|
Ghs o2 uptake rest & indirect
|
$433.50 |
$433.50 |
$433.50 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$1,241.00
|
|
Ghs opcc repair cvp w subq port
|
$5,914.50 |
$5,914.50 |
$5,914.50 |
$2,194.40
|
|
Ghs optokenetic
|
$256.50 |
$256.50 |
$256.50 |
$214.00
|
|
Ghs oscillating trac
|
$256.50 |
$256.50 |
$256.50 |
$325.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$54.00 |
$54.00 |
$54.00 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$88.50 |
$88.50 |
$88.50 |
$64.50
|
|
Ghs ot dds rom
|
$196.50 |
$196.50 |
$196.50 |
$65.21
|
|
Ghs ot prosthetic training/15 min
|
$138.75 |
$138.75 |
$138.75 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$138.75 |
$138.75 |
$138.75 |
$96.00
|
|
Ghs pacing - transcutaneous
|
$940.50 |
$940.50 |
$940.50 |
$828.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,236.75 |
$1,236.75 |
$1,236.75 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$765.75 |
$765.75 |
$765.75 |
$569.70
|
|
Ghs phenylketonurid
|
$148.50 |
$148.50 |
$148.50 |
$53.76
|
|
Ghs picc line insert < 5
|
$6,876.75 |
$6,876.75 |
$6,876.75 |
$2,035.00
|
|
Ghs plngl fx pm cl
|
$418.50 |
$418.50 |
$418.50 |
$578.00
|
|
Ghs pos nystagmus
|
$678.00 |
$678.00 |
$678.00 |
$232.70
|
|
Ghs ppd (tb intradermal)
|
$52.50 |
$52.50 |
$52.50 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$87.00 |
$87.00 |
$87.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$60.75 |
$60.75 |
$60.75 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$134.25 |
$134.25 |
$134.25 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$138.75 |
$138.75 |
$138.75 |
$47.55
|
|
Ghs refill of implantable pump
|
$870.75 |
$870.75 |
$870.75 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$531.75 |
$531.75 |
$531.75 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$478.50 |
$478.50 |
$478.50 |
$441.68
|
|
Ghs sensitivity (per antimicro)
|
$78.75 |
$78.75 |
$78.75 |
$56.50
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$368.25 |
$368.25 |
$368.25 |
$587.30
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$368.25 |
$368.25 |
$368.25 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$374.25 |
$374.25 |
$374.25 |
$592.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$374.25 |
$374.25 |
$374.25 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$364.50 |
$364.50 |
$364.50 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$362.25 |
$362.25 |
$362.25 |
$441.60
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$364.50 |
$364.50 |
$364.50 |
$492.80
|
|
Ghs simple repair over 30 cm - 12007
|
$381.75 |
$381.75 |
$381.75 |
$602.00
|
|
Ghs simple repair over 30 cm - 12018
|
$381.75 |
$381.75 |
$381.75 |
$537.60
|
|
Ghs somatosensory testing lower extremit
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$906.18
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,091.75 |
$2,091.75 |
$2,091.75 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$230.25 |
$230.25 |
$230.25 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$2,005.50 |
$2,005.50 |
$2,005.50 |
$644.00
|
|
Ghs spont nystagmus
|
$256.50 |
$256.50 |
$256.50 |
$242.00
|
|
Ghs sp train/fitting sp device - kx
|
$365.25 |
$365.25 |
$365.25 |
$250.50
|
|
Ghs st - eval for alt comm
|
$99.75 |
$99.75 |
$99.75 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$257.25 |
$257.25 |
$257.25 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$468.00 |
$468.00 |
$468.00 |
$309.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$269.25 |
$269.25 |
$269.25 |
$360.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$728.25 |
$728.25 |
$728.25 |
$975.00
|
|
Ghs superficial wnd dehis w packing12021
|
$471.75 |
$471.75 |
$471.75 |
$696.68
|
|
Ghs tx distal phalangeal fx with manipulation
|
$405.75 |
$405.75 |
$405.75 |
$535.60
|
|
Ghs urine, porphyrins quant
|
$499.50 |
$499.50 |
$499.50 |
$73.80
|
|
Ghs vaginal delivery only
|
$2,361.75 |
$2,361.75 |
$2,361.75 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,699.25 |
$2,699.25 |
