|
Ghs simple repair over 30 cm - 12007
|
$907.50 |
$907.50 |
$907.50 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$1,531.00 |
$1,531.00 |
$1,531.00 |
$537.60
|
|
Ghs sleep study unattended
|
$458.00 |
$458.00 |
$458.00 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$505.00 |
$505.00 |
$505.00 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,008.50 |
$1,008.50 |
$1,008.50 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$161.50 |
$161.50 |
$161.50 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$745.00 |
$745.00 |
$745.00 |
$616.00
|
|
Ghs spont nystagmus
|
$177.00 |
$177.00 |
$177.00 |
$228.00
|
|
Ghs sp train/fitting sp device - kx
|
$322.50 |
$322.50 |
$322.50 |
$249.60
|
|
Ghs st - eval for alt comm
|
$40.50 |
$40.50 |
$40.50 |
$94.60
|
|
Ghs strapping shoulder - 29240
|
$636.00 |
$636.00 |
$636.00 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$441.50 |
$441.50 |
$441.50 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$98.00 |
$98.00 |
$98.00 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$334.50 |
$334.50 |
$334.50 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,404.50 |
$1,404.50 |
$1,404.50 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$963.50 |
$963.50 |
$963.50 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,141.50 |
$1,141.50 |
$1,141.50 |
$1,752.89
|
|
Ghs trypsin (fecal)
|
$144.00 |
$144.00 |
$144.00 |
$55.59
|
|
Ghs tx distal phalangeal fx with manipulation
|
$523.00 |
$523.00 |
$523.00 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$61.00 |
$61.00 |
$61.00 |
$73.80
|
|
Ghs vaginal delivery only
|
$2,556.00 |
$2,556.00 |
$2,556.00 |
$3,338.40
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$1,932.00
|
|
Gi inhouse confirmation
|
$41.00 |
$41.00 |
$41.00 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,449.50 |
$2,449.50 |
$2,449.50 |
$2,195.76
|
|
Gjb2 gene full sequence
|
$612.00 |
$612.00 |
$612.00 |
$502.80
|
|
Glove finger flexion right lg xl
|
$42.96 |
$42.96 |
$42.96 |
$110.62
|
|
Glucagon plasma - sendout
|
$101.00 |
$101.00 |
$101.00 |
$63.20
|
|
Glucose 1 hr post dose
|
$24.00 |
$24.00 |
$24.00 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$22.50 |
$22.50 |
$22.50 |
$22.75
|
|
Glucose blood quantitative
|
$41.50 |
$41.50 |
$41.50 |
$41.40
|
|
Glucose body fluid
|
$21.50 |
$21.50 |
$21.50 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$226.50 |
$226.50 |
$226.50 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$58.50 |
$58.50 |
$58.50 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$20.00 |
$20.00 |
$20.00 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$113.50 |
$113.50 |
$113.50 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$179.50 |
$179.50 |
$179.50 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$83.32 |
$83.32 |
$83.32 |
$143.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$146.46 |
$146.46 |
$146.46 |
$601.50
|
|
Graft patch felt ptfe 2x2
|
$2,879.89 |
$2,879.89 |
$2,879.89 |
$29,995.44
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$163.02 |
$163.02 |
$163.02 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$105.57 |
$105.57 |
$105.57 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$50.72 |
$50.72 |
$50.72 |
$427.89
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$90.56 |
$90.56 |
$90.56 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$661.18 |
$661.18 |
$661.18 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,813.84 |
$1,813.84 |
$1,813.84 |
$3,076.20
|
|
Great toe with reduction 28495
|
$609.50 |
$609.50 |
$609.50 |
$495.00
|
|
Group mnt 2 or more 30 mins
|
$63.50 |
$63.50 |
$63.50 |
$40.14
|
|
G-tube reposition
|
$1,568.50 |
$1,568.50 |
$1,568.50 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$2,347.00 |
$2,347.00 |
