|
Generator barostim neo2 2014
|
$49,450.20 |
$49,450.20 |
$49,450.20 |
$52,020.00
|
|
Genetic tstg severe inh cond
|
$13,264.80 |
$13,264.80 |
$13,264.80 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$49.60 |
$49.60 |
$49.60 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$351.60 |
$351.60 |
$351.60 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,512.60 |
$1,512.60 |
$1,512.60 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$5,002.80 |
$5,002.80 |
$5,002.80 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$110.40 |
$110.40 |
$110.40 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$455.40 |
$455.40 |
$455.40 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$688.20 |
$688.20 |
$688.20 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$471.00 |
$471.00 |
$471.00 |
$344.00
|
|
Ghs change cysto/gastrost
|
$1,759.80 |
$1,759.80 |
$1,759.80 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$446.40 |
$446.40 |
$446.40 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$54.00 |
$54.00 |
$54.00 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$825.60 |
$825.60 |
$825.60 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$825.60 |
$825.60 |
$825.60 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$718.20 |
$718.20 |
$718.20 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$825.60 |
$825.60 |
$825.60 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$718.20 |
$718.20 |
$718.20 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$2,926.80 |
$2,926.80 |
$2,926.80 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$2,389.20 |
$2,389.20 |
$2,389.20 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$825.60 |
$825.60 |
$825.60 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$70.80 |
$70.80 |
$70.80 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$408.60 |
$408.60 |
$408.60 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$408.60 |
$408.60 |
$408.60 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$408.60 |
$408.60 |
$408.60 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$408.60 |
$408.60 |
$408.60 |
$339.60
|
|
Ghs cricothyroidotomy
|
$5,383.80 |
$5,383.80 |
$5,383.80 |
$1,104.00
|
|
Ghs diphtheria toxoid ab igg
|
$304.20 |
$304.20 |
$304.20 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$825.60 |
$825.60 |
$825.60 |
$602.00
|
|
Ghs ed rmvl or bivalving cast
|
$471.00 |
$471.00 |
$471.00 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,360.20 |
$1,360.20 |
$1,360.20 |
$1,429.20
|
|
Ghs excision ingrown nail
|
$589.80 |
$589.80 |
$589.80 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$718.20 |
$718.20 |
$718.20 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$7,126.80 |
$7,126.80 |
$7,126.80 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$7,126.80 |
$7,126.80 |
$7,126.80 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$3,129.60 |
$3,129.60 |
$3,129.60 |
$1,706.20
|
|
Ghs fish cytogen
|
$354.60 |
$354.60 |
$354.60 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$354.60 |
$354.60 |
$354.60 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$218.40 |
$218.40 |
$218.40 |
$368.50
|
|
Ghs histoplasma antigen
|
$674.40 |
$674.40 |
$674.40 |
$142.00
|
|
Ghs HIV antibody
|
$200.40 |
$200.40 |
$200.40 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$458.40 |
$458.40 |
$458.40 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$7,126.80 |
$7,126.80 |
$7,126.80 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$589.80 |
$589.80 |
$589.80 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$825.60 |
$825.60 |
$825.60 |
$526.50
|
|
Ghs inhibitor screen
|
$345.00 |
$345.00 |
$345.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$471.00 |
$471.00 |
$471.00 |
$275.88
|
|
Ghs insertion of needle - bone
|
$471.00 |
$471.00 |
$471.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$825.60 |
$825.60 |
$825.60 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,649.00 |
$2,649.00 |
$2,649.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$6,688.20 |
$6,688.20 |
$6,688.20 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$118.20 |
$118.20 |
$118.20 |
$200.20
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$513.60 |
$513.60 |
$513.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$471.00 |
$471.00 |
$471.00 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$825.60 |
$825.60 |
$825.60 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$825.60 |
$825.60 |
$825.60 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$825.60 |
$825.60 |
$825.60 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$825.60 |
$825.60 |
$825.60 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$825.60 |
$825.60 |
$825.60 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$825.60 |
$825.60 |
$825.60 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$825.60 |
$825.60 |
$825.60 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$825.60 |
$825.60 |
$825.60 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$825.60 |
$825.60 |
$825.60 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,134.60 |
$1,134.60 |
$1,134.60 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$825.60 |
$825.60 |
$825.60 |
$784.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$291.60 |
$291.60 |
$291.60 |
$75.00
|
|
Ghs mbp
|
$209.40 |
$209.40 |
$209.40 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$147.00 |
$147.00 |
$147.00 |
$246.33
|
|
Ghs moderate sedation ea addtl 15 min
|
$147.00 |
$147.00 |
$147.00 |
$150.00
|
|
Ghs myocardial strain img spckl track
|
$792.60 |
$792.60 |
$792.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$825.60 |
$825.60 |
$825.60 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,556.24
|
|
Ghs nerve block axillary nerve
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$2,399.40 |
$2,399.40 |
$2,399.40 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$809.40 |
$809.40 |
$809.40 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$589.80 |
$589.80 |
$589.80 |
$485.00
|
|
Ghs o2 saturation
|
$106.20 |
$106.20 |
$106.20 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$660.60 |
$660.60 |
$660.60 |
$230.01
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$39.60 |
$39.60 |
$39.60 |
$58.00
|
|
Ghs ot prosthetic training/15 min
|
$130.20 |
$130.20 |
$130.20 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$130.20 |
$130.20 |
$130.20 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$1,434.60 |
$1,434.60 |
$1,434.60 |
$830.53
|
|
Ghs peritonsillar abscess i andd
|
$825.60 |
$825.60 |
$825.60 |
$555.00
|
|
Ghs phenylketonurid
|
$237.60 |
$237.60 |
$237.60 |
$53.76
|
|
Ghs plngl fx pm cl
|
$825.60 |
$825.60 |
$825.60 |
$564.80
|
|
Ghs plt ct-manual
|
$70.20 |
$70.20 |
$70.20 |
$37.96
|
|
Ghs prostatic acid phosphatase (mayo)
|
$237.60 |
$237.60 |
$237.60 |
$43.55
|
|
Ghs protoporphyrins fract
|
$139.80 |
$139.80 |
$139.80 |
$60.75
|
|
Ghs removal intranasal foreign body
|
$247.20 |
$247.20 |
$247.20 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$704.40 |
$704.40 |
$704.40 |
$441.68
|
|
Ghs reticulocyte count
|
$35.40 |
$35.40 |
$35.40 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$286.20 |
$286.20 |
$286.20 |
$99.00
|
|
Ghs sedimentation rate
|
$62.40 |
$62.40 |
$62.40 |
$45.50
|
