|
Ghs peritonsillar abscess i andd
|
$106.80 |
$128.16 |
$345.60 |
|
|
Ghs phenylketonurid
|
$16.00 |
$18.04 |
$70.38 |
|
|
Ghs picc line insert < 5
|
$399.60 |
$499.50 |
$1,633.50 |
|
|
Ghs plngl fx pm cl
|
$62.80 |
$123.82 |
$584.32 |
|
|
Ghs plt ct-manual
|
$20.60 |
$25.75 |
$53.56 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,069.00 |
$1,122.45 |
$1,336.25 |
|
|
Ghs pos nystagmus
|
$71.28 |
$71.28 |
$129.60 |
|
|
Ghs ppd (tb intradermal)
|
$4.18 |
$11.96 |
$15.75 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$36.34 |
$47.20 |
$70.75 |
|
|
Ghs protoporphyrins fract
|
$9.66 |
$21.12 |
$38.40 |
|
|
Ghs pr without cont pulse ox
|
$45.54 |
$56.16 |
$82.80 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$58.75 |
$72.87 |
$168.59 |
|
|
Ghs pt - work hardening/int 2hrs
|
$107.83 |
$198.00 |
$360.00 |
|
|
Ghs quinidine
|
$25.44 |
$54.60 |
$69.60 |
|
|
Ghs refill of implantable pump
|
$260.10 |
$260.10 |
$260.10 |
|
|
Ghs removal intranasal foreign body
|
$34.32 |
$62.40 |
$252.00 |
|
|
Ghs removal pharyngeal foreign body
|
$80.77 |
$102.00 |
$583.04 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$999.04 |
$999.04 |
$999.04 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,012.00 |
$1,012.00 |
$2,671.76 |
|
|
Ghs respiratory syncytical virus igg/m
|
$13.02 |
$35.20 |
$83.25 |
|
|
Ghs reticulocyte count
|
$13.00 |
$21.60 |
$30.15 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$10.08 |
$10.08 |
$68.12 |
|
|
Ghs sedimentation rate
|
$3.08 |
$21.12 |
$37.44 |
|
|
Ghs semen analysis fert
|
$48.00 |
$56.64 |
$93.38 |
|
|
Ghs sensitivity (per antimicro)
|
$10.00 |
$30.75 |
$49.20 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$103.20 |
$136.35 |
$526.08 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$75.90 |
$122.25 |
$526.08 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$103.20 |
$124.23 |
$526.08 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$62.70 |
$116.38 |
$223.20 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$69.60 |
$118.80 |
$327.60 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$48.00 |
$127.35 |
$510.40 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$48.00 |
$130.38 |
$349.44 |
|
|
Ghs simple repair over 30 cm - 12007
|
$62.70 |
$114.00 |
$382.40 |
|
|
Ghs simple repair over 30 cm - 12018
|
$62.56 |
$223.86 |
$245.70 |
|
|
Ghs sleep study unattended
|
$107.00 |
$117.07 |
$127.25 |
|
|
Ghs somatosensory testing lower extremit
|
$102.06 |
$102.06 |
$102.06 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$174.30 |
$174.30 |
$174.30 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$30.13 |
$35.20 |
$136.76 |
|
|
Ghs sphenopalatine ganglion block
|
$102.80 |
$102.80 |
$132.00 |
|
|
Ghs sp train/fitting sp device - kx
|
$76.80 |
$88.78 |
$154.40 |
|
|
Ghs strapping shoulder - 29240
|
$33.20 |
$73.32 |
$225.45 |
|
|
Ghs st - re-eval for alt comm
|
$70.62 |
$99.20 |
$166.92 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$43.47 |
$43.47 |
$45.36 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$184.00 |
$184.00 |
$192.00 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$126.00 |
$254.61 |
$808.96 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,142.08 |
$2,142.08 |
$2,142.08 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$62.80 |
$78.50 |
$552.80 |
|
|
Ghs urine, porphyrins quant
|
$15.62 |
$76.26 |
$169.60 |
|
|
Ghs vaginal delivery only
|
$293.76 |