$2,347.00 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$3,035.00 |
$3,035.00 |
$3,035.00 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$581.67 |
$581.67 |
$581.67 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$288.25 |
$288.25 |
$288.25 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$474.50 |
$474.50 |
$474.50 |
$535.60
|
|
Gw stiffened micro access kit
|
$641.70 |
$641.70 |
$641.70 |
$6,600.00
|
|
Halo cervical into jckt vest
|
$1,975.30 |
$1,975.30 |
$1,975.30 |
$5,015.12
|
|
Hand-held pefr meter a4614
|
$26.40 |
$26.40 |
$26.40 |
$26.40
|
|
Hand orthosis metacarpal fracture orthosis prefa l3918
|
$47.50 |
$47.50 |
$47.50 |
$115.00
|
|
Handpiece aquabeam hp2000
|
$1,487.82 |
$1,487.82 |
$1,487.82 |
$6,628.05
|
|
Hand X-ray
|
$196.00 |
$196.00 |
$196.00 |
$345.87
|
|
Haptoglobin quantitative
|
$118.50 |
$118.50 |
$118.50 |
$91.80
|
|
Harvest auto stem cells
|
$4,192.50 |
$4,192.50 |
$4,192.50 |
$3,379.00
|
|
Hast w/i&r phys/qhp
|
$210.50 |
$210.50 |
$210.50 |
$301.95
|
|
Hast w/oxygen titrate
|
$244.50 |
$244.50 |
$244.50 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$230.50 |
$230.50 |
$230.50 |
$769.95
|
|
Hbb full gene sequence
|
$728.00 |
$728.00 |
$728.00 |
$633.25
|
|
Hb glycosylated a1c home dev
|
$12.00 |
$12.00 |
$12.00 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$736.00 |
$736.00 |
$736.00 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$654.50 |
$654.50 |
$654.50 |
$721.00
|
|
Hcg qualitative
|
$80.00 |
$80.00 |
$80.00 |
$88.00
|
|
Hcg quantitative
|
$152.00 |
$152.00 |
$152.00 |
$137.15
|
|
Hc hearing aid exam both ears
|
$152.00 |
$152.00 |
$152.00 |
$175.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$27.00 |
$27.00 |
$27.00 |
$117.00
|
|
Hc nm kidney imaging with flow
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$849.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,374.00 |
$2,374.00 |
$2,374.00 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,729.00 |
$2,729.00 |
$2,729.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,957.00 |
$2,957.00 |
$2,957.00 |
$3,694.80
|
|
Hdr rdncl skn surf brachytx
|
$2,374.00 |
$2,374.00 |
$2,374.00 |
$877.50
|
|
Hdr rdncl skn surf brachytx
|
$2,729.00 |
$2,729.00 |
$2,729.00 |
$992.50
|
|
Head CT scan (with and without contrast)
|
$1,618.50 |
$1,618.50 |
$1,618.50 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,503.50 |
$1,503.50 |
$1,503.50 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$937.50 |
$937.50 |
$937.50 |
$1,268.90
|
|
Heavy metal qual any number
|
$88.00 |
$88.00 |
$88.00 |
$68.88
|
|
Heinz bodies direct
|
$22.00 |
$22.00 |
$22.00 |
$43.15
|
|
Helicobacter pylori antibody igm
|
$261.00 |
$261.00 |
$261.00 |
$92.23
|
|
Hematocrit
|
$54.00 |
$54.00 |
$54.00 |
$33.57
|
|
Hematopoietic nuclear tx
|
$874.50 |
$874.50 |
$874.50 |
$928.98
|
|
Hemodialysis access study
|
$758.00 |
$758.00 |
$758.00 |
$302.40
|
|
Hemoglobin
|
$20.50 |
$20.50 |
$20.50 |
$32.76
|
|
Hemoglobin fetal qualitative
|
$41.00 |
$41.00 |
$41.00 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$121.50 |
$121.50 |
$121.50 |
$52.32
|
|
Hemoglobin plasma
|
$13.50 |
$13.50 |
$13.50 |
$41.25
|
|
Hemolysins/agglutinins auto
|
$17.50 |
$17.50 |
$17.50 |
$57.28
|
|
Hemophilus influenza antibdy
|
$99.50 |
$99.50 |
$99.50 |
$62.70
|
|
Hemorrhoidectomy intern transanal deater 2+ 46948
|
$4,346.50 |
$4,346.50 |
$4,346.50 |
$3,816.64
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$1,170.54
|
|
Heparin assay
|
$40.00 |
$40.00 |
$40.00 |
$138.84
|
|
Hepatitis a antibody igm
|
$79.50 |
$79.50 |
$79.50 |
$88.92
|
|
Hepatitis b core antibody igm
|
$139.50 |
$139.50 |
$139.50 |
$88.80
|
|
Hepatitis b core antibody total
|
$115.00 |
$115.00 |
$115.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$195.50 |
$195.50 |
$195.50 |
$81.12
|
