|
Ghs corneal fb with slit lamp bilat
|
$171.60 |
$171.60 |
$171.60 |
$362.21
|
|
Ghs dislocation elbow closed treatment
|
$819.00 |
$819.00 |
$819.00 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$113.10 |
$113.10 |
$113.10 |
$351.46
|
|
Ghs excision ingrown nail
|
$240.50 |
$240.50 |
$240.50 |
$436.80
|
|
Ghs fb removal foot - deep - left
|
$862.55 |
$862.55 |
$862.55 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$548.60 |
$548.60 |
$548.60 |
$2,454.00
|
|
Ghs fb removal - non-incisional
|
$421.85 |
$421.85 |
$421.85 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$58.50 |
$58.50 |
$58.50 |
$51.99
|
|
Ghs fish cytogen
|
$308.75 |
$308.75 |
$308.75 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$109.20 |
$109.20 |
$109.20 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$304.20 |
$304.20 |
$304.20 |
$385.60
|
|
Ghs hgb stability-thal
|
$79.95 |
$79.95 |
$79.95 |
$85.20
|
|
Ghs histoplasma antigen
|
$169.00 |
$169.00 |
$169.00 |
$157.30
|
|
Ghs HIV antibody
|
$89.70 |
$89.70 |
$89.70 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$549.25 |
$549.25 |
$549.25 |
$3,686.06
|
|
Ghs i and d perirectal abscess 46040
|
$1,020.50 |
$1,020.50 |
$1,020.50 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$655.20 |
$655.20 |
$655.20 |
$1,468.35
|
|
Ghs i and d pilonidal cyst simple
|
$343.85 |
$343.85 |
$343.85 |
$762.75
|
|
Ghs incision thrombosed ext hemorrhoid
|
$391.30 |
$391.30 |
$391.30 |
$534.60
|
|
Ghs inhibitor screen
|
$158.60 |
$158.60 |
$158.60 |
$138.06
|
|
Ghs init tx 1st degree burn
|
$180.05 |
$180.05 |
$180.05 |
$295.00
|
|
Ghs inj tendon origin/insertion
|
$137.80 |
$137.80 |
$137.80 |
$412.50
|
|
Ghs insertion of needle - bone
|
$261.95 |
$261.95 |
$261.95 |
$436.10
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$783.25 |
$783.25 |
$783.25 |
$876.00
|
|
Ghs irrigate corpora cavernosa for priapism
|
$510.90 |
$510.90 |
$510.90 |
$615.58
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$528.45 |
$528.45 |
$528.45 |
$536.80
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$432.25 |
$432.25 |
$432.25 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$453.70 |
$453.70 |
$453.70 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$464.10 |
$464.10 |
$464.10 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$509.60 |
$509.60 |
$509.60 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$524.55 |
$524.55 |
$524.55 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$637.00 |
$637.00 |
$637.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$592.80 |
$592.80 |
$592.80 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$664.95 |
$664.95 |
$664.95 |
$740.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$830.70 |
$830.70 |
$830.70 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$573.95 |
$573.95 |
$573.95 |
$993.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$885.30 |
$885.30 |
$885.30 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$811.20 |
$811.20 |
$811.20 |
$880.00
|
|
Ghs mbp
|
$114.40 |
$114.40 |
$114.40 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$176.15 |
$176.15 |
$176.15 |
$240.00
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$110.50 |
$110.50 |
$110.50 |
$219.95
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$118.30 |
$118.30 |
$118.30 |
$216.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$189.15 |
$189.15 |
$189.15 |
$125.34
|
|
Ghs nailbed repair/nail removal
|
$444.60 |
$444.60 |
$444.60 |
$818.00
|
|
Ghs nerve blk intercostal, ea addtl level
|
$529.75 |
$529.75 |
$529.75 |
$1,546.50
|
|
Ghs nerve block lumbar or thoracic symp
|
$469.30 |
$469.30 |
$469.30 |
$2,079.21
|
|
Ghs nerve block suprascapular
|
$591.50 |
$591.50 |
$591.50 |
$1,220.00
|
|
Ghs ot dds rom
|
$66.95 |
$66.95 |
$66.95 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$80.60 |
$80.60 |
