|
Generator stim baroreceptor neo legacy implant pulse
|
$194,540.02 |
$194,540.02 |
$194,540.02 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$6,897.80 |
$6,897.80 |
$6,897.80 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$163,541.89 |
$163,541.89 |
$163,541.89 |
$40,800.00
|
|
Genome sequence analysis
|
$11,622.10 |
$11,622.10 |
$11,622.10 |
$5,031.20
|
|
Genome sequence analysis
|
$6,260.10 |
$6,260.10 |
$6,260.10 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$102.90 |
$102.90 |
$102.90 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$295.40 |
$295.40 |
$295.40 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,971.90 |
$1,971.90 |
$1,971.90 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$3,993.50 |
$3,993.50 |
$3,993.50 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$8,900.50 |
$8,900.50 |
$8,900.50 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$25.20 |
$25.20 |
$25.20 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$376.60 |
$376.60 |
$376.60 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,446.90 |
$1,446.90 |
$1,446.90 |
$403.38
|
|
Ghs analysis neurostim without reprogramming
|
$459.90 |
$459.90 |
$459.90 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$102.20 |
$102.20 |
$102.20 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$672.00 |
$672.00 |
$672.00 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$18,202.17 |
$18,202.17 |
$18,202.17 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$3,825.50 |
$3,825.50 |
$3,825.50 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$3,184.22 |
$3,184.22 |
$3,184.22 |
$594.55
|
|
Ghs chemo >8 hrs
|
$854.70 |
$854.70 |
$854.70 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$525.00 |
$525.00 |
$525.00 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$160.30 |
$160.30 |
$160.30 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$746.20 |
$746.20 |
$746.20 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$965.30 |
$965.30 |
$965.30 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,397.20 |
$1,397.20 |
$1,397.20 |
$1,554.70
|
|
Ghs closed tx radiocarpal disloc w manip
|
$653.10 |
$653.10 |
$653.10 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,873.50 |
$2,873.50 |
$2,873.50 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$14,079.67 |
$14,079.67 |
$14,079.67 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$839.30 |
$839.30 |
$839.30 |
$494.40
|
|
Ghs clsd red med malleolus fx w manip
|
$3,579.80 |
$3,579.80 |
$3,579.80 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,501.40 |
$3,501.40 |
$3,501.40 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$872.20 |
$872.20 |
$872.20 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,473.50 |
$1,473.50 |
$1,473.50 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$157.50 |
$157.50 |
$157.50 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$454.30 |
$454.30 |
$454.30 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$568.40 |
$568.40 |
$568.40 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$6,299.65 |
$6,299.65 |
$6,299.65 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$698.60 |
$698.60 |
$698.60 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,806.70 |
$1,806.70 |
$1,806.70 |
$1,103.75
|
|
Ghs diphtheria toxoid ab igg
|
$155.40 |
$155.40 |
$155.40 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$1,054.90 |
$1,054.90 |
$1,054.90 |
$583.80
|
|
Ghs ed rmvl or bivalving cast
|
$476.00 |
$476.00 |
$476.00 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$18,743.96 |
$18,743.96 |
$18,743.96 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$555.80 |
$555.80 |
$555.80 |
$560.00
|
|
Ghs excision ingrown nail
|
$560.00 |
$560.00 |
$560.00 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$2,858.80 |
$2,858.80 |
$2,858.80 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$4,672.50 |
$4,672.50 |
$4,672.50 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$1,514.80 |
$1,514.80 |
$1,514.80 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$6,941.90 |
$6,941.90 |
$6,941.90 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$4,456.20 |
$4,456.20 |
$4,456.20 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$139.30 |
$139.30 |
$139.30 |
$48.10
|
|
Ghs fish cytogen
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$287.00 |
$287.00 |
$287.00 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$32,545.20 |
$32,545.20 |
$32,545.20 |
$365.40
|
|
Ghs hcv amplificaiton
|
$290.50 |
$290.50 |
$290.50 |
$203.45
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$50.40 |
$50.40 |
$50.40 |
$64.28
|
|
Ghs hgb stability-thal
|
$107.80 |
$107.80 |
$107.80 |
$89.91
|
|
Ghs histoplasma antigen
|
$368.20 |
$368.20 |
$368.20 |
$141.00
|
|
Ghs HIV antibody
|
$210.00 |
$210.00 |
$210.00 |
$90.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$1,740.20 |
$1,740.20 |
$1,740.20 |
$507.65
|
|
Ghs i and d abscess/hematoma scrotum
|
$19,394.84 |
$19,394.84 |
$19,394.84 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$33,699.32 |
$33,699.32 |
$33,699.32 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$3,035.90 |
$3,035.90 |
$3,035.90 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$720.30 |
$720.30 |
$720.30 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$870.80 |
$870.80 |
$870.80 |
$520.80
|
|
Ghs indirect laryngoscopy/w fb removal
|
$1,690.50 |
$1,690.50 |
$1,690.50 |
$350.90
|
|
Ghs inf midline insertion
|
$17,492.30 |
$17,492.30 |
$17,492.30 |
$1,219.20
|
|
Ghs inhibitor screen
|
$416.50 |
$416.50 |
$416.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$457.10 |
$457.10 |
$457.10 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$77,977.71 |
$77,977.71 |
$77,977.71 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$21,409.42 |
$21,409.42 |
$21,409.42 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$659.40 |
$659.40 |
$659.40 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,827.70 |
$1,827.70 |
$1,827.70 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,243.50 |
$2,243.50 |
$2,243.50 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$704.20 |
$704.20 |
$704.20 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$18,883.93 |
$18,883.93 |
$18,883.93 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$3,929.80 |
$3,929.80 |
$3,929.80 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,810.80 |
$3,810.80 |
$3,810.80 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$2,988.30 |
$2,988.30 |
$2,988.30 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,124.20 |
$1,124.20 |
$1,124.20 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$93.10 |
$93.10 |
$93.10 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$580.30 |
$580.30 |
$580.30 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$925.40 |
$925.40 |
$925.40 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$5,420.97 |
$5,420.97 |
$5,420.97 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$6,591.37 |
$6,591.37 |
$6,591.37 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$12,042.20 |
$12,042.20 |
$12,042.20 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,643.60 |
$1,643.60 |
$1,643.60 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$16,696.55 |
$16,696.55 |
$16,696.55 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,839.60 |
$1,839.60 |
$1,839.60 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$22,897.82 |
$22,897.82 |
$22,897.82 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,641.50 |
$1,641.50 |
$1,641.50 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$2,364.60 |
$2,364.60 |
$2,364.60 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,844.50 |
$1,844.50 |
$1,844.50 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,498.70 |
$1,498.70 |
$1,498.70 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$9,831.07 |
$9,831.07 |
$9,831.07 |
$1,016.25
|
|
Ghs leukocyte alkaline phos (mayo)
|
$103.60 |
$103.60 |
$103.60 |
$73.50
|
|
Ghs low level laser therapy
|
$87.50 |
$87.50 |
$87.50 |
$85.00
|
|
Ghs mbp
|
$241.50 |
$241.50 |
$241.50 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$763.00 |
$763.00 |
$763.00 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$298.90 |
$298.90 |
$298.90 |
$228.45
|
