|
Ghs sedimentation rate
|
$4.27 |
$4.27 |
$4.27 |
$45.50
|
|
Ghs semen analysis fert
|
$12.31 |
$12.31 |
$12.31 |
$124.15
|
|
Ghs semen analysis, post-vas
|
$9.84 |
$9.84 |
$9.84 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$7.48 |
$7.48 |
$7.48 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$472.79 |
$472.79 |
$472.79 |
$572.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$472.79 |
$472.79 |
$472.79 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$472.79 |
$472.79 |
$472.79 |
$590.40
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$472.79 |
$472.79 |
$472.79 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$235.13 |
$235.13 |
$235.13 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$235.13 |
$235.13 |
$235.13 |
$437.60
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$235.13 |
$235.13 |
$235.13 |
$491.30
|
|
Ghs simple repair over 30 cm - 12007
|
$235.13 |
$235.13 |
$235.13 |
$592.20
|
|
Ghs simple repair over 30 cm - 12018
|
$235.13 |
$235.13 |
$235.13 |
$537.60
|
|
Ghs sleep study unattended
|
$220.60 |
$220.60 |
$220.60 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$368.50 |
$368.50 |
$368.50 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$877.34 |
$877.34 |
$877.34 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$53.47 |
$53.47 |
$53.47 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$349.32 |
$349.32 |
$349.32 |
$637.92
|
|
Ghs spont nystagmus
|
$152.54 |
$152.54 |
$152.54 |
$242.00
|
|
Ghs sp train/fitting sp device - kx
|
$114.38 |
$114.38 |
$114.38 |
$254.15
|
|
Ghs st - eval for alt comm
|
$46.45 |
$46.45 |
$46.45 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$152.54 |
$152.54 |
$152.54 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$79.49 |
$79.49 |
$79.49 |
$309.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$54.60 |
$54.60 |
$54.60 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$249.32 |
$249.32 |
$249.32 |
$360.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$755.08 |
$755.08 |
$755.08 |
$955.80
|
|
Ghs superficial wnd dehis w packing12021
|
$472.79 |
$472.79 |
$472.79 |
$696.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$1,867.84
|
|
Ghs trypsin (fecal)
|
$7.30 |
$7.30 |
$7.30 |
$50.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$283.86 |
$283.86 |
$283.86 |
$535.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$283.86 |
$283.86 |
$283.86 |
$513.80
|
|
Ghs urine, hydroxproline total
|
$24.30 |
$24.30 |
$24.30 |
$109.20
|
|
Ghs urine, porphyrins quant
|
$14.71 |
$14.71 |
$14.71 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$627.89 |
$627.89 |
$627.89 |
$1,932.00
|
|
Ghs windowing of cast
|
$186.72 |
$186.72 |
$186.72 |
$212.55
|
|
Giardia ag if
|
$13.61 |
$13.61 |
$13.61 |
$38.58
|
|
Giardia lamblia antibody
|
$14.72 |
$14.72 |
$14.72 |
$83.44
|
|
Gi endoscopic ultrasound
|
$286.04 |
$286.04 |
$286.04 |
$582.31
|
|
Gi inhouse confirmation
|
$9.44 |
$9.44 |
$9.44 |
$87.20
|
|
Gingivoplasty each quadrant
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
$4,296.60
|
|
Gi protein loss
|
$475.51 |
$475.51 |
$475.51 |
$700.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,109.47 |
$1,109.47 |
$1,109.47 |
$2,222.40
|
|
Gi trc img intral colon i&r
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$1,109.47 |
$1,109.47 |
$1,109.47 |
$1,897.82
|
|
Gi wireless capsule measure
|
$1,109.47 |
$1,109.47 |
$1,109.47 |
$1,579.30
|
|
Gjb2 gene full sequence
|
$101.12 |
$101.12 |
$101.12 |
$502.80
|
|
Gjb2 gene known fam variants
|
