|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$230.50 |
$369.00 |
$897.50 |
|
|
Ghs simple repair over 30 cm - 12007
|
$415.50 |
$570.60 |
$615.00 |
|
|
Ghs simple repair over 30 cm - 12018
|
$570.60 |
$570.60 |
$570.60 |
|
|
Ghs sleep study unattended
|
$474.00 |
$879.50 |
$1,329.50 |
|
|
Ghs somatosensory testing lower extremit
|
$681.50 |
$785.00 |
$841.00 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,361.00 |
$1,680.00 |
$1,848.00 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$107.00 |
$146.00 |
$182.50 |
|
|
Ghs sphenopalatine ganglion block
|
$290.50 |
$417.00 |
$481.20 |
|
|
Ghs spont nystagmus
|
$246.50 |
$246.50 |
$246.50 |
|
|
Ghs sp train/fitting sp device - kx
|
$91.00 |
$123.00 |
$344.50 |
|
|
Ghs st - eval for alt comm
|
$91.00 |
$91.00 |
$91.00 |
|
|
Ghs strapping shoulder - 29240
|
$119.00 |
$187.20 |
$449.00 |
|
|
Ghs st - re-eval for alt comm
|
$202.50 |
$258.00 |
$531.00 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$47.00 |
$142.00 |
$267.00 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$54.50 |
$375.00 |
$1,379.00 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$328.00 |
$671.50 |
$8,040.31 |
|
|
Ghs superficial wnd dehis w packing12021
|
$288.00 |
$398.00 |
$889.80 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,741.20 |
$1,741.20 |
$1,741.20 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$353.00 |
$420.50 |
$749.50 |
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$378.60 |
$378.60 |
$378.60 |
|
|
Ghs urine, porphyrins quant
|
$70.50 |
$107.40 |
$617.50 |
|
|
Ghs vaginal delivery only
|
$1,420.50 |
$2,921.40 |
$4,439.00 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$404.00 |
$2,077.50 |
$2,553.50 |
|
|
Ghs windowing of cast
|
$98.50 |
$139.00 |
$139.00 |
|
|
Giardia lamblia antibody
|
$52.20 |
$52.20 |
$52.20 |
|
|
Gi endoscopic ultrasound
|
$280.00 |
$311.50 |
$483.00 |
|
|
Gi inhouse confirmation
|
$91.50 |
$125.50 |
$351.00 |
|
|
Gi protein loss
|
$373.00 |
$373.00 |
$373.00 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$608.00 |
$1,187.00 |
$13,376.60 |
|
|
Gi wireless capsule measure
|
$374.50 |
$654.50 |
$17,528.89 |
|
|
Glaucoma surgery
|
$2,011.00 |
$2,980.00 |
$2,980.00 |
|
|
Glove finger flexion right lg xl
|
$36.50 |
$36.50 |
$542.04 |
|
|
Glucagon 1 mg solution for injection
|
$1,376.00 |
$1,520.09 |
$2,604.00 |
|
|
Glucagon plasma - sendout
|
$58.00 |
$133.00 |
$163.80 |
|
|
Glucose 1 hr post dose
|
$26.00 |
$36.50 |
$272.50 |
|
|
Glucose-6-phosphate dhydrogenase screen
|
$27.00 |
$27.00 |
$27.00 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$8.00 |
$20.50 |
$99.00 |
|
|
Glucose blood quantitative
|
$26.00 |
$47.50 |
$216.00 |
|
|
Glucose body fluid
|
$32.00 |
$109.00 |
$242.40 |
|
|
Glucose monitoring continual min 72hr pt
|
$138.00 |
$170.50 |
$170.50 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$79.00 |
$127.00 |
$636.00 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$26.00 |
$40.50 |
$168.50 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$45.00 |
$45.00 |
$45.00 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$80.40 |
$117.50 |
$529.50 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$80.40 |
$134.00 |
$524.50 |
|
|
Gonioscopy
|
$37.50 |
$52.00 |
$52.00 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$15,399.65 |
$15,399.65 |
$17,626.11 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$63.00 |
$72.00 |
$10,684.08 |
|
|
Graft axiofill 1000mg
|
$2,091.00 |
$2,091.00 |
$12,245.76 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$601.50 |
$601.50 |
