|
Ghs irrigate corpora cavernosa for priapism
|
$1,021.30 |
$1,021.30 |
$1,021.30 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$418.60 |
$418.60 |
$418.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$824.60 |
$824.60 |
$824.60 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$6,553.92 |
$6,553.92 |
$6,553.92 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$15,067.52 |
$15,067.52 |
$15,067.52 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$7,234.90 |
$7,234.90 |
$7,234.90 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$5,850.05 |
$5,850.05 |
$5,850.05 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$25,645.56 |
$25,645.56 |
$25,645.56 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$903.70 |
$903.70 |
$903.70 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$30,005.48 |
$30,005.48 |
$30,005.48 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$28,053.23 |
$28,053.23 |
$28,053.23 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,393.70 |
$1,393.70 |
$1,393.70 |
$737.10
|
|
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
|
$179.20 |
$179.20 |
$179.20 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$585.20 |
$585.20 |
$585.20 |
$242.64
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$397.60 |
$397.60 |
$397.60 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$249.20 |
$249.20 |
$249.20 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$184.80 |
$184.80 |
$184.80 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$360.50 |
$360.50 |
$360.50 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$515.20 |
$515.20 |
$515.20 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$312.90 |
$312.90 |
$312.90 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$610.40 |
$610.40 |
$610.40 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,233.70 |
$2,233.70 |
$2,233.70 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$32,474.73 |
$32,474.73 |
$32,474.73 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$30,553.77 |
$30,553.77 |
$30,553.77 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$51,269.86 |
$51,269.86 |
$51,269.86 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$1,556.40
|
|
Ghs nerve block sciatic nerve
|
$44,977.76 |
$44,977.76 |
$44,977.76 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$1,205.40 |
$1,205.40 |
$1,205.40 |
$478.50
|
|
Ghs o2 saturation
|
$119.70 |
$119.70 |
$119.70 |
$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 peritonsillar abscess i andd
|
$815.50 |
$815.50 |
$815.50 |
$545.40
|
|
Ghs plngl fx pm cl
|
$835.80 |
$835.80 |
$835.80 |
$564.50
|
|
Ghs plt ct-manual
|
$33.60 |
$33.60 |
$33.60 |
$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)
|
$56.70 |
$56.70 |
$56.70 |
$43.55
|
|
Ghs pr without cont pulse ox
|
$361.20 |
$361.20 |
$361.20 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$698.60 |
$698.60 |
$698.60 |
$285.60
|
|
Ghs removal intranasal foreign body
|
$342.30 |
$342.30 |
$342.30 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$471.10 |
$471.10 |
$471.10 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,878.00 |
$3,878.00 |
$3,878.00 |
$2,408.00
|
|
Ghs sedimentation rate
|
$52.50 |
$52.50 |
$52.50 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$95.90 |
$95.90 |
$95.90 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$20,371.82 |
$20,371.82 |
$20,371.82 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$699.30 |
$699.30 |
$699.30 |
$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
|
$578.90 |
$578.90 |
$578.90 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$568.40 |
$568.40 |
$568.40 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$643.30 |
$643.30 |
$643.30 |
$492.00
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,485.70 |
$2,485.70 |
$2,485.70 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$192.50 |
$192.50 |
$192.50 |
$161.76
|
|
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
|
$16,022.57 |
$16,022.57 |
$16,022.57 |
$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
|
$1,115.10 |
$1,115.10 |
$1,115.10 |
$525.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$493.68
|
|
Ghs urine, porphyrins quant
|
$177.80 |
$177.80 |
$177.80 |
$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
|
$116.90 |
$116.90 |
$116.90 |
$86.40
|
|
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
|
|
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
|
$420.70 |
$420.70 |
$420.70 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$573.47 |
$573.47 |
$573.47 |
$491.67
|
|
Glucagon plasma - sendout
|
$99.40 |
$99.40 |
$99.40 |
$63.20
|
|
Glucose 1 hr post dose
|
$65.80 |
$65.80 |
$65.80 |
$48.25
|
|
Glucose-6-phosphate dhydrogenase screen
|
$109.20 |
$109.20 |
$109.20 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$44.10 |
$44.10 |
$44.10 |
$22.75
|
|
Glucose blood quantitative
|
$65.80 |
$65.80 |
$65.80 |
$41.40
|
|
Glucose body fluid
|
$75.60 |
$75.60 |
$75.60 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$206.50 |
$206.50 |
$206.50 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$44.10 |
$44.10 |
$44.10 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$39.90 |
$39.90 |
$39.90 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$8,044.22 |
$8,044.22 |
$8,044.22 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$149.10 |
$149.10 |
$149.10 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$149.10 |
$149.10 |
$149.10 |
$129.00
|
|
Goniotomy
|
$17,122.75 |
$17,122.75 |
$17,122.75 |
$4,456.60
|
