|
Ghs nerve blk intercostal, single level
|
$347.55 |
$347.55 |
$347.55 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$522.48 |
$522.48 |
$522.48 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$522.48 |
$522.48 |
$522.48 |
$1,689.00
|
|
Ghs nerve block lumbar or thoracic symp
|
$320.46 |
$320.46 |
$320.46 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$395.01 |
$395.01 |
$395.01 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$441.00 |
$441.00 |
$441.00 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$178.29 |
$178.29 |
$178.29 |
$478.50
|
|
Ghs o2 saturation
|
$57.75 |
$57.75 |
$57.75 |
$70.80
|
|
Ghs o2 uptake rest & indirect
|
$49.35 |
$49.35 |
$49.35 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$214.62 |
$214.62 |
$214.62 |
$75.00
|
|
Ghs opcc repair cvp without subq port
|
$434.70 |
$434.70 |
$434.70 |
$1,229.24
|
|
Ghs optokenetic
|
$108.57 |
$108.57 |
$108.57 |
$211.20
|
|
Ghs oscillating trac
|
$108.57 |
$108.57 |
$108.57 |
$344.68
|
|
Ghs ot group caregiver training
|
$6.51 |
$6.51 |
$6.51 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$33.39 |
$33.39 |
$33.39 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$41.79 |
$41.79 |
$41.79 |
$94.80
|
|
Ghs pacing - transcutaneous
|
$145.11 |
$145.11 |
$145.11 |
$815.20
|
|
Ghs peritonsillar abscess i andd
|
$112.14 |
$112.14 |
$112.14 |
$546.36
|
|
Ghs picc line insert < 5
|
$419.58 |
$419.58 |
$419.58 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$65.94 |
$65.94 |
$65.94 |
$564.80
|
|
Ghs plt ct-manual
|
$21.63 |
$21.63 |
$21.63 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,122.45 |
$1,122.45 |
$1,122.45 |
$3,557.58
|
|
Ghs pos nystagmus
|
$114.24 |
$114.24 |
$114.24 |
$228.00
|
|
Ghs ppd (tb intradermal)
|
$11.34 |
$11.34 |
$11.34 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$49.56 |
$49.56 |
$49.56 |
$43.55
|
|
Ghs protoporphyrins fract
|
$12.81 |
$12.81 |
$12.81 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$72.87 |
$72.87 |
$72.87 |
$50.05
|
|
Ghs quinidine
|
$73.08 |
$73.08 |
$73.08 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$40.53 |
$40.53 |
$40.53 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$97.86 |
$97.86 |
$97.86 |
$459.90
|
|
Ghs respiratory syncytical virus igg/m
|
$10.08 |
$10.08 |
$10.08 |
$71.20
|
|
Ghs sedimentation rate
|
$27.30 |
$27.30 |
$27.30 |
$45.50
|
|
Ghs semen analysis fert
|
$85.05 |
$85.05 |
$85.05 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$13.02 |
$13.02 |
$13.02 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$108.36 |
$108.36 |
$108.36 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$111.30 |
$111.30 |
$111.30 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$108.36 |
$108.36 |
$108.36 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$108.36 |
$108.36 |
$108.36 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$50.40 |
$50.40 |
$50.40 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$50.40 |
$50.40 |
$50.40 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$50.40 |
$50.40 |
$50.40 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$87.15 |
$87.15 |
$87.15 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$11.13 |
$11.13 |
$11.13 |
$537.60
|
|
Ghs sleep study unattended
|
$112.35 |
$112.35 |
$112.35 |
$495.00
|
|
Ghs somatosensory testing lower extremit
|
$539.07 |
$539.07 |
$539.07 |
$922.35
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,039.92 |
$1,039.92 |
$1,039.92 |
$1,290.02
|
|
Ghs spont nystagmus
|
$108.57 |
$108.57 |
$108.57 |
$242.00
|
|
Ghs sp train/fitting sp device - kx
|
$81.06 |
$81.06 |
$81.06 |
$250.50
|
|
Ghs st - eval for alt comm
|
$38.64 |
$38.64 |
$38.64 |
$93.60
|
|
Ghs strapping shoulder - 29240
|
