|
Ghs sensitivity (per antimicro)
|
$98.18 |
$98.18 |
$98.18 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$542.79 |
$542.79 |
$563.75 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$289.89 |
$289.89 |
$563.75 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$138.42 |
$138.42 |
$563.75 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$103.05 |
$103.05 |
$380.64 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$538.64 |
$538.64 |
$538.64 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$470.47 |
$470.47 |
$470.47 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$186.84 |
$186.84 |
$538.64 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$112.14 |
$112.14 |
$471.32 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$112.14 |
$112.14 |
$687.68 |
$537.60
|
|
Ghs sleep study unattended
|
$465.30 |
$465.30 |
$503.38 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$471.42 |
$471.42 |
$1,135.79 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$635.31 |
$635.31 |
$1,506.58 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$51.21 |
$51.21 |
$176.10 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$788.03 |
$788.03 |
$788.03 |
$630.24
|
|
Ghs spont nystagmus
|
$258.47 |
$258.47 |
$258.47 |
$246.50
|
|
Ghs sp train/fitting sp device - kx
|
$112.05 |
$112.05 |
$310.01 |
$252.75
|
|
Ghs st - eval for alt comm
|
$115.82 |
$115.82 |
$115.82 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$129.06 |
$129.06 |
$243.07 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$126.54 |
$126.54 |
$439.36 |
$309.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$117.50 |
$117.50 |
$117.50 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$545.75 |
$545.75 |
$545.75 |
$360.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$838.17 |
$838.17 |
$1,444.46 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$312.84 |
$312.84 |
$696.68 |
$695.93
|
|
Ghs tracheostomy emergency - transtracheal
|
$323.10 |
$323.10 |
$1,456.55 |
$1,867.84
|
|
Ghs trypsin (fecal)
|
$79.83 |
$79.83 |
$79.83 |
$55.59
|
|
Ghs tx distal phalangeal fx with manipulation
|
$575.05 |
$575.05 |
$611.64 |
$529.65
|
|
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 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$90.09 |
$90.09 |
$133.55 |
$73.80
|
|
Ghs vaginal delivery only
|
$4,160.90 |
$4,160.90 |
$4,160.90 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$4,763.99 |
$4,763.99 |
$4,763.99 |
$1,932.00
|
|
Ghs windowing of cast
|
$58.59 |
$58.59 |
$212.55 |
$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
|
$582.31 |
$582.31 |
$582.31 |
$582.31
|
|
Gi inhouse confirmation
|
$51.30 |
$51.30 |
$111.95 |
$87.75
|
|
Gingivoplasty each quadrant
|
$2,730.39 |
$2,730.39 |
$2,730.39 |
$4,350.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,106.28 |
$1,106.28 |
$1,992.73 |
$2,215.20
|
|
Gi trc img intral colon i&r
|
$740.07 |
$740.07 |
$740.07 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$740.07 |
$740.07 |
$2,367.34 |
$1,897.82
|
|
Gi wireless capsule measure
|
$740.07 |
$740.07 |
$1,201.70 |
$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
|
$360.19 |
$360.19 |
$360.19 |
$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
|
$4,786.53 |
$4,786.53 |
$4,786.53 |
$4,786.53
|
|
Glove finger flexion right lg xl
|
$114.00 |
$114.00 |
$114.00 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$341.73 |
$341.73 |
$682.24 |
$613.79
|
|
Glucagon plasma - sendout
|
$114.41 |
$114.41 |
$114.41 |
$64.35
|
|
Glucagon tolerance test
|
$111.95 |
$111.95 |
$111.95 |
$36.00
|
|
Glucose 1 hr post dose
|
$25.83 |
$25.83 |
$60.77 |
$49.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$72.12 |
$72.12 |
$72.12 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$15.75 |
$15.75 |
$33.96 |
$23.12
|
|
Glucose blood quantitative
|
$37.26 |
$37.26 |
$109.53 |
$42.25
|
|
Glucose body fluid
|
$34.65 |
$34.65 |
$79.18 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$155.61 |
$155.61 |
$386.53 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$61.83 |
$61.83 |
$161.61 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$19.17 |
$19.17 |
$41.28 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$49.20 |
$49.20 |
$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)
|
$57.51 |
$57.51 |
$202.98 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$64.17 |
$64.17 |
$316.50 |
$129.03
|
|
Gonioscopy
|
$152.50 |
$152.50 |
$152.50 |
$135.52
|
|
Goniotomy
|
$4,632.84 |
$4,632.84 |
$4,632.84 |
$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
|
$33.57 |
$33.57 |
$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
|
$8,845.92 |
$8,845.92 |
$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 |
$29,293.39
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$141.58 |
$141.58 |
$2,682.18 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$143.37 |
$143.37 |
$1,315.71 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$765.06 |
$765.06 |
$765.06 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$7,021.66 |
$7,021.66 |
$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
|
$800.41 |
$800.41 |
$800.41 |
$1,103.05
|
|
Graft xenmtrx sft rect 15x20cm
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,670.92 |
$3,670.92 |
$3,670.92 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$4,337.60 |
$4,337.60 |
$4,337.60 |
$2,698.02
|
|
Great toe with reduction 28495
|
$125.91 |
$125.91 |
$577.03 |
$495.00
|
|
Grfg autol fat lipo 50 cc/<
|
$5,102.99 |
$5,102.99 |
$5,102.99 |
$5,102.99
|
|
Ground mileage
|
$3.74 |
$3.74 |
$3.74 |
$17.60
|
|
Group behave couns 2-10
|
$106.94 |
$106.94 |
$106.94 |
$94.87
|
|
Group health education
|
$76.66 |
$76.66 |
$76.66 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$54.10 |
$54.10 |
$54.10 |
$43.12
|
|
Growth hormone antibody
|
$72.60 |
$72.60 |
$72.60 |
$73.10
|
|
Growth stimulation gene 2
|
$225.00 |
$225.00 |
$225.00 |
$180.50
|
|
Gstrst open wo constj tube
|
$3,084.38 |
$3,084.38 |
$3,084.38 |
$2,756.00
|
|
G-tube reposition
|
$1,566.16 |
$1,566.16 |
$1,566.16 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$317.61 |
$317.61 |
$3,458.62 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$697.59 |
$697.59 |
$1,218.98 |
$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
|
