|
Ghs fb removal - incisional
|
$923.34 |
$923.34 |
$923.34 |
$2,454.00
|
|
Ghs fb removal - non-incisional
|
$1,376.49 |
$1,376.49 |
$1,376.49 |
$1,706.20
|
|
Ghs fish cytogen
|
$176.93 |
$176.93 |
$176.93 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$249.47 |
$249.47 |
$249.47 |
$229.45
|
|
Ghs flow volume loop
|
$269.36 |
$269.36 |
$269.36 |
$291.75
|
|
Ghs gastric intub aspiration lavage
|
$186.20 |
$186.20 |
$186.20 |
$385.60
|
|
Ghs hcv amplificaiton
|
$145.23 |
$145.23 |
$145.23 |
$198.90
|
|
Ghs histoplasma antigen
|
$214.69 |
$214.69 |
$214.69 |
$157.30
|
|
Ghs HIV antibody
|
$44.96 |
$44.96 |
$44.96 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,313.50 |
$1,313.50 |
$1,313.50 |
$3,686.06
|
|
Ghs i and d perirectal abscess 46040
|
$1,301.57 |
$1,301.57 |
$1,301.57 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,468.35 |
$1,468.35 |
$1,468.35 |
$1,468.35
|
|
Ghs i and d pilonidal cyst simple
|
$197.77 |
$197.77 |
$197.77 |
$762.75
|
|
Ghs incision thrombosed ext hemorrhoid
|
$186.48 |
$186.48 |
$186.48 |
$534.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$238.65 |
$238.65 |
$238.65 |
$312.80
|
|
Ghs inhibitor screen
|
$122.66 |
$122.66 |
$122.66 |
$138.06
|
|
Ghs init tx 1st degree burn
|
$86.58 |
$86.58 |
$86.58 |
$295.00
|
|
Ghs insertion of needle - bone
|
$160.86 |
$160.86 |
$160.86 |
$436.10
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$375.09 |
$375.09 |
$375.09 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$368.61 |
$368.61 |
$368.61 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,550.02 |
$1,550.02 |
$1,550.02 |
$2,026.46
|
|
Ghs irrigate corpora cavernosa for priapism
|
$224.59 |
$224.59 |
$224.59 |
$615.58
|
|
Ghs IV thrombolytics - cerebral
|
$237.36 |
$237.36 |
$237.36 |
$752.80
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$220.24 |
$220.24 |
$220.24 |
$536.80
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$216.27 |
$216.27 |
$216.27 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$203.87 |
$203.87 |
$203.87 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$207.11 |
$207.11 |
$207.11 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$235.78 |
$235.78 |
$235.78 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$231.53 |
$231.53 |
$231.53 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$277.41 |
$277.41 |
$277.41 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$292.58 |
$292.58 |
$292.58 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$287.86 |
$287.86 |
$287.86 |
$740.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$296.46 |
$296.46 |
$296.46 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$322.09 |
$322.09 |
$322.09 |
$993.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$378.79 |
$378.79 |
$378.79 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$203.41 |
$203.41 |
$203.41 |
$901.76
|
|
Ghs leukocyte alkaline phos (mayo)
|
$57.81 |
$57.81 |
$57.81 |
$62.28
|
|
Ghs mbp
|
$74.19 |
$74.19 |
$74.19 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$51.89 |
$51.89 |
$51.89 |
$240.00
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$76.22 |
$76.22 |
$76.22 |
$219.95
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$62.53 |
$62.53 |
$62.53 |
$216.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$53.00 |
$53.00 |
$53.00 |
$125.34
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$47.36 |
$47.36 |
$47.36 |
$123.30
|
|
Ghs nailbed repair/nail removal
|
$193.60 |
$193.60 |
$193.60 |
$818.00
|
|
Ghs nerve blk intercostal, single level
|
$750.55 |
$750.55 |
$750.55 |
$1,232.23
|
|
Ghs nerve block celiac plexus
|
$342.71 |
$342.71 |
$342.71 |
$1,681.24
|
|
Ghs nerve block lumbar or thoracic symp
|
$342.71 |
$342.71 |
$342.71 |
$2,079.21
|
|
Ghs nerve block sciatic nerve
|
$854.89 |
$854.89 |
$854.89 |
$1,745.25
|
|
Ghs nerve block suprascapular
|
$1,198.62 |
$1,198.62 |
$1,198.62 |
$1,220.00
|
|
Ghs ng placement w fluoro guidance
