|
Ghs removal pharyngeal foreign body
|
$507.20 |
$507.20 |
$507.20 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,835.20 |
$3,835.20 |
$3,835.20 |
$2,517.00
|
|
Ghs semen analysis fert
|
$100.00 |
$100.00 |
$100.00 |
$124.80
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$684.00 |
$684.00 |
$684.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$691.20 |
$691.20 |
$691.20 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$780.80 |
$780.80 |
$780.80 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$745.60 |
$745.60 |
$745.60 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$628.00 |
$628.00 |
$628.00 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$609.60 |
$609.60 |
$609.60 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$628.00 |
$628.00 |
$628.00 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$759.20 |
$759.20 |
$759.20 |
$590.88
|
|
Ghs sleep study unattended
|
$589.60 |
$589.60 |
$589.60 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$410.40 |
$410.40 |
$410.40 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$896.00 |
$896.00 |
$896.00 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$178.40 |
$178.40 |
$178.40 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$630.24
|
|
Ghs sp train/fitting sp device - kx
|
$309.60 |
$309.60 |
$309.60 |
$252.75
|
|
Ghs st - eval for alt comm
|
$148.80 |
$148.80 |
$148.80 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$206.40 |
$206.40 |
$206.40 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$432.80 |
$432.80 |
$432.80 |
$309.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$108.00 |
$108.00 |
$108.00 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$360.80 |
$360.80 |
$360.80 |
$360.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,570.40 |
$1,570.40 |
$1,570.40 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$1,299.20 |
$1,299.20 |
$1,299.20 |
$695.93
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$660.80 |
$660.80 |
$660.80 |
$529.65
|
|
Ghs veeg 12-26 hr intmt mont
|
$3,534.40 |
$3,534.40 |
$3,534.40 |
$1,932.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,829.60 |
$2,829.60 |
$2,829.60 |
$2,215.20
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$316.01 |
$316.01 |
$316.01 |
$491.67
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$25.99 |
$25.99 |
$25.99 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,132.77 |
$3,132.77 |
$3,132.77 |
$5,009.45
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$211.55 |
$211.55 |
$211.55 |
$73.83
|
|
Graft axiofill 1000mg
|
$3,970.05 |
$3,970.05 |
$3,970.05 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$792.00 |
$792.00 |
$792.00 |
$605.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$277.20 |
$277.20 |
$277.20 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$23,040.00 |
$23,040.00 |
$23,040.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$15,168.00 |
$15,168.00 |
$15,168.00 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$134.14 |
$134.14 |
$134.14 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$756.00 |
$756.00 |
$756.00 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$715.20 |
$715.20 |
$715.20 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$73.24 |
$73.24 |
$73.24 |
$349.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$54.68 |
$54.68 |
$54.68 |
$28,894.71
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$748.44 |
$748.44 |
$748.44 |
$1,103.05
|
|
Graft xenmtrx sft rect 15x20cm
|
$58,464.00 |
$58,464.00 |
$58,464.00 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,279.43 |
$2,279.43 |
$2,279.43 |
$2,905.40
|
|
Granisetron 1 mg tab
|
$6.03 |
$6.03 |
$6.03 |
$53.15
|
|
Granisetron hcl injection
|
$32.33 |
$32.33 |
$32.33 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
$2,698.02
|
|
Great toe with reduction 28495
|
$632.00 |
$632.00 |
$632.00 |
$495.00
|
|
