|
Ghs inj tendon origin/insertion
|
$268.45 |
$268.45 |
$268.45 |
$433.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$518.02 |
$518.02 |
$518.02 |
$1,105.65
|
|
Ghs inj transforaminal cerv single bil
|
$1,502.14 |
$1,502.14 |
$1,502.14 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$522.15 |
$522.15 |
$522.15 |
$419.20
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,108.61 |
$1,108.61 |
$1,108.61 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,718.08 |
$1,718.08 |
$1,718.08 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,777.67 |
$1,777.67 |
$1,777.67 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$327.45 |
$327.45 |
$327.45 |
$211.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$194.70 |
$194.70 |
$194.70 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$274.35 |
$274.35 |
$274.35 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$407.10 |
$407.10 |
$407.10 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$407.10 |
$407.10 |
$407.10 |
$573.86
|
|
Ghs IV infusion sotrovimab
|
$407.10 |
$407.10 |
$407.10 |
$563.40
|
|
Ghs IV thrombolytics - cerebral
|
$1,028.96 |
$1,028.96 |
$1,028.96 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$161.07 |
$161.07 |
$161.07 |
$503.48
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$638.97 |
$638.97 |
$638.97 |
$602.55
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$557.55 |
$557.55 |
$557.55 |
$579.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$579.97 |
$579.97 |
$579.97 |
$614.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$794.73 |
$794.73 |
$794.73 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$605.93 |
$605.93 |
$605.93 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$857.86 |
$857.86 |
$857.86 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$998.87 |
$998.87 |
$998.87 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$630.12 |
$630.12 |
$630.12 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$882.05 |
$882.05 |
$882.05 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$720.98 |
$720.98 |
$720.98 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$913.91 |
$913.91 |
$913.91 |
$782.46
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$594.13 |
$594.13 |
$594.13 |
$1,025.64
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$969.37 |
$969.37 |
$969.37 |
$929.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$682.63 |
$682.63 |
$682.63 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$895.62 |
$895.62 |
$895.62 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$174.64 |
$174.64 |
$174.64 |
$75.00
|
|
Ghs mbp
|
$141.60 |
$141.60 |
$141.60 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$223.61 |
$223.61 |
$223.61 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$223.61 |
$223.61 |
$223.61 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$223.61 |
$223.61 |
$223.61 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$223.61 |
$223.61 |
$223.61 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$223.61 |
$223.61 |
$223.61 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$480.85 |
$480.85 |
$480.85 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$442.50 |
$442.50 |
$442.50 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$134.52 |
$134.52 |
$134.52 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$358.72 |
$358.72 |
$358.72 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$174.64 |
$174.64 |
$174.64 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$954.03 |
$954.03 |
$954.03 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$958.16 |
$958.16 |
$958.16 |
$1,119.68
|
|
Ghs nerve block celiac plexus
|
$1,682.68 |
$1,682.68 |
$1,682.68 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$539.85 |
$539.85 |
$539.85 |
$1,709.95
|
|
Ghs ng placement w fluoro guidance
|
$332.17 |
$332.17 |
$332.17 |
$485.00
|
|
Ghs o2 saturation
|
$73.16 |
$73.16 |
$73.16 |
$72.15
|
|
Ghs opcc repair cvp without subq port
|
$920.99 |
