|
Ghs ot dds rom
|
$79.38 |
$79.38 |
$79.38 |
$56.55
|
|
Ghs pacing - transcutaneous
|
$1,144.08 |
$1,144.08 |
$1,144.08 |
$868.68
|
|
Ghs peritonsillar abscess i andd
|
$156.24 |
$156.24 |
$156.24 |
$694.20
|
|
Ghs picc line insert < 5
|
$1,724.94 |
$1,724.94 |
$1,724.94 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$777.84 |
$777.84 |
$777.84 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$5.25 |
$5.25 |
$5.25 |
$43.45
|
|
Ghs pr without cont pulse ox
|
$86.52 |
$86.52 |
$86.52 |
$156.70
|
|
Ghs pt - work hardening/int 2hrs
|
$284.34 |
$284.34 |
$284.34 |
$255.60
|
|
Ghs removal intranasal foreign body
|
$366.24 |
$366.24 |
$366.24 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$775.32 |
$775.32 |
$775.32 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$31.50 |
$31.50 |
$31.50 |
$101.15
|
|
Ghs sedimentation rate
|
$41.16 |
$41.16 |
$41.16 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$95.34 |
$95.34 |
$95.34 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$766.08 |
$766.08 |
$766.08 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$714.00 |
$714.00 |
$714.00 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$924.84 |
$924.84 |
$924.84 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$744.66 |
$744.66 |
$744.66 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$575.40 |
$575.40 |
$575.40 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$571.62 |
$571.62 |
$571.62 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$586.74 |
$586.74 |
$586.74 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$1,151.22 |
$1,151.22 |
$1,151.22 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$809.34 |
$809.34 |
$809.34 |
$589.18
|
|
Ghs sleep study unattended
|
$256.20 |
$256.20 |
$256.20 |
$503.38
|
|
Ghs sphenopalatine ganglion block
|
$362.88 |
$362.88 |
$362.88 |
$706.56
|
|
Ghs st - eval for alt comm
|
$6.30 |
$6.30 |
$6.30 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$298.20 |
$298.20 |
$298.20 |
$243.07
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$49.14 |
$49.14 |
$49.14 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$239.40 |
$239.40 |
$239.40 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$580.86 |
$580.86 |
$580.86 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$497.70 |
$497.70 |
$497.70 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$409.92 |
$409.92 |
$409.92 |
$2,225.73
|
|
Ghs tx distal phalangeal fx with manipulation
|
$873.60 |
$873.60 |
$873.60 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$275.94 |
$275.94 |
$275.94 |
$540.00
|
|
Ghs vaginal delivery only
|
$4,109.28 |
$4,109.28 |
$4,109.28 |
$3,525.06
|
|
Ghs windowing of cast
|
$194.46 |
$194.46 |
$194.46 |
$204.00
|
|
Gi inhouse confirmation
|
$65.94 |
$65.94 |
$65.94 |
$87.00
|
|
Glucagon 1 mg solution for injection
|
$2,227.46 |
$2,227.46 |
$2,227.46 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$904.69 |
$904.69 |
$904.69 |
$509.06
|
|
Glucose 1 hr post dose
|
$28.14 |
$28.14 |
$28.14 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$19.32 |
$19.32 |
$19.32 |
$22.00
|
|
Glucose blood quantitative
|
$23.52 |
$23.52 |
$23.52 |
$44.76
|
|
Glucose body fluid
|
$23.52 |
$23.52 |
$23.52 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$76.44 |
$76.44 |
$76.44 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$23.52 |
$23.52 |
$23.52 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$56.70
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$110.04 |
$110.04 |
$110.04 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$109.62 |
$109.62 |
$109.62 |
$123.75
|
|
Gonioscopy
|
$29.40 |
$29.40 |
$29.40 |
$145.86
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$3,202.29 |
$3,202.29 |
$3,202.29 |
$2,648.81
|
|
Graft axiofill 1000mg
|
$4,121.90 |