$61.52 |
$61.52 |
$61.52 |
$116.00
|
|
Gjb6 gene com variants
|
$35.00 |
$35.00 |
$35.00 |
$84.70
|
|
Glassia injection
|
$5.58 |
$5.58 |
$5.58 |
$20.32
|
|
Glaucoma scrn hgh risk direc
|
$29.55 |
$29.55 |
$29.55 |
$116.17
|
|
Glaucoma scrn hgh risk direc
|
$46.45 |
$46.45 |
$46.45 |
$88.00
|
|
Glaucoma surgery
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
$4,760.49
|
|
Glaucoma surgery
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
$4,340.80
|
|
Glaucoma surgery
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$4,684.00
|
|
Glaucoma surgery
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
$4,786.53
|
|
Glucagon 1 mg solution for injection
|
$192.30 |
$192.30 |
$192.30 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$108.93 |
$108.93 |
$108.93 |
$491.67
|
|
Glucagon plasma - sendout
|
$14.29 |
$14.29 |
$14.29 |
$64.35
|
|
Glucagon tolerance panel
|
$46.07 |
$46.07 |
$46.07 |
$115.70
|
|
Glucagon tolerance panel
|
$50.50 |
$50.50 |
$50.50 |
$69.69
|
|
Glucagon tolerance test
|
$17.77 |
$17.77 |
$17.77 |
$36.00
|
|
Glucose 1 hr post dose
|
$4.75 |
$4.75 |
$4.75 |
$48.25
|
|
Glucose-6-phosphate dhydrogenase screen
|
$6.05 |
$6.05 |
$6.05 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$3.28 |
$3.28 |
$3.28 |
$22.80
|
|
Glucose blood quantitative
|
$3.93 |
$3.93 |
$3.93 |
$42.14
|
|
Glucose body fluid
|
$3.93 |
$3.93 |
$3.93 |
$51.12
|
|
Glucose monitoring continual min 72hr pt
|
$70.29 |
$70.29 |
$70.29 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$12.87 |
$12.87 |
$12.87 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$3.92 |
$3.92 |
$3.92 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$0.51 |
$0.51 |
$0.51 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$11.10 |
$11.10 |
$11.10 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$18.58 |
$18.58 |
$18.58 |
$116.64
|
|
Gonadotropin hormone panel
|
$148.41 |
$148.41 |
$148.41 |
$372.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$18.52 |
$18.52 |
$18.52 |
$129.00
|
|
Gonioscopy
|
$152.54 |
$152.54 |
$152.54 |
$135.52
|
|
Goniotomy
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
$4,396.50
|
|
Goserelin 10.8 mg subcutaneous implant
|
$674.77 |
$674.77 |
$674.77 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$73.83
|
|
Graft bone flex 2.5cm x 5cm grafton-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$1.00
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$605.00
|
|
Graft hand or finger tendon
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$23,233.80
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$349.41
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$28,894.71
|
|
Graft viashield 2layer amnion patch 2x2cm-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$1.00
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$1,114.96
|
|
Great toe-hand transfer
|
$7,413.38 |
$7,413.38 |
$7,413.38 |
$7,413.38
|
|
Great toe with reduction 28495
|
$283.86 |
$283.86 |
$283.86 |
$495.00
|
|
Grfg autol fat lipo 25 cc/<
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$5,110.00
|
|
Grfg autol fat lipo 50 cc/<
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$5,102.99
|
|
Grfg autol soft tiss dir exc
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,562.50
|
|
Group behave couns 2-10
|
$38.28 |
$38.28 |
$38.28 |
$94.87
|
|
Group mnt 2 or more 30 mins
|
$16.69 |
$16.69 |
$16.69 |
$43.12
|
|
Group train without patient
|
$29.55 |
$29.55 |
$29.55 |
$47.60
|
|
Growth hormone antibody
|
$15.74 |
$15.74 |
$15.74 |
$72.81
|
