|
Ghs hgb stability-thal
|
$247.50 |
$247.50 |
$247.50 |
$87.60
|
|
Ghs histoplasma antigen
|
$210.00 |
$210.00 |
$210.00 |
$137.80
|
|
Ghs HIV antibody
|
$75.00 |
$75.00 |
$75.00 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$3,085.80
|
|
Ghs i and d pilonidal cyst simple
|
$145.00 |
$145.00 |
$145.00 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$195.00 |
$195.00 |
$195.00 |
$523.73
|
|
Ghs inf midline insertion
|
$625.00 |
$625.00 |
$625.00 |
$1,209.60
|
|
Ghs inhibitor screen
|
$192.50 |
$192.50 |
$192.50 |
$181.50
|
|
Ghs init tx 1st degree burn
|
$112.50 |
$112.50 |
$112.50 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,913.00
|
|
Ghs inj neurolytic other perph nerve
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$1,599.83
|
|
Ghs insertion of needle - bone
|
$247.50 |
$247.50 |
$247.50 |
$412.80
|
|
Ghs intro needle/intracath vein - 36000
|
$90.00 |
$90.00 |
$90.00 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$455.00 |
$455.00 |
$455.00 |
$528.96
|
|
Ghs IV inf sq injection, on-body injector
|
$110.00 |
$110.00 |
$110.00 |
$107.95
|
|
Ghs IV thrombolytics - cerebral
|
$335.00 |
$335.00 |
$335.00 |
$663.00
|
|
Ghs low level laser therapy
|
$17.50 |
$17.50 |
$17.50 |
$85.00
|
|
Ghs mbp
|
$97.50 |
$97.50 |
$97.50 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$405.00 |
$405.00 |
$405.00 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$205.00 |
$205.00 |
$205.00 |
$148.18
|
|
Ghs myocardial strain img spckl track
|
$235.00 |
$235.00 |
$235.00 |
$464.95
|
|
Ghs nailbed repair/nail removal
|
$357.50 |
$357.50 |
$357.50 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$910.00 |
$910.00 |
$910.00 |
$1,506.50
|
|
Ghs nerve blk intercostal, single level
|
$610.00 |
$610.00 |
$610.00 |
$1,084.00
|
|
Ghs nerve block celiac plexus
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$985.00 |
$985.00 |
$985.00 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,706.50
|
|
Ghs nerve block sciatic nerve
|
$1,645.00 |
$1,645.00 |
$1,645.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$515.00 |
$515.00 |
$515.00 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$485.00 |
$485.00 |
$485.00 |
$472.21
|
|
Ghs o2 saturation
|
$65.00 |
$65.00 |
$65.00 |
$66.70
|
|
Ghs opcc repair cvp without subq port
|
$610.00 |
$610.00 |
$610.00 |
$1,229.24
|
|
Ghs ot prosthetic training/15 min
|
$87.50 |
$87.50 |
$87.50 |
$89.05
|
|
Ghs ot sensory integrative tech/15min
|
$87.50 |
$87.50 |
$87.50 |
$91.56
|
|
Ghs ot work hardening-additional hours
|
$135.00 |
$135.00 |
$135.00 |
$121.66
|
|
Ghs pacing - transcutaneous
|
$815.00 |
$815.00 |
$815.00 |
$815.00
|
|
Ghs phenylketonurid
|
$12.50 |
$12.50 |
$12.50 |
$53.30
|
|
Ghs picc line insert < 5
|
$920.00 |
$920.00 |
$920.00 |
$2,035.00
|
|
Ghs ppd (tb intradermal)
|
$22.50 |
$22.50 |
$22.50 |
$37.44
|
|
Ghs protoporphyrins fract
|
$57.50 |
$57.50 |
$57.50 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$175.00 |
$175.00 |
$175.00 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$87.50 |
$87.50 |
$87.50 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$270.00 |
$270.00 |
$270.00 |
$270.00
|
|
Ghs refill of implantable pump
|
$550.00 |
$550.00 |
$550.00 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$140.00 |
$140.00 |
$140.00 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$140.00 |
$140.00 |
$140.00 |
$442.06
|
|
Ghs reticulocyte count
|
$30.00 |
$30.00 |
$30.00 |
$33.60
|
|
Ghs semen analysis fert
|
$105.00 |
$105.00 |
$105.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$27.50 |
$27.50 |
$27.50 |
$55.12
|
|
Ghs speech-gen aug dev eval iii, st
|
$175.00 |
$175.00 |
$175.00 |
$141.00
|
|
Ghs sp train/fitting sp device - kx
|
$217.50 |
$217.50 |
$217.50 |
$244.80
|
|
Ghs st - re-eval for alt comm
