|
Fusion of ankle joint open
|
$1,896.96 |
$1,896.96 |
$1,896.96 |
$10,629.07
|
|
Fusion of big toe joint
|
$1,310.08 |
$1,310.08 |
$1,310.08 |
$5,488.00
|
|
G0180 home health certification
|
$61.60 |
$61.60 |
$61.60 |
$116.00
|
|
Galactose transferase test
|
$16.00 |
$16.00 |
$16.00 |
$31.35
|
|
Gallbladder Removal (Laparoscopic)
|
$1,172.48 |
$1,172.48 |
$1,172.48 |
$11,117.34
|
|
Gammaglobulin iga
|
$57.60 |
$57.60 |
$57.60 |
$67.20
|
|
Gammaglobulin ige
|
$61.57 |
$61.57 |
$61.57 |
$83.85
|
|
Gamma glutamyltransferase
|
$26.88 |
$26.88 |
$26.88 |
$57.54
|
|
Gastroesophageal reflux study
|
$345.60 |
$345.60 |
$345.60 |
$949.80
|
|
Gemcitabine 1 gram intravenous solution
|
$333.99 |
$333.99 |
$333.99 |
$207.51
|
|
Gentamicin peak therapeutic drug level
|
$57.60 |
$57.60 |
$57.60 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,247.36 |
$1,247.36 |
$1,247.36 |
$1,410.90
|
|
Ghs antibodies (torch) igm
|
$36.99 |
$36.99 |
$36.99 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$227.84 |
$227.84 |
$227.84 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$32.00 |
$32.00 |
$32.00 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$206.08 |
$206.08 |
$206.08 |
$1,045.65
|
|
Ghs change cysto/gastrost
|
$387.84 |
$387.84 |
$387.84 |
$565.49
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$524.00 |
$524.00 |
$524.00 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$713.60 |
$713.60 |
$713.60 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,199.68 |
$2,199.68 |
$2,199.68 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$376.96 |
$376.96 |
$376.96 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$2,148.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,887.74 |
$2,887.74 |
$2,887.74 |
$3,086.00
|
|
Ghs clsd red med malleolus fx without manip
|
$575.36 |
$575.36 |
$575.36 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,700.80 |
$2,700.80 |
$2,700.80 |
$2,184.00
|
|
Ghs cl tx knee disl; wo anesth
|
$429.79 |
$429.79 |
$429.79 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$376.96 |
$376.96 |
$376.96 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$583.04 |
$583.04 |
$583.04 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$178.56 |
$178.56 |
$178.56 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$583.04 |
$583.04 |
$583.04 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$178.56 |
$178.56 |
$178.56 |
$339.60
|
|
Ghs cutdown placement under 1 yr
|
$144.80 |
$144.80 |
$144.80 |
$182.95
|
|
Ghs dislocation elbow closed treatment
|
$740.00 |
$740.00 |
$740.00 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$483.20 |
$483.20 |
$483.20 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$83.20 |
$83.20 |
$83.20 |
$329.60
|
|
Ghs excision ingrown nail
|
$230.40 |
$230.40 |
$230.40 |
$439.50
|
|
Ghs fb removal from muscle - complicated
|
$3,982.72 |
$3,982.72 |
$3,982.72 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$2,342.96 |
$2,342.96 |
$2,342.96 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$2,303.36 |
$2,303.36 |
$2,303.36 |
$1,706.20
|
|
Ghs flow volume loop
|
$94.72 |
$94.72 |
$94.72 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$422.40 |
$422.40 |
$422.40 |
$368.50
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,913.28 |
$2,913.28 |
$2,913.28 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,155.20 |
$3,155.20 |
$3,155.20 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,002.62 |
$1,002.62 |
$1,002.62 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$970.24 |
$970.24 |
$970.24 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$387.84 |
$387.84 |
$387.84 |
$523.73
|
|
Ghs init tx 1st degree burn
|
$177.28 |
$177.28 |
$177.28 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$480.00 |
$480.00 |
$480.00 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$857.60 |
$857.60 |
$857.60 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$190.40 |
$190.40 |
