|
Ghs opcc repair cvp without subq port
|
$798.40 |
$798.40 |
$798.40 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$47.20 |
$47.20 |
$47.20 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$68.00 |
$68.00 |
$68.00 |
|
|
Ghs ot prosthetic training/15 min
|
$60.00 |
$60.00 |
$60.00 |
|
|
Ghs ot sensory integrative tech/15min
|
$38.40 |
$38.40 |
$53.60 |
|
|
Ghs pacing - transcutaneous
|
$468.00 |
$468.00 |
$505.60 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$305.60 |
$305.60 |
$305.60 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$208.00 |
$208.00 |
$208.00 |
|
|
Ghs peritonsillar abscess i andd
|
$286.40 |
$286.40 |
$464.80 |
|
|
Ghs phenylketonurid
|
$46.40 |
$46.40 |
$46.40 |
|
|
Ghs picc line insert < 5
|
$2,053.60 |
$2,053.60 |
$2,053.60 |
|
|
Ghs plngl fx pm cl
|
$511.20 |
$511.20 |
$588.80 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$890.40 |
$890.40 |
$890.40 |
|
|
Ghs pos nystagmus
|
$31.20 |
$31.20 |
$31.20 |
|
|
Ghs ppd (tb intradermal)
|
$80.00 |
$80.00 |
$80.00 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$94.40 |
$94.40 |
$94.40 |
|
|
Ghs protoporphyrins fract
|
$148.80 |
$148.80 |
$148.80 |
|
|
Ghs pr without cont pulse ox
|
$113.60 |
$113.60 |
$113.60 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$103.20 |
$103.20 |
$103.20 |
|
|
Ghs quinidine
|
$208.00 |
$208.00 |
$208.00 |
|
|
Ghs removal intranasal foreign body
|
$315.20 |
$315.20 |
$467.20 |
|
|
Ghs removal pharyngeal foreign body
|
$520.80 |
$520.80 |
$520.80 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$908.00 |
$908.00 |
$1,980.00 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
|
|
Ghs reticulocyte count
|
$18.40 |
$18.40 |
$18.40 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$120.00 |
$120.00 |
$147.20 |
|
|
Ghs sedimentation rate
|
$13.60 |
$13.60 |
$48.80 |
|
|
Ghs semen analysis fert
|
$263.20 |
$263.20 |
$263.20 |
|
|
Ghs sensitivity (per antimicro)
|
$68.80 |
$68.80 |
$91.20 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$262.40 |
$262.40 |
$425.60 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$524.80 |
$524.80 |
$552.00 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$306.40 |
$306.40 |
$446.40 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$228.80 |
$228.80 |
$676.80 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$212.80 |
$212.80 |
$285.60 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$227.20 |
$227.20 |
$262.40 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$255.20 |
$255.20 |
$351.20 |
|
|
Ghs simple repair over 30 cm - 12007
|
$344.80 |
$344.80 |
$460.00 |
|
|
Ghs simple repair over 30 cm - 12018
|
$259.20 |
$259.20 |
$736.00 |
|
|
Ghs sleep study unattended
|
$317.60 |
$317.60 |
$317.60 |
|
|
Ghs somatosensory testing lower extremit
|
$209.60 |
$209.60 |
$587.20 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$700.80 |
$700.80 |
$700.80 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$79.20 |
$79.20 |
$79.20 |
|
|
Ghs sphenopalatine ganglion block
|
$218.40 |
$218.40 |
$375.20 |
|
|
Ghs sp train/fitting sp device - kx
|
$111.20 |
$111.20 |
$198.40 |
|
|
Ghs st - eval for alt comm
|
$24.00 |
$24.00 |
$24.00 |
|
|
Ghs strapping shoulder - 29240
|
$44.00 |
$44.00 |
$160.00 |
|
|
Ghs st - re-eval for alt comm
|
$153.60 |
$153.60 |
$153.60 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$60.00 |
$60.00 |
$60.00 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$290.40 |
$290.40 |
$290.40 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$540.80 |
$540.80 |
$752.00 |
|
|
Ghs superficial wnd dehis w packing12021
|
$263.20 |
$263.20 |
$515.20 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,000.80 |
