|
Ghs osteopathic manipulative tx, 3-4 regions
|
$21.34 |
$21.34 |
$21.34 |
$64.50
|
|
Ghs ot dds rom
|
$4.84 |
$4.84 |
$4.84 |
$65.21
|
|
Ghs ot group caregiver training
|
$42.90 |
$42.90 |
$42.90 |
$36.85
|
|
Ghs pacing - transcutaneous
|
$1,531.92 |
$1,531.92 |
$1,531.92 |
$828.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,562.34 |
$1,562.34 |
$1,562.34 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,562.34 |
$1,562.34 |
$1,562.34 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$15.18 |
$15.18 |
$15.18 |
$72.80
|
|
Ghs peritonsillar abscess i andd
|
$543.66 |
$543.66 |
$543.66 |
$569.70
|
|
Ghs phenylketonurid
|
$3.52 |
$3.52 |
$3.52 |
$53.76
|
|
Ghs picc line insert < 5
|
$3,635.58 |
$3,635.58 |
$3,635.58 |
$2,035.00
|
|
Ghs plngl fx pm cl
|
$701.22 |
$701.22 |
$701.22 |
$578.00
|
|
Ghs plt ct-manual
|
$2.64 |
$2.64 |
$2.64 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$74.80 |
$74.80 |
$74.80 |
$3,587.50
|
|
Ghs pos nystagmus
|
$15.18 |
$15.18 |
$15.18 |
$232.70
|
|
Ghs ppd (tb intradermal)
|
$128.70 |
$128.70 |
$128.70 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$6.16 |
$6.16 |
$6.16 |
$43.55
|
|
Ghs protein, misc fluid
|
$3.52 |
$3.52 |
$3.52 |
$24.60
|
|
Ghs protoporphyrins fract
|
$9.68 |
$9.68 |
$9.68 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$11.00 |
$11.00 |
$11.00 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$7.92 |
$7.92 |
$7.92 |
$47.55
|
|
Ghs quinidine
|
$9.68 |
$9.68 |
$9.68 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$301.86 |
$301.86 |
$301.86 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$78.10 |
$78.10 |
$78.10 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$311.08 |
$311.08 |
$311.08 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$10.56 |
$10.56 |
$10.56 |
$73.50
|
|
Ghs reticulocyte count
|
$22.62 |
$22.62 |
$22.62 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$73.32 |
$73.32 |
$73.32 |
$99.00
|
|
Ghs sedimentation rate
|
$22.62 |
$22.62 |
$22.62 |
$44.27
|
|
Ghs semen analysis fert
|
$7.92 |
$7.92 |
$7.92 |
$129.00
|
|
Ghs semen analysis, post-vas
|
$6.60 |
$6.60 |
$6.60 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$39.00 |
$39.00 |
$39.00 |
$56.50
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$935.22 |
$935.22 |
$935.22 |
$587.30
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,169.22 |
$1,169.22 |
$1,169.22 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,169.22 |
$1,169.22 |
$1,169.22 |
$592.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,169.22 |
$1,169.22 |
$1,169.22 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$581.88 |
$581.88 |
$581.88 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$581.88 |
$581.88 |
$581.88 |
$441.60
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$581.88 |
$581.88 |
$581.88 |
$492.80
|
|
Ghs simple repair over 30 cm - 12007
|
$581.88 |
$581.88 |
$581.88 |
$602.00
|
|
Ghs simple repair over 30 cm - 12018
|
$464.88 |
$464.88 |
$464.88 |
$537.60
|
|
Ghs sleep study unattended
|
$23.76 |
$23.76 |
$23.76 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$16.06 |
$16.06 |
$16.06 |
$906.18
|
|
Ghs somatosensory testing upper & lower limbs
|
$27.50 |
$27.50 |
$27.50 |
$1,416.80
|
|
Ghs sphenopalatine ganglion block
|
$691.08 |
$691.08 |
$691.08 |
$644.00
|
|
Ghs spont nystagmus
|
$12.76 |
$12.76 |
$12.76 |
$242.00
|
|
Ghs st - eval for alt comm
|
$6.60 |
$6.60 |
$6.60 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$11.00 |
$11.00 |
$11.00 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,432.86 |
$1,432.86 |
$1,432.86 |
$975.00
|
|
Ghs superficial wnd dehis w packing12021
