|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,645.00 |
$1,645.00 |
$1,645.00 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,498.70 |
$1,498.70 |
$1,498.70 |
$779.35
|
|
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
|
$200.20 |
$200.20 |
$200.20 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$371.00 |
$371.00 |
$371.00 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$196.00 |
$196.00 |
$196.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$385.70 |
$385.70 |
$385.70 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$168.00 |
$168.00 |
$168.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$130.20 |
$130.20 |
$130.20 |
$141.00
|
|
Ghs myocardial strain img spckl track
|
$555.80 |
$555.80 |
$555.80 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$1,052.10 |
$1,052.10 |
$1,052.10 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$4,656.05 |
$4,656.05 |
$4,656.05 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$4,592.52 |
$4,592.52 |
$4,592.52 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$35,535.51 |
$35,535.51 |
$35,535.51 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$43,010.32 |
$43,010.32 |
$43,010.32 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$20,102.07 |
$20,102.07 |
$20,102.07 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$4,347.17 |
$4,347.17 |
$4,347.17 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$3,448.02 |
$3,448.02 |
$3,448.02 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$52,408.91 |
$52,408.91 |
$52,408.91 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$25,930.11 |
$25,930.11 |
$25,930.11 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$43,601.53 |
$43,601.53 |
$43,601.53 |
$478.50
|
|
Ghs o2 saturation
|
$41.30 |
$41.30 |
$41.30 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$154.00 |
$154.00 |
$154.00 |
$173.50
|
|
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
|
$1,808.10 |
$1,808.10 |
$1,808.10 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$9,115.40 |
$9,115.40 |
$9,115.40 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$1,093.40 |
$1,093.40 |
$1,093.40 |
$545.40
|
|
Ghs picc line insert < 5
|
$695.80 |
$695.80 |
$695.80 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$557.20 |
$557.20 |
$557.20 |
$564.50
|
|
Ghs plt ct-manual
|
$68.60 |
$68.60 |
$68.60 |
$37.96
|
|
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
|
$184.80 |
$184.80 |
$184.80 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$235.90 |
$235.90 |
$235.90 |
$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
|
$214.20 |
$214.20 |
$214.20 |
$283.51
|
|
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
|
$52.50 |
$52.50 |
$52.50 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$97.30 |
$97.30 |
$97.30 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$771.40 |
$771.40 |
$771.40 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$526.40 |
$526.40 |
$526.40 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$882.70 |
$882.70 |
$882.70 |
$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
|
$711.90 |
$711.90 |
$711.90 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$574.00 |
$574.00 |
$574.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$746.20 |
$746.20 |
$746.20 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$891.80 |
$891.80 |
$891.80 |
$584.00
|
|
Ghs sleep study unattended
|
$1,188.60 |
$1,188.60 |
$1,188.60 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,573.60 |
$1,573.60 |
$1,573.60 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$3,391.50 |
$3,391.50 |
$3,391.50 |
$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 superficial wnd dehiscence simp12020
|
$4,341.40 |
$4,341.40 |
$4,341.40 |
$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
|
$432.60 |
$432.60 |
$432.60 |
$525.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$545.30 |
$545.30 |
$545.30 |
$493.68
|
|
Ghs urine, porphyrins quant
|
$172.20 |
$172.20 |
$172.20 |
$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
|
$112.70 |
$112.70 |
$112.70 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,824.50 |
$2,824.50 |
$2,824.50 |
$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
|
$2,345.70 |
$2,345.70 |
$2,345.70 |
$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
|
$544.42 |
$544.42 |
$544.42 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$941.67 |
$941.67 |
$941.67 |
$491.67
|
|
Glucose 1 hr post dose
|
$86.80 |
$86.80 |
$86.80 |
$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
|
$83.30 |
$83.30 |
$83.30 |
$41.40
|
|
Glucose body fluid
|
$83.30 |
$83.30 |
$83.30 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$190.40 |
$190.40 |
$190.40 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$76.30 |
$76.30 |
$76.30 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$61.60 |
$61.60 |
$61.60 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$9,214.97 |
$9,214.97 |
$9,214.97 |
$4,977.60
|