Group train without patient
|
$55.20 |
$55.20 |
$55.20 |
$47.60
|
|
G-tube reposition
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$1,042.40 |
$1,042.40 |
$1,042.40 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$1,816.80 |
$1,816.80 |
$1,816.80 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$5,600.00 |
$5,600.00 |
$5,600.00 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$873.60 |
$873.60 |
$873.60 |
$535.60
|
|
Gw stiffened micro access kit
|
$8,430.35 |
$8,430.35 |
$8,430.35 |
$6,893.38
|
|
Hallus-valgus nt dyn pre ots
|
$19.04 |
$19.04 |
$19.04 |
$80.16
|
|
Halo cervical into jckt vest
|
$3,752.00 |
$3,752.00 |
$3,752.00 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$133.53 |
$133.53 |
$133.53 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$18.32 |
$18.32 |
$18.32 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$125.60 |
$125.60 |
$125.60 |
$105.30
|
|
Hand X-ray
|
$415.20 |
$415.20 |
$415.20 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$419.20 |
$419.20 |
$419.20 |
$294.90
|
|
Harvest allogeneic stem cell
|
$4,389.60 |
$4,389.60 |
$4,389.60 |
$3,766.50
|
|
Harvest auto stem cells
|
$4,849.60 |
$4,849.60 |
$4,849.60 |
$3,624.31
|
|
Harvest stem cell concentrte
|
$3,390.40 |
$3,390.40 |
$3,390.40 |
$1,355.25
|
|
Hast w/i&r phys/qhp
|
$265.60 |
$265.60 |
$265.60 |
$301.95
|
|
Hast w/oxygen titrate
|
$310.40 |
$310.40 |
$310.40 |
$347.20
|
|
Hbot, full body chamber, 30m
|
$473.60 |
$473.60 |
$473.60 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$726.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$200.80 |
$200.80 |
$200.80 |
$113.12
|
|
Hc metata joint dislocation anes
|
$2,503.20 |
$2,503.20 |
$2,503.20 |
$2,383.09
|
|
Hc pet myocardial imaging metabolic eval single study
|
$5,549.60 |
$5,549.60 |
$5,549.60 |
$3,958.50
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$8,719.20 |
$8,719.20 |
$8,719.20 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,043.20 |
$4,043.20 |
$4,043.20 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,665.60 |
$4,665.60 |
$4,665.60 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,166.40 |
$5,166.40 |
$5,166.40 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$3,411.20 |
$3,411.20 |
$3,411.20 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$3,388.80 |
$3,388.80 |
$3,388.80 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$2,848.00 |
$2,848.00 |
$2,848.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,187.20 |
$2,187.20 |
$2,187.20 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$2,108.80 |
$2,108.80 |
$2,108.80 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$327.20 |
$327.20 |
$327.20 |
$276.00
|
|
Hematopoietic nuclear tx
|
$682.40 |
$682.40 |
$682.40 |
$928.98
|
|
Hemodialysis one evaluation
|
$1,652.00 |
$1,652.00 |
$1,652.00 |
$1,364.27
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,529.60 |
$1,529.60 |
$1,529.60 |
$1,178.02
|
|
Hepagam b intravenous, inj
|
$657.72 |
$657.72 |
$657.72 |
$386.40
|
|
Heparin bolus from bag
|
$31.32 |
$31.32 |
$31.32 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$16.80 |
$16.80 |
$16.80 |
$12.00
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$339.76 |
$339.76 |
$339.76 |
$210.40
|
|
Hinge extension/flex wrist/f
|
$909.25 |
$909.25 |
$909.25 |
$1,653.00
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$424.00 |
$424.00 |
$424.00 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$488.00 |
$488.00 |
$488.00 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$457.60 |
$457.60 |
$457.60 |
$233.50
|
|
Hip X-ray
|
$495.20 |
$495.20 |
$495.20 |
$294.75
|
|
Histochemical stains add-on
|
$182.40 |
$182.40 |
$182.40 |
$152.75
|
|
HIV prep, inj, cabotegravir
|
$6,011.04 |
$6,011.04 |
$6,011.04 |
$7,320.13
|
|
Hizentra injection
|
$1,204.78 |
$1,204.78 |
$1,204.78 |
$3,912.58
|
|
Hla class i high defin qual
|
$432.00 |
$432.00 |
$432.00 |
$631.15
|
