|
Ghs chemo IV push, ea addtl
|
$116.75 |
$116.75 |
$132.33 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$54.78 |
$54.78 |
$76.75 |
$133.70
|
|
Ghs diphtheria toxoid ab igg
|
$8.57 |
$8.57 |
$13.54 |
$55.29
|
|
Ghs ed rmvl or bivalving cast
|
$144.84 |
$144.84 |
$144.84 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$469.36 |
$469.36 |
$681.41 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$99.39 |
$99.39 |
$199.69 |
$586.80
|
|
Ghs electrostagmgraphy
|
$468.65 |
$468.65 |
$468.65 |
$322.00
|
|
Ghs elect vertical elct
|
$108.85 |
$108.85 |
$108.85 |
$116.00
|
|
Ghs fat & muscle
|
$31.77 |
$31.77 |
$31.77 |
$38.08
|
|
Ghs fb removal - non-incisional
|
$563.01 |
$563.01 |
$817.38 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$2.86 |
$2.86 |
$4.52 |
$48.10
|
|
Ghs fish cytogen
|
$20.77 |
$20.77 |
$119.80 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$49.56 |
$49.56 |
$51.45 |
$226.20
|
|
Ghs flow volume loop
|
$74.69 |
$74.69 |
$74.69 |
$308.69
|
|
Ghs hcv amplificaiton
|
$17.70 |
$17.70 |
$24.80 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$6.39 |
$6.39 |
$10.11 |
$144.54
|
|
Ghs hgb stability-thal
|
$19.66 |
$19.66 |
$20.41 |
$89.91
|
|
Ghs histoplasma antigen
|
$25.38 |
$25.38 |
$35.57 |
$142.00
|
|
Ghs HIV antibody
|
$8.02 |
$8.02 |
$12.69 |
$89.70
|
|
Ghs immun0electrophoresis
|
$12.24 |
$12.24 |
$19.35 |
$110.00
|
|
Ghs inf midline insertion
|
$309.64 |
$309.64 |
$449.53 |
$1,238.25
|
|
Ghs inhibitor screen
|
$29.25 |
$29.25 |
$30.83 |
$191.88
|
|
Ghs inj neurolytic intercostal nerve
|
$422.90 |
$422.90 |
$422.90 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$870.84 |
$870.84 |
$870.84 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$206.55 |
$206.55 |
$299.86 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$569.18 |
$569.18 |
$826.34 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$744.88 |
$744.88 |
$1,081.40 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$122.66 |
$122.66 |
$137.64 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$574.99 |
$574.99 |
$574.99 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$672.64 |
$672.64 |
$672.64 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$981.55 |
$981.55 |
$981.55 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$45.38 |
$45.38 |
$65.88 |
$200.20
|
|
Ghs IV inf sq injection, on-body injector
|
$77.00 |
$77.00 |
$77.00 |
$110.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$360.46 |
$360.46 |
$360.46 |
$591.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$488.24 |
$488.24 |
$488.24 |
$779.35
|
|
Ghs leukocyte alkaline phos (mayo)
|
$3.38 |
$3.38 |
$3.56 |
$75.00
|
|
Ghs mbp
|
$9.83 |
$9.83 |
$10.21 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$194.35 |
$194.35 |
$213.85 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$194.35 |
$194.35 |
$213.85 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$145.01 |
$145.01 |
$159.56 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$97.17 |
$97.17 |
$106.93 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$97.17 |
$97.17 |
$106.93 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$43.68 |
$43.68 |
$43.68 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$30.23 |
$30.23 |
$30.23 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$50.70 |
$50.70 |
$50.70 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$104.42 |
$104.42 |
$143.07 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$490.05 |
$490.05 |
$711.45 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$377.52 |
$377.52 |
$548.08 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$817.48 |
$817.48 |
$817.48 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$533.25 |
$533.25 |
