|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$231.00 |
$231.00 |
$231.00 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$161.00 |
$161.00 |
$161.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$140.70 |
$140.70 |
$140.70 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$391.30 |
$391.30 |
$391.30 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$284.90 |
$284.90 |
$284.90 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$466.20 |
$466.20 |
$466.20 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$702.10 |
$702.10 |
$702.10 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$1,069.60 |
$1,069.60 |
$1,069.60 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,229.90 |
$1,229.90 |
$1,229.90 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$1,954.40 |
$1,954.40 |
$1,954.40 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$47,716.93 |
$47,716.93 |
$47,716.93 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$97,381.75 |
$97,381.75 |
$97,381.75 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$15,074.65 |
$15,074.65 |
$15,074.65 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$2,890.30 |
$2,890.30 |
$2,890.30 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,010.40 |
$2,010.40 |
$2,010.40 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$76,878.16 |
$76,878.16 |
$76,878.16 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$43,353.96 |
$43,353.96 |
$43,353.96 |
$478.50
|
|
Ghs o2 saturation
|
$92.40 |
$92.40 |
$92.40 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$154.00 |
$154.00 |
$154.00 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$2,343.60 |
$2,343.60 |
$2,343.60 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$7,105.70 |
$7,105.70 |
$7,105.70 |
$2,194.40
|
|
Ghs optokenetic
|
$266.00 |
$266.00 |
$266.00 |
$211.20
|
|
Ghs oscillating trac
|
$182.00 |
$182.00 |
$182.00 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$55.30 |
$55.30 |
$55.30 |
$58.00
|
|
Ghs ot group caregiver training
|
$21.00 |
$21.00 |
$21.00 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$179.20 |
$179.20 |
$179.20 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$154.00 |
$154.00 |
$154.00 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$109.90 |
$109.90 |
$109.90 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$1,703.10 |
$1,703.10 |
$1,703.10 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,583.40 |
$1,583.40 |
$1,583.40 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$103.60 |
$103.60 |
$103.60 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$4,865.70 |
$4,865.70 |
$4,865.70 |
$545.40
|
|
Ghs phenylketonurid
|
$179.90 |
$179.90 |
$179.90 |
$53.76
|
|
Ghs picc line insert < 5
|
$3,766.00 |
$3,766.00 |
$3,766.00 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$948.50 |
$948.50 |
$948.50 |
$564.50
|
|
Ghs plt ct-manual
|
$68.60 |
$68.60 |
$68.60 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$4,720.10 |
$4,720.10 |
$4,720.10 |
$3,557.58
|
|
Ghs pos nystagmus
|
$196.00 |
$196.00 |
$196.00 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$32.20 |
$32.20 |
$32.20 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$58.10 |
$58.10 |
$58.10 |
$43.55
|
|
Ghs protoporphyrins fract
|
$237.30 |
$237.30 |
$237.30 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$138.60 |
$138.60 |
$138.60 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$22.40 |
$22.40 |
$22.40 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$698.60 |
$698.60 |
$698.60 |
$285.60
|
|
Ghs quinidine
|
$47.60 |
$47.60 |
$47.60 |
$83.20
|
|
Ghs refill of implantable pump
|
$426.30 |
$426.30 |
$426.30 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$455.00 |
$455.00 |
$455.00 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$693.70 |
$693.70 |
$693.70 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,878.00 |
$3,878.00 |
$3,878.00 |
$2,408.00
|
|
Ghs respiratory syncytical virus igg/m
|
$78.40 |
$78.40 |
$78.40 |
$74.82
|
|
Ghs sedimentation rate
|
$116.20 |
$116.20 |
$116.20 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$131.60 |
$131.60 |
$131.60 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$910.70 |
$910.70 |
$910.70 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,697.50 |
$1,697.50 |
$1,697.50 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$922.60 |
$922.60 |
$922.60 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$721.00 |
$721.00 |
$721.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,286.60 |
$1,286.60 |
$1,286.60 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$819.00 |
$819.00 |
$819.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$1,481.90 |
$1,481.90 |
$1,481.90 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$957.60 |
$957.60 |
$957.60 |
$584.00
|
|
Ghs sleep study unattended
|
$1,149.40 |
$1,149.40 |
$1,149.40 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,628.20 |
$1,628.20 |
$1,628.20 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$192.50 |
$192.50 |
$192.50 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$616.00
|
|
Ghs spont nystagmus
|
$196.00 |
$196.00 |
$196.00 |
$228.00
|
|
Ghs sp train/fitting sp device - kx
|
$449.40 |
$449.40 |
$449.40 |
$249.60
|
|
Ghs st - eval for alt comm
|
$151.20 |
$151.20 |
$151.20 |
$94.60
|
|
Ghs strapping shoulder - 29240
|
$554.40 |
$554.40 |
$554.40 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$447.30 |
$447.30 |
$447.30 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$65.80 |
$65.80 |
$65.80 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$501.20 |
$501.20 |
$501.20 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$3,813.60 |
$3,813.60 |
$3,813.60 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$1,691.90 |
$1,691.90 |
$1,691.90 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,365.30 |
$2,365.30 |
$2,365.30 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$841.40 |
$841.40 |
$841.40 |
$525.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$545.30 |
$545.30 |
$545.30 |
$493.68
|
|
Ghs urine, porphyrins quant
|
$231.00 |
$231.00 |
$231.00 |
$73.80
|
|
Ghs vaginal delivery only
|
$4,699.80 |
$4,699.80 |
$4,699.80 |
$3,338.40
|
|
Ghs veeg 12-26 hr intmt mont
|
$3,707.20 |
$3,707.20 |
$3,707.20 |
$1,932.00
|
|
Giardia lamblia antibody
|
$92.40 |
$92.40 |
$92.40 |
$83.44
|
|
Gi endoscopic ultrasound
|
$1,530.90 |
$1,530.90 |
$1,530.90 |
$582.31
|
|
Gi inhouse confirmation
|
$288.40 |
$288.40 |
$288.40 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$2,195.76
|
|
Gi trc img intral colon i&r
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$2,041.20 |
$2,041.20 |
$2,041.20 |
$1,897.82
|
|
Gi wireless capsule measure
|
$2,663.50 |
$2,663.50 |
$2,663.50 |
$1,579.30
|
|
Gjb2 gene full sequence
|
$174.30 |
$174.30 |
$174.30 |
$502.80
|
|
Gjb2 gene known fam variants
|
$129.50 |
$129.50 |
$129.50 |
$116.00
|
|
Gjb6 gene com variants
|
$84.70 |
$84.70 |
$84.70 |
$84.70
|
|
Glucagon 1 mg solution for injection
|
$1,072.92 |
$1,072.92 |
$1,072.92 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,281.70 |
$1,281.70 |
$1,281.70 |
$491.67
|
|
Glucagon plasma - sendout
|
$226.10 |
$226.10 |
$226.10 |
$63.20
|
|
Glucose 1 hr post dose
|
$154.70 |
$154.70 |
$154.70 |
$48.25
|
|
Glucose-6-phosphate dhydrogenase screen
|
$67.90 |
$67.90 |
$67.90 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$44.10 |
$44.10 |
$44.10 |
$22.75
|
|
Glucose blood quantitative
|
$99.40 |
$99.40 |
$99.40 |
$41.40
|
|
Glucose body fluid
|
$141.40 |
$141.40 |
$141.40 |
$51.30
|
