|
Ghs nerve block lumbar or thoracic symp
|
$887.70 |
$887.70 |
$887.70 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$671.70 |
$671.70 |
$671.70 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$671.70 |
$671.70 |
$671.70 |
$1,141.36
|
|
Ghs ob unlisted IV or art inj or infusion
|
$44.10 |
$44.10 |
$44.10 |
$75.00
|
|
Ghs opcc repair cvp without subq port
|
$241.50 |
$241.50 |
$241.50 |
$1,229.24
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$10.80 |
$10.80 |
$10.80 |
$55.77
|
|
Ghs ot group caregiver training
|
$20.40 |
$20.40 |
$20.40 |
$34.92
|
|
Ghs ot work hardening-additional hours
|
$197.40 |
$197.40 |
$197.40 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$612.60 |
$612.60 |
$612.60 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$153.60 |
$153.60 |
$153.60 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$658.50 |
$658.50 |
$658.50 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$87.00 |
$87.00 |
$87.00 |
$546.36
|
|
Ghs plngl fx pm cl
|
$86.40 |
$86.40 |
$86.40 |
$564.80
|
|
Ghs pr without cont pulse ox
|
$63.30 |
$63.30 |
$63.30 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$27.60 |
$27.60 |
$27.60 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$395.10 |
$395.10 |
$395.10 |
$275.60
|
|
Ghs quinidine
|
$23.10 |
$23.10 |
$23.10 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$139.20 |
$139.20 |
$139.20 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$213.60 |
$213.60 |
$213.60 |
$459.90
|
|
Ghs rsv eia (respir synctial vrs)
|
$22.20 |
$22.20 |
$22.20 |
$96.60
|
|
Ghs sedimentation rate
|
$20.40 |
$20.40 |
$20.40 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$62.10 |
$62.10 |
$62.10 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$470.70 |
$470.70 |
$470.70 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$470.70 |
$470.70 |
$470.70 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$470.70 |
$470.70 |
$470.70 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$470.70 |
$470.70 |
$470.70 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$470.70 |
$470.70 |
$470.70 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$470.70 |
$470.70 |
$470.70 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$470.70 |
$470.70 |
$470.70 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$470.70 |
$470.70 |
$470.70 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$470.70 |
$470.70 |
$470.70 |
$537.60
|
|
Ghs sphenopalatine ganglion block
|
$113.40 |
$113.40 |
$113.40 |
$637.92
|
|
Ghs strapping shoulder - 29240
|
$243.60 |
$243.60 |
$243.60 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$139.80 |
$139.80 |
$139.80 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$242.70 |
$242.70 |
$242.70 |
$861.75
|
|
Ghs tracheostomy emergency - transtracheal
|
$578.40 |
$578.40 |
$578.40 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$86.40 |
$86.40 |
$86.40 |
$523.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$86.40 |
$86.40 |
$86.40 |
$486.35
|
|
Ghs vaginal delivery only
|
$2,026.20 |
$2,026.20 |
$2,026.20 |
$3,152.00
|
|
Glove finger flexion right lg xl
|
$230.17 |
$230.17 |
$230.17 |
$100.48
|
|
Glucagon 1 mg solution for injection
|
$3,805.20 |
$3,805.20 |
$3,805.20 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$3,433.93 |
$3,433.93 |
$3,433.93 |
$491.67
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$22.50 |
$22.50 |
$22.50 |
$23.86
|
|
Glucose blood quantitative
|
$82.80 |
$82.80 |
$82.80 |
$40.00
|
|
Glucose body fluid
|
$121.20 |
$121.20 |
$121.20 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$191.10 |
$191.10 |
$191.10 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$14.70 |
$14.70 |
$14.70 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$795.60 |
$795.60 |
$795.60 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$526.80 |
$526.80 |
$526.80 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,536.90 |
