|
Ghs nerve block celiac plexus
|
$3,457.01 |
$3,457.01 |
$3,457.01 |
$1,681.24
|
|
Ghs nerve block interscaline
|
$3,031.96 |
$3,031.96 |
$3,031.96 |
$1,574.21
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,466.85 |
$2,466.85 |
$2,466.85 |
$2,079.21
|
|
Ghs nerve block sciatic nerve
|
$24,303.77 |
$24,303.77 |
$24,303.77 |
$1,745.25
|
|
Ghs nerve block suprascapular
|
$2,233.40 |
$2,233.40 |
$2,233.40 |
$1,220.00
|
|
Ghs ng placement w fluoro guidance
|
$400.40 |
$400.40 |
$400.40 |
$423.76
|
|
Ghs o2 saturation
|
$92.95 |
$92.95 |
$92.95 |
$55.90
|
|
Ghs opcc repair cvp without subq port
|
$3,443.70 |
$3,443.70 |
$3,443.70 |
$1,289.00
|
|
Ghs opcc repair cvp w subq port
|
$1,179.10 |
$1,179.10 |
$1,179.10 |
$2,449.60
|
|
Ghs ot dds rom
|
$87.75 |
$87.75 |
$87.75 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$83.85 |
$83.85 |
$83.85 |
$92.35
|
|
Ghs ot work hardening-additional hours
|
$72.80 |
$72.80 |
$72.80 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$872.95 |
$872.95 |
$872.95 |
$872.95
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$3,481.96 |
$3,481.96 |
$3,481.96 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,500.20 |
$1,500.20 |
$1,500.20 |
$849.47
|
|
Ghs peritonsillar abscess i andd
|
$5,902.43 |
$5,902.43 |
$5,902.43 |
$694.20
|
|
Ghs phenylketonurid
|
$54.60 |
$54.60 |
$54.60 |
$61.20
|
|
Ghs picc line insert < 5
|
$1,449.50 |
$1,449.50 |
$1,449.50 |
$1,990.40
|
|
Ghs polysom <6 yrs 4/> parameters
|
$4,799.60 |
$4,799.60 |
$4,799.60 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$20.15 |
$20.15 |
$20.15 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$161.85 |
$161.85 |
$161.85 |
$49.77
|
|
Ghs protein, misc fluid
|
$20.15 |
$20.15 |
$20.15 |
$24.60
|
|
Ghs protoporphyrins fract
|
$78.65 |
$78.65 |
$78.65 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$206.05 |
$206.05 |
$206.05 |
$165.60
|
|
Ghs pt - work hardening/int 2hrs
|
$208.65 |
$208.65 |
$208.65 |
$230.40
|
|
Ghs quinidine
|
$121.55 |
$121.55 |
$121.55 |
$70.85
|
|
Ghs removal intranasal foreign body
|
$7,347.78 |
$7,347.78 |
$7,347.78 |
$320.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$166.40 |
$166.40 |
$166.40 |
$117.60
|
|
Ghs sedimentation rate
|
$81.90 |
$81.90 |
$81.90 |
$36.57
|
|
Ghs semen analysis fert
|
$152.10 |
$152.10 |
$152.10 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$65.65 |
$65.65 |
$65.65 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$499.20 |
$499.20 |
$499.20 |
$563.75
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,156.35 |
$1,156.35 |
$1,156.35 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$648.09 |
$648.09 |
$648.09 |
$399.20
|
|
Ghs sleep study unattended
|
$720.85 |
$720.85 |
$720.85 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$527.80 |
$527.80 |
$527.80 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,092.35 |
$2,092.35 |
$2,092.35 |
$1,506.58
|
|
Ghs speech-gen aug dev eval iii, st
|
$196.30 |
$196.30 |
$196.30 |
$134.50
|
|
Ghs sp train/fitting sp device - kx
|
$328.25 |
$328.25 |
$328.25 |
$240.80
|
|
Ghs st - eval for alt comm
|
$106.60 |
$106.60 |
$106.60 |
$100.98
|
|
Ghs st - re-eval for alt comm
|
$358.80 |
$358.80 |
$358.80 |
$321.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$354.25 |
$354.25 |
$354.25 |
$72.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$446.55 |
$446.55 |
$446.55 |
$342.40
|
|
Ghs superficial wnd dehiscence simp12020
|
$20,162.61 |
$20,162.61 |
$20,162.61 |
$1,016.25
|
|
Ghs tracheostomy emergency - transtracheal
|
$876.20 |
$876.20 |
$876.20 |
$2,379.20
|
|
Ghs urine, porphyrins quant
|
$387.40 |
$387.40 |
$387.40 |
$85.15
|
|
Ghs vaginal delivery only
|
$4,919.20 |
$4,919.20 |
$4,919.20 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,930.85 |
$2,930.85 |
$2,930.85 |
$1,990.20
|
|
Gi inhouse confirmation
|
$68.90 |
$68.90 |
$68.90 |
$79.50