|
$345.00 |
$345.00 |
$345.00 |
$309.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$335.00 |
$335.00 |
$335.00 |
$351.45
|
|
Ghs tracheostomy emergency - transtracheal
|
$570.00 |
$570.00 |
$570.00 |
$1,752.89
|
|
Ghs urine, porphyrins quant
|
$110.00 |
$110.00 |
$110.00 |
$75.00
|
|
Ghs vaginal delivery only
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$3,142.35
|
|
Gi inhouse confirmation
|
$80.00 |
$80.00 |
$80.00 |
$86.25
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$2,103.50
|
|
Gi trc img intral esophagus
|
$2,185.00 |
$2,185.00 |
$2,185.00 |
$1,897.82
|
|
Gjb2 gene full sequence
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$502.80
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$268.32 |
$268.32 |
$268.32 |
$491.67
|
|
Glucagon plasma - sendout
|
$107.50 |
$107.50 |
$107.50 |
$63.00
|
|
Glucose 1 hr post dose
|
$55.00 |
$55.00 |
$55.00 |
$46.15
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$10.00 |
$10.00 |
$10.00 |
$23.68
|
|
Glucose blood quantitative
|
$27.50 |
$27.50 |
$27.50 |
$40.00
|
|
Glucose body fluid
|
$50.00 |
$50.00 |
$50.00 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$107.50 |
$107.50 |
$107.50 |
$99.20
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$35.00 |
$35.00 |
$35.00 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$20.40 |
$20.40 |
$20.40 |
$40.84
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$85.92 |
$85.92 |
$85.92 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$137.50 |
$137.50 |
$137.50 |
$115.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$95.00 |
$95.00 |
$95.00 |
$125.28
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,364.11 |
$2,364.11 |
$2,364.11 |
$4,524.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$65.00 |
$65.00 |
$65.00 |
$125.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$57.50 |
$57.50 |
$57.50 |
$26,222.04
|
|
Graft nerve adv 3-4x70mm
|
$1,028.13 |
$1,028.13 |
$1,028.13 |
$20,782.10
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$180.95 |
$180.95 |
$180.95 |
$1,057.31
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$65.00 |
$65.00 |
$65.00 |
$349.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$85.00 |
$85.00 |
$85.00 |
$24,591.57
|
|
Graft xenmtrx sft rect 15x20cm
|
$4,133.43 |
$4,133.43 |
$4,133.43 |
$34,023.60
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,957.55 |
$1,957.55 |
$1,957.55 |
$2,677.50
|
|
Group train without patient
|
$37.50 |
$37.50 |
$37.50 |
$39.77
|
|
Growth hormone panel
|
$115.00 |
$115.00 |
$115.00 |
$168.00
|
|
Growth stimulation gene 2
|
$72.50 |
$72.50 |
$72.50 |
$170.04
|
|
Gu dilat ureter/urethra s&i
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,772.00
|
|
Guided cath fluid drainage 10030
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$1,110.38 |
$1,110.38 |
$1,110.38 |
$3,643.32
|
|
Guide worley csg 9fx50cm std
|
$166.11 |
$166.11 |
$166.11 |
$1,070.69
|
|
Guid loc target vol rad tx
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$526.20
|
|
Gw stiffened micro access kit
|
$1,302.84 |
$1,302.84 |
$1,302.84 |
$7,529.45
|
|
Handpiece aquabeam hp2000
|
$5,491.80 |
$5,491.80 |
$5,491.80 |
$6,628.05
|
|
Hand X-ray
|
$510.00 |
$510.00 |
$510.00 |
$346.40
|
|
Haptoglobin quantitative
|
$70.00 |
$70.00 |
$70.00 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$565.00 |
$565.00 |
$565.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$404.80
|
|
Hbb full gene sequence
|
$565.00 |
$565.00 |
$565.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$845.00 |
$845.00 |
$845.00 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$555.00 |
$555.00 |
$555.00 |
$523.04
|
|
Hcg free betachain test
|
$112.50 |
$112.50 |
$112.50 |
$68.90
|
|
Hcg qualitative
|
$105.00 |
$105.00 |
$105.00 |
$85.60
|
