|
Ghs ed therapeutic lp, drain csf w fluoro
|
$811.80 |
$811.80 |
$811.80 |
$1,429.20
|
|
Ghs excision ingrown nail
|
$424.80 |
$424.80 |
$424.80 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$510.00
|
|
Ghs fb removal - incisional
|
$3,508.20 |
$3,508.20 |
$3,508.20 |
$2,323.75
|
|
Ghs fish cytogen
|
$96.00 |
$96.00 |
$96.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$538.20 |
$538.20 |
$538.20 |
$226.20
|
|
Ghs flow volume loop
|
$276.00 |
$276.00 |
$276.00 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$463.20 |
$463.20 |
$463.20 |
$368.50
|
|
Ghs hgb stability-thal
|
$85.20 |
$85.20 |
$85.20 |
$89.91
|
|
Ghs histoplasma antigen
|
$136.20 |
$136.20 |
$136.20 |
$142.00
|
|
Ghs HIV antibody
|
$122.40 |
$122.40 |
$122.40 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$457.20 |
$457.20 |
$457.20 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,712.00 |
$2,712.00 |
$2,712.00 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,637.00 |
$2,637.00 |
$2,637.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,486.20 |
$1,486.20 |
$1,486.20 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$484.20 |
$484.20 |
$484.20 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$478.80 |
$478.80 |
$478.80 |
$526.50
|
|
Ghs inf midline insertion
|
$3,517.80 |
$3,517.80 |
$3,517.80 |
$1,238.25
|
|
Ghs inhibitor screen
|
$112.80 |
$112.80 |
$112.80 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$260.40 |
$260.40 |
$260.40 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$963.00 |
$963.00 |
$963.00 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$360.60 |
$360.60 |
$360.60 |
$434.12
|
|
Ghs insertion of needle - bone
|
$463.80 |
$463.80 |
$463.80 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$3,087.60 |
$3,087.60 |
$3,087.60 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$3,209.40 |
$3,209.40 |
$3,209.40 |
$1,051.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$2,706.00 |
$2,706.00 |
$2,706.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$138.60 |
$138.60 |
$138.60 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$2,423.40 |
$2,423.40 |
$2,423.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$466.80 |
$466.80 |
$466.80 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$626.40 |
$626.40 |
$626.40 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$478.80 |
$478.80 |
$478.80 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$645.60 |
$645.60 |
$645.60 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$749.40 |
$749.40 |
$749.40 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$982.80 |
$982.80 |
$982.80 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$2,269.80 |
$2,269.80 |
$2,269.80 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$3,508.20 |
$3,508.20 |
$3,508.20 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$2,905.80 |
$2,905.80 |
$2,905.80 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$3,209.40 |
$3,209.40 |
$3,209.40 |
$784.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$86.40 |
$86.40 |
$86.40 |
$75.00
|
|
Ghs low level laser therapy
|
$147.60 |
$147.60 |
$147.60 |
$87.50
|
|
Ghs mbp
|
$171.60 |
$171.60 |
$171.60 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$159.00 |
$159.00 |
$159.00 |
$246.33
|
|
Ghs moderate sedation ea addtl 15 min
|
$36.60 |
$36.60 |
$36.60 |
$150.00
|
|
Ghs musc test done w/n test comp
|
$259.20 |
$259.20 |
$259.20 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$249.60 |
$249.60 |
$249.60 |
$272.48
|
|
Ghs myocardial strain img spckl track
|
$120.60 |
$120.60 |
$120.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$413.40 |
$413.40 |
$413.40 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,956.60 |
$1,956.60 |
$1,956.60 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$2,565.60 |
$2,565.60 |
$2,565.60 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,706.00 |
$2,706.00 |
$2,706.00 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,704.20 |
$2,704.20 |
$2,704.20 |
$1,710.80
|
|
Ghs nerve block interscaline
|
$2,565.60 |
$2,565.60 |
$2,565.60 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$908.40 |
$908.40 |
$908.40 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$378.00 |
$378.00 |
$378.00 |
$485.00
|
|
Ghs ot sensory integrative tech/15min
|
$268.80 |
$268.80 |
$268.80 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$1,734.00 |
$1,734.00 |
$1,734.00 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,897.80 |
$1,897.80 |
$1,897.80 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,897.80 |
$1,897.80 |
$1,897.80 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$1,783.80 |
$1,783.80 |
$1,783.80 |
$555.00
|
|
Ghs phenylketonurid
|
$108.60 |
$108.60 |
$108.60 |
$53.76
|
|
Ghs plngl fx pm cl
|
$478.80 |
$478.80 |
$478.80 |
$564.80
|
|
Ghs plt ct-manual
|
$41.40 |
$41.40 |
$41.40 |
$37.96
|
|
Ghs prostatic acid phosphatase (mayo)
|
$56.40 |
$56.40 |
$56.40 |
$43.55
|
|
Ghs protoporphyrins fract
|
$128.40 |
$128.40 |
$128.40 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$245.40 |
$245.40 |
$245.40 |
$147.00
|
|
Ghs removal intranasal foreign body
|
$369.60 |
$369.60 |
$369.60 |
$283.24
|
|
Ghs respiratory syncytical virus igg/m
|
$129.60 |
$129.60 |
$129.60 |
$74.82
|
|
Ghs sensitivity (per antimicro)
|
$32.40 |
$32.40 |
$32.40 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$3,521.40 |
$3,521.40 |
$3,521.40 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$4,003.20 |
$4,003.20 |
$4,003.20 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$749.40 |
$749.40 |
$749.40 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$749.40 |
$749.40 |
$749.40 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$657.60 |
$657.60 |
$657.60 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$3,606.00 |
$3,606.00 |
$3,606.00 |
$590.88
|
|
Ghs sleep study unattended
|
$95.40 |
$95.40 |
$95.40 |
$503.38
|
|
Ghs superficial wnd dehiscence simp12020
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$695.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$478.80 |
$478.80 |
$478.80 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$2,516.40 |
$2,516.40 |
$2,516.40 |
$513.80
|
|
Ghs urine, porphyrins quant
|
$86.40 |
$86.40 |
$86.40 |
$73.80
|
|
Gi inhouse confirmation
|
$81.00 |
$81.00 |
$81.00 |
$87.75
|
|
Glucagon 1 mg solution for injection
|
$587.20 |
$587.20 |
$587.20 |
$613.79
|
|
Glucagon plasma - sendout
|
$225.00 |
$225.00 |
$225.00 |
$64.35
|
|
Glucose 1 hr post dose
|
$40.20 |
$40.20 |
$40.20 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$32.40 |
$32.40 |
$32.40 |
$23.12
|
|
Glucose blood quantitative
|
$29.40 |
$29.40 |
$29.40 |
$42.25
|
|
Glucose body fluid
|
$44.40 |
$44.40 |
$44.40 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$106.20 |
$106.20 |
$106.20 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$106.20 |
$106.20 |
$106.20 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$11.00 |
$11.00 |
$11.00 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$88.20 |
$88.20 |
$88.20 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$142.20 |
$142.20 |
$142.20 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$142.20 |
$142.20 |
$142.20 |
$129.03
|