$80.60 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$75.40 |
$75.40 |
$75.40 |
$89.73
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$300.95 |
$300.95 |
$300.95 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$271.70 |
$271.70 |
$271.70 |
$849.47
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$41.60 |
$41.60 |
$41.60 |
$82.80
|
|
Ghs peritonsillar abscess i andd
|
$385.45 |
$385.45 |
$385.45 |
$694.20
|
|
Ghs phenylketonurid
|
$32.50 |
$32.50 |
$32.50 |
$61.20
|
|
Ghs picc line insert < 5
|
$1,160.25 |
$1,160.25 |
$1,160.25 |
$1,990.40
|
|
Ghs plngl fx pm cl
|
$642.20 |
$642.20 |
$642.20 |
$611.64
|
|
Ghs polysom <6 yrs 4/> parameters
|
$6,637.80 |
$6,637.80 |
$6,637.80 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$49.40 |
$49.40 |
$49.40 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$53.95 |
$53.95 |
$53.95 |
$49.77
|
|
Ghs protoporphyrins fract
|
$70.20 |
$70.20 |
$70.20 |
$68.38
|
|
Ghs quinidine
|
$63.70 |
$63.70 |
$63.70 |
$70.85
|
|
Ghs removal intranasal foreign body
|
$378.30 |
$378.30 |
$378.30 |
$320.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$136.50 |
$136.50 |
$136.50 |
$117.60
|
|
Ghs sedimentation rate
|
$49.40 |
$49.40 |
$49.40 |
$36.57
|
|
Ghs sensitivity (per antimicro)
|
$63.05 |
$63.05 |
$63.05 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$541.45 |
$541.45 |
$541.45 |
$535.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$787.15 |
$787.15 |
$787.15 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$642.85 |
$642.85 |
$642.85 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$888.55 |
$888.55 |
$888.55 |
$564.61
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$487.50 |
$487.50 |
$487.50 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$462.15 |
$462.15 |
$462.15 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$600.60 |
$600.60 |
$600.60 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$711.75 |
$711.75 |
$711.75 |
$560.80
|
|
Ghs sleep study unattended
|
$505.70 |
$505.70 |
$505.70 |
$503.38
|
|
Ghs sp train/fitting sp device - kx
|
$216.45 |
$216.45 |
$216.45 |
$240.80
|
|
Ghs strapping shoulder - 29240
|
$72.80 |
$72.80 |
$72.80 |
$210.91
|
|
Ghs superficial wnd dehiscence simp12020
|
$546.00 |
$546.00 |
$546.00 |
$1,016.25
|
|
Ghs tracheostomy emergency - transtracheal
|
$859.30 |
$859.30 |
$859.30 |
$2,379.20
|
|
Ghs tx distal phalangeal fx with manipulation
|
$457.60 |
$457.60 |
$457.60 |
$548.92
|
|
Ghs urine, porphyrins quant
|
$85.15 |
$85.15 |
$85.15 |
$85.15
|
|
Ghs vaginal delivery only
|
$1,892.80 |
$1,892.80 |
$1,892.80 |
$3,341.93
|
|
Gi inhouse confirmation
|
$102.70 |
$102.70 |
$102.70 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$1,224.86 |
$1,224.86 |
$1,224.86 |
$351.53
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,105.35 |
$1,105.35 |
$1,105.35 |
$509.06
|
|
Glucagon plasma - sendout
|
$89.05 |
$89.05 |
$89.05 |
$67.50
|
|
Glucose 1 hr post dose
|
$41.60 |
$41.60 |
$41.60 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$24.70 |
$24.70 |
$24.70 |
$20.00
|
|
Glucose blood quantitative
|
$34.45 |
$34.45 |
$34.45 |
$40.80
|
|
Glucose body fluid
|
$72.80 |
$72.80 |
$72.80 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$137.15 |
$137.15 |
$137.15 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$34.45 |
$34.45 |
$34.45 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$101.40 |
$101.40 |
$101.40 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$99.45 |
$99.45 |
$99.45 |
$117.65
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$79.30 |
$79.30 |
$79.30 |
$56.71
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$155.35 |
$155.35 |
$155.35 |
$5,533.20
|
|
Great toe with reduction 28495
|
$374.40 |
$374.40 |
$374.40 |
$581.25
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Hand X-ray
|
$468.00 |
$468.00 |
$468.00 |
$317.78
|
