|
Ghs nerve block interscaline
|
$2,079.76 |
$2,079.76 |
$2,079.76 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,079.76 |
$2,079.76 |
$2,079.76 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$1,377.86 |
$1,377.86 |
$1,377.86 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$2,928.19 |
$2,928.19 |
$2,928.19 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$1,250.75 |
$1,250.75 |
$1,250.75 |
$468.75
|
|
Ghs o2 saturation
|
$203.95 |
$295.00 |
$371.25 |
$72.45
|
|
Ghs o2 uptake rest & exercise
|
$6,797.75 |
$6,797.75 |
$6,797.75 |
$185.15
|
|
Ghs o2 uptake rest & indirect
|
$100.29 |
$183.95 |
$1,751.00 |
$195.00
|
|
Ghs opcc repair cvp without subq port
|
$1,864.66 |
$1,864.66 |
$1,864.66 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$2,699.58 |
$2,699.58 |
$2,699.58 |
$2,430.56
|
|
Ghs optokenetic
|
$248.75 |
$248.75 |
$248.75 |
$196.66
|
|
Ghs oscillating trac
|
$359.50 |
$359.50 |
$359.50 |
$267.15
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$102.32 |
$102.32 |
$102.32 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$72.29 |
$72.29 |
$72.29 |
$57.65
|
|
Ghs ot dds rom
|
$61.19 |
$61.19 |
$61.19 |
$56.55
|
|
Ghs ot prosthetic training/15 min
|
$140.00 |
$140.00 |
$140.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$221.39 |
$221.39 |
$1,394.00 |
$101.05
|
|
Ghs ot work hardening-additional hours
|
$163.25 |
$163.25 |
$163.25 |
$121.54
|
|
Ghs pacing - transcutaneous
|
$3,271.20 |
$3,271.20 |
$3,523.00 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$3,970.83 |
$3,970.83 |
$3,970.83 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$3,701.29 |
$3,701.29 |
$3,701.29 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$1,956.42 |
$1,956.42 |
$1,956.42 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$6,756.29 |
$6,756.29 |
$6,756.29 |
$694.20
|
|
Ghs phenylketonurid
|
$121.33 |
$121.33 |
$325.00 |
$51.58
|
|
Ghs picc line insert < 5
|
$3,105.57 |
$3,105.57 |
$3,105.57 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$662.20
|
|
Ghs plt ct-manual
|
$106.16 |
$106.16 |
$605.25 |
$39.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$8,039.75 |
$8,039.75 |
$8,946.28 |
$3,705.80
|
|
Ghs pos nystagmus
|
$663.25 |
$663.25 |
$663.25 |
$211.90
|
|
Ghs ppd (tb intradermal)
|
$144.06 |
$184.00 |
$508.68 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$156.59 |
$810.00 |
$1,510.00 |
$40.56
|
|
Ghs protoporphyrins fract
|
$228.22 |
$1,013.00 |
$1,443.00 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$173.25 |
$173.25 |
$173.25 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$189.99 |
$861.00 |
$1,153.50 |
$45.05
|
|
Ghs pt - work hardening/int 2hrs
|
$330.70 |
$330.70 |
$330.70 |
$255.60
|
|
Ghs quinidine
|
$414.63 |
$729.00 |
$1,308.50 |
$68.40
|
|
Ghs refill of implantable pump
|
$842.61 |
$842.61 |
$842.61 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$1,148.14 |
$1,148.14 |
$1,148.14 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$1,350.96 |
$1,350.96 |
$1,350.96 |
$460.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$4,150.20
|
|
Ghs reticulocyte count
|
$106.16 |
$450.42 |
$1,048.00 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$196.87 |
$213.07 |
$980.25 |
$101.15
|
|
Ghs sedimentation rate
|
$103.65 |
$110.39 |
$662.00 |
$45.50
|
|
Ghs semen analysis fert
|
$191.66 |
$191.66 |
$191.66 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$109.73 |
$450.42 |
$757.00 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,077.84 |
$1,077.84 |
$1,077.84 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$2,209.29 |
$2,209.29 |
$2,209.29 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,274.23 |
$1,274.23 |
$1,274.23 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$2,433.73 |
$2,433.73 |
$2,433.73 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,019.23 |
$1,019.23 |
$1,019.23 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$983.92 |
