|
Ghs path - pap (papanicolau) smear - vagina
|
$28.56 |
$32.76 |
$32.76 |
|
|
Ghs peritonsillar abscess i andd
|
$307.00 |
$750.00 |
$1,258.40 |
|
|
Ghs phenylketonurid
|
$7.59 |
$20.16 |
$348.80 |
|
|
Ghs picc line insert < 5
|
$1,311.20 |
$2,890.00 |
$4,961.00 |
|
|
Ghs plngl fx pm cl
|
$311.00 |
$520.00 |
$1,137.00 |
|
|
Ghs plt ct-manual
|
$5.95 |
$5.95 |
$9.66 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,180.80 |
$4,218.00 |
$8,252.00 |
|
|
Ghs pos nystagmus
|
$76.72 |
$182.95 |
$182.95 |
|
|
Ghs ppd (tb intradermal)
|
$11.28 |
$39.77 |
$136.00 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$4.48 |
$13.33 |
$154.40 |
|
|
Ghs protein, misc fluid
|
$5.64 |
$7.74 |
$7.74 |
|
|
Ghs protoporphyrins fract
|
$16.80 |
$29.50 |
$449.60 |
|
|
Ghs pr without cont pulse ox
|
$77.28 |
$231.00 |
$281.60 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$7.17 |
$8.98 |
$16.91 |
|
|
Ghs pt - work hardening/int 2hrs
|
$481.60 |
$586.00 |
$586.00 |
|
|
Ghs quinidine
|
$5.60 |
$20.15 |
$49.84 |
|
|
Ghs refill of implantable pump
|
$454.19 |
$454.19 |
$454.19 |
|
|
Ghs removal intranasal foreign body
|
$136.00 |
$320.00 |
$451.00 |
|
|
Ghs removal pharyngeal foreign body
|
$410.00 |
$614.27 |
$898.40 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Ghs respiratory syncytical virus igg/m
|
$21.93 |
$21.93 |
$22.68 |
|
|
Ghs reticulocyte count
|
$5.95 |
$14.76 |
$21.84 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$19.20 |
$28.20 |
$54.32 |
|
|
Ghs sedimentation rate
|
$5.89 |
$11.22 |
$80.80 |
|
|
Ghs semen analysis fert
|
$16.99 |
$43.68 |
$396.80 |
|
|
Ghs semen analysis, post-vas
|
$4.70 |
$13.58 |
$13.58 |
|
|
Ghs sensitivity (per antimicro)
|
$10.32 |
$46.00 |
$124.80 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$354.00 |
$489.00 |
$1,101.00 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$558.97 |
$632.00 |
$1,003.00 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$380.00 |
$506.00 |
$1,265.00 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$558.97 |
$558.97 |
$3,332.80 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$275.88 |
$376.00 |
$758.00 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$275.88 |
$352.00 |
$958.00 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$275.88 |
$432.00 |
$872.00 |
|
|
Ghs simple repair over 30 cm - 12007
|
$275.88 |
$524.00 |
$758.00 |
|
|
Ghs simple repair over 30 cm - 12018
|
$275.88 |
$275.88 |
$3,747.20 |
|
|
Ghs sleep study unattended
|
$296.91 |
$465.00 |
$1,393.00 |
|
|
Ghs somatosensory testing lower extremit
|
$296.91 |
$733.00 |
$1,091.20 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$467.04 |
$1,082.00 |
$2,237.00 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$31.96 |
$117.00 |
$415.00 |
|
|
Ghs sphenopalatine ganglion block
|
$422.07 |
$1,189.00 |
$1,321.00 |
|
|
Ghs spont nystagmus
|
$57.34 |
$249.00 |
$249.00 |
|
|
Ghs sp train/fitting sp device - kx
|
$120.40 |
$286.00 |
$575.00 |
|
|
Ghs st - eval for alt comm
|
$51.36 |
$175.00 |
$175.00 |
|
|
Ghs strapping shoulder - 29240
|
$182.95 |
$182.95 |
$217.60 |
|
|
Ghs st - re-eval for alt comm
|
$97.39 |
$307.00 |
$592.00 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$64.39 |
$64.39 |
$64.39 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$292.48 |
$784.00 |
$902.00 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$422.80 |
$1,048.00 |
$3,320.00 |
|
|
Ghs superficial wnd dehis w packing12021
