|
Ghs pacing - transcutaneous
|
$981.20 |
$981.20 |
$981.20 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$3,199.35 |
$3,199.35 |
$3,199.35 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$3,955.05 |
$3,955.05 |
$3,955.05 |
$1,003.00
|
|
Ghs peritonsillar abscess i andd
|
$481.80 |
$481.80 |
$481.80 |
$694.20
|
|
Ghs picc line insert < 5
|
$1,809.50 |
$1,809.50 |
$1,809.50 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$526.35 |
$526.35 |
$526.35 |
$662.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,788.40 |
$3,788.40 |
$3,788.40 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$34.10 |
$34.10 |
$34.10 |
$43.45
|
|
Ghs protein, misc fluid
|
$24.75 |
$24.75 |
$24.75 |
$24.60
|
|
Ghs protoporphyrins fract
|
$70.95 |
$70.95 |
$70.95 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$132.55 |
$132.55 |
$132.55 |
$156.70
|
|
Ghs pt - work hardening/int 2hrs
|
$221.65 |
$221.65 |
$221.65 |
$255.60
|
|
Ghs refill of implantable pump
|
$505.45 |
$505.45 |
$505.45 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$273.35 |
$273.35 |
$273.35 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$561.00 |
$561.00 |
$561.00 |
$460.00
|
|
Ghs sensitivity (per antimicro)
|
$77.55 |
$77.55 |
$77.55 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$662.20 |
$662.20 |
$662.20 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$737.55 |
$737.55 |
$737.55 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$699.60 |
$699.60 |
$699.60 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$737.55 |
$737.55 |
$737.55 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$656.15 |
$656.15 |
$656.15 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$610.50 |
$610.50 |
$610.50 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$413.60 |
$413.60 |
$413.60 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$737.55 |
$737.55 |
$737.55 |
$660.00
|
|
Ghs sleep study unattended
|
$613.80 |
$613.80 |
$613.80 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$793.65 |
$793.65 |
$793.65 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,357.40 |
$1,357.40 |
$1,357.40 |
$1,435.00
|
|
Ghs speech-gen aug dev eval iii, st
|
$122.10 |
$122.10 |
$122.10 |
$124.80
|
|
Ghs sphenopalatine ganglion block
|
$662.20 |
$662.20 |
$662.20 |
$706.56
|
|
Ghs sp train/fitting sp device - kx
|
$155.10 |
$155.10 |
$155.10 |
$261.95
|
|
Ghs strapping shoulder - 29240
|
$240.35 |
$240.35 |
$240.35 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$374.00 |
$374.00 |
$374.00 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,247.95 |
$1,247.95 |
$1,247.95 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$952.05 |
$952.05 |
$952.05 |
$761.28
|
|
Ghs tx distal phalangeal fx with manipulation
|
$526.35 |
$526.35 |
$526.35 |
$591.00
|
|
Ghs urine, porphyrins quant
|
$129.25 |
$129.25 |
$129.25 |
$70.20
|
|
Ghs vaginal delivery only
|
$4,484.70 |
$4,484.70 |
$4,484.70 |
$3,525.06
|
|
Gi inhouse confirmation
|
$117.70 |
$117.70 |
$117.70 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,550.35 |
$2,550.35 |
$2,550.35 |
$2,382.90
|
|
Glucagon plasma - sendout
|
$26.95 |
$26.95 |
$26.95 |
$58.56
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$25.30 |
$25.30 |
$25.30 |
$22.00
|
|
Glucose blood quantitative
|
$29.15 |
$29.15 |
$29.15 |
$44.76
|
|
Glucose body fluid
|
$44.00 |
$44.00 |
$44.00 |
$50.70
|
|
Glucose monitoring continual min 72hr pt
|
$162.25 |
$162.25 |
$162.25 |
$139.10
|
|
Glucose tolerance test (gtt) 3 specimens
|
$37.40 |
$37.40 |
$37.40 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$37.40 |
$37.40 |
$37.40 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$107.25 |
$107.25 |
$107.25 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$152.90 |
$152.90 |
$152.90 |
