|
Ghs st - eval for alt comm
|
$115.63 |
$115.63 |
$115.63 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$210.91 |
$210.91 |
$225.29 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$373.41 |
$373.41 |
$424.38 |
$309.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$145.94 |
$145.94 |
$145.94 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$407.78 |
$407.78 |
$407.78 |
$360.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,240.18 |
$1,240.18 |
$1,240.18 |
$955.80
|
|
Ghs superficial wnd dehis w packing12021
|
$581.78 |
$581.78 |
$581.78 |
$696.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,388.32 |
$1,388.32 |
$1,388.32 |
$1,867.84
|
|
Ghs trypsin (fecal)
|
$79.83 |
$79.83 |
$79.83 |
$50.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$548.92 |
$548.92 |
$548.92 |
$535.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$486.35 |
$486.35 |
$486.35 |
$513.80
|
|
Ghs urine, hydroxproline total
|
$186.16 |
$186.16 |
$186.16 |
$109.20
|
|
Ghs urine, porphyrins quant
|
$129.66 |
$129.66 |
$279.98 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,433.76 |
$3,433.76 |
$3,433.76 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,033.91 |
$1,033.91 |
$4,052.97 |
$1,932.00
|
|
Ghs windowing of cast
|
$216.80 |
$216.80 |
$216.80 |
$212.55
|
|
Giardia ag if
|
$78.00 |
$78.00 |
$78.00 |
$38.58
|
|
Giardia lamblia antibody
|
$94.15 |
$94.15 |
$94.15 |
$83.44
|
|
Gi endoscopic ultrasound
|
$611.42 |
$611.42 |
$611.42 |
$582.31
|
|
Gi inhouse confirmation
|
$111.95 |
$111.95 |
$179.56 |
$87.20
|
|
Gingivoplasty each quadrant
|
$2,730.39 |
$2,730.39 |
$2,730.39 |
$4,296.60
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,539.87 |
$2,539.87 |
$2,539.87 |
$2,222.40
|
|
Gi trc img intral esophagus
|
$1,897.82 |
$1,897.82 |
$1,897.82 |
$1,897.82
|
|
Gi wireless capsule measure
|
$710.42 |
$710.42 |
$710.42 |
$1,579.30
|
|
Gjb2 gene full sequence
|
$628.20 |
$628.20 |
$628.20 |
$502.80
|
|
Gjb2 gene known fam variants
|
$73.82 |
$73.82 |
$73.82 |
$116.00
|
|
Gjb6 gene com variants
|
$343.03 |
$343.03 |
$343.03 |
$84.70
|
|
Glaucoma scrn hgh risk direc
|
$116.17 |
$116.17 |
$116.17 |
$116.17
|
|
Glaucoma scrn hgh risk direc
|
$76.08 |
$76.08 |
$76.08 |
$88.00
|
|
Glaucoma surgery
|
$3,895.82 |
$3,895.82 |
$3,895.82 |
$4,684.00
|
|
Glaucoma surgery
|
$4,188.22 |
$4,188.22 |
$4,188.22 |
$4,786.53
|
|
Glove finger flexion right lg xl
|
$114.00 |
$114.00 |
$114.00 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$310.34 |
$310.34 |
$682.24 |
$613.79
|
|
Glucagon plasma - sendout
|
$54.36 |
$54.36 |
$111.07 |
$64.35
|
|
Glucagon tolerance test
|
$111.95 |
$111.95 |
$111.95 |
$36.00
|
|
Glucose 1 hr post dose
|
$53.00 |
$53.00 |
$90.41 |
$48.25
|
|
Glucose-6-phosphate dhydrogenase screen
|
$72.12 |
$72.12 |
$72.12 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$34.80 |
$34.80 |
$44.68 |
$22.80
|
|
Glucose blood quantitative
|
$55.91 |
$55.91 |
$74.66 |
$42.14
|
|
Glucose body fluid
|
$74.66 |
$74.66 |
$79.18 |
$51.12
|
|
Glucose monitoring continual min 72hr pt
|
$316.45 |
$316.45 |
$316.45 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$140.92 |
$140.92 |
$245.09 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$36.00 |
$36.00 |
$74.66 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.60 |
$7.60 |
$49.20 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,598.55 |
$3,598.55 |
$3,598.55 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$149.06 |
$149.06 |
$353.80 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$316.50 |
$316.50 |
$352.54 |
$129.00
|
|
Gonioscopy
|
$152.50 |
$152.50 |
$152.50 |
$135.52
|
|
Goniotomy
|
$4,769.10 |
$4,769.10 |
$4,769.10 |
$4,396.50
|
|
Goserelin 10.8 mg subcutaneous implant
|
$5,010.53 |
$5,010.53 |
$5,010.53 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$140.31 |
