|
Ghs oscillating trac
|
$84.15 |
$340.32 |
$366.72 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$27.65 |
$28.00 |
$29.79 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$27.65 |
$28.00 |
$29.79 |
|
|
Ghs ot dds rom
|
$10.05 |
$10.05 |
$10.05 |
|
|
Ghs ot group caregiver training
|
$14.15 |
$14.15 |
$14.15 |
|
|
Ghs ot prosthetic training/15 min
|
$52.32 |
$52.32 |
$72.50 |
|
|
Ghs ot sensory integrative tech/15min
|
$81.32 |
$81.32 |
$110.00 |
|
|
Ghs pacing - transcutaneous
|
$715.16 |
$724.31 |
$770.64 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$3,786.00 |
$4,350.00 |
$5,419.00 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$3,786.00 |
$4,350.00 |
$5,419.00 |
|
|
Ghs peritonsillar abscess i andd
|
$253.79 |
$3,986.00 |
$6,839.00 |
|
|
Ghs phenylketonurid
|
$5.50 |
$6.05 |
$41.50 |
|
|
Ghs picc line insert < 5
|
$1,697.72 |
$3,986.00 |
$6,839.00 |
|
|
Ghs plngl fx pm cl
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs plt ct-manual
|
$4.31 |
$4.74 |
$4.74 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,111.89 |
$1,198.14 |
$1,783.00 |
|
|
Ghs pos nystagmus
|
$89.73 |
$142.67 |
$151.80 |
|
|
Ghs ppd (tb intradermal)
|
$10.20 |
$26.76 |
$28.84 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$9.66 |
$10.63 |
$10.63 |
|
|
Ghs protein, misc fluid
|
$5.61 |
$6.17 |
$6.17 |
|
|
Ghs protoporphyrins fract
|
$14.35 |
$15.79 |
$15.79 |
|
|
Ghs pr without cont pulse ox
|
$28.51 |
$64.92 |
$69.95 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$12.25 |
$13.48 |
$13.48 |
|
|
Ghs quinidine
|
$14.60 |
$16.06 |
$16.06 |
|
|
Ghs refill of implantable pump
|
$362.50 |
$367.13 |
$390.62 |
|
|
Ghs removal intranasal foreign body
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Ghs removal pharyngeal foreign body
|
$436.10 |
$3,986.00 |
$6,839.00 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Ghs respiratory syncytical virus igg/m
|
$15.89 |
$17.48 |
$64.50 |
|
|
Ghs reticulocyte count
|
$4.31 |
$4.74 |
$20.00 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$13.91 |
$15.30 |
$15.30 |
|
|
Ghs sedimentation rate
|
$4.27 |
$4.70 |
$21.50 |
|
|
Ghs semen analysis fert
|
$12.31 |
$13.54 |
$13.54 |
|
|
Ghs semen analysis, post-vas
|
$9.84 |
$10.82 |
$10.82 |
|
|
Ghs sensitivity (per antimicro)
|
$7.48 |
$8.23 |
$8.23 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs simple repair over 30 cm - 12007
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs simple repair over 30 cm - 12018
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs sleep study unattended
|
$170.99 |
$295.53 |
$455.67 |
|
|
Ghs somatosensory testing lower extremit
|
$340.32 |
$344.98 |
$366.72 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$439.26 |
$587.30 |
$624.87 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$60.57 |
$60.57 |
$60.57 |
|
|
Ghs sphenopalatine ganglion block
|
$322.61 |
$3,986.00 |
$6,839.00 |
|
|
Ghs spont nystagmus
|
$91.89 |
$140.87 |
$151.80 |
|
|
Ghs sp train/fitting sp device - kx
