|
Ghs nerve blk intercostal, single level
|
$1,368.50 |
$1,368.50 |
$1,368.50 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$1,858.50 |
$1,858.50 |
$1,858.50 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$1,023.50 |
$1,023.50 |
$1,023.50 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$685.50 |
$685.50 |
$685.50 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$893.00 |
$893.00 |
$893.00 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$2,166.00 |
$2,166.00 |
$2,166.00 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$872.50 |
$872.50 |
$872.50 |
$478.50
|
|
Ghs o2 saturation
|
$162.50 |
$162.50 |
$162.50 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$4,539.00 |
$4,539.00 |
$4,539.00 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$2,129.00 |
$2,129.00 |
$2,129.00 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$69.00 |
$69.00 |
$69.00 |
$58.00
|
|
Ghs ot group caregiver training
|
$200.00 |
$200.00 |
$200.00 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$240.50 |
$240.50 |
$240.50 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$221.00 |
$221.00 |
$221.00 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$227.00 |
$227.00 |
$227.00 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$1,112.50 |
$1,112.50 |
$1,112.50 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,936.50 |
$1,936.50 |
$1,936.50 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$773.00 |
$773.00 |
$773.00 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$309.50 |
$309.50 |
$309.50 |
$545.40
|
|
Ghs phenylketonurid
|
$8.50 |
$8.50 |
$8.50 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,111.50 |
$2,111.50 |
$2,111.50 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$720.50 |
$720.50 |
$720.50 |
$564.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$4,450.00 |
$4,450.00 |
$4,450.00 |
$3,557.58
|
|
Ghs prostatic acid phosphatase (mayo)
|
$106.00 |
$106.00 |
$106.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$60.00 |
$60.00 |
$60.00 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$447.50 |
$447.50 |
$447.50 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$27.50 |
$27.50 |
$27.50 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$292.00 |
$292.00 |
$292.00 |
$285.60
|
|
Ghs quinidine
|
$15.50 |
$15.50 |
$15.50 |
$83.20
|
|
Ghs removal intranasal foreign body
|
$334.00 |
$334.00 |
$334.00 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$368.00 |
$368.00 |
$368.00 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,408.00 |
$2,408.00 |
$2,408.00 |
$2,408.00
|
|
Ghs reticulocyte count
|
$110.50 |
$110.50 |
$110.50 |
$35.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$185.50 |
$185.50 |
$185.50 |
$99.00
|
|
Ghs sedimentation rate
|
$100.00 |
$100.00 |
$100.00 |
$45.50
|
|
Ghs semen analysis fert
|
$576.50 |
$576.50 |
$576.50 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$156.00 |
$156.00 |
$156.00 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$606.50 |
$606.50 |
$606.50 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$521.50 |
$521.50 |
$521.50 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$514.50 |
$514.50 |
$514.50 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$759.00 |
$759.00 |
$759.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$535.50 |
$535.50 |
$535.50 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$585.00 |
$585.00 |
$585.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$633.50 |
$633.50 |
$633.50 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$686.50 |
$686.50 |
$686.50 |
$584.00
|
|
Ghs sleep study unattended
|
$984.00 |
$984.00 |
$984.00 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,573.50 |
$1,573.50 |
$1,573.50 |
$917.80
|
|
Ghs sphenopalatine ganglion block
|
$481.50 |
$481.50 |
$481.50 |
$616.00
|
|
Ghs sp train/fitting sp device - kx
|
$203.50 |
$203.50 |
$203.50 |
$249.60
|
|
Ghs strapping shoulder - 29240
|
$466.00 |
$466.00 |
$466.00 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$248.50 |
$248.50 |
$248.50 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$73.50 |
$73.50 |
$73.50 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$566.00 |
$566.00 |
$566.00 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$2,331.50 |
$2,331.50 |
$2,331.50 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$1,327.00 |
$1,327.00 |
$1,327.00 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$3,529.00 |
$3,529.00 |
$3,529.00 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$587.00 |
$587.00 |
$587.00 |
$525.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$595.00 |
$595.00 |
$595.00 |
$493.68
|
|
Ghs urine, porphyrins quant
|
$28.50 |
$28.50 |
$28.50 |
$73.80
|
|
Ghs vaginal delivery only
|
$2,098.00 |
$2,098.00 |
$2,098.00 |
$3,338.40
|
|
Gi inhouse confirmation
|
$365.00 |
$365.00 |
$365.00 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,195.76
|
|
Gi trc img intral esophagus
|
$968.00 |
$968.00 |
$968.00 |
$1,897.82
|
|
Glucagon plasma - sendout
|
$22.50 |
$22.50 |
$22.50 |
$63.20
|
|
Glucose 1 hr post dose
|
$156.50 |
$156.50 |
$156.50 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$58.00 |
$58.00 |
$58.00 |
$22.75
|
|
Glucose blood quantitative
|
$208.00 |
$208.00 |
$208.00 |
$41.40
|
|
Glucose body fluid
|
$202.50 |
$202.50 |
$202.50 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$264.00 |
$264.00 |
$264.00 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$156.00 |
$156.00 |
$156.00 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$424.50 |
$424.50 |
$424.50 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$389.50 |
$389.50 |
$389.50 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$8,383.00 |
$8,383.00 |
$8,383.00 |
$143.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$11,861.50 |
$11,861.50 |
$11,861.50 |
$601.50
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$18,344.50 |
$18,344.50 |
$18,344.50 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$9,382.50 |
$9,382.50 |
$9,382.50 |
$427.89
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$17,752.50 |
$17,752.50 |
$17,752.50 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$3,921.50 |
$3,921.50 |
$3,921.50 |
$31,191.20
|
|
Great toe with reduction 28495
|
$1,039.50 |
$1,039.50 |
$1,039.50 |
$495.00
|
|
Group train without patient
|
$200.00 |
$200.00 |
$200.00 |
$47.60
|
|
Gstrst open wo constj tube
|
$12,174.50 |
$12,174.50 |
$12,174.50 |
$2,756.00
|
|
G-tube reposition
|
$1,205.00 |
$1,205.00 |
$1,205.00 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$6,600.50 |
$6,600.50 |
$6,600.50 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$989.50 |
$989.50 |
$989.50 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$1,438.00 |
$1,438.00 |
$1,438.00 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$111.00 |
$111.00 |
$111.00 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$536.00 |
$536.00 |
$536.00 |
$535.60
|
|
Gw stiffened micro access kit
|
$1,667.50 |
$1,667.50 |
$1,667.50 |
$6,600.00
|
|
Hand X-ray
|
$695.00 |
$695.00 |
$695.00 |
$345.87
|
|
Haptoglobin quantitative
|
$298.00 |
$298.00 |
$298.00 |
$91.80
|
|
Harvest allogeneic stem cell
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$3,067.50
|
|
Harvest auto stem cells
|
$2,947.50 |
$2,947.50 |
$2,947.50 |
$3,379.00
|
|
Hast w/oxygen titrate
|
$354.50 |
$354.50 |
$354.50 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$467.50 |
$467.50 |
$467.50 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$350.00 |
$350.00 |
$350.00 |
$403.25
|
|
Hbot, full body chamber, 30m
|
$702.00 |
$702.00 |
$702.00 |
$526.90
|
|
Hcg free betachain test
|
$13.50 |
$13.50 |
$13.50 |
$68.90
|
|
Hcg qualitative
|
$288.00 |
$288.00 |
$288.00 |
$88.00
|
|
Hcg quantitative
|
$288.00 |
$288.00 |
$288.00 |
$137.15
|
