|
Ghs IV thrombolytics - cerebral
|
$454.60 |
$454.60 |
$454.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$264.85 |
$264.85 |
$264.85 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$245.95 |
$245.95 |
$245.95 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$271.20 |
$271.20 |
$271.20 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$278.75 |
$278.75 |
$278.75 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$311.55 |
$311.55 |
$311.55 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$309.05 |
$309.05 |
$309.05 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$348.15 |
$348.15 |
$348.15 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$331.75 |
$331.75 |
$331.75 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$351.95 |
$351.95 |
$351.95 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$386.00 |
$386.00 |
$386.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$403.60 |
$403.60 |
$403.60 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$490.70 |
$490.70 |
$490.70 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$517.15 |
$517.15 |
$517.15 |
$913.90
|
|
Ghs mbp
|
$51.55 |
$51.55 |
$51.55 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$49.20 |
$49.20 |
$49.20 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$160.20 |
$160.20 |
$160.20 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$132.45 |
$132.45 |
$132.45 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$27.75 |
$27.75 |
$27.75 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$104.70 |
$104.70 |
$104.70 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$128.60 |
$128.60 |
$128.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$184.15 |
$184.15 |
$184.15 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$855.90 |
$855.90 |
$855.90 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$201.05 |
$201.05 |
$201.05 |
$1,710.80
|
|
Ghs nerve block interscaline
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$837.10 |
$837.10 |
$837.10 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$53.55 |
$53.55 |
$53.55 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$70.00 |
$70.00 |
$70.00 |
$485.00
|
|
Ghs o2 saturation
|
$105.20 |
$105.20 |
$105.20 |
$69.50
|
|
Ghs ot group caregiver training
|
$26.80 |
$26.80 |
$26.80 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$216.75 |
$216.75 |
$216.75 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$188.00 |
$188.00 |
$188.00 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$26.75 |
$26.75 |
$26.75 |
$830.53
|
|
Ghs peritonsillar abscess i andd
|
$242.10 |
$242.10 |
$242.10 |
$555.00
|
|
Ghs phenylketonurid
|
$244.85 |
$244.85 |
$244.85 |
$53.76
|
|
Ghs plngl fx pm cl
|
$726.00 |
$726.00 |
$726.00 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$51.95 |
$51.95 |
$51.95 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$44.55 |
$44.55 |
$44.55 |
$43.55
|
|
Ghs protoporphyrins fract
|
$62.10 |
$62.10 |
$62.10 |
$60.75
|
|
Ghs quinidine
|
$251.90 |
$251.90 |
$251.90 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$132.45 |
$132.45 |
$132.45 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$268.70 |
$268.70 |
$268.70 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$924.60 |
$924.60 |
$924.60 |
$2,517.00
|
|
Ghs respiratory syncytical virus igg/m
|
$43.35 |
$43.35 |
$43.35 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$443.20 |
$443.20 |
$443.20 |
$99.00
|
|
Ghs sedimentation rate
|
$63.85 |
$63.85 |
$63.85 |
$45.50
|
|
Ghs semen analysis fert
|
$214.25 |
$214.25 |
$214.25 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$122.45 |
$122.45 |
$122.45 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$320.35 |
$320.35 |
$320.35 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$437.75 |
$437.75 |
$437.75 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$211.90 |
$211.90 |
$211.90 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$243.40 |
$243.40 |
$243.40 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$278.75 |
$278.75 |
$278.75 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$253.50 |
$253.50 |
$253.50 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$358.25 |
$358.25 |
$358.25 |
$489.72
|
|
Ghs superficial wnd dehiscence simp12020
|
$336.75 |
$336.75 |
$336.75 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$114.95 |
$114.95 |
$114.95 |
$695.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$440.25 |
$440.25 |
$440.25 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$164.05 |
$164.05 |
$164.05 |
$73.80
|
|
Ghs vaginal delivery only
|
$1,976.60 |
$1,976.60 |
$1,976.60 |
$3,341.93
|
|
Gi inhouse confirmation
|
$145.10 |
$145.10 |
$145.10 |
$87.75
|
|
Glucagon plasma - sendout
|
$308.15 |
$308.15 |
$308.15 |
$64.35
|
|
Glucose 1 hr post dose
|
$66.45 |
$66.45 |
$66.45 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$19.95 |
$19.95 |
$19.95 |
$23.12
|
|
Glucose blood quantitative
|
$94.45 |
$94.45 |
$94.45 |
$42.25
|
|
Glucose body fluid
|
$95.80 |
$95.80 |
$95.80 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$195.70 |
$195.70 |
$195.70 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$95.80 |
$95.80 |
$95.80 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$19.15 |
$19.15 |
$19.15 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,451.61 |
$2,451.61 |
$2,451.61 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$383.20 |
$383.20 |
$383.20 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$315.40 |
$315.40 |
$315.40 |
$129.03
|
|
Graft nerve adv 3-4x70mm
|
$4,153.00 |
$4,153.00 |
$4,153.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$285.00 |
$285.00 |
$285.00 |
$29,293.39
|
|
Graft xenmtrx sft rect 15x20cm
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
$29,676.26
|
|
Great toe with reduction 28495
|
$233.40 |
$233.40 |
$233.40 |
$495.00
|
|
Ground mileage
|
$53.55 |
$53.55 |
$53.55 |
$17.60
|
|
Group mnt 2 or more 30 mins
|
$141.65 |
$141.65 |
$141.65 |
$43.12
|
|
G-tube reposition
|
$96.25 |
$96.25 |
$96.25 |
$771.36
|
|
Guide wire threaded 1.4x150mm
|
$70.35 |
$70.35 |
$70.35 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$79.57 |
$79.57 |
$79.57 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$99.58 |
$99.58 |
$99.58 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$71.49 |
$71.49 |
$71.49 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$6.20 |
$6.20 |
$6.20 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$253.25 |
$253.25 |
$253.25 |
$105.30
|
|
Hand X-ray
|
$384.60 |
$384.60 |
$384.60 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$294.10 |
$294.10 |
$294.10 |
$294.90
|
|
Haptoglobin quantitative
|
$107.70 |
$107.70 |
$107.70 |
$92.80
|
|
Hba1/hba2 gene dup/del vrnts
|
$506.00 |
$506.00 |
$506.00 |
$403.25
|
|
Hbb gene com variants
|
$410.10 |
$410.10 |
$410.10 |
$345.95
|
|
Hcg qualitative
|
$183.60 |
$183.60 |
$183.60 |
$90.10
|
|
Hcg quantitative
|
$284.85 |
$284.85 |
$284.85 |
$139.20
|
|
Hc metata joint dislocation anes
|
$123.05 |
$123.05 |
$123.05 |
$2,383.09
|
|
Head CT scan (with and without contrast)
|
$1,140.65 |
$1,140.65 |
$1,140.65 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,013.90 |
$1,013.90 |
$1,013.90 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,140.65 |
$1,140.65 |
$1,140.65 |
$1,268.90
|
|
Heart infarct image
|
$1,583.10 |
$1,583.10 |
$1,583.10 |
$942.29
|