|
$128.79 |
$128.79 |
$128.79 |
|
|
Ghs st - eval for alt comm
|
$25.54 |
$43.48 |
$68.00 |
|
|
Ghs strapping shoulder - 29240
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Ghs st - re-eval for alt comm
|
$93.37 |
$93.37 |
$93.37 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$26.84 |
$51.07 |
$54.34 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$87.84 |
$233.20 |
$248.12 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs superficial wnd dehis w packing12021
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,618.86 |
$3,986.00 |
$6,839.00 |
|
|
Ghs trypsin (fecal)
|
$7.30 |
$8.03 |
$8.03 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs urine, hydroxproline total
|
$24.30 |
$26.73 |
$26.73 |
|
|
Ghs urine, porphyrins quant
|
$14.71 |
$16.18 |
$16.18 |
|
|
Ghs vaginal delivery only
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$571.02 |
$588.79 |
$1,615.17 |
|
|
Ghs windowing of cast
|
$172.45 |
$3,986.00 |
$6,839.00 |
|
|
Giardia ag if
|
$13.61 |
$14.97 |
$14.97 |
|
|
Giardia lamblia antibody
|
$14.72 |
$16.19 |
$95.50 |
|
|
Gi endoscopic ultrasound
|
$264.17 |
$267.55 |
$284.66 |
|
|
Gi inhouse confirmation
|
$9.44 |
$10.38 |
$43.00 |
|
|
Gingivoplasty each quadrant
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Gi protein loss
|
$439.15 |
$444.77 |
$473.22 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$488.00 |
$1,005.16 |
$1,104.13 |
|
|
Gi trc img intral colon i&r
|
$996.39 |
$1,009.14 |
$1,073.68 |
|
|
Gi trc img intral esophagus
|
$464.52 |
$832.31 |
$1,104.13 |
|
|
Gi wireless capsule measure
|
$1,024.64 |
$1,037.75 |
$1,104.13 |
|
|
Gjb2 gene full sequence
|
$101.12 |
$111.23 |
$111.23 |
|
|
Gjb2 gene known fam variants
|
$61.52 |
$67.67 |
$67.67 |
|
|
Gjb6 gene com variants
|
$35.00 |
$38.50 |
$38.50 |
|
|
Glassia injection
|
$5.58 |
$5.71 |
$5.71 |
|
|
Glaucoma scrn hgh risk direc
|
$26.76 |
$27.11 |
$28.84 |
|
|
Glaucoma scrn hgh risk direc
|
$42.90 |
$43.44 |
$46.22 |
|
|
Glaucoma surgery
|
$3,786.00 |
$4,627.00 |
$6,839.00 |
|
|
Glaucoma surgery
|
$3,786.00 |
$4,627.00 |
$6,839.00 |
|
|
Glaucoma surgery
|
$2,492.56 |
$3,986.00 |
$6,839.00 |
|
|
Glaucoma surgery
|
$2,492.56 |
$3,986.00 |
$6,839.00 |
|
|
Glucagon 1 mg solution for injection
|
$192.30 |
$195.79 |
$195.79 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$108.93 |
$144.88 |
$144.88 |
|
|
Glucagon plasma - sendout
|
$14.29 |
$15.72 |
$15.72 |
|
|
Glucagon tolerance panel
|
$46.07 |
$50.68 |
$50.68 |
|
|
Glucagon tolerance panel
|
$50.50 |
$55.55 |
$55.55 |
|
|
Glucagon tolerance test
|
$17.77 |
$19.55 |
$19.55 |
|
|
Glucose 1 hr post dose
|
$4.75 |
$5.23 |
$5.23 |
|
|
Glucose-6-phosphate dhydrogenase screen
|
$6.05 |
$6.66 |
$6.66 |
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$3.28 |
$3.61 |
$33.20 |
|
|
Glucose blood quantitative
|
$3.93 |
$4.32 |
$21.50 |
|
|
Glucose body fluid
|
$3.93 |
$4.32 |
$32.50 |
|
|
Glucose monitoring continual min 72hr pt
|
$48.50 |
$65.75 |
$69.95 |
|
