|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$326.84 |
$363.52 |
$544.54 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$296.95 |
$394.34 |
$854.27 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$326.84 |
$426.34 |
$1,255.88 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$296.95 |
$322.87 |
$854.27 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$326.84 |
$455.78 |
$2,065.40 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$296.95 |
$386.29 |
$1,691.61 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$38.97 |
$59.30 |
$86.36 |
|
|
Ghs mbp
|
$25.55 |
$59.43 |
$446.80 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$37.39 |
$78.51 |
$363.98 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$75.65 |
$85.16 |
$1,835.31 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$108.86 |
$136.49 |
$1,835.31 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$50.58 |
$67.08 |
$416.86 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$55.67 |
$79.77 |
$230.79 |
|
|
Ghs musc test done w/n test comp
|
$132.16 |
$132.16 |
$154.99 |
|
|
Ghs musc tst done w/nerv tst lim
|
$132.16 |
$132.16 |
$154.99 |
|
|
Ghs musc tst done w/n tst non ext
|
$62.26 |
$62.26 |
$73.02 |
|
|
Ghs myocardial strain img spckl track
|
$319.02 |
$339.42 |
$427.59 |
|
|
Ghs nailbed repair/nail removal
|
$227.05 |
$267.90 |
$425.35 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$772.55 |
$878.07 |
$1,217.27 |
|
|
Ghs nerve blk intercostal, single level
|
$338.22 |
$396.66 |
$425.98 |
|
|
Ghs nerve block axillary nerve
|
$316.52 |
$345.85 |
$494.72 |
|
|
Ghs nerve block brachial plexus
|
$807.17 |
$906.18 |
$1,084.44 |
|
|
Ghs nerve block interscaline
|
$598.90 |
$638.97 |
$702.39 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$836.29 |
$1,019.90 |
$1,126.47 |
|
|
Ghs nerve block sciatic nerve
|
$595.92 |
$677.23 |
$820.46 |
|
|
Ghs nerve block suprascapular
|
$302.24 |
$343.44 |
$430.60 |
|
|
Ghs ng placement w fluoro guidance
|
$120.50 |
$203.91 |
$677.26 |
|
|
Ghs o2 saturation
|
$31.41 |
$35.35 |
$44.32 |
|
|
Ghs opcc repair cvp w subq port
|
$638.79 |
$638.79 |
$638.79 |
|
|
Ghs ot dds rom
|
$29.41 |
$29.73 |
$79.90 |
|
|
Ghs ot prosthetic training/15 min
|
$42.58 |
$48.21 |
$108.13 |
|
|
Ghs ot sensory integrative tech/15min
|
$52.46 |
$60.68 |
$183.60 |
|
|
Ghs ot work hardening-additional hours
|
$61.17 |
$103.64 |
$125.34 |
|
|
Ghs pacing - transcutaneous
|
$225.17 |
$421.15 |
$725.98 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$411.79 |
$485.38 |
$649.16 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$43.90 |
$55.44 |
$2,220.28 |
|
|
Ghs peritonsillar abscess i andd
|
$193.14 |
$244.50 |
$358.52 |
|
|
Ghs phenylketonurid
|
$19.79 |
$51.58 |
$201.96 |
|
|
Ghs picc line insert < 5
|
$1,317.87 |
$1,444.43 |
$2,005.58 |
|
|
Ghs plngl fx pm cl
|
$218.06 |
$331.15 |
$1,738.12 |
|
|
Ghs plt ct-manual
|
$22.50 |
$22.50 |
$26.39 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,204.63 |
$1,412.78 |
$1,638.24 |
|
|
Ghs ppd (tb intradermal)
|
$9.17 |
$18.14 |
$124.76 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$35.75 |
$44.83 |
$64.51 |
|
|
Ghs protoporphyrins fract
|
$26.52 |
$54.98 |
$131.12 |
|
|
Ghs pr without cont pulse ox
|
$36.40 |
$59.45 |
$63.22 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$11.65 |
$14.85 |
$129.74 |
|
|
Ghs pt - work hardening/int 2hrs
|
$124.86 |
$144.93 |
$179.02 |
|
|
Ghs quinidine
|
$46.76 |
$61.06 |
$117.11 |
|
|
Ghs removal intranasal foreign body
|
$103.24 |
$135.97 |
$793.37 |
|
|
Ghs removal pharyngeal foreign body
|
$82.44 |
