|
Ghs nerve block lumbar or thoracic symp
|
$85.50 |
$85.50 |
$85.50 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$681.50 |
$681.50 |
$681.50 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$40.00 |
$40.00 |
$40.00 |
$478.50
|
|
Ghs opcc repair cvp w subq port
|
$196.50 |
$196.50 |
$196.50 |
$2,194.40
|
|
Ghs optokenetic
|
$123.00 |
$123.00 |
$123.00 |
$211.20
|
|
Ghs oscillating trac
|
$207.00 |
$207.00 |
$207.00 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$22.50 |
$22.50 |
$22.50 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$34.00 |
$34.00 |
$34.00 |
$64.50
|
|
Ghs ot group caregiver training
|
$22.00 |
$22.00 |
$22.00 |
$34.80
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$58.50 |
$58.50 |
$58.50 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$51.50 |
$51.50 |
$51.50 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$25.50 |
$25.50 |
$25.50 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$330.50 |
$330.50 |
$330.50 |
$545.40
|
|
Ghs phenylketonurid
|
$175.00 |
$175.00 |
$175.00 |
$53.76
|
|
Ghs plngl fx pm cl
|
$446.50 |
$446.50 |
$446.50 |
$564.50
|
|
Ghs ppd (tb intradermal)
|
$15.00 |
$15.00 |
$15.00 |
$37.44
|
|
Ghs protoporphyrins fract
|
$8.00 |
$8.00 |
$8.00 |
$60.75
|
|
Ghs quinidine
|
$167.50 |
$167.50 |
$167.50 |
$83.20
|
|
Ghs refill of implantable pump
|
$350.00 |
$350.00 |
$350.00 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$184.50 |
$184.50 |
$184.50 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$131.50 |
$131.50 |
$131.50 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,587.00 |
$1,587.00 |
$1,587.00 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$524.50 |
$524.50 |
$524.50 |
$4,108.00
|
|
Ghs sensitivity (per antimicro)
|
$37.00 |
$37.00 |
$37.00 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$593.00 |
$593.00 |
$593.00 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$148.00 |
$148.00 |
$148.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$131.50 |
$131.50 |
$131.50 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$186.00 |
$186.00 |
$186.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$362.50 |
$362.50 |
$362.50 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$362.50 |
$362.50 |
$362.50 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$287.00 |
$287.00 |
$287.00 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$161.00 |
$161.00 |
$161.00 |
$584.00
|
|
Ghs sleep study unattended
|
$146.00 |
$146.00 |
$146.00 |
$503.38
|
|
Ghs sphenopalatine ganglion block
|
$112.00 |
$112.00 |
$112.00 |
$616.00
|
|
Ghs st - eval for alt comm
|
$10.00 |
$10.00 |
$10.00 |
$94.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$979.50 |
$979.50 |
$979.50 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$513.00 |
$513.00 |
$513.00 |
$692.80
|
|
Ghs tx distal phalangeal fx with manipulation
|
$328.50 |
$328.50 |
$328.50 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$13.50 |
$13.50 |
$13.50 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,101.00 |
$3,101.00 |
$3,101.00 |
$3,338.40
|
|
Gi inhouse confirmation
|
$24.00 |
$24.00 |
$24.00 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$812.00 |
$812.00 |
$812.00 |
$2,195.76
|
|
Glucagon 1 mg solution for injection
|
$205.00 |
$205.00 |
$205.00 |
$601.79
|
|
Glucose 1 hr post dose
|
$33.00 |
$33.00 |
$33.00 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$31.00 |
$31.00 |
$31.00 |
$22.75
|
|
Glucose blood quantitative
|
$29.50 |
$29.50 |
$29.50 |
$41.40
