|
Ghs removal pharyngeal foreign body
|
$429.50 |
$429.50 |
$429.50 |
$459.90
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,903.00 |
$1,903.00 |
$1,903.00 |
$2,161.50
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,864.50 |
$3,864.50 |
$3,864.50 |
$4,041.79
|
|
Ghs respiratory syncytical virus igg/m
|
$73.50 |
$73.50 |
$73.50 |
$71.20
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$675.50 |
$675.50 |
$675.50 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$638.00 |
$638.00 |
$638.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$744.00 |
$744.00 |
$744.00 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$733.50 |
$733.50 |
$733.50 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$505.50 |
$505.50 |
$505.50 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$614.50 |
$614.50 |
$614.50 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$555.00 |
$555.00 |
$555.00 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$817.50 |
$817.50 |
$817.50 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$843.50 |
$843.50 |
$843.50 |
$537.60
|
|
Ghs sleep study unattended
|
$458.00 |
$458.00 |
$458.00 |
$495.00
|
|
Ghs somatosensory testing lower extremit
|
$444.00 |
$444.00 |
$444.00 |
$922.35
|
|
Ghs somatosensory testing upper & lower limbs
|
$886.00 |
$886.00 |
$886.00 |
$1,290.02
|
|
Ghs speech-gen aug dev eval iii, st
|
$153.00 |
$153.00 |
$153.00 |
$146.40
|
|
Ghs sphenopalatine ganglion block
|
$410.50 |
$410.50 |
$410.50 |
$637.92
|
|
Ghs spont nystagmus
|
$155.50 |
$155.50 |
$155.50 |
$242.00
|
|
Ghs sp train/fitting sp device - kx
|
$193.00 |
$193.00 |
$193.00 |
$250.50
|
|
Ghs st - eval for alt comm
|
$40.50 |
$40.50 |
$40.50 |
$93.60
|
|
Ghs strapping shoulder - 29240
|
$160.50 |
$160.50 |
$160.50 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$248.50 |
$248.50 |
$248.50 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$71.50 |
$71.50 |
$71.50 |
$98.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$262.50 |
$262.50 |
$262.50 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$813.00 |
$813.00 |
$813.00 |
$861.75
|
|
Ghs superficial wnd dehis w packing12021
|
$530.50 |
$530.50 |
$530.50 |
$661.50
|
|
Ghs tracheostomy emergency - transtracheal
|
$947.50 |
$947.50 |
$947.50 |
$1,752.89
|
|
Ghs trypsin (fecal)
|
$118.00 |
$118.00 |
$118.00 |
$50.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$303.00 |
$303.00 |
$303.00 |
$523.00
|
|
Ghs urine, porphyrins quant
|
$23.00 |
$23.00 |
$23.00 |
$75.00
|
|
Ghs vaginal delivery only
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$3,152.00
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,563.00 |
$2,563.00 |
$2,563.00 |
$1,910.25
|
|
Gi inhouse confirmation
|
$106.50 |
$106.50 |
$106.50 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,343.00 |
$2,343.00 |
$2,343.00 |
$2,098.85
|
|
Gjb2 gene full sequence
|
$510.00 |
$510.00 |
$510.00 |
$502.80
|
|
Glove finger flexion right lg xl
|
$42.96 |
$42.96 |
$42.96 |
$100.48
|
|
Glucagon plasma - sendout
|
$83.00 |
$83.00 |
$83.00 |
$63.00
|
|
Glucose 1 hr post dose
|
$27.50 |
$27.50 |
$27.50 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$15.00 |
$15.00 |
$15.00 |
$23.86
|
|
Glucose blood quantitative
|
$45.50 |
$45.50 |
$45.50 |
$40.00
|
|
Glucose body fluid
|
$53.50 |
$53.50 |
$53.50 |
$52.20
|
|
Glucose monitoring continual min 72hr pt
|
$142.50 |
$142.50 |
$142.50 |
$118.39
|
|
Glucose tolerance test (gtt) 3 specimens
|
$54.50 |
$54.50 |
$54.50 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$21.00 |
$21.00 |
$21.00 |
$35.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$163.00 |
$163.00 |
$163.00 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$191.00 |
$191.00 |
$191.00 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$83.32 |
$83.32 |
$83.32 |
