|
Ghs layered repair over 3.0 cm -12057
|
$255.00 |
$255.00 |
$255.00 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$1.62 |
$1.62 |
$1.62 |
$73.50
|
|
Ghs low level laser therapy
|
$53.04 |
$53.04 |
$53.04 |
$85.00
|
|
Ghs mbp
|
$2.60 |
$2.60 |
$2.60 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$66.81 |
$66.81 |
$66.81 |
$242.64
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$60.52 |
$60.52 |
$60.52 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$66.81 |
$66.81 |
$66.81 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$60.52 |
$60.52 |
$60.52 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$40.97 |
$40.97 |
$40.97 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$39.10 |
$39.10 |
$39.10 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$35.70 |
$35.70 |
$35.70 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$72.08 |
$72.08 |
$72.08 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$112.03 |
$112.03 |
$112.03 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$585.99 |
$585.99 |
$585.99 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$472.43 |
$472.43 |
$472.43 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$791.01 |
$791.01 |
$791.01 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$585.99 |
$585.99 |
$585.99 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$55.76 |
$55.76 |
$55.76 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$993.82 |
$993.82 |
$993.82 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,265.99 |
$1,265.99 |
$1,265.99 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$735.08 |
$735.08 |
$735.08 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$581.57 |
$581.57 |
$581.57 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$295.63 |
$295.63 |
$295.63 |
$478.50
|
|
Ghs o2 uptake rest & exercise
|
$186.15 |
$186.15 |
$186.15 |
$239.05
|
|
Ghs opcc repair cvp without subq port
|
$794.92 |
$794.92 |
$794.92 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$771.29 |
$771.29 |
$771.29 |
$2,194.40
|
|
Ghs optokenetic
|
$13.26 |
$13.26 |
$13.26 |
$211.20
|
|
Ghs oscillating trac
|
$13.26 |
$13.26 |
$13.26 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$13.43 |
$13.43 |
$13.43 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$19.38 |
$19.38 |
$19.38 |
$64.50
|
|
Ghs ot dds rom
|
$13.94 |
$13.94 |
$13.94 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$24.14 |
$24.14 |
$24.14 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$24.82 |
$24.82 |
$24.82 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$48.45 |
$48.45 |
$48.45 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$303.79 |
$303.79 |
$303.79 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$603.16 |
$603.16 |
$603.16 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$603.16 |
$603.16 |
$603.16 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$4.03 |
$4.03 |
$4.03 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$116.28 |
$116.28 |
$116.28 |
$545.40
|
|
Ghs picc line insert < 5
|
$51.85 |
$51.85 |
$51.85 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$215.22 |
$215.22 |
$215.22 |
$564.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$432.65 |
$432.65 |
$432.65 |
$3,557.58
|
|
Ghs pos nystagmus
|
$13.26 |
$13.26 |
$13.26 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$17.85 |
$17.85 |
$17.85 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$1.46 |
$1.46 |
$1.46 |
$43.55
|
|
Ghs protoporphyrins fract
|
$2.17 |
$2.17 |
$2.17 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$45.22 |
$45.22 |
$45.22 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$1.85 |
$1.85 |
$1.85 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$96.56 |
$96.56 |
$96.56 |
$285.60
|
|
Ghs refill of implantable pump
|
$708.90 |
$708.90 |
$708.90 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$127.16 |
$127.16 |
$127.16 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$123.76 |
$123.76 |
$123.76 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$365.84 |
$365.84 |
$365.84 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$301.07 |
$301.07 |
$301.07 |
$4,108.00
|
|
Ghs sedimentation rate
|
$67.66 |
$67.66 |
$67.66 |
$45.50
|
|
Ghs semen analysis fert
|
$163.20 |
$163.20 |
$163.20 |
$124.80
|
|
Ghs semen analysis, post-vas
|
$6.63 |
$6.63 |
$6.63 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$91.80 |
$91.80 |
$91.80 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$110.50 |
$110.50 |
$110.50 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$129.71 |
$129.71 |
$129.71 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$131.75 |
$131.75 |
$131.75 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$85.00 |
$85.00 |
$85.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$84.15 |
$84.15 |
$84.15 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$85.00 |
$85.00 |
$85.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$102.00 |
$102.00 |
$102.00 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$144.50 |
$144.50 |
$144.50 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$123.59 |
$123.59 |
$123.59 |
$537.60
|
|
Ghs sleep study unattended
|
$43.01 |
$43.01 |
$43.01 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$73.61 |
$73.61 |
$73.61 |
$917.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$91.97 |
$91.97 |
$91.97 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$129.37 |
$129.37 |
$129.37 |
$616.00
|
|
Ghs spont nystagmus
|
$13.26 |
$13.26 |
$13.26 |
$228.00
|
|
Ghs sp train/fitting sp device - kx
|
$68.68 |
$68.68 |
$68.68 |
$249.60
|
|
Ghs st - eval for alt comm
|
$31.28 |
$31.28 |
$31.28 |
$94.60
|
|
Ghs strapping shoulder - 29240
|
$39.27 |
$39.27 |
$39.27 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$91.97 |
$91.97 |
$91.97 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$114.41 |
$114.41 |
$114.41 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$186.83 |
$186.83 |
$186.83 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$535.50 |
$535.50 |
$535.50 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$123.59 |
$123.59 |
$123.59 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$180.20 |
$180.20 |
$180.20 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$203.15 |
$203.15 |
$203.15 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$2.22 |
$2.22 |
$2.22 |
$73.80
|
|
Ghs vaginal delivery only
|
$443.19 |
$443.19 |
$443.19 |
$3,338.40
|
|
Ghs windowing of cast
|
$46.75 |
$46.75 |
$46.75 |
$212.55
|
|
Giardia lamblia antibody
|
$10.71 |
$10.71 |
$10.71 |
$83.44
|
|
Gi inhouse confirmation
|
$127.16 |
$127.16 |
$127.16 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$705.67 |
$705.67 |
$705.67 |
$2,195.76
|
|
Gjb6 gene com variants
|
$5.95 |
$5.95 |
$5.95 |
$84.70
|
|
Glove finger flexion right lg xl
|
$35.91 |
$35.91 |
$35.91 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$131.24 |
$131.24 |
$131.24 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$454.55 |
$454.55 |
$454.55 |
$491.67
|
|
Glucagon plasma - sendout
|
$2.16 |
$2.16 |
$2.16 |
$63.20
|
|
Glucose 1 hr post dose
|
$59.50 |
$59.50 |
$59.50 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$17.85 |
$17.85 |
$17.85 |
$22.75
|
|
Glucose blood quantitative
|
$19.04 |
$19.04 |
$19.04 |
$41.40
|
|
Glucose body fluid
|
$53.38 |
$53.38 |
$53.38 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$48.62 |
$48.62 |
$48.62 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$36.04 |
$36.04 |
$36.04 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$51.00 |
$51.00 |
$51.00 |
$36.00
|