|
$935.22 |
$935.22 |
$935.22 |
$696.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$196.02 |
$196.02 |
$196.02 |
$1,867.84
|
|
Ghs trypsin (fecal)
|
$4.84 |
$4.84 |
$4.84 |
$50.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$701.22 |
$701.22 |
$701.22 |
$535.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$150.04 |
$150.04 |
$150.04 |
$513.80
|
|
Ghs urine, hydroxproline total
|
$15.84 |
$15.84 |
$15.84 |
$109.20
|
|
Ghs urine, porphyrins quant
|
$9.68 |
$9.68 |
$9.68 |
$73.80
|
|
Ghs vaginal delivery only
|
$6,509.88 |
$6,509.88 |
$6,509.88 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,086.54 |
$1,086.54 |
$1,086.54 |
$1,932.00
|
|
Ghs windowing of cast
|
$27.50 |
$27.50 |
$27.50 |
$212.55
|
|
Giardia ag if
|
$8.80 |
$8.80 |
$8.80 |
$38.58
|
|
Giardia lamblia antibody
|
$9.68 |
$9.68 |
$9.68 |
$83.44
|
|
Gi endoscopic ultrasound
|
$24.86 |
$24.86 |
$24.86 |
$582.31
|
|
Gi inhouse confirmation
|
$49.92 |
$49.92 |
$49.92 |
$86.40
|
|
Gingivoplasty each quadrant
|
$188.76 |
$188.76 |
$188.76 |
$4,296.60
|
|
Gi protein loss
|
$9.46 |
$9.46 |
$9.46 |
$700.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$68.20 |
$68.20 |
$68.20 |
$2,203.00
|
|
Gi trc img intral colon i&r
|
$73.70 |
$73.70 |
$73.70 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$27.50 |
$27.50 |
$27.50 |
$1,897.82
|
|
Gi wireless capsule measure
|
$64.02 |
$64.02 |
$64.02 |
$1,579.30
|
|
Glaucoma surgery
|
$528.66 |
$528.66 |
$528.66 |
$4,760.49
|
|
Glaucoma surgery
|
$528.22 |
$528.22 |
$528.22 |
$4,340.80
|
|
Glaucoma surgery
|
$594.44 |
$594.44 |
$594.44 |
$4,684.00
|
|
Glaucoma surgery
|
$660.22 |
$660.22 |
$660.22 |
$4,786.53
|
|
Glucagon 1 mg solution for injection
|
$132.13 |
$132.13 |
$132.13 |
$613.79
|
|
Glucagon plasma - sendout
|
$9.24 |
$9.24 |
$9.24 |
$64.35
|
|
Glucagon tolerance panel
|
$30.36 |
$30.36 |
$30.36 |
$115.70
|
|
Glucagon tolerance panel
|
$33.44 |
$33.44 |
$33.44 |
$69.69
|
|
Glucagon tolerance test
|
$11.88 |
$11.88 |
$11.88 |
$36.00
|
|
Glucose 1 hr post dose
|
$24.96 |
$24.96 |
$24.96 |
$48.11
|
|
Glucose-6-phosphate dhydrogenase screen
|
$3.96 |
$3.96 |
$3.96 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$17.94 |
$17.94 |
$17.94 |
$23.12
|
|
Glucose blood quantitative
|
$20.28 |
$20.28 |
$20.28 |
$41.40
|
|
Glucose body fluid
|
$20.28 |
$20.28 |
$20.28 |
$51.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$67.86 |
$67.86 |
$67.86 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$20.28 |
$20.28 |
$20.28 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$97.50 |
$97.50 |
$97.50 |
$117.00
|
|
Gonadotropin hormone panel
|
$98.12 |
$98.12 |
$98.12 |
$372.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$97.50 |
$97.50 |
$97.50 |
$129.03
|
|
Gonioscopy
|
$12.32 |
$12.32 |
$12.32 |
$135.52
|
|
Goniotomy
|
$492.58 |
$492.58 |
$492.58 |
$4,396.50
|
|
Graft hand or finger tendon
|
$563.42 |
$563.42 |
$563.42 |
$3,839.54
|
|
Graft patch felt ptfe 2x2
|
$283.85 |
$283.85 |
$283.85 |
$29,289.67
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$712.92 |
$712.92 |
$712.92 |
$900.00
|
|
Graft repair of spine defect 63710
|
$676.72 |
$676.72 |
$676.72 |
$2,054.40
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$29,043.97
|
|
Great toe-hand transfer
|
$2,024.66 |
$2,024.66 |
$2,024.66 |
$7,413.38
|
|
Great toe with reduction 28495
|
$701.22 |
$701.22 |
$701.22 |
$513.36
|
|
Grfg autol fat lipo 25 cc/<
|
$311.08 |
$311.08 |
$311.08 |
$5,110.00
|
|
Grfg autol fat lipo 50 cc/<
|
$317.68 |
$317.68 |
$317.68 |
$5,102.99
|
|
Grfg autol fat lipo ea addl
|
$91.74 |
$91.74 |
$91.74 |
$4,026.40
|
