|
Ghs quinidine
|
$109.98 |
$109.98 |
$109.98 |
$85.00
|
|
Ghs refill of implantable pump
|
$539.13 |
$539.13 |
$539.13 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$128.10 |
$128.10 |
$128.10 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$134.65 |
$134.65 |
$134.65 |
$441.68
|
|
Ghs reticulocyte count
|
$101.83 |
$101.83 |
$101.83 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$60.93 |
$60.93 |
$60.93 |
$99.00
|
|
Ghs sedimentation rate
|
$89.38 |
$89.38 |
$89.38 |
$45.50
|
|
Ghs semen analysis fert
|
$133.63 |
$133.63 |
$133.63 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$59.90 |
$59.90 |
$59.90 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$359.35 |
$359.35 |
$359.35 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$444.18 |
$444.18 |
$444.18 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$383.83 |
$383.83 |
$383.83 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$339.90 |
$339.90 |
$339.90 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$354.88 |
$354.88 |
$354.88 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$399.20 |
$399.20 |
$399.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$340.73 |
$340.73 |
$340.73 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$257.43 |
$257.43 |
$257.43 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$386.25 |
$386.25 |
$386.25 |
$537.60
|
|
Ghs sleep study unattended
|
$370.73 |
$370.73 |
$370.73 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,189.43 |
$1,189.43 |
$1,189.43 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,962.80 |
$1,962.80 |
$1,962.80 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$134.60 |
$134.60 |
$134.60 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$297.75 |
$297.75 |
$297.75 |
$630.24
|
|
Ghs sp train/fitting sp device - kx
|
$197.53 |
$197.53 |
$197.53 |
$252.75
|
|
Ghs st - eval for alt comm
|
$100.98 |
$100.98 |
$100.98 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$134.83 |
$134.83 |
$134.83 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$376.23 |
$376.23 |
$376.23 |
$309.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$27.15 |
$27.15 |
$27.15 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$140.15 |
$140.15 |
$140.15 |
$360.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$266.60 |
$266.60 |
$266.60 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$372.88 |
$372.88 |
$372.88 |
$695.93
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,435.78 |
$2,435.78 |
$2,435.78 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$344.30 |
$344.30 |
$344.30 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$628.80 |
$628.80 |
$628.80 |
$513.80
|
|
Ghs urine, porphyrins quant
|
$118.23 |
$118.23 |
$118.23 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,341.93 |
$3,341.93 |
$3,341.93 |
$3,341.93
|
|
Ghs windowing of cast
|
$191.98 |
$191.98 |
$191.98 |
$212.55
|
|
Giardia lamblia antibody
|
$103.75 |
$103.75 |
$103.75 |
$83.44
|
|
Gi inhouse confirmation
|
$219.20 |
$219.20 |
$219.20 |
$87.75
|
|
Gi wireless capsule measure
|
$1,579.30 |
$1,579.30 |
$1,579.30 |
$1,579.30
|
|
Glassia injection
|
$22.70 |
$22.70 |
$22.70 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$711.48 |
$711.48 |
$711.48 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$496.93 |
$496.93 |
$496.93 |
$491.67
|
|
Glucagon plasma - sendout
|
$133.78 |
$133.78 |
$133.78 |
$64.35
|
|
Glucose 1 hr post dose
|
$37.10 |
$37.10 |
$37.10 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$10.93 |
$10.93 |
$10.93 |
$23.12
|
|
Glucose blood quantitative
|
$38.33 |
$38.33 |
$38.33 |
$42.25
|
|
Glucose body fluid
|
$47.70 |
$47.70 |
$47.70 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$316.40 |
$316.40 |
$316.40 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$130.20 |
$130.20 |
$130.20 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$43.05 |
$43.05 |
$43.05 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$93.73 |
$93.73 |
$93.73 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$14,170.95 |
$14,170.95 |
$14,170.95 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$208.78 |
$208.78 |
$208.78 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$206.20 |
$206.20 |
$206.20 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$5,865.05 |
$5,865.05 |
$5,865.05 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$672.50 |
$672.50 |
$672.50 |
$73.83
|
|
Graft axiofill 1000mg
|
$2,058.73 |
$2,058.73 |
$2,058.73 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$605.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$364.50 |
$364.50 |
$364.50 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$5,827.00 |
$5,827.00 |
$5,827.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$392.58 |
$392.58 |
$392.58 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$850.00 |
$850.00 |
$850.00 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$1,132.47
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,103.05
|
|
Graft xenmtrx sft rect 15x20cm
|
$9,750.00 |
$9,750.00 |
$9,750.00 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$7,391.50 |
$7,391.50 |
$7,391.50 |
$2,905.40
|
|
Granisetron 1 mg tab
|
$62.30 |
$62.30 |
$62.30 |
$53.15
|
|
Granisetron hcl injection
|
$165.85 |
$165.85 |
$165.85 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$3,996.93 |
$3,996.93 |
$3,996.93 |
$2,698.02
|
|
Great toe with reduction 28495
|
$202.05 |
$202.05 |
$202.05 |
$495.00
|
|
Group health education
|
$91.48 |
$91.48 |
$91.48 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$62.70 |
$62.70 |
$62.70 |
$43.12
|
|
Growth stimulation gene 2
|
$327.23 |
$327.23 |
$327.23 |
$180.50
|
|
G-tube reposition
|
$377.55 |
$377.55 |
$377.55 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$1,536.93 |
$1,536.93 |
$1,536.93 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$7,499.50 |
$7,499.50 |
$7,499.50 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,162.50 |
$1,162.50 |
$1,162.50 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$717.83 |
$717.83 |
$717.83 |
$535.60
|
|
Gw stiffened micro access kit
|
$12,500.00 |
$12,500.00 |
$12,500.00 |
$6,893.38
|
|
Gynecomastia (males) 19300
|
$5,166.40 |
$5,166.40 |
$5,166.40 |
$3,735.20
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$402.55 |
$402.55 |
$402.55 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$83.23 |
$83.23 |
$83.23 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$122.25 |
$122.25 |
$122.25 |
$105.30
|
|
Hand X-ray
|
$266.50 |
$266.50 |
$266.50 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$201.75 |
$201.75 |
$201.75 |
$294.90
|
|
Haptoglobin quantitative
|
$55.35 |
$55.35 |
$55.35 |
$92.80
|
|
Harvest allogeneic stem cell
|
$3,766.50 |
$3,766.50 |
$3,766.50 |
$3,766.50
|
|
Harvest auto stem cells
|
$3,914.00 |
$3,914.00 |
$3,914.00 |
$3,624.31
|
|
Harvest stem cell concentrte
|
$3,748.98 |
$3,748.98 |
$3,748.98 |
$1,355.25
|
|
Hba1/hba2 full gene sequence
|
$617.18 |
$617.18 |
$617.18 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$276.88 |
$276.88 |
$276.88 |
$403.25
|
|
Hbb full gene sequence
|
$633.25 |
$633.25 |
$633.25 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$683.65 |
$683.65 |
$683.65 |
$526.90
|
|
Hcg qualitative
|
$133.25 |
$133.25 |
$133.25 |
$90.10
|
|
Hcg quantitative
|
$152.65 |
$152.65 |
$152.65 |
$139.20
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$1,223.03 |
$1,223.03 |
$1,223.03 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$827.08 |
$827.08 |
$827.08 |
$858.00
|
