|
Ghs central line insert < age 5, failed
|
$1,073.52 |
$1,073.52 |
$1,073.52 |
$2,519.49
|
|
Ghs chemo IV push, ea addtl
|
$115.50 |
$115.50 |
$115.50 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$137.76 |
$137.76 |
$137.76 |
$133.70
|
|
Ghs diphtheria toxoid ab igg
|
$26.46 |
$26.46 |
$26.46 |
$55.29
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$791.28 |
$791.28 |
$791.28 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$314.16 |
$314.16 |
$314.16 |
$586.80
|
|
Ghs fb removal foot - deep - left
|
$1,136.94 |
$1,136.94 |
$1,136.94 |
$2,873.34
|
|
Ghs febrile agglutinns(mayo)
|
$8.82 |
$8.82 |
$8.82 |
$48.10
|
|
Ghs fish cytogen
|
$114.24 |
$114.24 |
$114.24 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$64.68 |
$64.68 |
$64.68 |
$226.20
|
|
Ghs hcv amplificaiton
|
$44.52 |
$44.52 |
$44.52 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$100.38 |
$100.38 |
$100.38 |
$144.54
|
|
Ghs hgb stability-thal
|
$52.92 |
$52.92 |
$52.92 |
$89.91
|
|
Ghs histoplasma antigen
|
$63.84 |
$63.84 |
$63.84 |
$142.00
|
|
Ghs HIV antibody
|
$121.38 |
$121.38 |
$121.38 |
$89.70
|
|
Ghs immun0electrophoresis
|
$37.80 |
$37.80 |
$37.80 |
$110.00
|
|
Ghs inf midline insertion
|
$779.10 |
$779.10 |
$779.10 |
$1,238.25
|
|
Ghs inhibitor screen
|
$94.50 |
$94.50 |
$94.50 |
$191.88
|
|
Ghs inj neurolytic intercostal nerve
|
$852.60 |
$852.60 |
$852.60 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$873.18 |
$873.18 |
$873.18 |
$1,710.80
|
|
Ghs inj transforaminal cerv ea add bil
|
$948.36 |
$948.36 |
$948.36 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,389.36 |
$1,389.36 |
$1,389.36 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$250.74 |
$250.74 |
$250.74 |
$431.28
|
|
Ghs intro needle/intracath vein - 36000
|
$110.88 |
$110.88 |
$110.88 |
$200.20
|
|
Ghs IV thrombolytics - cerebral
|
$345.66 |
$345.66 |
$345.66 |
$663.00
|
|
Ghs mbp
|
$26.46 |
$26.46 |
$26.46 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$170.10 |
$170.10 |
$170.10 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$170.10 |
$170.10 |
$170.10 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$170.10 |
$170.10 |
$170.10 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$86.10 |
$86.10 |
$86.10 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$86.10 |
$86.10 |
$86.10 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$243.60 |
$243.60 |
$243.60 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$847.56 |
$847.56 |
$847.56 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$710.22 |
$710.22 |
$710.22 |
$1,160.00
|
|
Ghs nerve block brachial plexus
|
$559.02 |
$559.02 |
$559.02 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$559.02 |
$559.02 |
$559.02 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$838.74 |
$838.74 |
$838.74 |
$1,540.61
|
|
Ghs ng placement w fluoro guidance
|
$274.26 |
$274.26 |
$274.26 |
$485.00
|
|
Ghs o2 saturation
|
$41.16 |
$41.16 |
$41.16 |
$69.50
|
|
Ghs opcc repair cvp w subq port
|
$3,146.64 |
$3,146.64 |
$3,146.64 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$42.00 |
$42.00 |
$42.00 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$65.10 |
$65.10 |
$65.10 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$441.84 |
$441.84 |
$441.84 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$700.14 |
$700.14 |
$700.14 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$793.38 |
$793.38 |
$793.38 |
$962.00
|
|
Ghs phenylketonurid
|
$7.14 |
$7.14 |
$7.14 |
$53.76
|
|
Ghs picc line insert < 5
|
$947.10 |
$947.10 |
$947.10 |
$2,019.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,610.30 |
$2,610.30 |
$2,610.30 |
$3,557.58
|
|
Ghs prostatic acid phosphatase (mayo)
|
$25.20 |
$25.20 |
$25.20 |
$43.55
|
|