$143,990.55 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$59.80 |
$139.50 |
$103,787.31 |
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$9,322.11 |
$9,322.11 |
$9,322.11 |
|
|
Graft nerve adv 3-4x70mm
|
$15,017.36 |
$26,601.50 |
$265,158.30 |
|
|
Graft patch felt ptfe 2x2
|
$22,766.50 |
$27,093.00 |
$200,640.00 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$8,300.00 |
$8,300.00 |
$87,780.00 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$541.00 |
$541.00 |
$32,165.10 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$635.50 |
$635.50 |
$54,549.00 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$718.00 |
$718.00 |
$21,188.21 |
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$9,405.00 |
$9,405.00 |
$9,405.00 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$52.00 |
$2,614.50 |
$197,718.18 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$232.00 |
$416.00 |
$16,615.50 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$13,987.51 |
$59,231.50 |
$198,069.30 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,969.00 |
$2,458.50 |
$93,814.88 |
|
|
Granisetron 1 mg tab
|
$729.00 |
$729.00 |
$729.00 |
|
|
Granisetron hcl injection
|
$500.00 |
$500.00 |
$500.00 |
|
|
Granulocyte pheresis ea unit
|
$1,857.50 |
$2,752.50 |
$2,752.50 |
|
|
Great toe with reduction 28495
|
$268.50 |
$371.50 |
$378.60 |
|
|
Grfg autol fat lipo 25 cc/<
|
$40,889.74 |
$40,889.74 |
$40,889.74 |
|
|
Grfg autol fat lipo 50 cc/<
|
$18,852.10 |
$18,852.10 |
$45,498.64 |
|
|
Grfg autol fat lipo ea addl
|
$18,852.10 |
$18,852.10 |
$45,498.64 |
|
|
Grfg autol soft tiss dir exc
|
$22,805.00 |
$22,805.00 |
$22,805.00 |
|
|
Group mnt 2 or more 30 mins
|
$10.50 |
$16.00 |
$22.50 |
|
|
Growth hormone antibody
|
$0.50 |
$0.50 |
$0.50 |
|
|
Growth hormone panel
|
$390.50 |
$473.50 |
$584.50 |
|
|
G-tube reposition
|
$568.00 |
$785.00 |
$3,691.50 |
|
|
Gu dilat ureter/urethra s&i
|
$832.00 |
$1,380.00 |
$6,639.50 |
|
|
Guided cath fluid drainage 10030
|
$659.50 |
$912.00 |
$3,537.60 |
|
|
Guide endoanchr sg-64 aaa 62cm
|
$22,766.50 |
$22,766.50 |
$36,600.00 |
|
|
Guide wire threaded 1.4x150mm
|
$118.30 |
$15,450.00 |
$63,375.00 |
|
|
Guide worley csg 9fx50cm std
|
$670.00 |
$1,283.50 |
$4,389.00 |
|
|
Guid loc target vol rad tx
|
$366.50 |
$473.50 |
$3,264.00 |
|
|
Gw stiffened micro access kit
|
$117.00 |
$13,902.50 |
$42,799.02 |
|
|
Gynecomastia (males) 19300
|
$27,961.78 |
$27,961.78 |
$27,961.78 |
|
|
Hallus-valgus nt dyn pre ots
|
$244.59 |
$244.59 |
$244.59 |
|
|
Halo cervical into jckt vest
|
$5,542.00 |
$7,863.50 |
$63,125.00 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$45.00 |
$45.00 |
$247.00 |
|
|
Halo repl liner/interface
|
$1,372.00 |
$1,372.00 |
$7,172.88 |
|
|
Handle/convey/speciman/office-lab 99000
|
$62.00 |
$62.00 |
$62.00 |
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$543.29 |
$543.29 |
$543.29 |
|
|
Handpiece aquabeam hp2000
|
$6,259.50 |
$6,259.50 |
$20,377.50 |
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$59.50 |
$95.50 |
$342.00 |
|
|
Hand X-ray
|
$147.50 |
$288.00 |
$1,107.00 |
|
|
Hand X-ray (2 views, both hands)
|
$134.50 |
$230.40 |
$972.00 |
|
|
Haptoglobin quantitative
|
$46.00 |
$122.00 |
$413.50 |
|
|
Harness figure of 8 sing con
|
$232.00 |
$232.00 |
$232.00 |
|
|
Harvest allogeneic stem cell
|
$2,117.50 |
$2,928.00 |
$2,928.00 |
|
|
Harvest auto stem cells
|
$2,587.50 |
$2,899.00 |
$3,578.00 |
|
|
Harvest stem cell concentrte
|
$4,625.00 |
$5,710.00 |
$5,710.00 |
|
|
Hast w/i&r phys/qhp
|
$120.00 |
$148.50 |
$148.50 |
|
|
Hast w/oxygen titrate
|
$120.00 |
$148.50 |
$148.50 |
|
