|
Ghs nailbed repair/nail removal
|
$418.80 |
$418.80 |
$418.80 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$892.80 |
$892.80 |
$892.80 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,159.80 |
$1,159.80 |
$1,159.80 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$1,533.60 |
$1,533.60 |
$1,533.60 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$1,509.00 |
$1,509.00 |
$1,509.00 |
$1,689.00
|
|
Ghs nerve block lumbar or thoracic symp
|
$821.40 |
$821.40 |
$821.40 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,159.80 |
$1,159.80 |
$1,159.80 |
$1,141.36
|
|
Ghs ob unlisted IV or art inj or infusion
|
$76.20 |
$76.20 |
$76.20 |
$75.00
|
|
Ghs opcc repair cvp without subq port
|
$417.00 |
$417.00 |
$417.00 |
$1,229.24
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$18.00 |
$18.00 |
$18.00 |
$55.77
|
|
Ghs ot group caregiver training
|
$37.20 |
$37.20 |
$37.20 |
$34.92
|
|
Ghs pacing - transcutaneous
|
$423.60 |
$423.60 |
$423.60 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$265.80 |
$265.80 |
$265.80 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$930.00 |
$930.00 |
$930.00 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$298.80 |
$298.80 |
$298.80 |
$546.36
|
|
Ghs plngl fx pm cl
|
$149.40 |
$149.40 |
$149.40 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$45.60 |
$45.60 |
$45.60 |
$37.70
|
|
Ghs protoporphyrins fract
|
$53.40 |
$53.40 |
$53.40 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$46.20 |
$46.20 |
$46.20 |
$50.05
|
|
Ghs quinidine
|
$43.80 |
$43.80 |
$43.80 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$84.00 |
$84.00 |
$84.00 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$271.80 |
$271.80 |
$271.80 |
$459.90
|
|
Ghs respiratory syncytical virus igg/m
|
$48.00 |
$48.00 |
$48.00 |
$71.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$42.00 |
$42.00 |
$42.00 |
$96.60
|
|
Ghs sensitivity (per antimicro)
|
$40.20 |
$40.20 |
$40.20 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$304.80 |
$304.80 |
$304.80 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$304.80 |
$304.80 |
$304.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$304.80 |
$304.80 |
$304.80 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$304.80 |
$304.80 |
$304.80 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$304.80 |
$304.80 |
$304.80 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$304.80 |
$304.80 |
$304.80 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$304.80 |
$304.80 |
$304.80 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$304.80 |
$304.80 |
$304.80 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$304.80 |
$304.80 |
$304.80 |
$537.60
|
|
Ghs sleep study unattended
|
$391.20 |
$391.20 |
$391.20 |
$495.00
|
|
Ghs sphenopalatine ganglion block
|
$196.20 |
$196.20 |
$196.20 |
$637.92
|
|
Ghs sp train/fitting sp device - kx
|
$150.60 |
$150.60 |
$150.60 |
$250.50
|
|
Ghs strapping shoulder - 29240
|
$83.40 |
$83.40 |
$83.40 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$230.40 |
$230.40 |
$230.40 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$418.80 |
$418.80 |
$418.80 |
$861.75
|
|
Ghs tracheostomy emergency - transtracheal
|
$999.60 |
$999.60 |
$999.60 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$149.40 |
$149.40 |
$149.40 |
$523.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$149.40 |
$149.40 |
$149.40 |
$486.35
|
|
Ghs urine, porphyrins quant
|
$55.20 |
$55.20 |
$55.20 |
$75.00
|
|
Ghs vaginal delivery only
|
$2,338.20 |
$2,338.20 |
$2,338.20 |
$3,152.00
|
|
Giardia lamblia antibody
|
$55.20 |
$55.20 |
$55.20 |
$83.44
|
|
Gi inhouse confirmation
|
$28.20 |
$28.20 |
$28.20 |
$83.70
|
|
Glassia injection
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$20.32
|
|
Glove finger flexion right lg xl
|
$342.16 |
$342.16 |
$342.16 |
$100.48
|
|
Glucagon 1 mg solution for injection
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,030.94 |
$1,030.94 |
$1,030.94 |
$491.67
|
