|
Fusion of finger joint
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,986.00
|
|
Fusion of knuckle with graft
|
$1,711.05 |
$1,711.05 |
$1,711.05 |
$5,855.00
|
|
Fusion of tendons at wrist
|
$931.26 |
$931.26 |
$931.26 |
$3,839.54
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$45.90 |
$45.90 |
$45.90 |
$162.68
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$78.55 |
$78.55 |
$78.55 |
$86.54
|
|
Gallbladder Removal (Laparoscopic)
|
$993.48 |
$993.48 |
$993.48 |
$6,904.15
|
|
Gammaglobulin iga
|
$83.64 |
$83.64 |
$83.64 |
$75.30
|
|
Gamma glutamyltransferase
|
$154.02 |
$154.02 |
$154.02 |
$55.28
|
|
Generator barostim neo2 2014
|
$48,087.42 |
$48,087.42 |
$48,087.42 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$26,989.20 |
$26,989.20 |
$26,989.20 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$132.17 |
$132.17 |
$132.17 |
$63.08
|
|
Gentamicin peak therapeutic drug level
|
$162.18 |
$162.18 |
$162.18 |
$119.00
|
|
Ghs abscess perianal iandd
|
$1,379.04 |
$1,379.04 |
$1,379.04 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,776.00
|
|
Ghs aspiration bladder - needle
|
$264.18 |
$264.18 |
$264.18 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$958.29 |
$958.29 |
$958.29 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$792.03 |
$792.03 |
$792.03 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$3,660.78 |
$3,660.78 |
$3,660.78 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$381.99 |
$381.99 |
$381.99 |
$699.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$524.79 |
$524.79 |
$524.79 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$787.95 |
$787.95 |
$787.95 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,761.14 |
$2,761.14 |
$2,761.14 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$254.49 |
$254.49 |
$254.49 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$5,685.48 |
$5,685.48 |
$5,685.48 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$1,234.20 |
$1,234.20 |
$1,234.20 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$254.49 |
$254.49 |
$254.49 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,915.05 |
$1,915.05 |
$1,915.05 |
$547.94
|
|
Ghs conjunctiva foreign body-embed bil
|
$500.82 |
$500.82 |
$500.82 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$413.61 |
$413.61 |
$413.61 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$495.72 |
$495.72 |
$495.72 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$528.87 |
$528.87 |
$528.87 |
$368.16
|
|
Ghs cricothyroidotomy
|
$656.37 |
$656.37 |
$656.37 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$464.10 |
$464.10 |
$464.10 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$142.80 |
$142.80 |
$142.80 |
$152.54
|
|
Ghs dislocation elbow closed treatment
|
$1,767.66 |
$1,767.66 |
$1,767.66 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$842.01 |
$842.01 |
$842.01 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$294.78 |
$294.78 |
$294.78 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$792.03 |
$792.03 |
$792.03 |
$1,439.40
|
|
Ghs excision ingrown nail
|
$453.39 |
$453.39 |
$453.39 |
$457.60
|
|
Ghs eye exam
|
$160.65 |
$160.65 |
$160.65 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$350.88 |
$350.88 |
$350.88 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$1,794.93
|
|
Ghs gastric intub aspiration lavage
|
$447.78 |
$447.78 |
$447.78 |
$403.20
|
|
Ghs HIV antibody
|
$68.85 |
$68.85 |
$68.85 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,279.70 |
$2,279.70 |
$2,279.70 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,159.85 |
$2,159.85 |
$2,159.85 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$813.96 |
$813.96 |
$813.96 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$813.96 |
$813.96 |
$813.96 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$264.18 |
$264.18 |
$264.18 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$1,392.81 |
$1,392.81 |
$1,392.81 |
$293.58
|
|
Ghs inf midline insertion
|
$1,446.36 |
$1,446.36 |
$1,446.36 |
$1,234.20
|
|
Ghs init tx 1st degree burn
|
$476.85 |
$476.85 |
$476.85 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$900.15 |
$900.15 |
$900.15 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$732.87 |
$732.87 |
$732.87 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$501.33 |
$501.33 |
$501.33 |
$431.07
|
|
Ghs inj transforaminal cerv single bil
|
$719.61 |
$719.61 |
$719.61 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$242.76 |
$242.76 |
$242.76 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,557.54 |
$1,557.54 |
$1,557.54 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$110.16 |
$110.16 |
$110.16 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$695.13 |
$695.13 |
$695.13 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$628.83 |
$628.83 |
$628.83 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$464.10 |
$464.10 |
$464.10 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$452.37 |
$452.37 |
$452.37 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,557.54 |
$1,557.54 |
$1,557.54 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,557.54 |
$1,557.54 |
$1,557.54 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,661.58 |
$1,661.58 |
$1,661.58 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,661.58 |
$1,661.58 |
$1,661.58 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,661.58 |
$1,661.58 |
$1,661.58 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,557.54 |
$1,557.54 |
$1,557.54 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,661.58 |
$1,661.58 |
$1,661.58 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,661.58 |
$1,661.58 |
$1,661.58 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,661.58 |
$1,661.58 |
$1,661.58 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,661.58 |
$1,661.58 |
$1,661.58 |
$1,064.98
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$228.48 |
$228.48 |
$228.48 |
$261.80
|
|
Ghs moderate sedation ea addtl 15 min
|
$75.48 |
$75.48 |
$75.48 |
$145.60
|
|
Ghs nailbed repair/nail removal
|
$636.48 |
$636.48 |
$636.48 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,047.03 |
$1,047.03 |
$1,047.03 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$792.03 |
$792.03 |
$792.03 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$1,047.03 |
$1,047.03 |
$1,047.03 |
$1,541.40
|
|
Ghs nerve block celiac plexus
|
$1,061.82 |
$1,061.82 |
$1,061.82 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$1,061.82 |
$1,061.82 |
$1,061.82 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,380.06 |
$1,380.06 |
$1,380.06 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$792.03 |
$792.03 |
$792.03 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$755.82 |
$755.82 |
$755.82 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$464.10 |
$464.10 |
$464.10 |
$468.75
|
|
Ghs opcc repair cvp without subq port
|
$710.94 |
$710.94 |
$710.94 |
$1,302.54
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$125.46 |
$125.46 |
$125.46 |
$57.65
|
|
Ghs pacing - transcutaneous
|
$722.67 |
$722.67 |
$722.67 |
$868.68
|