
$2,698.02
|
|
Group health education
|
$23.52 |
$23.52 |
$23.52 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$21.62 |
$21.62 |
$21.62 |
$43.12
|
|
G-tube reposition
|
$530.32 |
$530.32 |
$530.32 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$1,046.30 |
$1,046.30 |
$1,046.30 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$4,180.79 |
$4,180.79 |
$4,180.79 |
$3,284.36
|
