|
Gamma glutamyltransferase
|
$159.20 |
$159.20 |
$159.20 |
$57.54
|
|
Gastric emptying imag study
|
$3,156.80 |
$3,156.80 |
$3,156.80 |
$1,291.55
|
|
Gastroesophageal reflux study
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$949.80
|
|
Gated heart multiple
|
$2,588.80 |
$2,588.80 |
$2,588.80 |
$1,400.64
|
|
General health panel
|
$671.20 |
$671.20 |
$671.20 |
$275.00
|
|
Genetic tstg severe inh cond
|
$9,084.00 |
$9,084.00 |
$9,084.00 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$164.80 |
$164.80 |
$164.80 |
$126.00
|
|
Ghs abscess perianal iandd
|
$765.60 |
$765.60 |
$765.60 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$2,404.00 |
$2,404.00 |
$2,404.00 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$166.40 |
$166.40 |
$166.40 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$184.80 |
$184.80 |
$184.80 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$160.00 |
$160.00 |
$160.00 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$194.40 |
$194.40 |
$194.40 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$88.80 |
$88.80 |
$88.80 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,107.20 |
$1,107.20 |
$1,107.20 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,696.00 |
$2,696.00 |
$2,696.00 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$256.00 |
$256.00 |
$256.00 |
$565.49
|
|
Ghs chemo >8 hrs
|
$504.80 |
$504.80 |
$504.80 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$228.80 |
$228.80 |
$228.80 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$418.40 |
$418.40 |
$418.40 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$820.80 |
$820.80 |
$820.80 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$469.60 |
$469.60 |
$469.60 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,609.60 |
$1,609.60 |
$1,609.60 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$3,112.80 |
$3,112.80 |
$3,112.80 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$469.60 |
$469.60 |
$469.60 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,903.20 |
$2,903.20 |
$2,903.20 |
$2,184.00
|
|
Ghs cl tx knee disl; wo anesth
|
$671.20 |
$671.20 |
$671.20 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$859.20 |
$859.20 |
$859.20 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$88.50
|
|
Ghs conjunctiva foreign body-superf bil
|
$233.60 |
$233.60 |
$233.60 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$335.20 |
$335.20 |
$335.20 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$280.80 |
$280.80 |
$280.80 |
$339.60
|
|
Ghs cricothyroidotomy
|
$2,261.60 |
$2,261.60 |
$2,261.60 |
$1,067.30
|
|
Ghs cutdown placement age 1 and over
|
$335.20 |
$335.20 |
$335.20 |
$377.89
|
|
Ghs diphtheria toxoid ab igg
|
$180.80 |
$180.80 |
$180.80 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,162.40 |
$1,162.40 |
$1,162.40 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$316.00 |
$316.00 |
$316.00 |
$329.60
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$965.60 |
$965.60 |
$965.60 |
$1,432.20
|
|
Ghs excision ingrown nail
|
$404.00 |
$404.00 |
$404.00 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$370.40 |
$370.40 |
$370.40 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$1,596.00 |
$1,596.00 |
$1,596.00 |
$2,538.75
|
|
Ghs fb removal - incisional
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$244.80 |
$244.80 |
$244.80 |
$48.57
|
|
Ghs fish cytogen
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$1,227.20 |
$1,227.20 |
$1,227.20 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$261.60 |
$261.60 |
$261.60 |
$368.50
|
|
Ghs hcv amplificaiton
|
$309.60 |
$309.60 |
$309.60 |
$187.00
|
|
Ghs hgb stability-thal
|
$568.00 |
$568.00 |
$568.00 |
$87.60
|
|
Ghs histoplasma antigen
|
$400.00 |
$400.00 |
$400.00 |
$141.00
|
|
Ghs HIV antibody
|
$178.40 |
$178.40 |
$178.40 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$751.20 |
$751.20 |
$751.20 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,857.60 |
$2,857.60 |
$2,857.60 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,871.20 |
$1,871.20 |
$1,871.20 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$972.00 |
$972.00 |
$972.00 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$564.80 |
$564.80 |
$564.80 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$321.60 |
$321.60 |
$321.60 |
$523.73
|
|
Ghs indirect laryngoscopy/w fb removal
|
$408.80 |
$408.80 |
$408.80 |
$350.90
|
|
Ghs inhibitor screen
|
$1,117.60 |
$1,117.60 |
$1,117.60 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$168.80 |
$168.80 |
$168.80 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$2,092.00 |
$2,092.00 |
$2,092.00 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$236.80 |
$236.80 |
$236.80 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,261.60 |
$1,261.60 |
$1,261.60 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$335.20 |
$335.20 |
$335.20 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,016.80 |
$1,016.80 |
$1,016.80 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,215.20 |
$1,215.20 |
$1,215.20 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$200.00 |
$200.00 |
$200.00 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$322.40 |
$322.40 |
$322.40 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$74.40 |
$74.40 |
$74.40 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$716.00 |
$716.00 |
$716.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$716.00 |
$716.00 |
$716.00 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$716.00 |
$716.00 |
$716.00 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$703.20 |
$703.20 |
$703.20 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$488.00 |
$488.00 |
$488.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$442.40 |
$442.40 |
$442.40 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$526.40 |
$526.40 |
$526.40 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$626.40 |
$626.40 |
$626.40 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$744.80 |
$744.80 |
$744.80 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$681.60 |
$681.60 |
$681.60 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$652.00 |
$652.00 |
$652.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$732.00 |
$732.00 |
$732.00 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$589.60 |
$589.60 |
$589.60 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,061.60 |
$1,061.60 |
$1,061.60 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$814.40 |
$814.40 |
$814.40 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$899.20 |
$899.20 |
$899.20 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$1,126.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,126.40 |
$1,126.40 |
$1,126.40 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,126.40 |
$1,126.40 |
$1,126.40 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$114.40 |
$114.40 |
$114.40 |
$76.20
|
|
Ghs mbp
|
$129.60 |
$129.60 |
$129.60 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$432.00 |
$432.00 |
$432.00 |
$242.31
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$552.80 |
$552.80 |
$552.80 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$294.40 |
$294.40 |
$294.40 |
$151.50
|
|
Ghs nailbed repair/nail removal
|
$735.20 |
$735.20 |
$735.20 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$1,546.50
|