$2,000.80 |
$2,000.80 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$478.40 |
$478.40 |
$543.20 |
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$286.40 |
$286.40 |
$286.40 |
|
|
Ghs urine, porphyrins quant
|
$159.20 |
$159.20 |
$159.20 |
|
|
Ghs vaginal delivery only
|
$1,248.00 |
$1,248.00 |
$4,075.20 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$888.80 |
$888.80 |
$1,353.60 |
|
|
Ghs windowing of cast
|
$201.60 |
$201.60 |
$201.60 |
|
|
Giardia lamblia antibody
|
$124.80 |
$124.80 |
$124.80 |
|
|
Gi inhouse confirmation
|
$116.00 |
$116.00 |
$127.20 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
|
|
Glucagon 1 mg solution for injection
|
$761.54 |
$761.54 |
$761.54 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$367.98 |
$367.98 |
$592.30 |
|
|
Glucagon plasma - sendout
|
$179.20 |
$179.20 |
$179.20 |
|
|
Glucose 1 hr post dose
|
$42.40 |
$42.40 |
$43.20 |
|
|
Glucose-6-phosphate dhydrogenase screen
|
$92.80 |
$92.80 |
$92.80 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$14.40 |
$14.40 |
$18.40 |
|
|
Glucose blood quantitative
|
$35.20 |
$35.20 |
$39.20 |
|
|
Glucose body fluid
|
$42.40 |
$42.40 |
$110.40 |
|
|
Glucose monitoring continual min 72hr pt
|
$98.40 |
$98.40 |
$98.40 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$110.40 |
$110.40 |
$136.00 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$14.40 |
$14.40 |
$16.80 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$74.24 |
$74.24 |
$78.45 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,959.63 |
$4,959.63 |
$4,959.63 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$127.20 |
$127.20 |
$127.20 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$77.60 |
$77.60 |
$77.60 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,395.80 |
$2,395.80 |
$2,395.80 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,060.40 |
$2,060.40 |
$2,060.40 |
|
|
Graft axiofill 1000mg
|
$17,940.10 |
$17,940.10 |
$17,940.10 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$14,027.06 |
$14,027.06 |
$14,027.06 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$23,288.44 |
$23,288.44 |
$23,288.44 |
|
|
Graft nerve adv 3-4x70mm
|
$35,924.00 |
$35,924.00 |
$35,924.00 |
|
|
Graft patch felt ptfe 2x2
|
$27,317.20 |
$27,317.20 |
$27,317.20 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$23,637.99 |
$23,637.99 |
$23,637.99 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$6,976.80 |
$6,976.80 |
$6,976.80 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$11,520.00 |
$11,520.00 |
$11,520.00 |
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$5,295.50 |
$5,295.50 |
$5,295.50 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$29,056.92 |
$29,056.92 |
$29,056.92 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$3,996.00 |
$3,996.00 |
$3,996.00 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$36,668.80 |
$36,668.80 |
$36,668.80 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,244.80 |
$3,244.80 |
$3,244.80 |
|
|
Great toe with reduction 28495
|
$264.00 |
$264.00 |
$286.40 |
|
|
G-tube reposition
|
$558.40 |
$558.40 |
$558.40 |
|
|
Gu dilat ureter/urethra s&i
|
$1,013.60 |
$1,013.60 |
$1,013.60 |
|
|
Guided cath fluid drainage 10030
|
$1,439.20 |
$1,439.20 |
$1,693.60 |
|
|
Guide endoanchr sg-64 aaa 62cm
|
$6,050.27 |
$6,050.27 |
$6,050.27 |
|
|
Guide wire threaded 1.4x150mm
|
$4,410.40 |
$4,410.40 |
$4,410.40 |
|
|
Guide worley csg 9fx50cm std
|
$9,920.00 |
$9,920.00 |
$9,920.00 |
|
|
Gw stiffened micro access kit
|
$11,456.00 |
$11,456.00 |
$11,456.00 |
|
|
Gynecomastia (males) 19300
|
$872.00 |
$872.00 |
$872.00 |
|
