|
Ghs o2 uptake rest & exercise
|
$118.40 |
$118.40 |
$118.40 |
$239.05
|
|
Ghs o2 uptake rest & indirect
|
$108.80 |
$108.80 |
$108.80 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$28.80 |
$28.80 |
$28.80 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$1,899.13 |
$1,899.13 |
$1,899.13 |
$1,236.96
|
|
Ghs opcc repair cvp w subq port
|
$2,199.00 |
$2,199.00 |
$2,199.00 |
$2,194.40
|
|
Ghs optokenetic
|
$50.40 |
$50.40 |
$50.40 |
$214.00
|
|
Ghs oscillating trac
|
$46.40 |
$46.40 |
$46.40 |
$296.91
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$69.60 |
$69.60 |
$69.60 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$100.80 |
$100.80 |
$100.80 |
$61.11
|
|
Ghs ot dds rom
|
$48.00 |
$48.00 |
$48.00 |
$66.95
|
|
Ghs ot group caregiver training
|
$52.00 |
$52.00 |
$52.00 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$113.54 |
$113.54 |
$113.54 |
$93.50
|
|
Ghs ot sensory integrative tech/15min
|
$132.95 |
$132.95 |
$132.95 |
$96.60
|
|
Ghs ot work hardening-additional hours
|
$68.00 |
$68.00 |
$68.00 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$1,299.42 |
$1,299.42 |
$1,299.42 |
$839.65
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,199.46 |
$1,199.46 |
$1,199.46 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,199.46 |
$1,199.46 |
$1,199.46 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$55.20 |
$55.20 |
$55.20 |
$72.80
|
|
Ghs peritonsillar abscess i andd
|
$546.36 |
$546.36 |
$546.36 |
$560.53
|
|
Ghs phenylketonurid
|
$33.57 |
$33.57 |
$33.57 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,403.24 |
$1,403.24 |
$1,403.24 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$832.80 |
$832.80 |
$832.80 |
$578.00
|
|
Ghs plt ct-manual
|
$33.57 |
$33.57 |
$33.57 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,263.57 |
$3,263.57 |
$3,263.57 |
$3,557.58
|
|
Ghs pos nystagmus
|
$73.60 |
$73.60 |
$73.60 |
$232.70
|
|
Ghs ppd (tb intradermal)
|
$48.57 |
$48.57 |
$48.57 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$33.57 |
$33.57 |
$33.57 |
$43.55
|
|
Ghs protein, misc fluid
|
$33.57 |
$33.57 |
$33.57 |
$24.60
|
|
Ghs protoporphyrins fract
|
$64.28 |
$64.28 |
$64.28 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$188.95 |
$188.95 |
$188.95 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$31.20 |
$31.20 |
$31.20 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$170.40 |
$170.40 |
$170.40 |
$285.60
|
|
Ghs quinidine
|
$66.43 |
$66.43 |
$66.43 |
$85.00
|
|
Ghs refill of implantable pump
|
$897.65 |
$897.65 |
$897.65 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$464.00 |
$464.00 |
$464.00 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$495.20 |
$495.20 |
$495.20 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,785.15 |
$2,785.15 |
$2,785.15 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,937.57 |
$4,937.57 |
$4,937.57 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$48.57 |
$48.57 |
$48.57 |
$73.50
|
|
Ghs reticulocyte count
|
$33.57 |
$33.57 |
$33.57 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$38.58 |
$38.58 |
$38.58 |
$99.00
|
|
Ghs sedimentation rate
|
$33.57 |
$33.57 |
$33.57 |
$45.50
|
|
Ghs semen analysis fert
|
$56.44 |
$56.44 |
$56.44 |
$124.15
|
|
Ghs semen analysis, post-vas
|
$56.44 |
$56.44 |
$56.44 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$38.58 |
$38.58 |
$38.58 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$416.00 |
$416.00 |
$416.00 |
$572.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$525.60 |
$525.60 |
$525.60 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$491.20 |
$491.20 |
$491.20 |
$590.40
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$381.60 |
$381.60 |
$381.60 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$355.17 |
$355.17 |