$190.40 |
$431.07
|
|
Ghs inj transforaminal cerv single bil
|
$1,180.16 |
$1,180.16 |
$1,180.16 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$240.13 |
$240.13 |
$240.13 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$526.08 |
$526.08 |
$526.08 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$808.96 |
$808.96 |
$808.96 |
$1,035.60
|
|
Ghs irrigate corpora cavernosa for priapism
|
$387.84 |
$387.84 |
$387.84 |
$544.80
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$178.56 |
$178.56 |
$178.56 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$526.08 |
$526.08 |
$526.08 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$526.08 |
$526.08 |
$526.08 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$526.08 |
$526.08 |
$526.08 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$526.08 |
$526.08 |
$526.08 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$526.08 |
$526.08 |
$526.08 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$526.08 |
$526.08 |
$526.08 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$526.08 |
$526.08 |
$526.08 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$808.96 |
$808.96 |
$808.96 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$526.08 |
$526.08 |
$526.08 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$808.96 |
$808.96 |
$808.96 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$526.08 |
$526.08 |
$526.08 |
$790.40
|
|
Ghs low level laser therapy
|
$25.09 |
$25.09 |
$25.09 |
$77.70
|
|
Ghs nailbed repair/nail removal
|
$808.96 |
$808.96 |
$808.96 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$570.69 |
$570.69 |
$570.69 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$609.47 |
$609.47 |
$609.47 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$814.08 |
$814.08 |
$814.08 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$259.01 |
$259.01 |
$259.01 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$433.60 |
$433.60 |
$433.60 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,180.16 |
$1,180.16 |
$1,180.16 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$345.60 |
$345.60 |
$345.60 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$227.84 |
$227.84 |
$227.84 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$254.72 |
$254.72 |
$254.72 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$159.74 |
$159.74 |
$159.74 |
$478.50
|
|
Ghs o2 uptake rest & exercise
|
$38.40 |
$38.40 |
$38.40 |
$230.01
|
|
Ghs ot prosthetic training/15 min
|
$39.68 |
$39.68 |
$39.68 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$16.26 |
$16.26 |
$16.26 |
$94.80
|
|
Ghs peritonsillar abscess i andd
|
$345.60 |
$345.60 |
$345.60 |
$546.36
|
|
Ghs phenylketonurid
|
$16.00 |
$16.00 |
$16.00 |
$53.76
|
|
Ghs plngl fx pm cl
|
$584.32 |
$584.32 |
$584.32 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$10.24 |
$10.24 |
$10.24 |
$37.70
|
|
Ghs quinidine
|
$50.43 |
$50.43 |
$50.43 |
$85.00
|
|
Ghs refill of implantable pump
|
$260.10 |
$260.10 |
$260.10 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$252.00 |
$252.00 |
$252.00 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$583.04 |
$583.04 |
$583.04 |
$459.90
|
|
Ghs repair extensor tendon hand, ea tendon
|
$999.04 |
$999.04 |
$999.04 |
$2,161.50
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$4,041.79
|
|
Ghs respiratory syncytical virus igg/m
|
$35.20 |
$35.20 |
$35.20 |
$71.20
|
|
Ghs reticulocyte count
|
$28.80 |
$28.80 |
$28.80 |
$34.45
|
|
Ghs sedimentation rate
|
$21.12 |
$21.12 |
$21.12 |
$45.50
|
|
Ghs semen analysis fert
|
$48.00 |
$48.00 |
$48.00 |
$129.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$526.08 |
$526.08 |
$526.08 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$526.08 |
$526.08 |
$526.08 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$526.08 |
$526.08 |
$526.08 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$295.68 |
$295.68 |
$295.68 |
$448.80
|
