|
Ghs moderate sedation ea addtl 15 min
|
$38.88 |
$38.88 |
$38.88 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$128.79 |
$128.79 |
$128.79 |
$147.75
|
|
Ghs nailbed repair/nail removal
|
$387.72 |
$387.72 |
$387.72 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$54.81 |
$54.81 |
$54.81 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$150.66 |
$150.66 |
$150.66 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$154.44 |
$154.44 |
$154.44 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$164.16 |
$164.16 |
$164.16 |
$1,689.00
|
|
Ghs nerve block interscaline
|
$159.84 |
$159.84 |
$159.84 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$178.20 |
$178.20 |
$178.20 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$185.49 |
$185.49 |
$185.49 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$125.82 |
$125.82 |
$125.82 |
$478.50
|
|
Ghs optokenetic
|
$33.48 |
$33.48 |
$33.48 |
$211.20
|
|
Ghs oscillating trac
|
$31.32 |
$31.32 |
$31.32 |
$344.68
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$49.41 |
$49.41 |
$49.41 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$67.23 |
$67.23 |
$67.23 |
$57.65
|
|
Ghs pacing - transcutaneous
|
$2.16 |
$2.16 |
$2.16 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$186.84 |
$186.84 |
$186.84 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$160.38 |
$160.38 |
$160.38 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$90.72 |
$90.72 |
$90.72 |
$76.56
|
|
Ghs peritonsillar abscess i andd
|
$403.38 |
$403.38 |
$403.38 |
$546.36
|
|
Ghs picc line insert < 5
|
$212.49 |
$212.49 |
$212.49 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$750.60 |
$750.60 |
$750.60 |
$564.80
|
|
Ghs pos nystagmus
|
$54.54 |
$54.54 |
$54.54 |
$228.00
|
|
Ghs ppd (tb intradermal)
|
$450.63 |
$450.63 |
$450.63 |
$37.70
|
|
Ghs removal intranasal foreign body
|
$454.95 |
$454.95 |
$454.95 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$264.60 |
$264.60 |
$264.60 |
$459.90
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,265.76 |
$1,265.76 |
$1,265.76 |
$2,161.50
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$375.84 |
$375.84 |
$375.84 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$457.38 |
$457.38 |
$457.38 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$304.29 |
$304.29 |
$304.29 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$404.46 |
$404.46 |
$404.46 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$294.84 |
$294.84 |
$294.84 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$289.71 |
$289.71 |
$289.71 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$540.27 |
$540.27 |
$540.27 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$368.82 |
$368.82 |
$368.82 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$459.27 |
$459.27 |
$459.27 |
$537.60
|
|
Ghs spont nystagmus
|
$47.52 |
$47.52 |
$47.52 |
$242.00
|
|
Ghs st - eval for alt comm
|
$30.78 |
$30.78 |
$30.78 |
$93.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$626.40 |
$626.40 |
$626.40 |
$861.75
|
|
Ghs superficial wnd dehis w packing12021
|
$368.82 |
$368.82 |
$368.82 |
$661.50
|
|
Ghs tracheostomy emergency - transtracheal
|
$651.78 |
$651.78 |
$651.78 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$707.94 |
$707.94 |
$707.94 |
$523.00
|
|
Ghs vaginal delivery only
|
$1,826.28 |
$1,826.28 |
$1,826.28 |
$3,152.00
|
|
Ghs windowing of cast
|
$96.12 |
$96.12 |
$96.12 |
$212.55
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$442.09 |
$442.09 |
$442.09 |
$491.67
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$12.42 |
$12.42 |
$12.42 |
$23.86
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$20.61 |
$20.61 |
$20.61 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,590.95 |
$2,590.95 |
$2,590.95 |
$4,977.60
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$32.40 |
$32.40 |
$32.40 |
$672.50
|
|
Graft axiofill 1000mg
|
$80.51 |
