|
Ghs inf midline insertion
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$1,238.25
|
|
Ghs inhibitor screen
|
$132.50 |
$132.50 |
$132.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$295.00 |
$295.00 |
$295.00 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$412.50 |
$412.50 |
$412.50 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$472.50 |
$472.50 |
$472.50 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$350.00 |
$350.00 |
$350.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$800.00 |
$800.00 |
$800.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$865.00 |
$865.00 |
$865.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$925.00 |
$925.00 |
$925.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$140.00 |
$140.00 |
$140.00 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$455.00 |
$455.00 |
$455.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$90.00 |
$90.00 |
$90.00 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$410.00 |
$410.00 |
$410.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$350.00 |
$350.00 |
$350.00 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$620.00 |
$620.00 |
$620.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$620.00 |
$620.00 |
$620.00 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$620.00 |
$620.00 |
$620.00 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$675.00 |
$675.00 |
$675.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$675.00 |
$675.00 |
$675.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$705.00 |
$705.00 |
$705.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$740.00 |
$740.00 |
$740.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$740.00 |
$740.00 |
$740.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$740.00 |
$740.00 |
$740.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$800.00 |
$800.00 |
$800.00 |
$784.80
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$320.00 |
$320.00 |
$320.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$492.50 |
$492.50 |
$492.50 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$447.50 |
$447.50 |
$447.50 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$195.00 |
$195.00 |
$195.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$337.50 |
$337.50 |
$337.50 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$332.50 |
$332.50 |
$332.50 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$250.00 |
$250.00 |
$250.00 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$125.00 |
$125.00 |
$125.00 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$510.00 |
$510.00 |
$510.00 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$625.00 |
$625.00 |
$625.00 |
$724.37
|
|
Ghs ng placement w fluoro guidance
|
$400.00 |
$400.00 |
$400.00 |
$485.00
|
|
Ghs o2 saturation
|
$50.00 |
$50.00 |
$50.00 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$200.00 |
$200.00 |
$200.00 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$1,236.67
|
|
Ghs ot prosthetic training/15 min
|
$85.00 |
$85.00 |
$85.00 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$85.00 |
$85.00 |
$85.00 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$960.00 |
$960.00 |
$960.00 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$497.50 |
$497.50 |
$497.50 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$367.50 |
$367.50 |
$367.50 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$275.00 |
$275.00 |
$275.00 |
$555.00
|
|
Ghs phenylketonurid
|
$40.00 |
$40.00 |
$40.00 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$270.00 |
$270.00 |
$270.00 |
$564.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,235.00 |
$3,235.00 |
$3,235.00 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$25.00 |
$25.00 |
$25.00 |
$37.44
|
|
Ghs protoporphyrins fract
|
$77.50 |
$77.50 |
$77.50 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$137.50 |
$137.50 |
$137.50 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$67.50 |
$67.50 |
$67.50 |
$47.55
|
|
Ghs quinidine
|
$85.00 |
$85.00 |
$85.00 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$267.50 |
$267.50 |
$267.50 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$347.50 |
$347.50 |
$347.50 |
$441.68
|
|
Ghs reticulocyte count
|
$30.00 |
$30.00 |
$30.00 |
$34.50
|
|
Ghs semen analysis fert
|
$115.00 |
$115.00 |
$115.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$45.00 |
$45.00 |
$45.00 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$535.00 |
$535.00 |
$535.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$535.00 |
$535.00 |
$535.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$575.00 |
$575.00 |
$575.00 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$575.00 |
$575.00 |
$575.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$472.50 |
$472.50 |
$472.50 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$495.00 |
$495.00 |
$495.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$495.00 |
$495.00 |
$495.00 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$620.00 |
$620.00 |
$620.00 |
$590.88
|
|
Ghs sleep study unattended
|
$495.00 |
$495.00 |
$495.00 |
$503.38
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,416.80
|
|
Ghs st - re-eval for alt comm
|
$315.00 |
$315.00 |
$315.00 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$765.00 |
$765.00 |
$765.00 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$840.00 |
$840.00 |
$840.00 |
$695.93
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$270.00 |
$270.00 |
$270.00 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$540.00 |
$540.00 |
$540.00 |
$513.80
|
|
Ghs urine, porphyrins quant
|
$90.00 |
$90.00 |
$90.00 |
$73.80
|
|
Ghs vaginal delivery only
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$885.00 |
$885.00 |
$885.00 |
$1,932.00
|
|
Giardia lamblia antibody
|
$85.00 |
$85.00 |
$85.00 |
$83.44
|
|
Gi inhouse confirmation
|
$82.50 |
$82.50 |
$82.50 |
$87.75
|
|
Gjb2 gene full sequence
|
$990.00 |
$990.00 |
$990.00 |
$502.80
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$311.06 |
$311.06 |
$311.06 |
$491.67
|
|
Glucagon plasma - sendout
|
$67.50 |
$67.50 |
$67.50 |
$64.35
|
|
Glucose 1 hr post dose
|
$40.00 |
$40.00 |
$40.00 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$20.00 |
$20.00 |
$20.00 |
$23.12
|
|
Glucose blood quantitative
|
$40.00 |
$40.00 |
$40.00 |
$42.25
|
|
Glucose body fluid
|
$32.50 |
$32.50 |
$32.50 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$125.00 |
$125.00 |
$125.00 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$40.00 |
$40.00 |
$40.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$32.76 |
$32.76 |
$32.76 |
$37.40
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$115.00 |
$115.00 |
$115.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$95.00 |
$95.00 |
$95.00 |
$129.03
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$742.17 |
$742.17 |
$742.17 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$20,118.82 |
$20,118.82 |
$20,118.82 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$3,608.40 |
$3,608.40 |
$3,608.40 |
$29,293.39
|
|
Graft xenmtrx sft rect 15x20cm
|
$13,758.70 |
$13,758.70 |
$13,758.70 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,721.35 |
$1,721.35 |
$1,721.35 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$3,660.00 |
$3,660.00 |
$3,660.00 |
$2,698.02
|
|
Great toe with reduction 28495
|
$270.00 |
$270.00 |
$270.00 |
$495.00
|