$114.48 |
$329.25 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,089.56 |
$1,142.37 |
$1,432.29 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,059.43 |
$1,370.49 |
$2,005.41 |
|
|
Ghs respiratory syncytical virus igg/m
|
$30.34 |
$45.45 |
$104.61 |
|
|
Ghs reticulocyte count
|
$31.74 |
$37.22 |
$86.13 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$41.42 |
$65.96 |
$166.71 |
|
|
Ghs sedimentation rate
|
$18.56 |
$31.16 |
$48.37 |
|
|
Ghs semen analysis fert
|
$11.07 |
$60.74 |
$77.73 |
|
|
Ghs sensitivity (per antimicro)
|
$14.30 |
$36.27 |
$127.89 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$339.85 |
$434.27 |
$2,273.04 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$303.37 |
$374.08 |
$644.81 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$339.85 |
$381.86 |
$654.08 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$332.22 |
$374.08 |
$1,685.69 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$295.30 |
$374.08 |
$1,364.00 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$339.85 |
$387.37 |
$1,142.40 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$354.68 |
$444.70 |
$587.11 |
|
|
Ghs simple repair over 30 cm - 12007
|
$151.73 |
$424.45 |
$1,142.40 |
|
|
Ghs simple repair over 30 cm - 12018
|
$262.04 |
$374.08 |
$709.40 |
|
|
Ghs sleep study unattended
|
$185.11 |
$185.11 |
$185.11 |
|
|
Ghs somatosensory testing lower extremit
|
$744.71 |
$873.39 |
$3,196.83 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,052.39 |
$1,052.39 |
$1,234.24 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$63.04 |
$95.89 |
$108.95 |
|
|
Ghs sphenopalatine ganglion block
|
$257.48 |
$257.48 |
$887.05 |
|
|
Ghs sp train/fitting sp device - kx
|
$116.91 |
$177.35 |
$268.94 |
|
|
Ghs strapping shoulder - 29240
|
$79.13 |
$92.81 |
$174.82 |
|
|
Ghs st - re-eval for alt comm
|
$155.85 |
$182.79 |
$286.83 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$37.36 |
$44.61 |
$208.25 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$168.07 |
$186.56 |
$250.76 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$253.06 |
$296.95 |
$416.07 |
|
|
Ghs superficial wnd dehis w packing12021
|
$253.06 |
$296.79 |
$436.77 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$735.16 |
$735.16 |
$1,641.09 |
|
|
Ghs trypsin (fecal)
|
$22.90 |
$28.71 |
$55.59 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$212.09 |
$251.16 |
$540.54 |
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$271.94 |
$340.95 |
$1,343.85 |
|
|
Ghs urine, hydroxproline total
|
$107.99 |
$146.23 |
$264.78 |
|
|
Ghs urine, porphyrins quant
|
$28.12 |
$72.13 |
$231.95 |
|
|
Ghs vaginal delivery only
|
$1,202.43 |
$1,392.07 |
$5,785.13 |
|
|
Giardia lamblia antibody
|
$46.39 |
$123.41 |
$196.92 |
|
|
Gi inhouse confirmation
|
$59.37 |
$88.22 |
$287.34 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$759.35 |
$863.20 |
$1,045.58 |
|
|
Gi wireless capsule measure
|
$759.35 |
$920.27 |
$1,113.65 |
|
|
Gjb2 gene full sequence
|
$248.01 |
$533.83 |
$626.07 |
|
|
Glove finger flexion right lg xl
|
$110.62 |
$113.61 |
$131.53 |
|
|
Glucagon 1 mg solution for injection
|
$144.37 |
$162.51 |
$203.75 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$164.42 |
$185.08 |
$232.05 |
|
|
Glucagon plasma - sendout
|
$31.74 |
$42.88 |
$81.04 |
|
|
Glucose 1 hr post dose
|
$27.72 |
$46.28 |
$80.40 |
|
|
Glucose-6-phosphate dhydrogenase screen
|
$27.12 |
$38.97 |
$107.02 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$4.64 |
$9.07 |
$29.70 |
|
|
Glucose blood quantitative
|
$17.28 |
$38.90 |
$114.05 |
|