$4,536.90 |
$4,536.90 |
$672.50
|
|
Graft axiofill 1000mg
|
$9,115.35 |
$9,115.35 |
$9,115.35 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$61,144.31 |
$61,144.31 |
$61,144.31 |
$584.99
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$44,072.36 |
$44,072.36 |
$44,072.36 |
$24,469.57
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$3,958.55 |
$3,958.55 |
$3,958.55 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$112,597.12 |
$112,597.12 |
$112,597.12 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$85,200.00 |
$85,200.00 |
$85,200.00 |
$27,300.00
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$37,275.00 |
$37,275.00 |
$37,275.00 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$13,658.62 |
$13,658.62 |
$13,658.62 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$23,163.75 |
$23,163.75 |
$23,163.75 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$8,997.39 |
$8,997.39 |
$8,997.39 |
$373.00
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$3,993.75 |
$3,993.75 |
$3,993.75 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$83,959.27 |
$83,959.27 |
$83,959.27 |
$27,367.40
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$7,055.62 |
$7,055.62 |
$7,055.62 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$84,108.37 |
$84,108.37 |
$84,108.37 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$39,837.66 |
$39,837.66 |
$39,837.66 |
$2,701.58
|
|
Great toe with reduction 28495
|
$86.40 |
$86.40 |
$86.40 |
$482.40
|
|
Guide endoanchr sg-64 aaa 62cm
|
$13,802.40 |
$13,802.40 |
$13,802.40 |
$7,728.17
|
|
Guide wire threaded 1.4x150mm
|
$21,246.75 |
$21,246.75 |
$21,246.75 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$1,863.75 |
$1,863.75 |
$1,863.75 |
$1,105.00
|
|
Gw stiffened micro access kit
|
$18,174.22 |
$18,174.22 |
$18,174.22 |
$6,696.00
|
|
Hallus-valgus nt dyn pre ots
|
$103.86 |
$103.86 |
$103.86 |
$102.37
|
|
Halo cervical into jckt vest
|
$17,971.87 |
$17,971.87 |
$17,971.87 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$144.74 |
$144.74 |
$144.74 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$23.06
|
|
Halo repl liner/interface
|
$3,045.90 |
$3,045.90 |
$3,045.90 |
$1,931.10
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$230.71 |
$230.71 |
$230.71 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$8,653.12 |
$8,653.12 |
$8,653.12 |
$6,628.05
|
|
Hand X-ray
|
$591.30 |
$591.30 |
$591.30 |
$356.00
|
|
Haptoglobin quantitative
|
$473.40 |
$473.40 |
$473.40 |
$91.14
|
|
Hbb full gene sequence
|
$537.00 |
$537.00 |
$537.00 |
$633.25
|
|
Hcg qualitative
|
$388.50 |
$388.50 |
$388.50 |
$89.70
|
|
Hcg quantitative
|
$338.10 |
$338.10 |
$338.10 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$21.00 |
$21.00 |
$21.00 |
$117.00
|
|
Head CT scan (with and without contrast)
|
$3,602.70 |
$3,602.70 |
$3,602.70 |
$1,849.90
|
|
Head CT scan (without contrast)
|
$2,433.60 |
$2,433.60 |
$2,433.60 |
$1,268.90
|
|
Heel leather reinforced
|
$183.18 |
$183.18 |
$183.18 |
$180.55
|
|
Helicobacter pylori antibody igm
|
$126.00 |
$126.00 |
$126.00 |
$91.98
|
|
Hematocrit
|
$82.80 |
$82.80 |
$82.80 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,296.60 |
$1,296.60 |
$1,296.60 |
$1,319.44
|
|
Hemoglobin
|
$82.80 |
$82.80 |
$82.80 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$46.50 |
$46.50 |
$46.50 |
$53.60
|
|
Heparin assay
|
$24.00 |
$24.00 |
$24.00 |
$140.10
|
|
Heparin bolus from bag
|
$146.09 |
$146.09 |
$146.09 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$10.61
|
|
Hepatitis a antibody igm
|
$33.00 |
$33.00 |
$33.00 |
$87.75
|
|
Hepatitis b core antibody total
|
$71.10 |
$71.10 |
$71.10 |
$77.50
|
|
Hepatitis b surface antibody
|
$50.70 |
$50.70 |
$50.70 |
$82.05
|
|
Hepatitis c antibody
|
$349.20 |
$349.20 |
$349.20 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,567.70 |
$2,567.70 |
$2,567.70 |
$1,438.58
|