|
Glucagon plasma - sendout
|
$53.40 |
$53.40 |
$53.40 |
$63.00
|
|
Glucose 1 hr post dose
|
$18.60 |
$18.60 |
$18.60 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$19.20 |
$19.20 |
$19.20 |
$23.86
|
|
Glucose blood quantitative
|
$16.20 |
$16.20 |
$16.20 |
$40.00
|
|
Glucose body fluid
|
$242.40 |
$242.40 |
$242.40 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$39.60 |
$39.60 |
$39.60 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$15.60 |
$15.60 |
$15.60 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$5.10 |
$5.10 |
$5.10 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,238.69 |
$3,238.69 |
$3,238.69 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$73.20 |
$73.20 |
$73.20 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$72.60 |
$72.60 |
$72.60 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$5,566.14 |
$5,566.14 |
$5,566.14 |
$4,652.18
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$6,744.26 |
$6,744.26 |
$6,744.26 |
$672.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$90,893.17 |
$90,893.17 |
$90,893.17 |
$584.99
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$65,515.12 |
$65,515.12 |
$65,515.12 |
$24,469.57
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$5,884.52 |
$5,884.52 |
$5,884.52 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$167,379.59 |
$167,379.59 |
$167,379.59 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$126,652.80 |
$126,652.80 |
$126,652.80 |
$27,300.00
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$55,410.60 |
$55,410.60 |
$55,410.60 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$20,304.03 |
$20,304.03 |
$20,304.03 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$34,433.73 |
$34,433.73 |
$34,433.73 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$13,374.93 |
$13,374.93 |
$13,374.93 |
$373.00
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$5,936.85 |
$5,936.85 |
$5,936.85 |
$3,822.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$124,808.42 |
$124,808.42 |
$124,808.42 |
$27,367.40
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$10,488.44 |
$10,488.44 |
$10,488.44 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$125,030.06 |
$125,030.06 |
$125,030.06 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$59,220.08 |
$59,220.08 |
$59,220.08 |
$2,701.58
|
|
Great toe with reduction 28495
|
$149.40 |
$149.40 |
$149.40 |
$482.40
|
|
Guided cath fluid drainage 10030
|
$1,532.40 |
$1,532.40 |
$1,532.40 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$20,517.76 |
$20,517.76 |
$20,517.76 |
$7,728.17
|
|
Guide wire threaded 1.4x150mm
|
$31,584.04 |
$31,584.04 |
$31,584.04 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$2,770.53 |
$2,770.53 |
$2,770.53 |
$1,105.00
|
|
Gw stiffened micro access kit
|
$27,016.63 |
$27,016.63 |
$27,016.63 |
$6,696.00
|
|
Hallus-valgus nt dyn pre ots
|
$154.40 |
$154.40 |
$154.40 |
$102.37
|
|
Halo cervical into jckt vest
|
$26,715.83 |
$26,715.83 |
$26,715.83 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$9.47 |
$9.47 |
$9.47 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$4.80 |
$4.80 |
$4.80 |
$23.06
|
|
Halo repl liner/interface
|
$4,527.84 |
$4,527.84 |
$4,527.84 |
$1,931.10
|
|
Handle/convey/speciman/office-lab 99000
|
$22.80 |
$22.80 |
$22.80 |
$23.40
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$342.95 |
$342.95 |
$342.95 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$12,863.18 |
$12,863.18 |
$12,863.18 |
$6,628.05
|
|
Hand X-ray
|
$120.60 |
$120.60 |
$120.60 |
$356.00
|
|
Haptoglobin quantitative
|
$49.80 |
$49.80 |
$49.80 |
$91.14
|
|
Hbb full gene sequence
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$633.25
|
|
Hcg qualitative
|
$52.80 |
$52.80 |
$52.80 |
$89.70
|
|
Hcg quantitative
|
$58.80 |
$58.80 |
$58.80 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$24.00 |
$24.00 |
$24.00 |
$117.00
|
|
Head CT scan (with and without contrast)
|
$862.20 |
$862.20 |
$862.20 |
$1,849.90
|