|
$107.30 |
$107.30 |
$107.30 |
$423.76
|
|
Ghs o2 uptake rest & indirect
|
$50.41 |
$50.41 |
$50.41 |
$200.00
|
|
Ghs opcc repair cvp without subq port
|
$828.52 |
$828.52 |
$828.52 |
$1,289.00
|
|
Ghs opcc repair cvp w subq port
|
$1,560.11 |
$1,560.11 |
$1,560.11 |
$2,449.60
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$25.62 |
$25.62 |
$25.62 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$36.54 |
$36.54 |
$36.54 |
$56.55
|
|
Ghs ot prosthetic training/15 min
|
$28.77 |
$28.77 |
$28.77 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$29.42 |
$29.42 |
$29.42 |
$89.73
|
|
Ghs pacing - transcutaneous
|
$479.43 |
$479.43 |
$479.43 |
$872.95
|
|
Ghs peritonsillar abscess i andd
|
$369.72 |
$369.72 |
$369.72 |
$694.20
|
|
Ghs picc line insert < 5
|
$1,127.39 |
$1,127.39 |
$1,127.39 |
$1,990.40
|
|
Ghs plngl fx pm cl
|
$270.75 |
$270.75 |
$270.75 |
$611.64
|
|
Ghs ppd (tb intradermal)
|
$25.25 |
$25.25 |
$25.25 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$47.82 |
$47.82 |
$47.82 |
$49.77
|
|
Ghs protoporphyrins fract
|
$53.00 |
$53.00 |
$53.00 |
$68.38
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$45.05 |
$45.05 |
$45.05 |
$55.25
|
|
Ghs refill of implantable pump
|
$219.87 |
$219.87 |
$219.87 |
$458.99
|
|
Ghs removal intranasal foreign body
|
$283.24 |
$283.24 |
$283.24 |
$320.00
|
|
Ghs removal pharyngeal foreign body
|
$348.36 |
$348.36 |
$348.36 |
$456.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,554.46 |
$1,554.46 |
$1,554.46 |
$2,055.00
|
|
Ghs respiratory syncytical virus igg/m
|
$30.16 |
$30.16 |
$30.16 |
$48.57
|
|
Ghs sensitivity (per antimicro)
|
$29.14 |
$29.14 |
$29.14 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$201.10 |
$201.10 |
$201.10 |
$535.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$200.82 |
$200.82 |
$200.82 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$221.82 |
$221.82 |
$221.82 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$242.07 |
$242.07 |
$242.07 |
$564.61
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$136.16 |
$136.16 |
$136.16 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$178.34 |
$178.34 |
$178.34 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$139.12 |
$139.12 |
$139.12 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$275.56 |
$275.56 |
$275.56 |
$560.80
|
|
Ghs simple repair over 30 cm - 12018
|
$288.23 |
$288.23 |
$288.23 |
$432.00
|
|
Ghs sphenopalatine ganglion block
|
$605.69 |
$605.69 |
$605.69 |
$762.91
|
|
Ghs sp train/fitting sp device - kx
|
$85.75 |
$85.75 |
$85.75 |
$240.80
|
|
Ghs strapping shoulder - 29240
|
$126.82 |
$126.82 |
$126.82 |
$210.91
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$66.51 |
$66.51 |
$66.51 |
$72.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$144.58 |
$144.58 |
$144.58 |
$342.40
|
|
Ghs superficial wnd dehiscence simp12020
|
$583.03 |
$583.03 |
$583.03 |
$1,016.25
|
|
Ghs superficial wnd dehis w packing12021
|
$265.85 |
$265.85 |
$265.85 |
$765.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,242.46 |
$1,242.46 |
$1,242.46 |
$2,379.20
|
|
Ghs tx distal phalangeal fx with manipulation
|
$252.90 |
$252.90 |
$252.90 |
$548.92
|
|
Ghs urine, porphyrins quant
|
$321.25 |
$321.25 |
$321.25 |
$85.15
|
|
Ghs vaginal delivery only
|
$968.66 |
$968.66 |
$968.66 |
$3,341.93
|
|
Giardia lamblia antibody
|
$85.93 |
$85.93 |
$85.93 |
$81.60
|
|
Gi inhouse confirmation
|
$46.34 |
$46.34 |
$46.34 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$354.90 |
$354.90 |
$354.90 |
$351.53
|
|
Glucagon plasma - sendout
|
$77.42 |
$77.42 |
$77.42 |
$67.50
|
|
Glucose 1 hr post dose
|
$22.85 |
$22.85 |
$22.85 |
$40.00
|
|
Glucose blood quantitative
|
$25.35 |
$25.35 |
$25.35 |
$40.80
|
|
Glucose body fluid
|
$27.01 |
$27.01 |
$27.01 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$46.25 |
$46.25 |
$46.25 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$12.12 |
$12.12 |
$12.12 |
$33.15
|