$533.25 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$635.25 |
$635.25 |
$635.25 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,021.48 |
$1,021.48 |
$1,021.48 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$572.09 |
$572.09 |
$830.55 |
$1,704.63
|
|
Ghs nerve block suprascapular
|
$488.96 |
$488.96 |
$488.96 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$158.27 |
$158.27 |
$229.77 |
$485.00
|
|
Ghs o2 saturation
|
$4.68 |
$4.68 |
$4.86 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$96.58 |
$96.58 |
$96.58 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$79.49 |
$79.49 |
$79.49 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$299.11 |
$299.11 |
$434.25 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$949.24 |
$949.24 |
$1,378.11 |
$2,194.40
|
|
Ghs optokenetic
|
$81.20 |
$81.20 |
$81.20 |
$214.00
|
|
Ghs oscillating trac
|
$98.00 |
$98.00 |
$98.00 |
$325.00
|
|
Ghs ot prosthetic training/15 min
|
$30.40 |
$30.40 |
$30.40 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$30.81 |
$30.81 |
$43.85 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$220.34 |
$220.34 |
$247.26 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$749.23 |
$749.23 |
$1,087.73 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$552.85 |
$552.85 |
$802.62 |
$962.00
|
|
Ghs phenylketonurid
|
$2.65 |
$2.65 |
$2.75 |
$53.76
|
|
Ghs picc line insert < 5
|
$874.10 |
$874.10 |
$1,269.02 |
$2,019.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,709.74 |
$2,709.74 |
$2,709.74 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$7.21 |
$7.21 |
$11.39 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$9.36 |
$9.36 |
$9.72 |
$43.55
|
|
Ghs protoporphyrins fract
|
$17.32 |
$17.32 |
$17.98 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$82.28 |
$82.28 |
$82.28 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$10.45 |
$10.45 |
$10.45 |
$47.55
|
|
Ghs quinidine
|
$9.36 |
$9.36 |
$9.72 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$9.79 |
$9.79 |
$15.48 |
$74.82
|
|
Ghs reticulocyte count
|
$1.69 |
$1.69 |
$1.78 |
$34.50
|
|
Ghs sedimentation rate
|
$1.69 |
$1.69 |
$1.78 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$3.84 |
$3.84 |
$5.38 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$277.33 |
$277.33 |
$277.33 |
$570.60
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$339.04 |
$339.04 |
$339.04 |
$586.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$215.62 |
$215.62 |
$215.62 |
$436.80
|
|
Ghs simple repair over 30 cm - 12007
|
$421.44 |
$421.44 |
$421.44 |
$590.88
|
|
Ghs sleep study unattended
|
$383.12 |
$383.12 |
$383.12 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$323.90 |
$323.90 |
$323.90 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$457.47 |
$457.47 |
$457.47 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$26.77 |
$26.77 |
$47.60 |
$157.50
|
|
Ghs spont nystagmus
|
$76.65 |
$76.65 |
$76.65 |
$246.50
|
|
Ghs sp train/fitting sp device - kx
|
$40.00 |
$40.00 |
$70.42 |
$252.75
|
|
Ghs st - eval for alt comm
|
$61.60 |
$61.60 |
$61.60 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$61.05 |
$61.05 |
$86.89 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$44.97 |
$44.97 |
$79.16 |
$309.60
|
|
Ghs urine, porphyrins quant
|
$9.67 |
$9.67 |
$10.04 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$326.37 |
$326.37 |
$655.74 |
$1,932.00
|
|
Giardia ag if
|
$10.19 |
$10.19 |
$14.27 |
$38.58
|
|
Giardia lamblia antibody
|
$9.11 |
$9.11 |
$14.40 |
$83.44
|
|
Gi inhouse confirmation
|
$10.52 |
$10.52 |
$14.74 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$678.83 |
$678.83 |
$815.48 |
$2,215.20
|
|
Glucagon plasma - sendout
|
$10.45 |
$10.45 |
$10.85 |
$64.35
|
