|
Ghs nerve block celiac plexus
|
$1,739.72 |
$1,739.72 |
$1,739.72 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$558.15 |
$558.15 |
$558.15 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$1,325.53 |
$1,325.53 |
$1,325.53 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$343.43 |
$343.43 |
$343.43 |
$478.50
|
|
Ghs o2 saturation
|
$68.32 |
$68.32 |
$68.32 |
$70.80
|
|
Ghs opcc repair cvp without subq port
|
$952.21 |
$952.21 |
$952.21 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$1,344.44 |
$1,344.44 |
$1,344.44 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$65.88 |
$65.88 |
$65.88 |
$90.50
|
|
Ghs pacing - transcutaneous
|
$533.75 |
$533.75 |
$533.75 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$605.12 |
$605.12 |
$605.12 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$596.58 |
$596.58 |
$596.58 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$317.81 |
$317.81 |
$317.81 |
$546.36
|
|
Ghs phenylketonurid
|
$30.50 |
$30.50 |
$30.50 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,122.40 |
$1,122.40 |
$1,122.40 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$560.59 |
$560.59 |
$560.59 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$64.82 |
$64.82 |
$64.82 |
$37.70
|
|
Ghs protoporphyrins fract
|
$82.96 |
$82.96 |
$82.96 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$188.49 |
$188.49 |
$188.49 |
$146.86
|
|
Ghs refill of implantable pump
|
$525.82 |
$525.82 |
$525.82 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$217.77 |
$217.77 |
$217.77 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$460.55 |
$460.55 |
$460.55 |
$459.90
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,834.88 |
$1,834.88 |
$1,834.88 |
$2,161.50
|
|
Ghs repair tendon ext forearm/wrist ea
|
$2,954.23 |
$2,954.23 |
$2,954.23 |
$4,041.79
|
|
Ghs rsv eia (respir synctial vrs)
|
$61.00 |
$61.00 |
$61.00 |
$96.60
|
|
Ghs sensitivity (per antimicro)
|
$35.99 |
$35.99 |
$35.99 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$390.40 |
$390.40 |
$390.40 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$450.18 |
$450.18 |
$450.18 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$412.36 |
$412.36 |
$412.36 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$470.31 |
$470.31 |
$470.31 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$382.47 |
$382.47 |
$382.47 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$367.83 |
$367.83 |
$367.83 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$419.68 |
$419.68 |
$419.68 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$437.98 |
$437.98 |
$437.98 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$531.31 |
$531.31 |
$531.31 |
$537.60
|
|
Ghs sphenopalatine ganglion block
|
$711.87 |
$711.87 |
$711.87 |
$637.92
|
|
Ghs strapping shoulder - 29240
|
$334.89 |
$334.89 |
$334.89 |
$213.20
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$84.79 |
$84.79 |
$84.79 |
$98.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$333.06 |
$333.06 |
$333.06 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$441.64 |
$441.64 |
$441.64 |
$861.75
|
|
Ghs tx distal phalangeal fx with manipulation
|
$211.67 |
$211.67 |
$211.67 |
$523.00
|
|
Ghs urine, porphyrins quant
|
$51.24 |
$51.24 |
$51.24 |
$75.00
|
|
Ghs vaginal delivery only
|
$1,530.49 |
$1,530.49 |
$1,530.49 |
$3,152.00
|
|
Gi inhouse confirmation
|
$82.96 |
$82.96 |
$82.96 |
$83.70
|
|
Gi trc img intral colon i&r
|
$1,726.91 |
$1,726.91 |
$1,726.91 |
$1,959.88
|
|
Glassia injection
|
$0.38 |
$0.38 |
$0.38 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$156.22 |
$156.22 |
$156.22 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$119.96 |
$119.96 |
$119.96 |
$491.67
|
|
Glucagon plasma - sendout
|
$42.09 |
$42.09 |
$42.09 |
$63.00
|
|
Glucose 1 hr post dose
|
$39.04 |
$39.04 |
$39.04 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$39.65 |
$39.65 |
$39.65 |
$23.86
|
|