$983.92 |
$983.92 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$1,030.82 |
$1,030.82 |
$1,030.82 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$1,472.62 |
$1,472.62 |
$1,472.62 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$2,669.73 |
$2,669.73 |
$2,669.73 |
$589.18
|
|
Ghs sleep study unattended
|
$781.36 |
$781.36 |
$781.36 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,423.25 |
$4,793.62 |
$5,504.00 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,252.59 |
$1,252.59 |
$2,971.00 |
$1,435.00
|
|
Ghs sphenopalatine ganglion block
|
$3,119.74 |
$3,119.74 |
$3,119.74 |
$706.56
|
|
Ghs spont nystagmus
|
$356.75 |
$356.75 |
$356.75 |
$217.57
|
|
Ghs sp train/fitting sp device - kx
|
$445.82 |
$445.82 |
$526.00 |
$261.95
|
|
Ghs st - eval for alt comm
|
$87.14 |
$128.00 |
$354.97 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$315.27 |
$315.27 |
$315.27 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$245.06 |
$245.06 |
$493.00 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$676.50 |
$676.50 |
$676.50 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$1,034.75 |
$1,034.75 |
$1,034.75 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$3,602.71 |
$3,602.71 |
$3,602.71 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$1,087.35 |
$1,087.35 |
$1,087.35 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,700.53 |
$1,700.53 |
$1,700.53 |
$2,225.73
|
|
Ghs trypsin (fecal)
|
$1,103.00 |
$1,103.00 |
$1,264.75 |
$21.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$5,693.96 |
$5,693.96 |
$5,693.96 |
$540.00
|
|
Ghs urine, hydroxproline total
|
$2,285.00 |
$2,285.00 |
$3,353.75 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$228.11 |
$319.18 |
$1,539.00 |
$70.20
|
|
Ghs vaginal delivery only
|
$11,509.31 |
$11,509.31 |
$11,509.31 |
$3,525.06
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,114.26 |
$1,824.50 |
$14,855.00 |
$1,843.00
|
|
Giardia lamblia antibody
|
$227.23 |
$1,672.00 |
$2,391.00 |
$81.60
|
|
Gi inhouse confirmation
|
$426.54 |
$479.87 |
$1,659.50 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$7,873.00 |
$7,873.00 |
$7,873.00 |
$2,382.90
|
|
Gi trc img intral colon i&r
|
$5,766.25 |
$5,766.25 |
$5,766.25 |
$2,124.80
|
|
Glove finger flexion right lg xl
|
$161.94 |
$161.94 |
$161.94 |
$93.10
|
|
Glucagon 1 mg solution for injection
|
$682.14 |
$1,852.50 |
$1,961.00 |
$613.00
|
|
Glucagon plasma - sendout
|
$267.47 |
$1,461.00 |
$1,880.25 |
$58.56
|
|
Glucose 1 hr post dose
|
$115.38 |
$115.38 |
$115.38 |
$46.28
|
|
Glucose blood quantitative
|
$158.09 |
$174.38 |
$277.00 |
$44.76
|
|
Glucose body fluid
|
$155.38 |
$155.38 |
$158.09 |
$50.70
|
|
Glucose monitoring continual min 72hr pt
|
$192.00 |
$192.00 |
$192.00 |
$139.10
|
|
Glucose tolerance test (gtt) 3 specimens
|
$137.30 |
$1,226.00 |
$1,645.50 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$137.30 |
$337.00 |
$725.25 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$90.00 |
$183.81 |
$193.00 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,060.72 |
$2,060.72 |
$2,060.72 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$297.70 |
$456.35 |
$2,151.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$296.59 |
$876.92 |
$2,151.00 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$189.67 |
$189.67 |
$350.00 |
$2,648.81
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$989.87 |
$989.87 |
$989.87 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$125.10 |
$125.10 |
$125.10 |
$25,762.70
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$7,318.08 |
$7,318.08 |
$7,318.08 |
$2,274.83
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$205.29 |
$205.29 |
$700.00 |
$10,989.38
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,057.31 |
$1,057.31 |
$1,057.31 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$438.83 |
$438.83 |
$438.83 |
$2,369.10
|