|
Gel-one
|
$1,045.69 |
$1,045.69 |
$1,045.69 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$4.88 |
$4.88 |
$4.88 |
$680.71
|
|
General health panel
|
$56.84 |
$56.84 |
$56.84 |
$262.44
|
|
Genetic tstg severe inh cond
|
$6,510.12 |
$6,510.12 |
$6,510.12 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$2.28 |
$2.28 |
$2.28 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$59.27 |
$59.27 |
$59.27 |
$123.84
|
|
Ghs abscess perianal iandd
|
$2,052.24 |
$2,052.24 |
$2,052.24 |
$1,465.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$58.19 |
$58.19 |
$58.19 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$52.10 |
$52.10 |
$52.10 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$367.00 |
$367.00 |
$367.00 |
$344.00
|
|
Ghs change cysto/gastrost
|
$259.28 |
$259.28 |
$259.28 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$61.08 |
$61.08 |
$61.08 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$127.02 |
$127.02 |
$127.02 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$580.85 |
$580.85 |
$580.85 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$544.83 |
$544.83 |
$544.83 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$3,478.79 |
$3,478.79 |
$3,478.79 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$3,188.88 |
$3,188.88 |
$3,188.88 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,313.36 |
$2,313.36 |
$2,313.36 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$580.85 |
$580.85 |
$580.85 |
$513.80
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,478.79 |
$3,478.79 |
$3,478.79 |
$2,319.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$580.85 |
$580.85 |
$580.85 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$99.94 |
$99.94 |
$99.94 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$266.86 |
$266.86 |
$266.86 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$335.39 |
$335.39 |
$335.39 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$255.27 |
$255.27 |
$255.27 |
$339.60
|
|
Ghs cricothyroidotomy
|
$548.29 |
$548.29 |
$548.29 |
$1,104.00
|
|
Ghs diphtheria toxoid ab igg
|
$55.02 |
$55.02 |
$55.02 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$580.85 |
$580.85 |
$580.85 |
$602.00
|
|
Ghs fat & muscle
|
$14.21 |
$14.21 |
$14.21 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$3,619.96 |
$3,619.96 |
$3,619.96 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$3,812.63 |
$3,812.63 |
$3,812.63 |
$2,323.75
|
|
Ghs fish cytogen
|
$77.51 |
$77.51 |
$77.51 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$150.05 |
$150.05 |
$150.05 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$662.54 |
$662.54 |
$662.54 |
$368.50
|
|
Ghs hcv amplificaiton
|
$127.02 |
$127.02 |
$127.02 |
$196.20
|
|
Ghs histoplasma antigen
|
$43.39 |
$43.39 |
$43.39 |
$142.00
|
|
Ghs HIV antibody
|
$49.61 |
$49.61 |
$49.61 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,583.25 |
$3,583.25 |
$3,583.25 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,424.88 |
$2,424.88 |
$2,424.88 |
$2,798.50
|
|
Ghs i and d pilonidal cyst simple
|
$1,385.56 |
$1,385.56 |
$1,385.56 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$223.29 |
$223.29 |
$223.29 |
$526.50
|
|
Ghs inf midline insertion
|
$488.39 |
$488.39 |
$488.39 |
$1,238.25
|
|
Ghs inhibitor screen
|
$94.04 |
$94.04 |
$94.04 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$467.28 |
$467.28 |
$467.28 |
$275.88
|
|
Ghs inj tendon origin/insertion
|
$252.04 |
$252.04 |
$252.04 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$897.08 |
$897.08 |
$897.08 |
$1,118.00
|
|
Ghs insertion of needle - bone
|
$417.72 |
$417.72 |
$417.72 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$886.07 |
$886.07 |
$886.07 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,287.20 |
$1,287.20 |
$1,287.20 |
$1,051.20
|
|
Ghs intro needle/intracath vein - 36000
|
$140.94 |
$140.94 |
$140.94 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$406.89 |
$406.89 |
$406.89 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$133.11 |
$133.11 |
$133.11 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$823.15 |
$823.15 |
$823.15 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$823.15 |
$823.15 |
$823.15 |
$576.40
|
|
Ghs IV thrombolytics - cerebral
|
$590.24 |
$590.24 |
$590.24 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$255.27 |
$255.27 |
$255.27 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$842.52 |
$842.52 |
$842.52 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$842.52 |
$842.52 |
$842.52 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$842.52 |
$842.52 |
$842.52 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$842.52 |
$842.52 |
$842.52 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$912.66 |
$912.66 |
$912.66 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$841.68 |
$841.68 |
$841.68 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$842.52 |
$842.52 |
$842.52 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,287.29 |
$1,287.29 |
$1,287.29 |
$760.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,256.37 |
$1,256.37 |
$1,256.37 |
$969.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$31.14 |
$31.14 |
$31.14 |
$75.00
|
|
Ghs mbp
|
$62.27 |
$62.27 |
$62.27 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$18.20 |
$18.20 |
$18.20 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$36.41 |
$36.41 |
$36.41 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$39.48 |
$39.48 |
$39.48 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$35.33 |
$35.33 |
$35.33 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$35.33 |
$35.33 |
$35.33 |
$142.40
|
|
Ghs musc tst done w/nerv tst lim
|
$517.14 |
$517.14 |
$517.14 |
$272.48
|
|
Ghs myocardial strain img spckl track
|
$219.26 |
$219.26 |
$219.26 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,256.37 |
$1,256.37 |
$1,256.37 |
$724.37
|
|
Ghs nerve blk intercostal, single level
|
$648.41 |
$648.41 |
$648.41 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,053.63 |
$2,053.63 |
$2,053.63 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,665.09 |
$1,665.09 |
$1,665.09 |
$1,710.80
|
|
Ghs nerve block interscaline
|
$1,665.09 |
$1,665.09 |
$1,665.09 |
$1,540.61
|
|
Ghs nerve block sciatic nerve
|
$1,041.62 |
$1,041.62 |
$1,041.62 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$743.36 |
$743.36 |
$743.36 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$335.39 |
$335.39 |
$335.39 |
$485.00
|
|
Ghs o2 saturation
|
$31.58 |
$31.58 |
$31.58 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$1,285.65 |
$1,285.65 |
$1,285.65 |
$1,236.67
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$73.40 |
$73.40 |
$73.40 |
$58.00
|
|
Ghs ot group caregiver training
|
$15.56 |
$15.56 |
$15.56 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$130.62 |
$130.62 |
$130.62 |
$93.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$129.18 |
$129.18 |
$129.18 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$586.66 |
$586.66 |
$586.66 |
$555.00
|
|
Ghs phenylketonurid
|
$19.90 |
$19.90 |
$19.90 |
$53.76
|
|
Ghs plngl fx pm cl
|
$580.85 |
$580.85 |
$580.85 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$54.85 |
$54.85 |
$54.85 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$34.97 |
$34.97 |
$34.97 |
$43.55
|
|
Ghs protein, misc fluid
|
$14.92 |
$14.92 |
$14.92 |
$24.60
|
|
Ghs protoporphyrins fract
|
$51.92 |
$51.92 |
$51.92 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$139.96 |
$139.96 |
$139.96 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$44.32 |
$44.32 |
$44.32 |
$47.55
|
|
Ghs removal intranasal foreign body
|
$255.27 |
$255.27 |
$255.27 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$766.19 |
$766.19 |
$766.19 |
$441.68
|
|
Ghs reticulocyte count
|
$15.60 |
$15.60 |
$15.60 |
$34.50
|