|
$558.97 |
$558.97 |
$558.97 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,133.48 |
$2,133.48 |
$2,689.60 |
|
|
Ghs trypsin (fecal)
|
$8.06 |
$10.07 |
$10.07 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$311.00 |
$520.00 |
$1,196.00 |
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$390.35 |
$390.35 |
$1,941.60 |
|
|
Ghs urine, hydroxproline total
|
$22.00 |
$33.53 |
$58.28 |
|
|
Ghs urine, porphyrins quant
|
$9.24 |
$28.98 |
$215.20 |
|
|
Ghs vaginal delivery only
|
$3,026.80 |
$4,757.00 |
$8,137.00 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$513.11 |
$1,843.00 |
$2,368.00 |
|
|
Ghs windowing of cast
|
$223.45 |
$223.45 |
$223.45 |
|
|
Giardia ag if
|
$18.78 |
$18.78 |
$21.28 |
|
|
Giardia lamblia antibody
|
$20.31 |
$20.31 |
$20.31 |
|
|
Gi endoscopic ultrasound
|
$328.08 |
$328.08 |
$744.80 |
|
|
Gi inhouse confirmation
|
$13.03 |
$20.00 |
$179.20 |
|
|
Gingivoplasty each quadrant
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
|
|
Gi protein loss
|
$549.70 |
$549.70 |
$549.70 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$529.20 |
$1,247.13 |
$1,247.13 |
|
|
Gi trc img intral colon i&r
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
|
|
Gi trc img intral esophagus
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
|
|
Gi wireless capsule measure
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
|
|
Gjb2 gene full sequence
|
$47.47 |
$139.55 |
$139.55 |
|
|
Gjb2 gene known fam variants
|
$29.14 |
$84.90 |
$84.90 |
|
|
Gjb6 gene com variants
|
$16.45 |
$48.30 |
$48.30 |
|
|
Glassia injection
|
$7.86 |
$7.86 |
$7.86 |
|
|
Glaucoma scrn hgh risk direc
|
$87.22 |
$87.22 |
$87.22 |
|
|
Glaucoma scrn hgh risk direc
|
$54.43 |
$54.43 |
$54.43 |
|
|
Glaucoma surgery
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
|
|
Glaucoma surgery
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
|
|
Glaucoma surgery
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
|
|
Glaucoma surgery
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
|
|
Glove finger flexion right lg xl
|
$162.62 |
$162.62 |
$162.62 |
|
|
Glucagon 1 mg solution for injection
|
$125.28 |
$227.51 |
$234.05 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$197.69 |
$197.69 |
$197.69 |
|
|
Glucagon plasma - sendout
|
$7.81 |
$19.72 |
$39.43 |
|
|
Glucagon tolerance panel
|
$63.58 |
$63.58 |
$63.58 |
|
|
Glucagon tolerance panel
|
$69.69 |
$69.69 |
$69.69 |
|
|
Glucagon tolerance test
|
$24.52 |
$24.52 |
$24.52 |
|
|
Glucose 1 hr post dose
|
$6.56 |
$19.00 |
$118.40 |
|
|
Glucose-6-phosphate dhydrogenase screen
|
$8.35 |
$8.35 |
$28.56 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$2.82 |
$9.00 |
$83.20 |
|
|
Glucose blood quantitative
|
$5.42 |
$32.00 |
$72.80 |
|
|
Glucose body fluid
|
$5.42 |
$22.00 |
$119.20 |
|
|
Glucose monitoring continual min 72hr pt
|
$63.84 |
$180.00 |
$184.00 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$15.12 |
$52.00 |
$235.20 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$5.41 |
$17.00 |
$86.40 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$0.52 |
$0.52 |
$0.52 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$16.05 |
$16.05 |
$16.05 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$25.64 |
$75.00 |
$243.20 |
|
|
Gonadotropin hormone panel
|
$204.81 |
$204.81 |
$204.81 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$25.56 |
$75.00 |
$537.60 |
|