$80.51 |
$80.51 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$6,966.00 |
$6,966.00 |
$6,966.00 |
$24,469.57
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$5,540.40 |
$5,540.40 |
$5,540.40 |
$1,132.47
|
|
Granisetron hcl injection
|
$30.78 |
$30.78 |
$30.78 |
$45.03
|
|
Great toe with reduction 28495
|
$329.40 |
$329.40 |
$329.40 |
$482.40
|
|
Gstrst open wo constj tube
|
$1,470.15 |
$1,470.15 |
$1,470.15 |
$2,756.00
|
|
Guided cath fluid drainage 10030
|
$424.98 |
$424.98 |
$424.98 |
$1,372.15
|
|
Gynecomastia (males) 19300
|
$2,219.40 |
$2,219.40 |
$2,219.40 |
$3,735.20
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$69.01 |
$69.01 |
$69.01 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$19.95 |
$19.95 |
$19.95 |
$23.06
|
|
Hand X-ray
|
$205.74 |
$205.74 |
$205.74 |
$356.00
|
|
Hc nm kidney imaging with flow
|
$86.40 |
$86.40 |
$86.40 |
$822.60
|
|
Head CT scan (with and without contrast)
|
$224.64 |
$224.64 |
$224.64 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$199.80 |
$199.80 |
$199.80 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$150.12 |
$150.12 |
$150.12 |
$1,268.90
|
|
Hemin 350 mg intravenous powder for solution
|
$12.96 |
$12.96 |
$12.96 |
$20,618.46
|
|
Hemoglobin
|
$9.18 |
$9.18 |
$9.18 |
$31.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$621.27 |
$621.27 |
$621.27 |
$1,168.00
|
|
Hepagam b im injection
|
$339.16 |
$339.16 |
$339.16 |
$1,008.44
|
|
Heparin bolus from bag
|
$29.86 |
$29.86 |
$29.86 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$21.06 |
$21.06 |
$21.06 |
$10.61
|
|
Hepatobiliary system imaging
|
$128.52 |
$128.52 |
$128.52 |
$1,438.58
|
|
Hernia Repair (Inguinal)
|
$2,187.00 |
$2,187.00 |
$2,187.00 |
$6,311.00
|
|
Hip X-ray
|
$174.42 |
$174.42 |
$174.42 |
$292.05
|
|
Home/res vst est mod mdm 40
|
$181.98 |
$181.98 |
$181.98 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$74.52 |
$74.52 |
$74.52 |
$98.40
|
|
Home/res vst new low mdm 30
|
$112.86 |
$112.86 |
$112.86 |
$145.60
|
|
Home/res vst new sf mdm 15
|
$76.41 |
$76.41 |
$76.41 |
$98.40
|
|
Home visit est patient 99348
|
$112.05 |
$112.05 |
$112.05 |
$148.41
|
|
Hydralazine 20 mg/ml injection solution
|
$39.44 |
$39.44 |
$39.44 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$23.22 |
$23.22 |
$23.22 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$85.05 |
$85.05 |
$85.05 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$55.32 |
$55.32 |
$55.32 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$27.00 |
$27.00 |
$27.00 |
$131.47
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$37.76 |
$37.76 |
$37.76 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$18.36 |
$18.36 |
$18.36 |
$72.65
|
|
Hysterosalpingography s&i
|
$67.50 |
$67.50 |
$67.50 |
$651.85
|
|
Hysteroscopy ablation
|
$711.99 |
$711.99 |
$711.99 |
$5,841.60
|
|
Hysteroscopy biopsy
|
$2,622.24 |
$2,622.24 |
$2,622.24 |
$5,110.50
|
|
Hysteroscopy dx sep proc
|
$408.78 |
$408.78 |
$408.78 |
$3,997.50
|
|
Hysteroscopy remove fb
|
$946.89 |
$946.89 |
$946.89 |
$4,719.18
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$103.41 |
$103.41 |
$103.41 |
$352.24
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$294.30 |
$294.30 |
$294.30 |
$635.44
|
|
Icatibant injection
|
$321.84 |
$321.84 |
$321.84 |
$8,695.05
|
|
I&d frarm&/wrst deep absc/hematoma
|
$1,446.66 |
$1,446.66 |
$1,446.66 |
$3,839.54
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$923.40 |
$923.40 |
$923.40 |
$3,245.23
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$810.27 |
$810.27 |
$810.27 |
$3,322.80
|
|
I&d vag hemtma obst/postpart
|
$378.00 |
$378.00 |
$378.00 |
$3,334.38
|
|
Ihc/icc per specimen each additional single antibody stain
|
$99.36 |
$99.36 |
$99.36 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$136.08 |
$136.08 |
$136.08 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$181.98 |
$181.98 |
$181.98 |
$274.86
|