|
Ghs pacing - transcutaneous
|
$309.56 |
$529.60 |
$529.60 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$712.40 |
$712.40 |
$712.40 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$712.40 |
$712.40 |
$712.40 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$43.10 |
$43.10 |
$43.10 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$313.88 |
$313.88 |
$313.88 |
$545.40
|
|
Ghs phenylketonurid
|
$26.40 |
$26.40 |
$83.69 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,480.63 |
$1,804.80 |
$1,804.80 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$394.79 |
$394.79 |
$394.79 |
$564.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,949.20 |
$2,949.20 |
$2,949.20 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$21.47 |
$41.60 |
$41.60 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$24.00 |
$24.00 |
$60.16 |
$43.55
|
|
Ghs protein, misc fluid
|
$12.40 |
$12.40 |
$12.40 |
$24.60
|
|
Ghs protoporphyrins fract
|
$36.00 |
$36.00 |
$53.53 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$125.00 |
$136.40 |
$136.40 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$33.20 |
$33.20 |
$47.57 |
$47.55
|
|
Ghs quinidine
|
$36.40 |
$36.40 |
$68.09 |
$83.20
|
|
Ghs refill of implantable pump
|
$578.00 |
$578.00 |
$578.00 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$189.17 |
$216.40 |
$216.40 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$171.36 |
$268.00 |
$268.00 |
$436.10
|
|
Ghs respiratory syncytical virus igg/m
|
$33.20 |
$33.20 |
$81.16 |
$74.82
|
|
Ghs reticulocyte count
|
$11.20 |
$11.20 |
$35.98 |
$35.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$31.20 |
$31.20 |
$31.20 |
$99.00
|
|
Ghs sedimentation rate
|
$11.60 |
$11.60 |
$23.97 |
$45.50
|
|
Ghs semen analysis fert
|
$31.20 |
$31.20 |
$101.27 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$17.20 |
$17.20 |
$35.64 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$412.41 |
$412.41 |
$412.41 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$412.41 |
$412.41 |
$412.41 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$420.20 |
$420.20 |
$420.20 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$420.20 |
$420.20 |
$420.20 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$408.52 |
$408.52 |
$408.52 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$408.52 |
$408.52 |
$408.52 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$408.52 |
$408.52 |
$408.52 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$459.10 |
$459.10 |
$459.10 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$459.10 |
$459.10 |
$459.10 |
$537.60
|
|
Ghs sleep study unattended
|
$358.40 |
$358.40 |
$358.40 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$402.72 |
$721.20 |
$721.20 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$587.90 |
$1,405.20 |
$1,405.20 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$100.40 |
$100.40 |
$100.40 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$391.74 |
$678.40 |
$678.40 |
$616.00
|
|
Ghs sp train/fitting sp device - kx
|
$188.00 |
$188.00 |
$188.00 |
$249.60
|
|
Ghs st - eval for alt comm
|
$96.40 |
$96.40 |
$96.40 |
$94.60
|
|
Ghs strapping shoulder - 29240
|
$181.60 |
$181.60 |
$181.60 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$194.80 |
$194.80 |
$194.80 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$109.60 |
$109.60 |
$133.78 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$313.33 |
$527.60 |
$527.60 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$282.80 |
$282.80 |
$282.80 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$248.87 |
$248.87 |
$248.87 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,175.94 |
$1,175.94 |
$1,175.94 |
$1,752.89
|
|
Ghs trypsin (fecal)
|
$18.00 |
$18.00 |
$18.00 |
$55.59
|
|
Ghs tx distal phalangeal fx with manipulation
|
$249.04 |
$249.04 |
$249.04 |
$525.60
|
|
