|
Ghs inhibitor screen
|
$108.00 |
$108.00 |
$108.00 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$380.40 |
$380.40 |
$380.40 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$3,600.73 |
$3,600.73 |
$3,600.73 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$444.60 |
$444.60 |
$444.60 |
$431.07
|
|
Ghs insertion of needle - bone
|
$313.80 |
$313.80 |
$313.80 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$876.00 |
$876.00 |
$876.00 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$876.00 |
$876.00 |
$876.00 |
$1,035.60
|
|
Ghs irrigate corpora cavernosa for priapism
|
$679.20 |
$679.20 |
$679.20 |
$544.80
|
|
Ghs IV thrombolytics - cerebral
|
$1,194.60 |
$1,194.60 |
$1,194.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$876.00 |
$876.00 |
$876.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$876.00 |
$876.00 |
$876.00 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$876.00 |
$876.00 |
$876.00 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$876.00 |
$876.00 |
$876.00 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$876.00 |
$876.00 |
$876.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$876.00 |
$876.00 |
$876.00 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$876.00 |
$876.00 |
$876.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$876.00 |
$876.00 |
$876.00 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$876.00 |
$876.00 |
$876.00 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$876.00 |
$876.00 |
$876.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$876.00 |
$876.00 |
$876.00 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$876.00 |
$876.00 |
$876.00 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,666.80 |
$1,666.80 |
$1,666.80 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$72.60 |
$72.60 |
$72.60 |
$76.20
|
|
Ghs mbp
|
$105.00 |
$105.00 |
$105.00 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$196.80 |
$196.80 |
$196.80 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$196.80 |
$196.80 |
$196.80 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$196.80 |
$196.80 |
$196.80 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$196.80 |
$196.80 |
$196.80 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$196.80 |
$196.80 |
$196.80 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$949.20 |
$949.20 |
$949.20 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$876.00 |
$876.00 |
$876.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,932.98 |
$2,932.98 |
$2,932.98 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$2,932.98 |
$2,932.98 |
$2,932.98 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$2,764.20 |
$2,764.20 |
$2,764.20 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$2,764.20 |
$2,764.20 |
$2,764.20 |
$1,689.00
|
|
Ghs nerve block interscaline
|
$2,932.32 |
$2,932.32 |
$2,932.32 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,450.20 |
$1,450.20 |
$1,450.20 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$2,764.20 |
$2,764.20 |
$2,764.20 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$2,943.90 |
$2,943.90 |
$2,943.90 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$316.20 |
$316.20 |
$316.20 |
$478.50
|
|
Ghs o2 saturation
|
$69.00 |
$69.00 |
$69.00 |
$70.80
|
|
Ghs ob unlisted IV or art inj or infusion
|
$72.60 |
$72.60 |
$72.60 |
$75.00
|
|
Ghs opcc repair cvp without subq port
|
$1,559.40 |
$1,559.40 |
$1,559.40 |
$1,229.24
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$59.40 |
$59.40 |
$59.40 |
$55.77
|
|
Ghs ot prosthetic training/15 min
|
$58.80 |
$58.80 |
$58.80 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$162.00 |
$162.00 |
$162.00 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$138.00 |
$138.00 |
$138.00 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$606.60 |
$606.60 |
$606.60 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$4,779.60 |
$4,779.60 |
$4,779.60 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$4,779.60 |
$4,779.60 |
$4,779.60 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$784.80 |
$784.80 |
$784.80 |
$546.36
|
|
Ghs plngl fx pm cl
|
$784.80 |
$784.80 |
$784.80 |
$564.80
|
|
Ghs plt ct-manual
|
$10.20 |
$10.20 |
$10.20 |
$37.96
|
|
Ghs ppd (tb intradermal)
|
$40.80 |
$40.80 |
$40.80 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$94.80 |
$94.80 |
$94.80 |
$43.55
|
|
Ghs protein, misc fluid
|
$36.60 |
$36.60 |
$36.60 |
$24.60
|
|
Ghs protoporphyrins fract
|
$78.60 |
$78.60 |
$78.60 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$44.40 |
$44.40 |
$44.40 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$752.40 |
$752.40 |
$752.40 |
$275.60
|
|
Ghs quinidine
|
$36.60 |
$36.60 |
$36.60 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$342.00 |
$342.00 |
$342.00 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$342.00 |
$342.00 |
$342.00 |
$459.90
|
|
Ghs repair tendon ext forearm/wrist ea
|
$5,224.20 |
$5,224.20 |
$5,224.20 |
$4,041.79
|
|
Ghs respiratory syncytical virus igg/m
|
$100.20 |
$100.20 |
$100.20 |
$71.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$133.20 |
$133.20 |
$133.20 |
$96.60
|
|
Ghs sedimentation rate
|
$67.80 |
$67.80 |
$67.80 |
$45.50
|
|
Ghs semen analysis fert
|
$270.00 |
$270.00 |
$270.00 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$38.40 |
$38.40 |
$38.40 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$876.00 |
$876.00 |
$876.00 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$876.00 |
$876.00 |
$876.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$876.00 |
$876.00 |
$876.00 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$876.00 |
$876.00 |
$876.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$876.00 |
$876.00 |
$876.00 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$876.00 |
$876.00 |
$876.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$876.00 |
$876.00 |
$876.00 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$876.00 |
$876.00 |
$876.00 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$876.00 |
$876.00 |
$876.00 |
$537.60
|
|
Ghs strapping shoulder - 29240
|
$444.60 |
$444.60 |
$444.60 |
$213.20
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$861.75
|
|
Ghs superficial wnd dehis w packing12021
|
$656.40 |
$656.40 |
$656.40 |
$661.50
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,677.80 |
$2,677.80 |
$2,677.80 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$784.80 |
$784.80 |
$784.80 |
$523.00
|
|
Ghs urine, hydroxproline total
|
$49.20 |
$49.20 |
$49.20 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$166.80 |
$166.80 |
$166.80 |
$75.00
|
|
Ghs vaginal delivery only
|
$4,941.60 |
$4,941.60 |
$4,941.60 |
$3,152.00
|
|
Giardia lamblia antibody
|
$69.60 |
$69.60 |
$69.60 |
$83.44
|
|
Gi inhouse confirmation
|
$237.00 |
$237.00 |
$237.00 |
$83.70
|
|
Gjb2 gene full sequence
|
$498.00 |
$498.00 |
$498.00 |
$502.80
|
|
Gjb6 gene com variants
|
$247.80 |
$247.80 |
$247.80 |
$106.40
|
|
Glove finger flexion right lg xl
|
$257.54 |
$257.54 |
$257.54 |
$100.48
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,030.98 |
$1,030.98 |
$1,030.98 |
$491.67
|
|
Glucagon plasma - sendout
|
$33.00 |
$33.00 |
$33.00 |
$63.00
|
|
Glucose 1 hr post dose
|
$99.60 |
$99.60 |
$99.60 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$34.80 |
$34.80 |
$34.80 |
$23.86
|
|
Glucose blood quantitative
|
$60.00 |
$60.00 |
$60.00 |
$40.00
|
|
Glucose body fluid
|
$51.00 |
$51.00 |
$51.00 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$214.20 |
$214.20 |
$214.20 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$63.00 |
$63.00 |
$63.00 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$16.14 |
$16.14 |
$16.14 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$211.80 |
$211.80 |
$211.80 |
$115.05
|