$1,375.88 |
$2,501.60 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$326.20 |
$326.20 |
$332.64 |
|
|
Ghs windowing of cast
|
$225.28 |
$225.28 |
$225.28 |
|
|
Giardia ag if
|
$9.25 |
$40.40 |
$65.20 |
|
|
Giardia lamblia antibody
|
$51.06 |
$87.33 |
$134.00 |
|
|
Gi inhouse confirmation
|
$39.56 |
$60.75 |
$151.20 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$475.23 |
$482.24 |
$876.80 |
|
|
Gi trc img intral colon i&r
|
$545.82 |
$545.82 |
$992.40 |
|
|
Gi trc img intral esophagus
|
$482.24 |
$504.16 |
$876.80 |
|
|
Glucagon 1 mg solution for injection
|
$298.35 |
$372.94 |
$1,193.40 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$171.19 |
$350.95 |
$849.98 |
|
|
Glucagon plasma - sendout
|
$26.50 |
$56.58 |
$116.38 |
|
|
Glucose 1 hr post dose
|
$9.24 |
$34.60 |
$73.35 |
|
|
Glucose-6-phosphate dhydrogenase screen
|
$16.00 |
$16.00 |
$34.23 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$3.08 |
$13.94 |
$34.23 |
|
|
Glucose blood quantitative
|
$2.86 |
$32.40 |
$58.24 |
|
|
Glucose body fluid
|
$5.72 |
$32.85 |
$48.00 |
|
|
Glucose monitoring continual min 72hr pt
|
$34.02 |
$44.80 |
$106.80 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$23.68 |
$62.40 |
$101.52 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$9.20 |
$22.14 |
$48.40 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$30.14 |
$218.40 |
$698.88 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$19.80 |
$87.36 |
$175.75 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$19.58 |
$84.03 |
$167.75 |
|
|
Graft nerve adv 3-4x70mm
|
$558.60 |
$558.60 |
$558.60 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$48.30 |
$48.30 |
$48.30 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$91.52 |
$91.52 |
$91.52 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$2,862.96 |
$2,862.96 |
$2,862.96 |
|
|
Granisetron 1 mg tab
|
$2.31 |
$2.78 |
$11.10 |
|
|
Granisetron hcl injection
|
$21.09 |
$25.31 |
$84.36 |
|
|
Granulocyte pheresis ea unit
|
$1,536.57 |
$1,536.57 |
$1,536.57 |
|
|
Great toe with reduction 28495
|
$62.80 |
$78.76 |
$376.96 |
|
|
Ground mileage
|
$7.59 |
$8.16 |
$10.40 |
|
|
Group mnt 2 or more 30 mins
|
$15.20 |
$30.40 |
$34.20 |
|
|
G-tube reposition
|
$529.00 |
$602.50 |
$605.85 |
|
|
Gu dilat ureter/urethra s&i
|
$456.94 |
$881.20 |
$1,251.60 |
|
|
Guided cath fluid drainage 10030
|
$96.60 |
$733.80 |
$917.25 |
|
|
Guide wire threaded 1.4x150mm
|
$115.20 |
$171.60 |
$239.43 |
|
|
Guid loc target vol rad tx
|
$87.80 |
$100.97 |
$989.52 |
|
|
Gw stiffened micro access kit
|
$61.50 |
$134.80 |
$155.02 |
|
|
Gynecomastia (males) 19300
|
$1,313.28 |
$1,313.28 |
$1,313.28 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$302.58 |
$363.10 |
$1,210.32 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$11.02 |
$13.23 |
$44.10 |
|
|
Handle/convey/speciman/office-lab 99000
|
$7.00 |
$7.98 |
$17.10 |
|
|
Hand X-ray
|
$75.46 |
$102.91 |
$137.20 |
|
|
Haptoglobin quantitative
|
$18.26 |
$47.46 |
$121.50 |
|
|
Hba1/hba2 gene dup/del vrnts
|
$134.00 |
$254.50 |
$332.35 |
|
|
Hbb full gene sequence
|
$164.20 |
$188.83 |
$205.25 |
|
|
Hbb gene dup/del variants
|
$126.20 |
$151.44 |
$328.12 |
|
|
Hbot, full body chamber, 30m
|
$78.32 |
$142.40 |
$267.30 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$143.75 |
$143.75 |
$143.75 |
|
|
Hcg qualitative
|
$6.38 |
$39.27 |
$71.75 |
|
|
Hcg quantitative
|
$17.60 |
$75.50 |
$137.70 |
|