|
Ghs speech-gen aug dev eval iii, st
|
$74.73 |
$175.00 |
$360.05 |
|
|
Ghs sphenopalatine ganglion block
|
$567.20 |
$695.00 |
$1,513.92 |
|
|
Ghs spont nystagmus
|
$40.81 |
$40.81 |
$286.40 |
|
|
Ghs sp train/fitting sp device - kx
|
$155.10 |
$217.50 |
$340.12 |
|
|
Ghs st - eval for alt comm
|
$19.38 |
$62.50 |
$140.80 |
|
|
Ghs strapping shoulder - 29240
|
$29.15 |
$113.30 |
$447.70 |
|
|
Ghs st - re-eval for alt comm
|
$80.37 |
$345.00 |
$508.75 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$37.10 |
$143.88 |
$167.50 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$335.00 |
$335.00 |
$614.52 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$158.40 |
$1,116.71 |
$2,348.76 |
|
|
Ghs superficial wnd dehis w packing12021
|
$465.96 |
$562.40 |
$952.05 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$570.00 |
$570.00 |
$1,710.72 |
|
|
Ghs trypsin (fecal)
|
$23.85 |
$74.58 |
$74.58 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$209.55 |
$701.58 |
$1,200.00 |
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$471.90 |
$471.90 |
$4,292.80 |
|
|
Ghs urine, hydroxproline total
|
$110.77 |
$144.54 |
$250.00 |
|
|
Ghs urine, porphyrins quant
|
$38.50 |
$110.00 |
$134.64 |
|
|
Ghs vaginal delivery only
|
$820.00 |
$2,345.00 |
$7,298.28 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$969.57 |
$2,665.00 |
$4,775.10 |
|
|
Ghs windowing of cast
|
$41.87 |
$655.38 |
$655.38 |
|
|
Giardia ag if
|
$40.28 |
$40.28 |
$70.40 |
|
|
Giardia lamblia antibody
|
$46.74 |
$85.00 |
$198.00 |
|
|
Gi endoscopic ultrasound
|
$448.91 |
$448.91 |
$448.91 |
|
|
Gi inhouse confirmation
|
$19.95 |
$80.00 |
$117.70 |
|
|
Gingivoplasty each quadrant
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,381.71 |
$2,550.35 |
$7,283.96 |
|
|
Gi trc img intral colon i&r
|
$3,350.00 |
$3,350.00 |
$3,350.00 |
|
|
Gi trc img intral esophagus
|
$1,239.18 |
$2,115.00 |
$4,352.89 |
|
|
Gjb2 gene full sequence
|
$508.80 |
$1,025.00 |
$1,025.00 |
|
|
Glassia injection
|
$5.33 |
$5.33 |
$5.33 |
|
|
Glucagon 1 mg solution for injection
|
$243.27 |
$498.99 |
$875.95 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$134.06 |
$362.02 |
$790.52 |
|
|
Glucagon plasma - sendout
|
$19.95 |
$89.57 |
$164.00 |
|
|
Glucose 1 hr post dose
|
$18.81 |
$55.00 |
$80.40 |
|
|
Glucose-6-phosphate dhydrogenase screen
|
$50.35 |
$50.35 |
$64.80 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$5.50 |
$10.60 |
$89.10 |
|
|
Glucose blood quantitative
|
$9.69 |
$27.50 |
$158.09 |
|
|
Glucose body fluid
|
$6.36 |
$50.00 |
$95.70 |
|
|
Glucose monitoring continual min 72hr pt
|
$101.76 |
$162.25 |
$290.45 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$31.92 |
$106.70 |
$171.64 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$10.26 |
$35.00 |
$83.60 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$9.74 |
$20.30 |
$40.36 |
|
|
Gold sodium thiomaleate inj
|
$13.78 |
$13.78 |
$13.78 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$59.63 |
$85.92 |
$992.08 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$64.13 |
$128.15 |
$320.13 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$45.03 |
$95.00 |
$310.88 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$692.80 |
$1,749.74 |
$2,821.21 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$44.98 |
$65.00 |
$1,716.14 |
|
|
Graft axiofill 1000mg
|
$6.67 |
$6.67 |
$6.67 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$80.56 |
$102.88 |
$177.02 |
|