Ghs urine, hydroxproline total
|
$56.00 |
$56.00 |
$56.00 |
$110.77
|
|
Ghs urine, porphyrins quant
|
$36.40 |
$36.40 |
$45.59 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,966.80 |
$3,966.80 |
$4,638.78 |
$3,338.40
|
|
Ghs veeg 12-26 hr intmt mont
|
$913.41 |
$2,371.20 |
$2,371.20 |
$1,932.00
|
|
Ghs windowing of cast
|
$178.91 |
$320.80 |
$320.80 |
$212.55
|
|
Giardia lamblia antibody
|
$37.20 |
$37.20 |
$37.20 |
$83.44
|
|
Gi inhouse confirmation
|
$23.60 |
$23.60 |
$56.36 |
$86.40
|
|
Gjb2 gene full sequence
|
$202.40 |
$202.40 |
$595.06 |
$502.80
|
|
Gjb2 gene known fam variants
|
$116.00 |
$116.00 |
$116.00 |
$116.00
|
|
Gjb6 gene com variants
|
$51.60 |
$51.60 |
$51.60 |
$84.70
|
|
Glassia injection
|
$7,188.85 |
$7,188.85 |
$7,188.85 |
$20.32
|
|
Glove finger flexion right lg xl
|
$63.36 |
$74.80 |
$74.80 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$1,155.88 |
$1,155.88 |
$1,155.88 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$213.32 |
$258.82 |
$5,779.40 |
$491.67
|
|
Glucagon plasma - sendout
|
$39.60 |
$39.60 |
$118.46 |
$63.20
|
|
Glucose 1 hr post dose
|
$12.00 |
$12.00 |
$35.10 |
$48.25
|
|
Glucose-6-phosphate dhydrogenase screen
|
$82.55 |
$82.55 |
$82.55 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$4.40 |
$4.40 |
$23.12 |
$22.75
|
|
Glucose blood quantitative
|
$11.20 |
$11.20 |
$36.94 |
$41.40
|
|
Glucose body fluid
|
$11.20 |
$11.20 |
$22.42 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$67.21 |
$158.00 |
$158.00 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$32.40 |
$32.40 |
$35.10 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$11.20 |
$11.20 |
$17.32 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$30.66 |
$35.99 |
$327.89 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$64.96 |
$78.66 |
$11,894.38 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$43.60 |
$43.60 |
$92.84 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$43.20 |
$43.20 |
$86.84 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,068.58 |
$3,068.58 |
$3,239.78 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,997.54 |
$3,418.00 |
$3,418.00 |
$143.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$3,665.60 |
$3,665.60 |
$19,043.15 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$26,176.10 |
$33,004.80 |
$33,004.80 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$28,212.07 |
$36,248.00 |
$36,248.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$31,633.60 |
$31,633.60 |
$50,526.05 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$14,047.20 |
$14,047.20 |
$14,047.20 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$10,508.80 |
$10,508.80 |
$13,076.30 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$6,215.60 |
$6,215.60 |
$16,457.04 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$33,200.91 |
$45,221.20 |
$45,221.20 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$5,720.80 |
$5,720.80 |
$5,795.23 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$28,062.40 |
$28,062.40 |
$41,650.42 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,691.18 |
$22,318.80 |
$22,318.80 |
$3,076.20
|
|
Granisetron 1 mg tab
|
$177.26 |
$177.26 |
$177.26 |
$53.15
|
|
Granisetron hcl injection
|
$3.39 |
$12.28 |
$194.19 |
$47.04
|
|
Granulocyte pheresis ea unit
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$2,698.02
|
|
Great toe with reduction 28495
|
$233.97 |
$233.97 |
$233.97 |
$495.00
|
|
Group mnt 2 or more 30 mins
|
$22.04 |
$38.40 |
$38.40 |
$40.14
|
|
Growth hormone antibody
|
$79.29 |
$79.29 |
$79.29 |
$73.10
|
|
G-tube reposition
|
$405.12 |
$1,399.60 |
$1,399.60 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$1,193.25 |
$4,972.40 |
$4,972.40 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$429.88 |
$1,703.20 |
$1,703.20 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$8,776.00 |
$8,776.00 |
$8,776.00 |
$7,743.36
|
