|
Gentamicin peak therapeutic drug level
|
$547.76 |
$547.76 |
$547.76 |
$119.00
|
|
Ghs abscess perianal iandd
|
$12,201.28 |
$12,201.28 |
$12,201.28 |
$1,530.50
|
|
Ghs antibodies (torch) igm
|
$230.24 |
$230.24 |
$230.24 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$2,253.12 |
$2,253.12 |
$2,253.12 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,584.67 |
$1,584.67 |
$1,584.67 |
$1,050.00
|
|
Ghs change cysto/gastrost
|
$3,800.76 |
$3,800.76 |
$3,800.76 |
$699.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$21,567.36 |
$21,567.36 |
$21,567.36 |
$2,621.64
|
|
Ghs clsd red med malleolus fx w manip
|
$5,381.32 |
$5,381.32 |
$5,381.32 |
$2,459.25
|
|
Ghs cl tx metacarpophal disloc without anes
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$547.94
|
|
Ghs conjunctiva foreign body-embed bil
|
$3,632.96 |
$3,632.96 |
$3,632.96 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$3,632.96 |
$3,632.96 |
$3,632.96 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$368.16
|
|
Ghs dislocation elbow closed treatment
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$687.73
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$7,138.72 |
$7,138.72 |
$7,138.72 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$4,238.88 |
$4,238.88 |
$4,238.88 |
$586.80
|
|
Ghs excision ingrown nail
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$457.60
|
|
Ghs fb removal foot - deep - left
|
$5,346.11 |
$5,346.11 |
$5,346.11 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$21,695.04 |
$21,695.04 |
$21,695.04 |
$2,425.20
|
|
Ghs histoplasma antigen
|
$212.00 |
$212.00 |
$212.00 |
$137.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$24,811.20 |
$24,811.20 |
$24,811.20 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$16,052.00 |
$16,052.00 |
$16,052.00 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$6,824.43 |
$6,824.43 |
$6,824.43 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$6,824.43 |
$6,824.43 |
$6,824.43 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$2,406.72 |
$2,406.72 |
$2,406.72 |
$543.60
|
|
Ghs insertion of needle - bone
|
$1,177.06 |
$1,177.06 |
$1,177.06 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$943.80
|
|
Ghs intro needle/intracath vein - 36000
|
$726.14 |
$726.14 |
$726.14 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$2,406.72 |
$2,406.72 |
$2,406.72 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$17.69 |
$17.69 |
$17.69 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$8,298.08 |
$8,298.08 |
$8,298.08 |
$795.20
|
|
Ghs mbp
|
$60.20 |
$60.20 |
$60.20 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$1,371.56 |
$1,371.56 |
$1,371.56 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$822.30 |
$822.30 |
$822.30 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$1,310.05 |
$1,310.05 |
$1,310.05 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$508.61 |
$508.61 |
$508.61 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$535.77 |
$535.77 |
$535.77 |
$140.00
|
|
Ghs musc tst done w/nerv tst lim
|
$388.64 |
$388.64 |
$388.64 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$409.68 |
$409.68 |
$409.68 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$613.88 |
$613.88 |
$613.88 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$2,025.45 |
$2,025.45 |
$2,025.45 |
$808.80
|
|
Ghs nerve block brachial plexus
|
$2,782.37 |
$2,782.37 |
$2,782.37 |
$1,768.00
|
|
Ghs nerve block interscaline
|
$2,782.37 |
$2,782.37 |
$2,782.37 |
$1,607.45
|
|
Ghs nerve block sciatic nerve
|
$1,584.67 |
$1,584.67 |
$1,584.67 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$3,632.96 |
$3,632.96 |
$3,632.96 |
$468.75
|
|
Ghs o2 saturation
|
$156.32 |
$156.32 |
$156.32 |
$72.45
|
|
Ghs ot sensory integrative tech/15min
|
$225.21 |
$225.21 |
$225.21 |
$101.05
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$186.04 |
$186.04 |
$186.04 |
$90.15
|
|
Ghs plngl fx pm cl
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$355.07 |
$355.07 |
$355.07 |
$43.45
|
|
Ghs removal intranasal foreign body
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$324.35
|
|
Ghs rsv eia (respir synctial vrs)
|
$415.60 |
$415.60 |
$415.60 |
$101.15
|
|
Ghs sensitivity (per antimicro)
|
$119.68 |
$119.68 |
$119.68 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$5,598.88 |
$5,598.88 |
$5,598.88 |
$670.08
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$2,810.24 |
$2,810.24 |
$2,810.24 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$2,810.24 |
$2,810.24 |
$2,810.24 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$2,810.24 |
$2,810.24 |
$2,810.24 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$2,810.24 |
$2,810.24 |
$2,810.24 |
$660.00
|
|
Ghs sphenopalatine ganglion block
|
$1,792.80 |
$1,792.80 |
$1,792.80 |
$706.56
|
|
Ghs strapping shoulder - 29240
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$705.19 |
$705.19 |
$705.19 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$8,298.08 |
$8,298.08 |
$8,298.08 |
$976.98
|
|
Ghs tx distal phalangeal fx with manipulation
|
$3,346.72 |
$3,346.72 |
$3,346.72 |
$591.00
|
|
Ghs vaginal delivery only
|
$10,014.20 |
$10,014.20 |
$10,014.20 |
$3,525.06
|
|
Ghs veeg 12-26 hr intmt mont
|
$7,317.60 |
$7,317.60 |
$7,317.60 |
$1,843.00
|
|
Gi inhouse confirmation
|
$373.30 |
$373.30 |
$373.30 |
$87.00
|
|
Glucose blood quantitative
|
$100.63 |
$100.63 |
$100.63 |
$44.76
|
|
Glucose body fluid
|
$62.88 |
$62.88 |
$62.88 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$205.92 |
$205.92 |
$205.92 |
$100.10
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$184.56 |
$184.56 |
$184.56 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$9,498.93 |
$9,498.93 |
$9,498.93 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$270.94 |
$270.94 |
$270.94 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$270.94 |
$270.94 |
$270.94 |
$123.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$451.80 |
$451.80 |
$451.80 |
$25,762.70
|
|
Guided cath fluid drainage 10030
|
$4,486.46 |
$4,486.46 |
$4,486.46 |
$1,461.15
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$316.71 |
$316.71 |
$316.71 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$41.62 |
$41.62 |
$41.62 |
$35.40
|
|
Hand X-ray
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$338.58
|
|
Haptoglobin quantitative
|
$201.28 |
$201.28 |
$201.28 |
$89.95
|
|
Hcg qualitative
|
$467.15 |
$467.15 |
$467.15 |
$77.50
|
|
Hcg quantitative
|
$483.18 |
$483.18 |
$483.18 |
$124.80
|
|
Head CT scan (with and without contrast)
|
$8,151.32 |
$8,151.32 |
$8,151.32 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$8,717.47 |
$8,717.47 |
$8,717.47 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$269.60 |
$269.60 |
$269.60 |
$84.80
|
|
Hematocrit
|
$169.07 |
$169.07 |
$169.07 |
$33.57
|
|
Hemodialysis one evaluation
|
$2,237.43 |
$2,237.43 |
$2,237.43 |
$1,329.90
|