|
Ghs diphtheria toxoid ab igg
|
$10.58 |
$11.65 |
$16.44 |
$55.29
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$371.01 |
$448.36 |
$464.09 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$403.56 |
$487.69 |
$504.80 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$38.27 |
$159.07 |
$310.36 |
$586.80
|
|
Ghs fb removal - incisional
|
$470.91 |
$470.91 |
$638.98 |
$2,323.75
|
|
Ghs febrile agglutinns(mayo)
|
$3.53 |
$3.88 |
$5.48 |
$48.10
|
|
Ghs fish cytogen
|
$5.62 |
$29.02 |
$232.81 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$13.34 |
$52.61 |
$68.91 |
$226.20
|
|
Ghs flow volume loop
|
$284.13 |
$284.13 |
$284.13 |
$308.69
|
|
Ghs hcv amplificaiton
|
$17.38 |
$23.64 |
$25.86 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$7.90 |
$8.70 |
$12.27 |
$144.54
|
|
Ghs hgb stability-thal
|
$18.90 |
$18.90 |
$18.90 |
$89.91
|
|
Ghs histoplasma antigen
|
$24.93 |
$33.90 |
$66.69 |
$142.00
|
|
Ghs HIV antibody
|
$7.06 |
$7.77 |
$68.18 |
$89.70
|
|
Ghs immun0electrophoresis
|
$15.12 |
$16.65 |
$23.49 |
$110.00
|
|
Ghs inf midline insertion
|
$377.24 |
$455.89 |
$471.88 |
$1,238.25
|
|
Ghs inhibitor screen
|
$14.40 |
$42.52 |
$101.25 |
$191.88
|
|
Ghs inj neurolytic other perph nerve
|
$716.50 |
$716.50 |
$716.50 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$150.48 |
$150.48 |
$150.48 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$648.35 |
$783.52 |
$811.01 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$824.10 |
$995.90 |
$1,030.85 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$139.23 |
$139.23 |
$163.80 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$523.21 |
$523.21 |
$523.21 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$547.64 |
$547.64 |
$547.64 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$957.22 |
$957.22 |
$957.22 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$24.90 |
$30.10 |
$31.15 |
$200.20
|
|
Ghs IV thrombolytics - cerebral
|
$354.60 |
$428.53 |
$443.56 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$390.46 |
$390.46 |
$390.46 |
$591.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$462.32 |
$462.32 |
$462.32 |
$779.35
|
|
Ghs leukocyte alkaline phos (mayo)
|
$1.66 |
$4.91 |
$11.70 |
$75.00
|
|
Ghs mbp
|
$5.29 |
$8.00 |
$26.19 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$123.72 |
$144.43 |
$195.88 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$114.13 |
$144.43 |
$195.88 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$125.43 |
$158.73 |
$195.88 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$62.48 |
$72.93 |
$106.46 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$57.63 |
$72.93 |
$106.46 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$67.80 |
$71.24 |
$86.53 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$44.11 |
$46.35 |
$56.29 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$58.98 |
$61.97 |
$75.27 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$75.76 |
$91.59 |
$104.86 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$615.52 |
$743.85 |
$769.95 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$492.14 |
$594.74 |
$615.61 |
$1,160.00
|
|
Ghs nerve block celiac plexus
|
$381.77 |
$461.36 |
$477.55 |
$1,661.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$489.23 |
$489.23 |
$489.23 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$681.45 |
$681.45 |
$681.45 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$253.85 |
$306.77 |
$317.54 |
$485.00
|
|
Ghs o2 saturation
|
$4.50 |
$4.50 |
$30.39 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$533.61 |
$533.61 |
$533.61 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$508.66 |
$508.66 |
$508.66 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$489.02 |
$590.98 |
$615.03 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$1,943.08 |
$2,348.17 |
$2,430.56 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$16.77 |
$25.81 |
$26.93 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$13.77 |
$20.96 |
$40.09 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$259.42 |
$350.98 |
$374.21 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$286.11 |
$345.76 |
$357.89 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$628.83 |
$759.92 |
$786.59 |
$962.00
|
|
Ghs phenylketonurid
|
$2.55 |
$2.55 |
$2.55 |
$53.76
|
|
Ghs picc line insert < 5
|
$599.96 |
$725.04 |
$750.48 |
$2,019.50
|
|
Ghs plt ct-manual
|
$4.20 |
$4.20 |
$4.20 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,225.58 |
$3,225.58 |
$3,225.58 |
$3,557.58
|
|
Ghs prostatic acid phosphatase (mayo)
|
$9.00 |
$9.00 |
$14.82 |
$43.55
|
|
Ghs protoporphyrins fract
|
$9.32 |
$14.10 |
$21.99 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$63.08 |
$63.08 |
$67.66 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$18.53 |
$18.53 |
$18.53 |
$47.55
|
|
Ghs quinidine
|
$5.04 |
$7.62 |
$9.00 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$12.10 |
$13.32 |
$18.79 |
$74.82
|
|
Ghs reticulocyte count
|
$0.83 |
$2.46 |
$5.85 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$82.26 |
$82.26 |
$82.26 |
$99.00
|
|
Ghs sedimentation rate
|
$0.83 |
$2.46 |
$10.38 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$3.77 |
$5.13 |
$46.93 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$270.10 |
$270.10 |
$292.99 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$522.62 |
$522.62 |
$522.62 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$330.28 |
$330.28 |
$358.27 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$580.99 |
$580.99 |
$580.99 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$283.01 |
$283.01 |
$283.01 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$209.92 |
$209.92 |
$227.71 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$354.82 |
$354.82 |
$354.82 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$410.29 |
$410.29 |
$445.06 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$654.34 |
$654.34 |
$654.34 |
$537.60
|
|
Ghs sleep study unattended
|
$522.50 |
$522.50 |
$522.50 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$299.45 |
$314.62 |
$382.13 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$659.39 |
$692.80 |
$841.46 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$74.10 |
$74.10 |
$74.10 |
$157.50
|
|
Ghs st - eval for alt comm
|
$118.08 |
$118.08 |
$118.08 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$69.76 |
$69.76 |
$107.37 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$111.47 |
$147.51 |
$149.10 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$327.71 |
$396.04 |
$409.93 |
$953.27
|
|
Ghs urine, porphyrins quant
|
$5.21 |
$7.87 |
$22.48 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$98.82 |
$410.70 |
$801.34 |
$1,932.00
|
|
Giardia ag if
|
$10.00 |
$13.60 |
$14.88 |
$38.58
|
|
Giardia lamblia antibody
|
$11.26 |
$12.39 |
$81.51 |
$83.44
|
|
Gi inhouse confirmation
|
$10.33 |
$14.05 |
$100.78 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$985.76 |
$985.76 |
$985.76 |
$2,215.20
|
|
Glucagon 1 mg solution for injection
|
$326.54 |
$326.54 |
$326.54 |
$613.79
|
|
Glucagon plasma - sendout
|
$5.63 |
$8.51 |
$21.99 |
$64.35
|
|
Glucose 1 hr post dose
|
$1.26 |
$1.91 |
$32.61 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$21.00 |
$21.00 |
$21.00 |
$23.12
|
|
Glucose blood quantitative
|
$14.82 |
$14.82 |
$14.82 |
$42.25
|
|
Glucose body fluid
|
$5.12 |
$7.75 |
$40.76 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$3.28 |
$4.95 |
$80.03 |
$105.60
|