|
Ghs intro needle/intracath vein - 36000
|
$251.94 |
$251.94 |
$251.94 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,919.06 |
$1,919.06 |
$1,919.06 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$59.02 |
$59.02 |
$59.02 |
$107.58
|
|
Ghs IV thrombolytics - cerebral
|
$609.70 |
$609.70 |
$609.70 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$436.02 |
$436.02 |
$436.02 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$197.60 |
$197.60 |
$197.60 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$109.72 |
$109.72 |
$109.72 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$240.76 |
$240.76 |
$240.76 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$305.50 |
$305.50 |
$305.50 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$173.16 |
$173.16 |
$173.16 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$364.78 |
$364.78 |
$364.78 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$368.68 |
$368.68 |
$368.68 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$186.94 |
$186.94 |
$186.94 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$300.30 |
$300.30 |
$300.30 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$442.00 |
$442.00 |
$442.00 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$333.32 |
$333.32 |
$333.32 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$676.52 |
$676.52 |
$676.52 |
$1,126.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$496.08 |
$496.08 |
$496.08 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$26.78 |
$26.78 |
$26.78 |
$76.20
|
|
Ghs mbp
|
$49.66 |
$49.66 |
$49.66 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$585.00 |
$585.00 |
$585.00 |
$242.31
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$642.98 |
$642.98 |
$642.98 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$279.24 |
$279.24 |
$279.24 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$104.00 |
$104.00 |
$104.00 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$287.04 |
$287.04 |
$287.04 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$329.42 |
$329.42 |
$329.42 |
$724.37
|
|
Ghs nerve blk intercostal, single level
|
$703.82 |
$703.82 |
$703.82 |
$1,107.00
|
|
Ghs nerve block brachial plexus
|
$1,302.60 |
$1,302.60 |
$1,302.60 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$1,070.16 |
$1,070.16 |
$1,070.16 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,691.04 |
$1,691.04 |
$1,691.04 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,253.46 |
$1,253.46 |
$1,253.46 |
$1,710.80
|
|
Ghs ng placement w fluoro guidance
|
$713.70 |
$713.70 |
$713.70 |
$478.50
|
|
Ghs o2 saturation
|
$24.18 |
$24.18 |
$24.18 |
$70.80
|
|
Ghs o2 uptake rest & indirect
|
$60.58 |
$60.58 |
$60.58 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$1,895.66 |
$1,895.66 |
$1,895.66 |
$1,229.24
|
|
Ghs ot sensory integrative tech/15min
|
$114.40 |
$114.40 |
$114.40 |
$94.80
|
|
Ghs pacing - transcutaneous
|
$240.76 |
$240.76 |
$240.76 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,709.76 |
$1,709.76 |
$1,709.76 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,016.08 |
$1,016.08 |
$1,016.08 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$989.82 |
$989.82 |
$989.82 |
$546.36
|
|
Ghs picc line insert < 5
|
$1,382.16 |
$1,382.16 |
$1,382.16 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$379.86 |
$379.86 |
$379.86 |
$564.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,050.92 |
$1,050.92 |
$1,050.92 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$62.66 |
$62.66 |
$62.66 |
$37.70
|
|
Ghs protein, misc fluid
|
$27.30 |
$27.30 |
$27.30 |
$24.60
|
|
Ghs pr without cont pulse ox
|
$33.80 |
$33.80 |
$33.80 |
$146.86
|
|
Ghs quinidine
|
$25.48 |
$25.48 |
$25.48 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$141.18 |
$141.18 |
$141.18 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$420.94 |
$420.94 |
$420.94 |
$459.90
