|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$986.40 |
$986.40 |
$986.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$635.52 |
$635.52 |
$635.52 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$633.12 |
$633.12 |
$633.12 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$769.92 |
$769.92 |
$769.92 |
$782.46
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$767.04 |
$767.04 |
$767.04 |
$1,025.64
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$886.56 |
$886.56 |
$886.56 |
$929.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$839.52 |
$839.52 |
$839.52 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$927.84 |
$927.84 |
$927.84 |
$1,064.98
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$174.01 |
$174.01 |
$174.01 |
$246.40
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$169.43 |
$169.43 |
$169.43 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$119.06 |
$119.06 |
$119.06 |
$151.20
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$75.36 |
$75.36 |
$75.36 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$146.88 |
$146.88 |
$146.88 |
$322.80
|
|
Ghs musc tst done w/nerv tst lim
|
$94.56 |
$94.56 |
$94.56 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$126.24 |
$126.24 |
$126.24 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$52.41 |
$52.41 |
$52.41 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$798.72 |
$798.72 |
$798.72 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$50.88 |
$50.88 |
$50.88 |
$1,549.80
|
|
Ghs nerve blk intercostal, single level
|
$1,237.44 |
$1,237.44 |
$1,237.44 |
$1,109.38
|
|
Ghs nerve block brachial plexus
|
$204.96 |
$204.96 |
$204.96 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$242.40 |
$242.40 |
$242.40 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$503.04 |
$503.04 |
$503.04 |
$485.00
|
|
Ghs opcc repair cvp without subq port
|
$326.88 |
$326.88 |
$326.88 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$2,235.36 |
$2,235.36 |
$2,235.36 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$48.00 |
$48.00 |
$48.00 |
$57.60
|
|
Ghs ot prosthetic training/15 min
|
$63.09 |
$63.09 |
$63.09 |
$90.75
|
|
Ghs ot sensory integrative tech/15min
|
$46.30 |
$46.30 |
$46.30 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$136.87 |
$136.87 |
$136.87 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$918.24 |
$918.24 |
$918.24 |
$819.60
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$72.50 |
$72.50 |
$72.50 |
$76.56
|
|
Ghs peritonsillar abscess i andd
|
$365.28 |
$365.28 |
$365.28 |
$544.44
|
|
Ghs phenylketonurid
|
$10.81 |
$10.81 |
$10.81 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$545.28 |
$545.28 |
$545.28 |
$580.32
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,648.80 |
$1,648.80 |
$1,648.80 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$15.84 |
$15.84 |
$15.84 |
$37.50
|
|
Ghs protoporphyrins fract
|
$87.51 |
$87.51 |
$87.51 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$108.88 |
$108.88 |
$108.88 |
$147.95
|
|
Ghs pt - work hardening/int 2hrs
|
$273.12 |
$273.12 |
$273.12 |
$285.60
|
|
Ghs quinidine
|
$31.55 |
$31.55 |
$31.55 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$323.04 |
$323.04 |
$323.04 |
$294.00
|
|
Ghs removal pharyngeal foreign body
|
$711.84 |
$711.84 |
$711.84 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$931.68 |
$931.68 |
$931.68 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$771.36 |
$771.36 |
$771.36 |
$4,108.00
|
|
Ghs sedimentation rate
|
$33.58 |
$33.58 |
$33.58 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$31.04 |
$31.04 |
$31.04 |
$58.95
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$635.52 |
$635.52 |
$635.52 |
$558.97
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$335.04 |
$335.04 |
$335.04 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$498.24 |
$498.24 |
$498.24 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$234.24 |