$123.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$12,177.38 |
$12,177.38 |
$12,177.38 |
$25,762.70
|
|
Graft nerve adv 3-4x70mm
|
$9,272.26 |
$9,272.26 |
$9,272.26 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$2,150.95 |
$2,150.95 |
$2,150.95 |
$25,728.84
|
|
Graft xenmtrx sft rect 15x20cm
|
$770.66 |
$770.66 |
$770.66 |
$43,312.93
|
|
Granulocyte pheresis ea unit
|
$2,124.65 |
$2,124.65 |
$2,124.65 |
$2,950.30
|
|
Great toe with reduction 28495
|
$495.00 |
$495.00 |
$495.00 |
$577.03
|
|
Group mnt 2 or more 30 mins
|
$56.65 |
$56.65 |
$56.65 |
$35.20
|
|
G-tube reposition
|
$575.85 |
$575.85 |
$575.85 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$254.10 |
$254.10 |
$254.10 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$3,446.30 |
$3,446.30 |
$3,446.30 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$6,618.30 |
$6,618.30 |
$6,618.30 |
$7,133.49
|
|
Guide wire threaded 1.4x150mm
|
$770.57 |
$770.57 |
$770.57 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$70.81 |
$70.81 |
$70.81 |
$2,229.99
|
|
Guid loc target vol rad tx
|
$433.40 |
$433.40 |
$433.40 |
$503.80
|
|
Gw stiffened micro access kit
|
$262.75 |
$262.75 |
$262.75 |
$6,285.56
|
|
Hand X-ray
|
$304.15 |
$304.15 |
$304.15 |
$338.58
|
|
Haptoglobin quantitative
|
$98.45 |
$98.45 |
$98.45 |
$89.95
|
|
Hbot, full body chamber, 30m
|
$365.75 |
$365.75 |
$365.75 |
$494.40
|
|
Hcg free betachain test
|
$28.05 |
$28.05 |
$28.05 |
$54.59
|
|
Hcg qualitative
|
$75.90 |
$75.90 |
$75.90 |
$77.50
|
|
Hcg quantitative
|
$130.90 |
$130.90 |
$130.90 |
$124.80
|
|
Hc metata joint dislocation anes
|
$3,343.45 |
$3,343.45 |
$3,343.45 |
$2,423.85
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$2,256.65 |
$2,256.65 |
$2,256.65 |
$1,186.80
|
|
Hc pet myocardial imaging metabolic eval single study
|
$2,375.45 |
$2,375.45 |
$2,375.45 |
$3,309.00
|
|
Head CT scan (with and without contrast)
|
$1,515.80 |
$1,515.80 |
$1,515.80 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,443.75 |
$1,443.75 |
$1,443.75 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$1,268.90
|
|
Hematocrit
|
$20.35 |
$20.35 |
$20.35 |
$33.57
|
|
Hematopoietic nuclear tx
|
$2,461.80 |
$2,461.80 |
$2,461.80 |
$918.60
|
|
Hemoglobin
|
$20.90 |
$20.90 |
$20.90 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$14.30 |
$14.30 |
$14.30 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$25.85 |
$25.85 |
$25.85 |
$49.40
|
|
Hemoglobin plasma
|
$13.20 |
$13.20 |
$13.20 |
$40.56
|
|
Hemolysins/agglutinins auto
|
$23.65 |
$23.65 |
$23.65 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$242.55 |
$242.55 |
$242.55 |
$67.50
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$1,065.35 |
$1,065.35 |
$1,065.35 |
$1,141.40
|
|
Heparin assay
|
$75.35 |
$75.35 |
$75.35 |
$130.20
|
|
Hepatitis a antibody igm
|
$98.45 |
$98.45 |
$98.45 |
$85.15
|
|
Hepatitis b core antibody igm
|
$99.55 |
$99.55 |
$99.55 |
$87.98
|
|
Hepatitis b core antibody total
|
$67.65 |
$67.65 |
$67.65 |
$83.29
|
|
Hepatitis b surface antibody
|
$96.80 |
$96.80 |
$96.80 |
$83.79
|
|
Hepatitis c antibody
|
$124.85 |
$124.85 |
$124.85 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$111.65 |
$111.65 |
$111.65 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$252.45 |
$252.45 |
$252.45 |
$87.10
|
|
Herpes simplex virus isolation
|
$75.90 |
$75.90 |
$75.90 |
$93.32
|
|
Heterophile antibodies screening
|
$47.85 |
$47.85 |
$47.85 |
$73.60
|
|
Heterophile antibodies titer
|
$11.00 |
$11.00 |
$11.00 |
$16.80
|
|
Hip X-ray
|
$304.15 |
$304.15 |
$304.15 |
$292.05
|
|
Histochemical stains add-on
|
$97.90 |
$97.90 |
$97.90 |
$169.65
|
|
Hla class i&ii antibody qual
|
$181.50 |
$181.50 |
$181.50 |
$207.60
|
|
Hla i low res one antigen equiv ea
|
$815.10 |
$815.10 |
$815.10 |
$164.00
|