$4,121.90 |
$4,121.90 |
$5,278.73
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$20,895.93 |
$20,895.93 |
$20,895.93 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$34,943.93 |
$34,943.93 |
$34,943.93 |
$25,762.70
|
|
Graft nerve adv 3-4x70mm
|
$44,940.00 |
$44,940.00 |
$44,940.00 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$40,989.02 |
$40,989.02 |
$40,989.02 |
$25,728.84
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$35,468.43 |
$35,468.43 |
$35,468.43 |
$10,989.38
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$9,889.61 |
$9,889.61 |
$9,889.61 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$17,161.20 |
$17,161.20 |
$17,161.20 |
$2,369.10
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$43,599.44 |
$43,599.44 |
$43,599.44 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$5,817.42 |
$5,817.42 |
$5,817.42 |
$3,070.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$54,040.64 |
$54,040.64 |
$54,040.64 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$4,134.06 |
$4,134.06 |
$4,134.06 |
$2,653.10
|
|
Great toe with reduction 28495
|
$275.94 |
$275.94 |
$275.94 |
$577.03
|
|
G-tube reposition
|
$286.44 |
$286.44 |
$286.44 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$3,823.26 |
$3,823.26 |
$3,823.26 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$831.60 |
$831.60 |
$831.60 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$8,568.87 |
$8,568.87 |
$8,568.87 |
$7,133.49
|
|
Guide wire threaded 1.4x150mm
|
$5,492.08 |
$5,492.08 |
$5,492.08 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$14,777.70 |
$14,777.70 |
$14,777.70 |
$2,229.99
|
|
Gw stiffened micro access kit
|
$17,065.86 |
$17,065.86 |
$17,065.86 |
$6,285.56
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$35.40
|
|
Handpiece aquabeam hp2000
|
$6,661.20 |
$6,661.20 |
$6,661.20 |
$6,605.63
|
|
Hand tendon reconstruction
|
$3,969.00 |
$3,969.00 |
$3,969.00 |
$4,192.86
|
|
Hand X-ray
|
$179.76 |
$179.76 |
$179.76 |
$338.58
|
|
Haptoglobin quantitative
|
$74.34 |
$74.34 |
$74.34 |
$89.95
|
|
Hcg qualitative
|
$44.52 |
$44.52 |
$44.52 |
$77.50
|
|
Hcg quantitative
|
$89.04 |
$89.04 |
$89.04 |
$124.80
|
|
Hc metata joint dislocation anes
|
$1,912.68 |
$1,912.68 |
$1,912.68 |
$2,423.85
|
|
Head CT scan (with and without contrast)
|
$1,627.92 |
$1,627.92 |
$1,627.92 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,572.48 |
$1,572.48 |
$1,572.48 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$959.28 |
$959.28 |
$959.28 |
$1,268.90
|
|
Heart infarct image
|
$841.26 |
$841.26 |
$841.26 |
$840.74
|
|
Hematocrit
|
$23.10 |
$23.10 |
$23.10 |
$33.57
|
|
Hemoglobin
|
$23.10 |
$23.10 |
$23.10 |
$31.75
|
|
Hemoglobin plasma
|
$41.16 |
$41.16 |
$41.16 |
$40.56
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,108.38 |
$1,108.38 |
$1,108.38 |
$1,141.40
|
|
Hemorrhoidopexy stapling 46947
|
$3,425.94 |
$3,425.94 |
$3,425.94 |
$3,316.74
|
|
Heparin assay
|
$125.16 |
$125.16 |
$125.16 |
$130.20
|
|
Heparin bolus from bag
|
$56.70 |
$56.70 |
$56.70 |
$79.04
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$56.70 |
$56.70 |
$56.70 |
$32.27
|
|
Hepatitis a antibody igm
|
$96.60 |
$96.60 |
$96.60 |
$85.15
|
|
Hepatitis b core antibody igm
|
$101.22 |
$101.22 |
$101.22 |
$87.98
|
|
Hepatitis b core antibody total
|
$103.32 |
$103.32 |
$103.32 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$4,778.60 |
$4,778.60 |
$4,778.60 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$92.40 |
$92.40 |
$92.40 |
$83.79
|
|
Hepatitis c antibody
|
$122.64 |
$122.64 |
$122.64 |
$108.00
|
|
Hepatobiliary system imaging
|
$715.26 |
$715.26 |
$715.26 |
$1,521.10
|
|
Hernia Repair (Inguinal)
|
$4,722.48 |
$4,722.48 |
$4,722.48 |
$5,870.15
|
|
Heterophile antibodies screening
|
$44.52 |
$44.52 |
$44.52 |
$73.60
|
