|
Ghs fb removal - incisional
|
$597.50 |
$597.50 |
$597.50 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$450.00 |
$450.00 |
$450.00 |
$1,794.93
|
|
Ghs fish cytogen
|
$31.25 |
$31.25 |
$31.25 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$43.75 |
$43.75 |
$43.75 |
$229.45
|
|
Ghs flow volume loop
|
$112.50 |
$112.50 |
$112.50 |
$309.12
|
|
Ghs histoplasma antigen
|
$35.00 |
$35.00 |
$35.00 |
$137.80
|
|
Ghs HIV antibody
|
$12.00 |
$12.00 |
$12.00 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$300.00 |
$300.00 |
$300.00 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$200.00 |
$200.00 |
$200.00 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$112.50 |
$112.50 |
$112.50 |
$794.82
|
|
Ghs inf midline insertion
|
$200.00 |
$200.00 |
$200.00 |
$1,234.20
|
|
Ghs init tx 1st degree burn
|
$105.00 |
$105.00 |
$105.00 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$446.25 |
$446.25 |
$446.25 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$446.25 |
$446.25 |
$446.25 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$175.00 |
$175.00 |
$175.00 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$200.00 |
$200.00 |
$200.00 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$446.25 |
$446.25 |
$446.25 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$225.00 |
$225.00 |
$225.00 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$187.50 |
$187.50 |
$187.50 |
$943.80
|
|
Ghs IV inf sq injection, on-body injector
|
$37.50 |
$37.50 |
$37.50 |
$117.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$235.00 |
$235.00 |
$235.00 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$112.50 |
$112.50 |
$112.50 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$112.50 |
$112.50 |
$112.50 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$112.50 |
$112.50 |
$112.50 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$125.00 |
$125.00 |
$125.00 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$137.50 |
$137.50 |
$137.50 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$150.00 |
$150.00 |
$150.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$162.50 |
$162.50 |
$162.50 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$162.50 |
$162.50 |
$162.50 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$162.50 |
$162.50 |
$162.50 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$325.00 |
$325.00 |
$325.00 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$187.50 |
$187.50 |
$187.50 |
$879.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$18.75 |
$18.75 |
$18.75 |
$59.40
|
|
Ghs mbp
|
$31.25 |
$31.25 |
$31.25 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$66.25 |
$66.25 |
$66.25 |
$261.80
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$66.25 |
$66.25 |
$66.25 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$33.75 |
$33.75 |
$33.75 |
$145.60
|
|
Ghs musc test done w/n test comp
|
$85.00 |
$85.00 |
$85.00 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$62.50 |
$62.50 |
$62.50 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$47.50 |
$47.50 |
$47.50 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$187.50 |
$187.50 |
$187.50 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$325.00 |
$325.00 |
$325.00 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$446.25 |
$446.25 |
$446.25 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$435.00 |
$435.00 |
$435.00 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$446.25 |
$446.25 |
$446.25 |
$1,541.40
|
|
Ghs nerve block celiac plexus
|
$446.25 |
$446.25 |
$446.25 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$446.25 |
$446.25 |
$446.25 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$446.25 |
$446.25 |
$446.25 |
$2,042.60
|
|
Ghs nerve block suprascapular
|
$435.00 |
$435.00 |
$435.00 |
$1,223.00
|
|
Ghs o2 saturation
|
$26.25 |
$26.25 |
$26.25 |
$72.45
|
|
Ghs opcc repair cvp w subq port
|
$625.00 |
$625.00 |
$625.00 |
$2,430.56
|
|
Ghs ot sensory integrative tech/15min
|
$32.50 |
$32.50 |
$32.50 |
$101.05
|
|
Ghs ot work hardening-additional hours
|
$37.50 |
$37.50 |
$37.50 |
$121.54
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$162.50 |
$162.50 |
$162.50 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$162.50 |
$162.50 |
$162.50 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$50.00 |
$50.00 |
$50.00 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$130.00 |
$130.00 |
$130.00 |
$694.20
|
|
Ghs phenylketonurid
|
$4.75 |
$4.75 |
$4.75 |
$51.58
|
|
Ghs picc line insert < 5
|
$625.00 |
$625.00 |
$625.00 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$131.25 |
$131.25 |
$131.25 |
$662.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$18.75 |
$18.75 |
$18.75 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$22.50 |
$22.50 |
$22.50 |
$40.56
|
|
Ghs protoporphyrins fract
|
$35.00 |
$35.00 |
$35.00 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$70.00 |
$70.00 |
$70.00 |
$156.70
|
|
Ghs pt - work hardening/int 2hrs
|
$75.00 |
$75.00 |
$75.00 |
$255.60
|
|
Ghs removal intranasal foreign body
|
$43.75 |
$43.75 |
$43.75 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$235.00 |
$235.00 |
$235.00 |
$460.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$35.00 |
$35.00 |
$35.00 |
$101.15
|
|
Ghs sedimentation rate
|
$3.75 |
$3.75 |
$3.75 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$17.50 |
$17.50 |
$17.50 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$187.50 |
$187.50 |
$187.50 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$187.50 |
$187.50 |
$187.50 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$112.50 |
$112.50 |
$112.50 |
$670.08
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$150.00 |
$150.00 |
$150.00 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$162.50 |
$162.50 |
$162.50 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$162.50 |
$162.50 |
$162.50 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$212.50 |
$212.50 |
$212.50 |
$660.00
|
|
Ghs sleep study unattended
|
$450.00 |
$450.00 |
$450.00 |
$503.38
|
|
Ghs sphenopalatine ganglion block
|
$200.00 |
$200.00 |
$200.00 |
$706.56
|
|
Ghs tx distal phalangeal fx with manipulation
|
$131.25 |
$131.25 |
$131.25 |
$591.00
|
|
Ghs urine, porphyrins quant
|
$32.50 |
$32.50 |
$32.50 |
$70.20
|
|
Ghs vaginal delivery only
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$3,525.06
|
|
Gi inhouse confirmation
|
$50.00 |
$50.00 |
$50.00 |
$87.00
|
|
Gjb2 gene full sequence
|
$72.50 |
$72.50 |
$72.50 |
$386.10
|
|
Glassia injection
|
$477.10 |
$477.10 |
$477.10 |
$1,023.81
|
|
Glucagon 1 mg solution for injection
|
$192.08 |
$192.08 |
$192.08 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$106.45 |
$106.45 |
$106.45 |
$509.06
|
|
Glucagon plasma - sendout
|
$25.00 |
$25.00 |
$25.00 |
$58.56
|
|
Glucose 1 hr post dose
|
$20.00 |
$20.00 |
$20.00 |
$46.28
|
|
Glucose blood quantitative
|
$20.00 |
$20.00 |
$20.00 |
$44.76
|
|
Glucose body fluid
|
$20.00 |
$20.00 |
$20.00 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$35.00 |
$35.00 |
$35.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$20.00 |
$20.00 |
$20.00 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$21.10 |
$21.10 |
$21.10 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$370.81 |
$370.81 |
$370.81 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$40.00 |
$40.00 |
$40.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$50.00 |
$50.00 |
$50.00 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,285.14 |
$2,285.14 |
$2,285.14 |
$2,802.00
|