$355.17 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$355.17 |
$355.17 |
$355.17 |
$437.60
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$412.80 |
$412.80 |
$412.80 |
$491.30
|
|
Ghs simple repair over 30 cm - 12007
|
$562.40 |
$562.40 |
$562.40 |
$592.20
|
|
Ghs simple repair over 30 cm - 12018
|
$432.00 |
$432.00 |
$432.00 |
$537.60
|
|
Ghs sleep study unattended
|
$661.37 |
$661.37 |
$661.37 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,738.05 |
$1,738.05 |
$1,738.05 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,786.12 |
$2,786.12 |
$2,786.12 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$115.20 |
$115.20 |
$115.20 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$710.36 |
$710.36 |
$710.36 |
$637.92
|
|
Ghs spont nystagmus
|
$70.40 |
$70.40 |
$70.40 |
$242.00
|
|
Ghs sp train/fitting sp device - kx
|
$240.80 |
$240.80 |
$240.80 |
$254.15
|
|
Ghs st - eval for alt comm
|
$35.20 |
$35.20 |
$35.20 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$185.36 |
$185.36 |
$185.36 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$295.99 |
$295.99 |
$295.99 |
$309.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$33.60 |
$33.60 |
$33.60 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$342.40 |
$342.40 |
$342.40 |
$360.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$799.63 |
$799.63 |
$799.63 |
$955.80
|
|
Ghs superficial wnd dehis w packing12021
|
$765.68 |
$765.68 |
$765.68 |
$696.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$800.00 |
$800.00 |
$800.00 |
$1,867.84
|
|
Ghs trypsin (fecal)
|
$18.40 |
$18.40 |
$18.40 |
$50.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$779.20 |
$779.20 |
$779.20 |
$535.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$1,491.20 |
$1,491.20 |
$1,491.20 |
$513.80
|
|
Ghs urine, hydroxproline total
|
$61.60 |
$61.60 |
$61.60 |
$109.20
|
|
Ghs urine, porphyrins quant
|
$64.28 |
$64.28 |
$64.28 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,096.65 |
$3,096.65 |
$3,096.65 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,156.63 |
$2,156.63 |
$2,156.63 |
$1,932.00
|
|
Ghs windowing of cast
|
$152.00 |
$152.00 |
$152.00 |
$212.55
|
|
Giardia ag if
|
$38.58 |
$38.58 |
$38.58 |
$38.58
|
|
Giardia lamblia antibody
|
$48.57 |
$48.57 |
$48.57 |
$83.44
|
|
Gi endoscopic ultrasound
|
$415.20 |
$415.20 |
$415.20 |
$582.31
|
|
Gi inhouse confirmation
|
$38.58 |
$38.58 |
$38.58 |
$87.20
|
|
Gingivoplasty each quadrant
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$4,296.60
|
|
Gi protein loss
|
$700.00 |
$700.00 |
$700.00 |
$700.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,627.94 |
$2,627.94 |
$2,627.94 |
$2,222.40
|
|
Gi trc img intral colon i&r
|
$2,124.80 |
$2,124.80 |
$2,124.80 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$1,844.80 |
$1,844.80 |
$1,844.80 |
$1,897.82
|
|
Gi wireless capsule measure
|
$3,660.00 |
$3,660.00 |
$3,660.00 |
$1,579.30
|
|
Gjb2 gene full sequence
|
$202.40 |
$202.40 |
$202.40 |
$502.80
|
|
Glassia injection
|
$7.20 |
$7.20 |
$7.20 |
$20.32
|
|
Glaucoma scrn hgh risk direc
|
$115.20 |
$115.20 |
$115.20 |
$116.17
|
|
Glaucoma scrn hgh risk direc
|
$88.00 |
$88.00 |
$88.00 |
$88.00
|
|
Glaucoma surgery
|
$4,344.00 |
$4,344.00 |
$4,344.00 |
$4,760.49
|
|
Glaucoma surgery
|
$4,340.80 |
$4,340.80 |
$4,340.80 |
$4,340.80
|
|
Glaucoma surgery
|
$4,896.00 |
$4,896.00 |
$4,896.00 |
$4,684.00
|
|
Glaucoma surgery
|
$5,425.60 |
$5,425.60 |
$5,425.60 |
$4,786.53
|
|
Glove finger flexion right lg xl
|
$259.20 |
$259.20 |
$259.20 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$455.00 |
$455.00 |
$455.00 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$474.32 |
$474.32 |
$474.32 |
$491.67
|
|
Glucagon plasma - sendout
|
$55.00 |
$55.00 |
$55.00 |
$64.35
|
|
Glucagon tolerance panel
|
$116.00 |
$116.00 |
$116.00 |
$115.70
|
