|
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 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$110.00 |
$110.00 |
$110.00 |
$107.58
|
|
Ghs IV thrombolytics - cerebral
|
$335.00 |
$335.00 |
$335.00 |
$663.00
|
|
Ghs low level laser therapy
|
$17.50 |
$17.50 |
$17.50 |
$77.70
|
|
Ghs mbp
|
$97.50 |
$97.50 |
$97.50 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$255.00 |
$255.00 |
$255.00 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$125.00 |
$125.00 |
$125.00 |
$151.50
|
|
Ghs musc test done w/n test comp
|
$130.00 |
$130.00 |
$130.00 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$130.00 |
$130.00 |
$130.00 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$72.50 |
$72.50 |
$72.50 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$235.00 |
$235.00 |
$235.00 |
$457.80
|
|
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 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$610.00 |
$610.00 |
$610.00 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,661.40
|
|
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 |
$1,710.80
|
|
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 |
$478.50
|
|
Ghs o2 saturation
|
$65.00 |
$65.00 |
$65.00 |
$70.80
|
|
Ghs opcc repair cvp without subq port
|
$610.00 |
$610.00 |
$610.00 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$87.50 |
$87.50 |
$87.50 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$87.50 |
$87.50 |
$87.50 |
$94.80
|
|
Ghs pacing - transcutaneous
|
$815.00 |
$815.00 |
$815.00 |
$815.20
|
|
Ghs phenylketonurid
|
$25.00 |
$25.00 |
$25.00 |
$53.76
|
|
Ghs picc line insert < 5
|
$920.00 |
$920.00 |
$920.00 |
$2,019.50
|
|
Ghs ppd (tb intradermal)
|
$22.50 |
$22.50 |
$22.50 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$67.50 |
$67.50 |
$67.50 |
$43.55
|
|
Ghs protoporphyrins fract
|
$57.50 |
$57.50 |
$57.50 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$175.00 |
$175.00 |
$175.00 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$87.50 |
$87.50 |
$87.50 |
$50.05
|
|
Ghs quinidine
|
$85.00 |
$85.00 |
$85.00 |
$85.00
|
|
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 |
$459.90
|
|
Ghs reticulocyte count
|
$30.00 |
$30.00 |
$30.00 |
$34.45
|
|
Ghs semen analysis fert
|
$105.00 |
$105.00 |
$105.00 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$27.50 |
$27.50 |
$27.50 |
$57.60
|
|
Ghs somatosensory testing lower extremit
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$922.35
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$1,290.02
|
|
Ghs speech-gen aug dev eval iii, st
|
$175.00 |
$175.00 |
$175.00 |
$146.40
|
|
Ghs sp train/fitting sp device - kx
|
$217.50 |
$217.50 |
$217.50 |
$250.50
|
|
Ghs st - eval for alt comm
|
$62.50 |
$62.50 |
$62.50 |
$93.60
|
|
Ghs st - re-eval for alt comm
|
$345.00 |
$345.00 |
$345.00 |
$309.00
|
|
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
|
$945.00 |
$945.00 |
$945.00 |
$3,152.00
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,995.00 |
$2,995.00 |
$2,995.00 |
$1,910.25
|
|
Giardia lamblia antibody
|
$85.00 |
$85.00 |
$85.00 |
$83.44
|
|
Gi inhouse confirmation
|
$80.00 |
$80.00 |
$80.00 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,030.00 |
$3,030.00 |
$3,030.00 |
$2,098.85
|
|
Gi trc img intral colon i&r
|
$3,350.00 |
$3,350.00 |
$3,350.00 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$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
|
$353.78 |
$353.78 |
$353.78 |
$491.67
|
|
Glucagon plasma - sendout
|
$107.50 |
$107.50 |
$107.50 |
$63.00
|
|
Glucose 1 hr post dose
|
$55.00 |
$55.00 |
$55.00 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$10.00 |
$10.00 |
$10.00 |
$23.86
|
|
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 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$35.00 |
$35.00 |
$35.00 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$12.01 |
$12.01 |
$12.01 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$137.50 |
$137.50 |
$137.50 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$105.00 |
$105.00 |
$105.00 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$65.00 |
$65.00 |
$65.00 |
$672.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$102.88 |
$102.88 |
$102.88 |
$584.99
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$86.28 |
$86.28 |
$86.28 |
$24,469.57
|
|
Graft nerve adv 3-4x70mm
|
$22,209.66 |
$22,209.66 |
$22,209.66 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$3,606.20 |
$3,606.20 |
$3,606.20 |
$27,300.00
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$210.00 |
$210.00 |
$210.00 |
$1,455.76
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$65.00 |
$65.00 |
$65.00 |
$373.00
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$85.00 |
$85.00 |
$85.00 |
$27,367.40
|
|
Graft xenmtrx sft rect 15x20cm
|
$14,210.98 |
$14,210.98 |
$14,210.98 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,905.40 |
$2,905.40 |
$2,905.40 |
$2,701.58
|
|
Group train without patient
|
$37.50 |
$37.50 |
$37.50 |
$47.17
|
|
Growth hormone panel
|
$115.00 |
$115.00 |
$115.00 |
$168.00
|
|
Growth stimulation gene 2
|
$72.50 |
$72.50 |
$72.50 |
$170.04
|
|
G-tube reposition
|
$610.00 |
$610.00 |
$610.00 |
$759.36
|
|
Gu dilat ureter/urethra s&i
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$2,029.04 |
$2,029.04 |
$2,029.04 |
$3,284.50
|
|
Guid loc target vol rad tx
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$536.00
|
|
Gw stiffened micro access kit
|
$888.66 |
$888.66 |
$888.66 |
$6,696.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$22.83 |
$22.83 |
$22.83 |
$23.06
|
|
Hand X-ray
|
$650.00 |
$650.00 |
$650.00 |
$356.00
|
|
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 com variants
|
$482.50 |
$482.50 |
$482.50 |
$345.95
|
|
Hbb gene dup/del variants
|
$845.00 |
$845.00 |
$845.00 |
$455.00
|
|
Hb glycosylated a1c home dev
|
$30.00 |
$30.00 |
$30.00 |
$23.00
|
|
Hbot, full body chamber, 30m
|
$555.00 |
$555.00 |
$555.00 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$705.00 |
$705.00 |
$705.00 |
$759.72
|