$140.31 |
$4,733.71 |
$73.83
|
|
Graft axiofill 1000mg
|
$3,591.00 |
$3,591.00 |
$3,591.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$388.13 |
$388.13 |
$388.13 |
$605.00
|
|
Graft hand or finger tendon
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$84.15 |
$84.15 |
$27,603.28 |
$23,233.80
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$20,782.10 |
$20,782.10 |
$20,782.10 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$29,289.67
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$141.58 |
$141.58 |
$141.58 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,315.71 |
$1,315.71 |
$1,315.71 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$481.62 |
$481.62 |
$765.06 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$42.54 |
$42.54 |
$7,021.66 |
$349.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$4,742.40 |
$4,742.40 |
$4,742.40 |
$28,894.71
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$270.36 |
$270.36 |
$800.41 |
$1,114.96
|
|
Graft xenmtrx sft rect 15x20cm
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$29,113.43
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,670.92 |
$3,670.92 |
$3,670.92 |
$2,923.86
|
|
Granisetron 1 mg tab
|
$242.59 |
$242.59 |
$242.59 |
$53.15
|
|
Granisetron hcl injection
|
$32.39 |
$32.39 |
$32.39 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$4,554.48 |
$4,554.48 |
$4,554.48 |
$2,698.02
|
|
Great toe with reduction 28495
|
$560.99 |
$560.99 |
$560.99 |
$495.00
|
|
Grfg autol fat lipo 50 cc/<
|
$7,757.11 |
$7,757.11 |
$7,757.11 |
$5,102.99
|
|
Ground mileage
|
$3.74 |
$3.74 |
$3.74 |
$17.60
|
|
Group behave couns 2-10
|
$91.82 |
$91.82 |
$91.82 |
$94.87
|
|
Group health education
|
$67.60 |
$67.60 |
$67.60 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$53.02 |
$53.02 |
$53.02 |
$43.12
|
|
Growth hormone antibody
|
$72.60 |
$72.60 |
$72.60 |
$72.81
|
|
Growth stimulation gene 2
|
$225.00 |
$225.00 |
$225.00 |
$180.50
|
|
Gstrst open wo constj tube
|
$2,749.01 |
$2,749.01 |
$2,749.01 |
$2,756.00
|
|
G-tube reposition
|
$1,036.13 |
$1,036.13 |
$1,036.13 |
$760.80
|
|
Gu dilat ureter/urethra s&i
|
$1,593.22 |
$1,593.22 |
$3,129.23 |
$2,057.58
|
|
Guided cath fluid drainage 10030
|
$692.37 |
$692.37 |
$1,026.01 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$8,922.00 |
$8,922.00 |
$8,922.00 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$23,453.10 |
$23,453.10 |
$23,453.10 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$5,049.60 |
$5,049.60 |
$5,049.60 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$290.03 |
$290.03 |
$290.03 |
$535.60
|
|
Gum graft
|
$5,713.09 |
$5,713.09 |
$5,713.09 |
$5,289.89
|
|
Gw stiffened micro access kit
|
$9,177.30 |
$9,177.30 |
$9,177.30 |
$6,836.20
|
|
Gynecomastia (males) 19300
|
$3,514.50 |
$3,514.50 |
$3,514.50 |
$3,735.20
|
|
Hair removal by electrolysis 17380
|
$572.83 |
$572.83 |
$572.83 |
$849.50
|
|
Hair trnspl 1-15 punch grfts
|
$326.34 |
$326.34 |
$326.34 |
$908.00
|
|
Hair trnspl >15 punch grafts
|
$326.34 |
$326.34 |
$326.34 |
$1,108.80
|
|
Halo cervical into jckt vest
|
$2,395.80 |
$2,395.80 |
$2,395.80 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$139.00 |
$139.00 |
$139.00 |
$90.97
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$26.20 |
$26.20 |
$74.29 |
$24.25
|
|
Handle/convey/speciman/office-lab 99000
|
$30.36 |
$30.36 |
$30.36 |
$23.40
|
|
Handpiece aquabeam hp2000
|
$6,628.05 |
$6,628.05 |
$6,628.05 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$104.97 |
$104.97 |
$140.92 |
$105.30
|
|
Hand tendon reconstruction
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,023.20
|
|
Hand tendon reconstruction
|
$4,498.52 |
$4,498.52 |
$4,498.52 |
$4,498.52
|
|
Hand X-ray
|
$382.93 |
$382.93 |
$627.24 |
$350.35
|