Ghs protoporphyrins fract
|
$46.62 |
$46.62 |
$46.62 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$81.90 |
$81.90 |
$81.90 |
$147.00
|
|
Ghs respiratory syncytical virus igg/m
|
$30.24 |
$30.24 |
$30.24 |
$74.82
|
|
Ghs reticulocyte count
|
$5.46 |
$5.46 |
$5.46 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$17.64 |
$17.64 |
$17.64 |
$99.00
|
|
Ghs sedimentation rate
|
$5.46 |
$5.46 |
$5.46 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$9.66 |
$9.66 |
$9.66 |
$57.60
|
|
Ghs sleep study unattended
|
$262.50 |
$262.50 |
$262.50 |
$503.38
|
|
Ghs sphenopalatine ganglion block
|
$380.52 |
$380.52 |
$380.52 |
$630.24
|
|
Ghs st - re-eval for alt comm
|
$143.64 |
$143.64 |
$143.64 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$385.98 |
$385.98 |
$385.98 |
$953.27
|
|
Ghs urine, porphyrins quant
|
$26.04 |
$26.04 |
$26.04 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,281.84 |
$1,281.84 |
$1,281.84 |
$1,932.00
|
|
Giardia ag if
|
$25.62 |
$25.62 |
$25.62 |
$38.58
|
|
Giardia lamblia antibody
|
$28.14 |
$28.14 |
$28.14 |
$83.44
|
|
Gi inhouse confirmation
|
$12.18 |
$12.18 |
$12.18 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,519.14 |
$1,519.14 |
$1,519.14 |
$2,215.20
|
|
Gi trc img intral esophagus
|
$908.04 |
$908.04 |
$908.04 |
$1,897.82
|
|
Glucagon plasma - sendout
|
$28.14 |
$28.14 |
$28.14 |
$64.35
|
|
Glucose 1 hr post dose
|
$6.30 |
$6.30 |
$6.30 |
$49.00
|
|
Glucose body fluid
|
$23.52 |
$23.52 |
$23.52 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$16.38 |
$16.38 |
$16.38 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$5.04 |
$5.04 |
$5.04 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$24.36 |
$24.36 |
$24.36 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$24.36 |
$24.36 |
$24.36 |
$129.03
|
|
Graft axiofill 1000mg
|
$19.82 |
$19.82 |
$19.82 |
$5,125.68
|
|
Graft nerve adv 3-4x70mm
|
$22,996.68 |
$22,996.68 |
$22,996.68 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$22,996.68 |
$22,996.68 |
$22,996.68 |
$29,293.39
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$195.43 |
$195.43 |
$195.43 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$30,392.04 |
$30,392.04 |
$30,392.04 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,724.54 |
$2,724.54 |
$2,724.54 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$2,261.70 |
$2,261.70 |
$2,261.70 |
$2,698.02
|
|
Ground mileage
|
$11.34 |
$11.34 |
$11.34 |
$17.60
|
|
Growth stimulation gene 2
|
$95.34 |
$95.34 |
$95.34 |
$180.50
|
|
G-tube reposition
|
$748.86 |
$748.86 |
$748.86 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$644.28 |
$644.28 |
$644.28 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$876.96 |
$876.96 |
$876.96 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$5,835.90 |
$5,835.90 |
$5,835.90 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,846.74 |
$1,846.74 |
$1,846.74 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$98.28 |
$98.28 |
$98.28 |
$535.60
|
|
Gw stiffened micro access kit
|
$5,835.90 |
$5,835.90 |
$5,835.90 |
$6,893.38
|
|
Handpiece aquabeam hp2000
|
$7,360.08 |
$7,360.08 |
$7,360.08 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$43.68 |
$43.68 |
$43.68 |
$105.30
|
|
Hand X-ray
|
$78.96 |
$78.96 |
$78.96 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$68.88 |
$68.88 |
$68.88 |
$294.90
|
|
Haptoglobin quantitative
|
$24.78 |
$24.78 |
$24.78 |
$92.80
|
|
Hast w/oxygen titrate
|
$112.14 |
$112.14 |
$112.14 |
$347.20
|
|
Hbot, full body chamber, 30m
|
$275.10 |
$275.10 |
$275.10 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$412.86 |
$412.86 |
$412.86 |
$726.00
|
|
Hcg qualitative
|
$9.66 |
$9.66 |
$9.66 |
$90.10
|
|
Hcg quantitative
|
$28.14 |
$28.14 |
$28.14 |
$139.20
|