$920.99 |
$920.99 |
$1,236.67
|
|
Ghs ot dds rom
|
$70.21 |
$70.21 |
$70.21 |
$66.95
|
|
Ghs ot prosthetic training/15 min
|
$63.72 |
$63.72 |
$63.72 |
$91.50
|
|
Ghs ot sensory integrative tech/15min
|
$48.97 |
$48.97 |
$48.97 |
$96.00
|
|
Ghs pacing - transcutaneous
|
$516.25 |
$516.25 |
$516.25 |
$819.60
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$585.28 |
$585.28 |
$585.28 |
$811.25
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$577.02 |
$577.02 |
$577.02 |
$930.00
|
|
Ghs peritonsillar abscess i andd
|
$307.39 |
$307.39 |
$307.39 |
$545.40
|
|
Ghs picc line insert < 5
|
$1,044.30 |
$1,044.30 |
$1,044.30 |
$1,999.46
|
|
Ghs plngl fx pm cl
|
$497.37 |
$497.37 |
$497.37 |
$584.32
|
|
Ghs ppd (tb intradermal)
|
$62.69 |
$62.69 |
$62.69 |
$37.70
|
|
Ghs protoporphyrins fract
|
$95.58 |
$95.58 |
$95.58 |
$63.90
|
|
Ghs pr without cont pulse ox
|
$158.71 |
$158.71 |
$158.71 |
$147.69
|
|
Ghs removal intranasal foreign body
|
$210.63 |
$210.63 |
$210.63 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$445.45 |
$445.45 |
$445.45 |
$442.06
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,774.72 |
$1,774.72 |
$1,774.72 |
$2,309.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$2,857.37 |
$2,857.37 |
$2,857.37 |
$4,108.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$59.00 |
$59.00 |
$59.00 |
$98.40
|
|
Ghs sensitivity (per antimicro)
|
$43.07 |
$43.07 |
$43.07 |
$57.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$355.77 |
$355.77 |
$355.77 |
$563.04
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$435.42 |
$435.42 |
$435.42 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$380.55 |
$380.55 |
$380.55 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$438.37 |
$438.37 |
$438.37 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$369.93 |
$369.93 |
$369.93 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$334.53 |
$334.53 |
$334.53 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$405.92 |
$405.92 |
$405.92 |
$491.30
|
|
Ghs simple repair over 30 cm - 12007
|
$398.84 |
$398.84 |
$398.84 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$478.49 |
$478.49 |
$478.49 |
$537.60
|
|
Ghs somatosensory testing lower extremit
|
$1,120.41 |
$1,120.41 |
$1,120.41 |
$921.70
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,060.23 |
$1,060.23 |
$1,060.23 |
$1,405.20
|
|
Ghs sphenopalatine ganglion block
|
$661.98 |
$661.98 |
$661.98 |
$628.16
|
|
Ghs strapping shoulder - 29240
|
$323.91 |
$323.91 |
$323.91 |
$213.20
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$82.01 |
$82.01 |
$82.01 |
$99.98
|
|
Ghs superficial wnd dehiscence simp12020
|
$427.16 |
$427.16 |
$427.16 |
$897.96
|
|
Ghs superficial wnd dehis w packing12021
|
$360.49 |
$360.49 |
$360.49 |
$696.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$512.12 |
$512.12 |
$512.12 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$204.73 |
$204.73 |
$204.73 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$54.87 |
$54.87 |
$54.87 |
$74.20
|
|
Gi inhouse confirmation
|
$83.19 |
$83.19 |
$83.19 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,831.36 |
$1,831.36 |
$1,831.36 |
$2,098.85
|
|
Gi trc img intral colon i&r
|
$1,670.29 |
$1,670.29 |
$1,670.29 |
$1,959.88
|
|
Glassia injection
|
$0.37 |
$0.37 |
$0.37 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$151.10 |
$151.10 |
$151.10 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$116.02 |
$116.02 |
$116.02 |
$491.67
|
|
Glucose 1 hr post dose
|
$41.30 |
$41.30 |
$41.30 |
$49.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$38.94 |
$38.94 |
$38.94 |
$23.68
|
|
Glucose blood quantitative
|
$35.40 |
$35.40 |
$35.40 |
$41.34
|
|
Glucose body fluid
|
$53.10 |
$53.10 |
$53.10 |
$50.82
|
|
Glucose tolerance test (gtt) 3 specimens
|
$86.73 |
$86.73 |
$86.73 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$30.09 |
$30.09 |
$30.09 |
$35.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$284.42 |
$284.42 |
$284.42 |
$4,846.65
|