$59.22 |
$59.22 |
$59.22 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$67.41 |
$67.41 |
$67.41 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$28.35 |
$28.35 |
$28.35 |
$98.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$91.35 |
$91.35 |
$91.35 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$132.30 |
$132.30 |
$132.30 |
$861.75
|
|
Ghs tx distal phalangeal fx with manipulation
|
$65.94 |
$65.94 |
$65.94 |
$523.00
|
|
Ghs urine, porphyrins quant
|
$34.65 |
$34.65 |
$34.65 |
$75.00
|
|
Ghs vaginal delivery only
|
$1,313.34 |
$1,313.34 |
$1,313.34 |
$3,152.00
|
|
Ghs veeg 12-26 hr intmt mont
|
$342.51 |
$342.51 |
$342.51 |
$1,910.25
|
|
Giardia ag if
|
$42.42 |
$42.42 |
$42.42 |
$39.13
|
|
Giardia lamblia antibody
|
$140.70 |
$140.70 |
$140.70 |
$83.44
|
|
Gi inhouse confirmation
|
$158.76 |
$158.76 |
$158.76 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$460.32 |
$460.32 |
$460.32 |
$2,098.85
|
|
Gi trc img intral colon i&r
|
$521.01 |
$521.01 |
$521.01 |
$1,959.88
|
|
Glucagon 1 mg solution for injection
|
$313.27 |
$313.27 |
$313.27 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$179.75 |
$179.75 |
$179.75 |
$491.67
|
|
Glucagon plasma - sendout
|
$77.91 |
$77.91 |
$77.91 |
$63.00
|
|
Glucose 1 hr post dose
|
$82.11 |
$82.11 |
$82.11 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$7.14 |
$7.14 |
$7.14 |
$23.86
|
|
Glucose blood quantitative
|
$36.12 |
$36.12 |
$36.12 |
$40.00
|
|
Glucose body fluid
|
$36.12 |
$36.12 |
$36.12 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$120.12 |
$120.12 |
$120.12 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$42.00 |
$42.00 |
$42.00 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$183.46 |
$183.46 |
$183.46 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$67.41 |
$67.41 |
$67.41 |
$115.05
|
|
Gonadotropin hormone panel
|
$116.97 |
$116.97 |
$116.97 |
$372.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$67.41 |
$67.41 |
$67.41 |
$129.00
|
|
Graft nerve adv 3-4x70mm
|
$1,299.90 |
$1,299.90 |
$1,299.90 |
$19,620.00
|
|
Granisetron 1 mg tab
|
$2.43 |
$2.43 |
$2.43 |
$53.15
|
|
Granisetron hcl injection
|
$22.14 |
$22.14 |
$22.14 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$1,536.57 |
$1,536.57 |
$1,536.57 |
$2,309.40
|
|
Great toe with reduction 28495
|
$65.94 |
$65.94 |
$65.94 |
$482.40
|
|
Group mnt 2 or more 30 mins
|
$15.96 |
$15.96 |
$15.96 |
$43.12
|
|
G-tube reposition
|
$506.10 |
$506.10 |
$506.10 |
$759.36
|
|
Gu dilat ureter/urethra s&i
|
$925.26 |
$925.26 |
$925.26 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$770.49 |
$770.49 |
$770.49 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$180.18 |
$180.18 |
$180.18 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$39.27 |
$39.27 |
$39.27 |
$1,105.00
|
|
Guid loc target vol rad tx
|
$92.19 |
$92.19 |
$92.19 |
$536.00
|
|
Gw stiffened micro access kit
|
$141.54 |
$141.54 |
$141.54 |
$6,696.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$317.71 |
$317.71 |
$317.71 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$11.58 |
$11.58 |
$11.58 |
$23.06
|
|
Hand X-ray
|
$105.84 |
$105.84 |
$105.84 |
$356.00
|
|
Haptoglobin quantitative
|
$99.54 |
$99.54 |
$99.54 |
$91.14
|
|
Harvest allogeneic stem cell
|
$2,080.26 |
$2,080.26 |
$2,080.26 |
$3,067.50
|
|
Harvest auto stem cells
|
$2,340.03 |
$2,340.03 |
$2,340.03 |
$3,853.44
|
|
Harvest stem cell concentrte
|
$732.06 |
$732.06 |
$732.06 |
$1,355.25
|
|
Hast w/i&r phys/qhp
|
$43.89 |
$43.89 |
$43.89 |
$301.95
|
|
Hast w/oxygen titrate
|
$43.89 |
$43.89 |
$43.89 |
$347.20
|
|
Hba1/hba2 gene dup/del vrnts
|
$140.70 |
$140.70 |
$140.70 |
$404.80
|
|
Hbb gene dup/del variants
|
$132.51 |
$132.51 |
$132.51 |
$455.00
|