$234.24 |
$234.24 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$635.04 |
$635.04 |
$635.04 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$368.16 |
$368.16 |
$368.16 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$345.60 |
$345.60 |
$345.60 |
$492.80
|
|
Ghs simple repair over 30 cm - 12007
|
$355.68 |
$355.68 |
$355.68 |
$589.80
|
|
Ghs simple repair over 30 cm - 12018
|
$264.00 |
$264.00 |
$264.00 |
$537.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$120.08 |
$120.08 |
$120.08 |
$153.00
|
|
Ghs sphenopalatine ganglion block
|
$500.64 |
$500.64 |
$500.64 |
$628.16
|
|
Ghs sp train/fitting sp device - kx
|
$187.75 |
$187.75 |
$187.75 |
$243.60
|
|
Ghs st - eval for alt comm
|
$24.96 |
$24.96 |
$24.96 |
$93.60
|
|
Ghs strapping shoulder - 29240
|
$45.60 |
$45.60 |
$45.60 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$187.24 |
$187.24 |
$187.24 |
$301.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$976.80 |
$976.80 |
$976.80 |
$890.40
|
|
Ghs superficial wnd dehis w packing12021
|
$272.64 |
$272.64 |
$272.64 |
$696.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$484.32 |
$484.32 |
$484.32 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$509.76 |
$509.76 |
$509.76 |
$526.35
|
|
Ghs urine, porphyrins quant
|
$63.60 |
$63.60 |
$63.60 |
$75.00
|
|
Ghs vaginal delivery only
|
$1,222.08 |
$1,222.08 |
$1,222.08 |
$3,142.35
|
|
Ghs windowing of cast
|
$100.80 |
$100.80 |
$100.80 |
$212.55
|
|
Gi inhouse confirmation
|
$35.62 |
$35.62 |
$35.62 |
$84.80
|
|
Glassia injection
|
$1,846.29 |
$1,846.29 |
$1,846.29 |
$20.32
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$610.27 |
$610.27 |
$610.27 |
$491.67
|
|
Glucagon plasma - sendout
|
$7.43 |
$7.43 |
$7.43 |
$63.00
|
|
Glucose 1 hr post dose
|
$26.97 |
$26.97 |
$26.97 |
$50.40
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$13.74 |
$13.74 |
$13.74 |
$24.26
|
|
Glucose blood quantitative
|
$29.00 |
$29.00 |
$29.00 |
$41.50
|
|
Glucose body fluid
|
$28.49 |
$28.49 |
$28.49 |
$51.12
|
|
Glucose monitoring continual min 72hr pt
|
$114.48 |
$114.48 |
$114.48 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$71.23 |
$71.23 |
$71.23 |
$103.35
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$24.42 |
$24.42 |
$24.42 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$59.04 |
$59.04 |
$59.04 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,462.22 |
$4,462.22 |
$4,462.22 |
$4,846.65
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$77.85 |
$77.85 |
$77.85 |
$117.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$71.74 |
$71.74 |
$71.74 |
$131.20
|
|
Goserelin 10.8 mg subcutaneous implant
|
$7,011.89 |
$7,011.89 |
$7,011.89 |
$4,653.16
|
|
Granisetron hcl injection
|
$89.67 |
$89.67 |
$89.67 |
$46.00
|
|
Great toe with reduction 28495
|
$439.20 |
$439.20 |
$439.20 |
$502.00
|
|
Group mnt 2 or more 30 mins
|
$11.70 |
$11.70 |
$11.70 |
$43.12
|
|
Gstrct prtl dstl w/roux-en-y rcnstj 43633
|
$2,931.84 |
$2,931.84 |
$2,931.84 |
$3,604.20
|
|
Guided cath fluid drainage 10030
|
$966.24 |
$966.24 |
$966.24 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$67.09 |
$67.09 |
$67.09 |
$3,401.81
|
|
Guid loc target vol rad tx
|
$620.64 |
$620.64 |
$620.64 |
$536.00
|
|
Gw stiffened micro access kit
|
$101.21 |
$101.21 |
$101.21 |
$6,500.00
|
|
Gynecomastia (males) 19300
|
$886.08 |
$886.08 |
$886.08 |
$3,735.20
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$127.39 |
$127.39 |
$127.39 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$18.22 |
$18.22 |
$18.22 |
$24.30
|
|
Hand X-ray
|
$155.18 |
$155.18 |
$155.18 |
$358.40
|
|
Haptoglobin quantitative
|
$60.04 |
$60.04 |
$60.04 |
$91.14
|
|
Harvest auto stem cells
|
$124.32 |
$124.32 |
$124.32 |
$3,596.74
|
|
Harvest cultured skin graft 15040
|
$3,189.12 |
$3,189.12 |
$3,189.12 |
$2,164.64
|
|
Hb glycosylated a1c home dev
|
$15.36 |
$15.36 |
$15.36 |
$23.00
|
