|
Gammaglobulin ige
|
$123.20 |
$123.20 |
$123.20 |
$83.85
|
|
Gamma glutamyltransferase
|
$52.00 |
$52.00 |
$52.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$5,164.64 |
$5,164.64 |
$5,164.64 |
$7,435.88
|
|
Gated heart multiple
|
$2,422.40 |
$2,422.40 |
$2,422.40 |
$1,405.04
|
|
Gemcitabine 1 gram intravenous solution
|
$245.67 |
$245.67 |
$245.67 |
$207.51
|
|
General health panel
|
$246.40 |
$246.40 |
$246.40 |
$262.44
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$76.27 |
$76.27 |
$76.27 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$128.00 |
$128.00 |
$128.00 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$1,465.00
|
|
Ghs bladder cath - complex-foley
|
$316.00 |
$316.00 |
$316.00 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$2,264.00 |
$2,264.00 |
$2,264.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$567.20 |
$567.20 |
$567.20 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$353.60 |
$353.60 |
$353.60 |
$277.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$488.00 |
$488.00 |
$488.00 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$550.40 |
$550.40 |
$550.40 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,101.60 |
$1,101.60 |
$1,101.60 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$596.80 |
$596.80 |
$596.80 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,450.40 |
$1,450.40 |
$1,450.40 |
$2,227.20
|
|
Ghs clsd red med malleolus fx without manip
|
$419.20 |
$419.20 |
$419.20 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,438.40 |
$1,438.40 |
$1,438.40 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,012.80 |
$2,012.80 |
$2,012.80 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$550.40 |
$550.40 |
$550.40 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$491.20 |
$491.20 |
$491.20 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$118.40 |
$118.40 |
$118.40 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$260.80 |
$260.80 |
$260.80 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$392.80 |
$392.80 |
$392.80 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$280.80 |
$280.80 |
$280.80 |
$339.60
|
|
Ghs cutdown placement age 1 and over
|
$100.80 |
$100.80 |
$100.80 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$68.80 |
$68.80 |
$68.80 |
$190.30
|
|
Ghs dislocation elbow closed treatment
|
$540.80 |
$540.80 |
$540.80 |
$602.00
|
|
Ghs ed rmvl or bivalving cast
|
$391.20 |
$391.20 |
$391.20 |
$338.40
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$222.40 |
$222.40 |
$222.40 |
$467.00
|
|
Ghs excision ingrown nail
|
$426.40 |
$426.40 |
$426.40 |
$449.25
|
|
Ghs fb removal foot - deep - left
|
$3,659.20 |
$3,659.20 |
$3,659.20 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$4,219.20 |
$4,219.20 |
$4,219.20 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$2,388.80 |
$2,388.80 |
$2,388.80 |
$1,706.20
|
|
Ghs fish cytogen
|
$58.40 |
$58.40 |
$58.40 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$124.80 |
$124.80 |
$124.80 |
$226.20
|
|
Ghs flow volume loop
|
$471.20 |
$471.20 |
$471.20 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$316.80 |
$316.80 |
$316.80 |
$368.50
|
|
Ghs HIV antibody
|
$116.00 |
$116.00 |
$116.00 |
$89.70
|
|
Ghs i and d perirectal abscess 46040
|
$3,142.40 |
$3,142.40 |
$3,142.40 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$610.40 |
$610.40 |
$610.40 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$549.60 |
$549.60 |
$549.60 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$257.60 |
$257.60 |
$257.60 |
$350.90
|
|
Ghs init tx 1st degree burn
|
$381.60 |
$381.60 |
$381.60 |
$275.88
|
|
Ghs insertion of needle - bone
|
$380.00 |
$380.00 |
$380.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$863.20 |
$863.20 |
$863.20 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,403.20 |
$2,403.20 |
$2,403.20 |
$2,164.64
|
|
Ghs IV inf sq injection, on-body injector
|
$141.60 |
$141.60 |
$141.60 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$682.40 |
$682.40 |
$682.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$415.20 |
$415.20 |
$415.20 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$733.60 |
$733.60 |
$733.60 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$579.20 |
$579.20 |
$579.20 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$620.00 |
$620.00 |
$620.00 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$659.20 |
$659.20 |
$659.20 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$855.20 |
$855.20 |
$855.20 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$657.60 |
$657.60 |
$657.60 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$760.00 |
$760.00 |
$760.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$782.40 |
$782.40 |
$782.40 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$687.20 |
$687.20 |
$687.20 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$925.60 |
$925.60 |
$925.60 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$790.40 |
$790.40 |
$790.40 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$877.60 |
$877.60 |
$877.60 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$671.20 |
$671.20 |
$671.20 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,932.80 |
$1,932.80 |
$1,932.80 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$960.80 |
$960.80 |
$960.80 |
$1,064.98
|
|
Ghs mbp
|
$140.80 |
$140.80 |
$140.80 |
$76.00
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$239.20 |
$239.20 |
$239.20 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$164.00 |
$164.00 |
$164.00 |
$142.40
|
|
Ghs nailbed repair/nail removal
|
$845.60 |
$845.60 |
$845.60 |
$724.37
|
|
Ghs ng placement w fluoro guidance
|
$456.80 |
$456.80 |
$456.80 |
$485.00
|
|
Ghs o2 uptake rest & indirect
|
$380.80 |
$380.80 |
$380.80 |
$173.50
|
|
Ghs opcc repair cvp w subq port
|
$3,695.20 |
$3,695.20 |
$3,695.20 |
$2,194.40
|
|
Ghs ot group caregiver training
|
$52.00 |
$52.00 |
$52.00 |
$34.80
|
|
Ghs pacing - transcutaneous
|
$755.20 |
$755.20 |
$755.20 |
$830.53
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,068.80 |
$1,068.80 |
$1,068.80 |
$962.00
|
|
Ghs phenylketonurid
|
$21.60 |
$21.60 |
$21.60 |
$53.76
|
|
Ghs plngl fx pm cl
|
$511.20 |
$511.20 |
$511.20 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$39.20 |
$39.20 |
$39.20 |
$37.44
|
|
Ghs pr without cont pulse ox
|
$212.00 |
$212.00 |
$212.00 |
$147.00
|
|
Ghs removal intranasal foreign body
|
$244.80 |
$244.80 |
$244.80 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$472.80 |
$472.80 |
$472.80 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,118.40 |
$3,118.40 |
$3,118.40 |
$2,517.00
|
|
Ghs reticulocyte count
|
$34.40 |
$34.40 |
$34.40 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$204.80 |
$204.80 |
$204.80 |
$99.00
|
|
Ghs sedimentation rate
|
$29.60 |
$29.60 |
$29.60 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$67.20 |
$67.20 |
$67.20 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$521.60 |
$521.60 |
$521.60 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$520.00 |
$520.00 |
$520.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$528.00 |
$528.00 |
$528.00 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$618.40 |
$618.40 |
$618.40 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$441.60 |
$441.60 |
$441.60 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$407.20 |
$407.20 |
$407.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$484.80 |
$484.80 |
$484.80 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$550.40 |
$550.40 |
$550.40 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$478.40 |
$478.40 |
$478.40 |
$537.60
|
|
Ghs sleep study unattended
|
$608.00 |
$608.00 |
$608.00 |
$503.38
|