Glucose blood quantitative
|
$25.01 |
$25.01 |
$25.01 |
$40.00
|
|
Glucose body fluid
|
$43.31 |
$43.31 |
$43.31 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$61.61 |
$61.61 |
$61.61 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$14.64 |
$14.64 |
$14.64 |
$35.00
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$294.06 |
$294.06 |
$294.06 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$87.23 |
$87.23 |
$87.23 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$57.95 |
$57.95 |
$57.95 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,781.22 |
$1,781.22 |
$1,781.22 |
$4,652.18
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$82.29 |
$82.29 |
$82.29 |
$672.50
|
|
Graft axiofill 1000mg
|
$1,189.50 |
$1,189.50 |
$1,189.50 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$584.99 |
$584.99 |
$584.99 |
$584.99
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$26,503.20 |
$26,503.20 |
$26,503.20 |
$24,469.57
|
|
Graft nerve adv 3-4x70mm
|
$3,904.77 |
$3,904.77 |
$3,904.77 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$21,526.14 |
$21,526.14 |
$21,526.14 |
$27,300.00
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$3,965.00 |
$3,965.00 |
$3,965.00 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$2,371.68 |
$2,371.68 |
$2,371.68 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$4,270.00 |
$4,270.00 |
$4,270.00 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$1,846.02 |
$1,846.02 |
$1,846.02 |
$373.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$28,427.99 |
$28,427.99 |
$28,427.99 |
$27,367.40
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$5,402.90 |
$5,402.90 |
$5,402.90 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$18,911.83 |
$18,911.83 |
$18,911.83 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,221.44 |
$2,221.44 |
$2,221.44 |
$2,701.58
|
|
Granisetron hcl injection
|
$9.26 |
$9.26 |
$9.26 |
$45.03
|
|
Great toe with reduction 28495
|
$288.53 |
$288.53 |
$288.53 |
$482.40
|
|
Group health education
|
$14.64 |
$14.64 |
$14.64 |
$63.15
|
|
G-tube reposition
|
$461.16 |
$461.16 |
$461.16 |
$759.36
|
|
Gu dilat ureter/urethra s&i
|
$1,399.95 |
$1,399.95 |
$1,399.95 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$2,758.42 |
$2,758.42 |
$2,758.42 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$5,679.74 |
$5,679.74 |
$5,679.74 |
$7,728.17
|
|
Guide wire threaded 1.4x150mm
|
$2,614.62 |
$2,614.62 |
$2,614.62 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$1,555.05 |
$1,555.05 |
$1,555.05 |
$1,105.00
|
|
Guid loc target vol rad tx
|
$713.09 |
$713.09 |
$713.09 |
$536.00
|
|
Gw stiffened micro access kit
|
$8,930.40 |
$8,930.40 |
$8,930.40 |
$6,696.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$96.37 |
$96.37 |
$96.37 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$1.43 |
$1.43 |
$1.43 |
$23.06
|
|
Hand X-ray
|
$345.87 |
$345.87 |
$345.87 |
$356.00
|
|
Haptoglobin quantitative
|
$42.70 |
$42.70 |
$42.70 |
$91.14
|
|
Hcg qualitative
|
$105.53 |
$105.53 |
$105.53 |
$89.70
|
|
Hcg quantitative
|
$102.48 |
$102.48 |
$102.48 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$42.06 |
$42.06 |
$42.06 |
$117.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,243.37 |
$3,243.37 |
$3,243.37 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,757.20 |
$2,757.20 |
$2,757.20 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,394.46 |
$1,394.46 |
$1,394.46 |
$3,727.65
|
|
Head CT scan (with and without contrast)
|
$1,956.88 |
$1,956.88 |
$1,956.88 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,632.97 |
$1,632.97 |
$1,632.97 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$1,584.78 |
$1,584.78 |
$1,584.78 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$70.76 |
$70.76 |
$70.76 |
$91.98
|
|
Hematocrit
|
$25.62 |
$25.62 |
$25.62 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$6,673.70 |
$6,673.70 |
$6,673.70 |
$20,618.46
|