$672.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$146.46 |
$146.46 |
$146.46 |
$584.99
|
|
Graft patch felt ptfe 2x2
|
$2,879.89 |
$2,879.89 |
$2,879.89 |
$27,300.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$163.02 |
$163.02 |
$163.02 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$310.36 |
$310.36 |
$310.36 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$50.72 |
$50.72 |
$50.72 |
$373.00
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$90.56 |
$90.56 |
$90.56 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$3,326.90 |
$3,326.90 |
$3,326.90 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,813.84 |
$1,813.84 |
$1,813.84 |
$2,701.58
|
|
Great toe with reduction 28495
|
$502.00 |
$502.00 |
$502.00 |
$482.40
|
|
Group mnt 2 or more 30 mins
|
$48.50 |
$48.50 |
$48.50 |
$43.12
|
|
G-tube reposition
|
$774.00 |
$774.00 |
$774.00 |
$759.36
|
|
Gu dilat ureter/urethra s&i
|
$2,003.50 |
$2,003.50 |
$2,003.50 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$1,225.50 |
$1,225.50 |
$1,225.50 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$926.67 |
$926.67 |
$926.67 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$288.25 |
$288.25 |
$288.25 |
$1,105.00
|
|
Guid loc target vol rad tx
|
$409.50 |
$409.50 |
$409.50 |
$536.00
|
|
Gw stiffened micro access kit
|
$780.00 |
$780.00 |
$780.00 |
$6,696.00
|
|
Halo cervical into jckt vest
|
$1,975.30 |
$1,975.30 |
$1,975.30 |
$5,015.12
|
|
Hand-held pefr meter a4614
|
$26.40 |
$26.40 |
$26.40 |
$26.40
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$47.50 |
$47.50 |
$47.50 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$1,487.82 |
$1,487.82 |
$1,487.82 |
$6,628.05
|
|
Hand X-ray
|
$281.50 |
$281.50 |
$281.50 |
$356.00
|
|
Haptoglobin quantitative
|
$9.00 |
$9.00 |
$9.00 |
$91.14
|
|
Harvest auto stem cells
|
$2,426.00 |
$2,426.00 |
$2,426.00 |
$3,853.44
|
|
Hast w/i&r phys/qhp
|
$185.50 |
$185.50 |
$185.50 |
$301.95
|
|
Hast w/oxygen titrate
|
$215.00 |
$215.00 |
$215.00 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$230.50 |
$230.50 |
$230.50 |
$769.95
|
|
Hbb full gene sequence
|
$606.50 |
$606.50 |
$606.50 |
$633.25
|
|
Hb glycosylated a1c home dev
|
$12.00 |
$12.00 |
$12.00 |
$23.00
|
|
Hbot, full body chamber, 30m
|
$426.00 |
$426.00 |
$426.00 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$480.50 |
$480.50 |
$480.50 |
$759.72
|
|
Hcg qualitative
|
$65.50 |
$65.50 |
$65.50 |
$89.70
|
|
Hcg quantitative
|
$102.00 |
$102.00 |
$102.00 |
$139.20
|
|
Hc hearing aid exam both ears
|
$134.00 |
$134.00 |
$134.00 |
$175.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$26.00 |
$26.00 |
$26.00 |
$117.00
|
|
Hc nm kidney imaging with flow
|
$986.00 |
$986.00 |
$986.00 |
$822.60
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,374.00 |
$2,374.00 |
$2,374.00 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,729.00 |
$2,729.00 |
$2,729.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,957.00 |
$2,957.00 |
$2,957.00 |
$3,727.65
|
|
Hdr rdncl skn surf brachytx
|
$2,374.00 |
$2,374.00 |
$2,374.00 |
$598.20
|
|
Hdr rdncl skn surf brachytx
|
$2,729.00 |
$2,729.00 |
$2,729.00 |
$758.32
|
|
Head CT scan (with and without contrast)
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$989.50 |
$989.50 |
$989.50 |
$1,268.90
|
|
Heavy metal qual any number
|
$72.50 |
$72.50 |
$72.50 |
$68.88
|
|
Heinz bodies direct
|
$25.50 |
$25.50 |
$25.50 |
$37.44
|
|
Helicobacter pylori antibody igm
|
$62.00 |
$62.00 |
$62.00 |
$91.98
|
|
Hematocrit
|
$54.00 |
$54.00 |
$54.00 |
$33.57
|
|
Hematopoietic nuclear tx
|
$874.50 |
$874.50 |
$874.50 |
$928.98
|
|
Hemoglobin
|
$37.50 |
$37.50 |
$37.50 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$41.00 |
$41.00 |
$41.00 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$99.50 |
$99.50 |
$99.50 |
$53.60
|