|
Graft hand or finger tendon
|
$4,756.80 |
$4,756.80 |
$4,756.80 |
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$57.50 |
$3,316.90 |
$12,177.38 |
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$1,510.00 |
$1,510.00 |
$2,200.44 |
|
|
Graft nerve adv 3-4x70mm
|
$514.71 |
$6,226.00 |
$22,209.66 |
|
|
Graft patch felt ptfe 2x2
|
$368.71 |
$3,606.20 |
$41,622.23 |
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$64.02 |
$210.00 |
$8,316.00 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$91.16 |
$193.38 |
$314.50 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$159.20 |
$1,007.99 |
$4,770.00 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$56.00 |
$65.00 |
$464.97 |
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$85.00 |
$85.00 |
$9,092.95 |
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$159.20 |
$330.00 |
$1,145.60 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$386.48 |
$3,285.75 |
$19,746.37 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$113.90 |
$1,751.20 |
$7,412.17 |
|
|
Granisetron 1 mg tab
|
$88.51 |
$88.51 |
$88.51 |
|
|
Granisetron hcl injection
|
$0.53 |
$0.53 |
$48.71 |
|
|
Granulocyte pheresis ea unit
|
$1,762.86 |
$2,124.65 |
$3,560.00 |
|
|
Great toe with reduction 28495
|
$311.30 |
$534.05 |
$1,167.82 |
|
|
Grfg autol fat lipo 50 cc/<
|
$1,313.60 |
$1,313.60 |
$1,313.60 |
|
|
Grfg autol fat lipo ea addl
|
$676.00 |
$676.00 |
$676.00 |
|
|
Ground mileage
|
$11.40 |
$20.90 |
$2,305.00 |
|
|
Group behave couns 2-10
|
$30.78 |
$94.87 |
$100.17 |
|
|
Group health education
|
$186.40 |
$186.40 |
$186.40 |
|
|
Group mnt 2 or more 30 mins
|
$31.27 |
$56.65 |
$89.60 |
|
|
Group train without patient
|
$35.51 |
$37.50 |
$47.17 |
|
|
Growth hormone antibody
|
$63.60 |
$63.60 |
$63.60 |
|
|
Growth hormone panel
|
$115.00 |
$115.00 |
$115.00 |
|
|
Growth stimulation gene 2
|
$72.50 |
$72.50 |
$72.50 |
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$8,924.00 |
$8,924.00 |
$8,924.00 |
|
|
Gstrst open wo constj tube
|
$3,067.20 |
$3,067.20 |
$3,067.20 |
|
|
G-tube reposition
|
$488.13 |
$610.00 |
$2,061.12 |
|
|
Gu dilat ureter/urethra s&i
|
$254.10 |
$1,380.00 |
$3,963.30 |
|
|
Guided cath fluid drainage 10030
|
$559.68 |
$1,175.00 |
$3,446.30 |
|
|
Guide endoanchr sg-64 aaa 62cm
|
$1,104.18 |
$2,721.47 |
$6,618.30 |
|
|
Guide wire threaded 1.4x150mm
|
$174.74 |
$1,188.00 |
$9,797.20 |
|
|
Guide worley csg 9fx50cm std
|
$38.26 |
$102.96 |
$7,843.67 |
|
|
Guid loc target vol rad tx
|
$308.46 |
$580.80 |
$1,375.00 |
|
|
Gum graft
|
$1,516.00 |
$1,516.00 |
$1,516.00 |
|
|
Gw stiffened micro access kit
|
$113.54 |
$888.66 |
$8,120.00 |
|
|
Gynecomastia (males) 19300
|
$1,155.39 |
$1,155.39 |
$3,778.40 |
|
|
Hair trnspl 1-15 punch grfts
|
$442.40 |
$442.40 |
$442.40 |
|
|
Hair trnspl >15 punch grafts
|
$655.20 |
$655.20 |
$655.20 |
|
|
Halo cervical into jckt vest
|
$2,346.66 |
$2,346.66 |
$8,670.00 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$21.09 |
$51.30 |
$61.67 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$2.21 |
$25.87 |
$71.41 |
|
|
Hand-held pefr meter a4614
|
$25.60 |
$25.60 |
$38.69 |
|
|
Handle/convey/speciman/office-lab 99000
|
$7.15 |
$35.20 |
$52.25 |
|
|
Handpiece aquabeam hp2000
|
$5,491.80 |
$5,491.80 |
$5,491.80 |
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$68.20 |
$87.50 |
$176.80 |
|
|
Hand X-ray
|
$103.74 |
$388.74 |
$825.00 |
|
|
Hand X-ray (2 views, both hands)
|
$60.99 |
$310.20 |
$715.00 |
|