$2,699.25 |
$1,932.00
|
|
Giardia lamblia antibody
|
$147.00 |
$147.00 |
$147.00 |
$83.44
|
|
Gi inhouse confirmation
|
$79.50 |
$79.50 |
$79.50 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,745.00 |
$2,745.00 |
$2,745.00 |
$2,203.00
|
|
Glassia injection
|
$2,551.28 |
$2,551.28 |
$2,551.28 |
$20.32
|
|
Glove finger flexion right lg xl
|
$36.75 |
$36.75 |
$36.75 |
$100.48
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$509.06 |
$509.06 |
$509.06 |
$491.67
|
|
Glucagon plasma - sendout
|
$63.00 |
$63.00 |
$63.00 |
$64.35
|
|
Glucose 1 hr post dose
|
$168.00 |
$168.00 |
$168.00 |
$48.11
|
|
Glucose-6-phosphate dhydrogenase screen
|
$55.50 |
$55.50 |
$55.50 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$39.00 |
$39.00 |
$39.00 |
$23.12
|
|
Glucose blood quantitative
|
$45.00 |
$45.00 |
$45.00 |
$41.40
|
|
Glucose body fluid
|
$72.75 |
$72.75 |
$72.75 |
$51.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$201.75 |
$201.75 |
$201.75 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$63.00 |
$63.00 |
$63.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$102.50 |
$102.50 |
$102.50 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$7,166.65 |
$7,166.65 |
$7,166.65 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$187.50 |
$187.50 |
$187.50 |
$117.00
|
|
Gonadotropin hormone panel
|
$1,263.75 |
$1,263.75 |
$1,263.75 |
$372.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$129.00 |
$129.00 |
$129.00 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$11,433.78 |
$11,433.78 |
$11,433.78 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$3,026.25 |
$3,026.25 |
$3,026.25 |
$73.83
|
|
Graft axiofill 1000mg
|
$675,000.00 |
$675,000.00 |
$675,000.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$17,736.75 |
$17,736.75 |
$17,736.75 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$31,488.75 |
$31,488.75 |
$31,488.75 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$27,652.41 |
$27,652.41 |
$27,652.41 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$78,750.00 |
$78,750.00 |
$78,750.00 |
$29,289.67
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$29,670.10 |
$29,670.10 |
$29,670.10 |
$1,240.73
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$6,187.50 |
$6,187.50 |
$6,187.50 |
$964.07
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$6,075.00 |
$6,075.00 |
$6,075.00 |
$1,126.25
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$7,746.75 |
$7,746.75 |
$7,746.75 |
$349.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$66,548.25 |
$66,548.25 |
$66,548.25 |
$28,799.96
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$2,227.50 |
$2,227.50 |
$2,227.50 |
$1,114.96
|
|
Graft xenmtrx sft rect 15x20cm
|
$99,296.10 |
$99,296.10 |
$99,296.10 |
$29,043.97
|
|
Graft xenmtrx sft rect 19x28cm
|
$6,187.50 |
$6,187.50 |
$6,187.50 |
$2,923.86
|
|
Great toe with reduction 28495
|
$581.25 |
$581.25 |
$581.25 |
$513.36
|
|
Growth hormone panel
|
$135.75 |
$135.75 |
$135.75 |
$173.00
|
|
Growth hormone panel
|
$261.75 |
$261.75 |
$261.75 |
$259.20
|
|
Growth stimulation gene 2
|
$1,637.25 |
$1,637.25 |
$1,637.25 |
$170.04
|
|
G-tube reposition
|
$631.50 |
$631.50 |
$631.50 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$1,712.25 |
$1,712.25 |
$1,712.25 |
$2,057.58
|
|
Guided cath fluid drainage 10030
|
$542.25 |
$542.25 |
$542.25 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$2,108.25 |
$2,108.25 |
$2,108.25 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$20,413.63 |
$20,413.63 |
$20,413.63 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$3,593.25 |
$3,593.25 |
$3,593.25 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$101,250.00 |
$101,250.00 |
$101,250.00 |
$6,836.20
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$120.02 |
$120.02 |
$120.02 |
$90.97
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$8.58 |
$8.58 |
$8.58 |
$24.25
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$138.75 |
$138.75 |
$138.75 |
$105.00
|