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,993.16 |
$1,993.16 |
$1,993.16 |
$2,161.50
|
|
Ghs reticulocyte count
|
$22.88 |
$22.88 |
$22.88 |
$34.45
|
|
Ghs sedimentation rate
|
$36.14 |
$36.14 |
$36.14 |
$45.50
|
|
Ghs semen analysis fert
|
$92.56 |
$92.56 |
$92.56 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$61.10 |
$61.10 |
$61.10 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$514.02 |
$514.02 |
$514.02 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$310.70 |
$310.70 |
$310.70 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$556.14 |
$556.14 |
$556.14 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$357.50 |
$357.50 |
$357.50 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$452.40 |
$452.40 |
$452.40 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$470.08 |
$470.08 |
$470.08 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$510.64 |
$510.64 |
$510.64 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$1,740.70 |
$1,740.70 |
$1,740.70 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$404.30 |
$404.30 |
$404.30 |
$537.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$40.04 |
$40.04 |
$40.04 |
$146.40
|
|
Ghs sp train/fitting sp device - kx
|
$103.22 |
$103.22 |
$103.22 |
$250.50
|
|
Ghs st - eval for alt comm
|
$42.64 |
$42.64 |
$42.64 |
$93.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$514.54 |
$514.54 |
$514.54 |
$861.75
|
|
Ghs superficial wnd dehis w packing12021
|
$450.84 |
$450.84 |
$450.84 |
$661.50
|
|
Ghs tracheostomy emergency - transtracheal
|
$840.84 |
$840.84 |
$840.84 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$386.10 |
$386.10 |
$386.10 |
$523.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$705.64 |
$705.64 |
$705.64 |
$486.35
|
|
Ghs vaginal delivery only
|
$2,680.34 |
$2,680.34 |
$2,680.34 |
$3,152.00
|
|
Ghs veeg 12-26 hr intmt mont
|
$645.58 |
$645.58 |
$645.58 |
$1,910.25
|
|
Gi inhouse confirmation
|
$59.80 |
$59.80 |
$59.80 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$2,098.85
|
|
Glucagon 1 mg solution for injection
|
$1,548.02 |
$1,548.02 |
$1,548.02 |
$601.79
|
|
Glucagon plasma - sendout
|
$37.70 |
$37.70 |
$37.70 |
$63.00
|
|
Glucose 1 hr post dose
|
$51.48 |
$51.48 |
$51.48 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$15.08 |
$15.08 |
$15.08 |
$23.86
|
|
Glucose blood quantitative
|
$69.94 |
$69.94 |
$69.94 |
$40.00
|
|
Glucose body fluid
|
$34.32 |
$34.32 |
$34.32 |
$52.20
|
|
Glucose monitoring continual min 72hr pt
|
$56.16 |
$56.16 |
$56.16 |
$118.39
|
|
Glucose tolerance test (gtt) 3 specimens
|
$46.28 |
$46.28 |
$46.28 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$44.98 |
$44.98 |
$44.98 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$196.89 |
$196.89 |
$196.89 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$82.68 |
$82.68 |
$82.68 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$80.86 |
$80.86 |
$80.86 |
$129.00
|
|
Gonioscopy
|
$48.36 |
$48.36 |
$48.36 |
$135.52
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,106.96 |
$3,106.96 |
$3,106.96 |
$4,652.18
|
|
Great toe with reduction 28495
|
$530.92 |
$530.92 |
$530.92 |
$482.40
|
|
G-tube reposition
|
$1,876.42 |
$1,876.42 |
$1,876.42 |
$759.36
|
|
Guided cath fluid drainage 10030
|
$395.20 |
$395.20 |
$395.20 |
$1,372.15
|
|
Guid loc target vol rad tx
|
$198.38 |
$198.38 |
$198.38 |
$536.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$182.45 |
$182.45 |
$182.45 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$43.55 |
$43.55 |
$43.55 |
$23.06
|
|
Handle/convey/speciman/office-lab 99000
|
$24.70 |
$24.70 |
$24.70 |
$23.40
|
|
Hand X-ray
|
$131.82 |
$131.82 |
$131.82 |
$356.00
|
|
Haptoglobin quantitative
|
$24.96 |
$24.96 |
$24.96 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$1,127.88 |
$1,127.88 |
$1,127.88 |
$769.95
|
|
Hbb full gene sequence
|
$622.70 |
$622.70 |
$622.70 |
$633.25
|