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,657.20 |
$2,657.20 |
$2,657.20 |
$2,418.92
|
|
Gi trc img intral colon i&r
|
$2,018.90 |
$2,018.90 |
$2,018.90 |
$1,378.00
|
|
Glassia injection
|
$2,025.07 |
$2,025.07 |
$2,025.07 |
$2,551.28
|
|
Glaucoma surgery
|
$15,243.08 |
$15,243.08 |
$15,243.08 |
$4,188.22
|
|
Glucagon 1 mg solution for injection
|
$846.30 |
$846.30 |
$846.30 |
$351.53
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$763.73 |
$763.73 |
$763.73 |
$509.06
|
|
Glucagon plasma - sendout
|
$74.10 |
$74.10 |
$74.10 |
$67.50
|
|
Glucose 1 hr post dose
|
$92.30 |
$92.30 |
$92.30 |
$40.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$155.35 |
$155.35 |
$155.35 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$27.30 |
$27.30 |
$27.30 |
$20.00
|
|
Glucose blood quantitative
|
$50.70 |
$50.70 |
$50.70 |
$40.80
|
|
Glucose body fluid
|
$76.70 |
$76.70 |
$76.70 |
$47.70
|
|
Glucose monitoring continual min 72hr pt
|
$87.10 |
$87.10 |
$87.10 |
$154.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$61.75 |
$61.75 |
$61.75 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$26.65 |
$26.65 |
$26.65 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$21.92 |
$21.92 |
$21.92 |
$11.60
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,689.91 |
$2,689.91 |
$2,689.91 |
$61.21
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$90.35 |
$90.35 |
$90.35 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$195.00 |
$195.00 |
$195.00 |
$117.65
|
|
Gonioscopy
|
$124.80 |
$124.80 |
$124.80 |
$145.86
|
|
Goniotomy
|
$12,819.31 |
$12,819.31 |
$12,819.31 |
$4,396.50
|
|
Goserelin 10.8 mg subcutaneous implant
|
$7,003.91 |
$7,003.91 |
$7,003.91 |
$1,598.97
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$50.70 |
$50.70 |
$50.70 |
$56.71
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$280.80 |
$280.80 |
$280.80 |
$3,735.34
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$258.05 |
$258.05 |
$258.05 |
$486.45
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$731.90 |
$731.90 |
$731.90 |
$1,123.34
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$432.90 |
$432.90 |
$432.90 |
$543.12
|
|
Granisetron hcl injection
|
$60.45 |
$60.45 |
$60.45 |
$21.42
|
|
Gstrst open wo constj tube
|
$9,386.10 |
$9,386.10 |
$9,386.10 |
$2,638.57
|
|
G-tube reposition
|
$1,737.45 |
$1,737.45 |
$1,737.45 |
$727.35
|
|
Gu dilat ureter/urethra s&i
|
$16,588.65 |
$16,588.65 |
$16,588.65 |
$1,585.00
|
|
Guided cath fluid drainage 10030
|
$562.90 |
$562.90 |
$562.90 |
$1,451.40
|
|
Guid loc target vol rad tx
|
$29,322.80 |
$29,322.80 |
$29,322.80 |
$620.91
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$77.80 |
$77.80 |
$77.80 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Handle/convey/speciman/office-lab 99000
|
$18.20 |
$18.20 |
$18.20 |
$30.36
|
|
Hand X-ray
|
$609.05 |
$609.05 |
$609.05 |
$317.78
|
|
Haptoglobin quantitative
|
$148.20 |
$148.20 |
$148.20 |
$75.00
|
|
Hast w/i&r phys/qhp
|
$226.85 |
$226.85 |
$226.85 |
$324.75
|
|
Hast w/oxygen titrate
|
$274.30 |
$274.30 |
$274.30 |
$274.30
|
|
Hba1/hba2 full gene sequence
|
$477.10 |
$477.10 |
$477.10 |
$847.86
|
|
Hba1/hba2 gene dup/del vrnts
|
$508.30 |
$508.30 |
$508.30 |
$407.57
|
|
Hbb full gene sequence
|
$477.10 |
$477.10 |
$477.10 |
$633.25
|
|
Hbb gene dup/del variants
|
$647.40 |
$647.40 |
$647.40 |
$436.80
|
|
Hbot, full body chamber, 30m
|
$693.55 |
$693.55 |
$693.55 |
$524.17
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,157.65 |
$1,157.65 |
$1,157.65 |
$527.13
|
|
Hcg qualitative
|
$125.45 |
$125.45 |
$125.45 |
$72.50
|
|
Hcg quantitative
|
$159.90 |
$159.90 |
$159.90 |
$105.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$248.95 |
$248.95 |
$248.95 |
$184.20
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,780.35 |
$1,780.35 |
$1,780.35 |
$645.06
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,061.26
|