|
|
Glucose body fluid
|
$81.00 |
$81.00 |
$81.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$48.50 |
$48.50 |
$48.50 |
$104.50
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$35.00 |
$35.00 |
$35.00 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$22.50 |
$22.50 |
$22.50 |
$129.00
|
|
Gonioscopy
|
$18.50 |
$18.50 |
$18.50 |
$135.52
|
|
Goniotomy
|
$778.50 |
$778.50 |
$778.50 |
$4,456.60
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,686.00 |
$1,686.00 |
$1,686.00 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$143.50
|
|
Graft axiofill 1000mg
|
$10.00 |
$10.00 |
$10.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$23,288.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$427.89
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$2,073.00 |
$2,073.00 |
$2,073.00 |
$31,191.20
|
|
Great toe with reduction 28495
|
$166.00 |
$166.00 |
$166.00 |
$495.00
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$2,105.50 |
$2,105.50 |
$2,105.50 |
$3,604.20
|
|
Gstrst open wo constj tube
|
$783.50 |
$783.50 |
$783.50 |
$2,756.00
|
|
Guided cath fluid drainage 10030
|
$138.50 |
$138.50 |
$138.50 |
$1,327.76
|
|
Gynecomastia (males) 19300
|
$476.00 |
$476.00 |
$476.00 |
$3,735.20
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$1.50 |
$1.50 |
$1.50 |
$24.41
|
|
Handle/convey/speciman/office-lab 99000
|
$16.00 |
$16.00 |
$16.00 |
$23.30
|
|
Hand X-ray
|
$121.00 |
$121.00 |
$121.00 |
$345.87
|
|
Haptoglobin quantitative
|
$77.00 |
$77.00 |
$77.00 |
$91.80
|
|
Harvest auto stem cells
|
$76.50 |
$76.50 |
$76.50 |
$3,379.00
|
|
Harvest femoropopliteal vein 35572
|
$375.00 |
$375.00 |
$375.00 |
$844.00
|
|
Harvest vein for bypass 35500
|
$351.00 |
$351.00 |
$351.00 |
$780.00
|
|
Hba1/hba2 full gene sequence
|
$827.50 |
$827.50 |
$827.50 |
$769.95
|
|
Hbb full gene sequence
|
$707.00 |
$707.00 |
$707.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$675.00 |
$675.00 |
$675.00 |
$404.80
|
|
Hb glycosylated a1c home dev
|
$16.50 |
$16.50 |
$16.50 |
$24.00
|
|
Hcg qualitative
|
$15.00 |
$15.00 |
$15.00 |
$88.00
|
|
Hcg quantitative
|
$25.00 |
$25.00 |
$25.00 |
$137.15
|
|
Hc metata joint dislocation anes
|
$137.00 |
$137.00 |
$137.00 |
$2,383.09
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$328.50 |
$328.50 |
$328.50 |
$1,223.03
|
|
Head CT scan (with and without contrast)
|
$807.00 |
$807.00 |
$807.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$657.00 |
$657.00 |
$657.00 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$605.00 |
$605.00 |
$605.00 |
$1,268.90
|
|
Hemoglobin
|
$12.50 |
$12.50 |
$12.50 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$69.00 |
$69.00 |
$69.00 |
$52.32
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$215.50 |
$215.50 |
$215.50 |
$1,170.54
|
|
Hemorrhoidopexy stapling 46947
|
$431.00 |
$431.00 |
$431.00 |
$3,786.00
|
|
Heparin assay
|
$313.00 |
$313.00 |
$313.00 |
$138.84
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.00 |
$1.00 |
$1.00 |
$12.91
|
|
Hepatitis a antibody igm
|
$119.50 |
$119.50 |
$119.50 |
$88.92
|
|
Hepatitis b core antibody igm
|
$30.00 |
$30.00 |
$30.00 |
$88.80
|
|
Hepatitis b core antibody total
|
$24.00 |
$24.00 |
$24.00 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$249.00 |
$249.00 |
$249.00 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$25.50 |
$25.50 |
$25.50 |
$81.12
|
|
Hepatitis c antibody
|
$39.00 |
$39.00 |
$39.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$383.00 |
$383.00 |
$383.00 |
$1,438.99
|
