|
Ghs clsd red med malleolus fx w manip
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,186.40 |
$2,186.40 |
$2,186.40 |
$2,319.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$590.40 |
$590.40 |
$590.40 |
$500.40
|
|
Ghs conjunctiva foreign body-superf bil
|
$166.20 |
$166.20 |
$166.20 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$280.20 |
$280.20 |
$280.20 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$388.80 |
$388.80 |
$388.80 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$240.00 |
$240.00 |
$240.00 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$3,032.40 |
$3,032.40 |
$3,032.40 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$5,218.20 |
$5,218.20 |
$5,218.20 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,439.40 |
$1,439.40 |
$1,439.40 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$586.80 |
$586.80 |
$586.80 |
$586.80
|
|
Ghs excision ingrown nail
|
$607.20 |
$607.20 |
$607.20 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$2,002.80 |
$2,002.80 |
$2,002.80 |
$510.00
|
|
Ghs febrile agglutinns(mayo)
|
$117.60 |
$117.60 |
$117.60 |
$48.10
|
|
Ghs fish cytogen
|
$186.00 |
$186.00 |
$186.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$337.20 |
$337.20 |
$337.20 |
$226.20
|
|
Ghs flow volume loop
|
$145.80 |
$145.80 |
$145.80 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$252.00 |
$252.00 |
$252.00 |
$368.50
|
|
Ghs histoplasma antigen
|
$125.40 |
$125.40 |
$125.40 |
$142.00
|
|
Ghs HIV antibody
|
$255.60 |
$255.60 |
$255.60 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$424.80 |
$424.80 |
$424.80 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,869.60 |
$4,869.60 |
$4,869.60 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$5,469.60 |
$5,469.60 |
$5,469.60 |
$2,798.50
|
|
Ghs i and d pilonidal cyst simple
|
$388.80 |
$388.80 |
$388.80 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$745.20 |
$745.20 |
$745.20 |
$526.50
|
|
Ghs inf midline insertion
|
$5,299.20 |
$5,299.20 |
$5,299.20 |
$1,238.25
|
|
Ghs inhibitor screen
|
$85.20 |
$85.20 |
$85.20 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$282.00 |
$282.00 |
$282.00 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$1,343.40 |
$1,343.40 |
$1,343.40 |
$1,710.80
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$1,118.00
|
|
Ghs insertion of needle - bone
|
$678.60 |
$678.60 |
$678.60 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,183.40 |
$2,183.40 |
$2,183.40 |
$886.07
|
|
Ghs irrigate corpora cavernosa for priapism
|
$3,562.20 |
$3,562.20 |
$3,562.20 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$145.80 |
$145.80 |
$145.80 |
$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
|
$1,635.60 |
$1,635.60 |
$1,635.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$4,779.60 |
$4,779.60 |
$4,779.60 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$388.80 |
$388.80 |
$388.80 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$388.80 |
$388.80 |
$388.80 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$388.80 |
$388.80 |
$388.80 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$388.80 |
$388.80 |
$388.80 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$610.80 |
$610.80 |
$610.80 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$695.40 |
$695.40 |
$695.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$2,183.40 |
$2,183.40 |
$2,183.40 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$4,779.60 |
$4,779.60 |
$4,779.60 |
$760.20
|
|
Ghs low level laser therapy
|
$159.60 |
$159.60 |
$159.60 |
$87.50
|
|
Ghs mbp
|
$112.80 |
$112.80 |
$112.80 |
$76.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$189.00 |
$189.00 |
$189.00 |
$150.00
|
|
Ghs musc test done w/n test comp
|
$274.80 |
$274.80 |
$274.80 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$260.40 |
$260.40 |
$260.40 |
$272.48
|
|
Ghs myocardial strain img spckl track
|
$838.80 |
$838.80 |
$838.80 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,632.60 |
$1,632.60 |
$1,632.60 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,540.80 |
$1,540.80 |
$1,540.80 |
$1,556.24
|
|
Ghs nerve block interscaline
|
$3,582.00 |
$3,582.00 |
$3,582.00 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$3,570.00 |
$3,570.00 |
$3,570.00 |
$1,704.63
|
|
Ghs ng placement w fluoro guidance
|
$334.20 |
$334.20 |
$334.20 |
$485.00
|
|
Ghs opcc repair cvp without subq port
|
$4,956.00 |
$4,956.00 |
$4,956.00 |
$1,236.67
|
|
Ghs ot group caregiver training
|
$44.40 |
$44.40 |
$44.40 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$225.60 |
$225.60 |
$225.60 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$146.40 |
$146.40 |
$146.40 |
$96.20
|
|
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
|
$985.80 |
$985.80 |
$985.80 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$1,632.60 |
$1,632.60 |
$1,632.60 |
$555.00
|
|
Ghs phenylketonurid
|
$37.80 |
$37.80 |
$37.80 |
$53.76
|
|
Ghs plngl fx pm cl
|
$723.00 |
$723.00 |
$723.00 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$57.00 |
$57.00 |
$57.00 |
$37.44
|
|
Ghs protoporphyrins fract
|
$99.00 |
$99.00 |
$99.00 |
$60.75
|
|
Ghs removal intranasal foreign body
|
$276.00 |
$276.00 |
$276.00 |
$283.24
|
|
Ghs rsv eia (respir synctial vrs)
|
$187.80 |
$187.80 |
$187.80 |
$99.00
|
|
Ghs sensitivity (per antimicro)
|
$34.80 |
$34.80 |
$34.80 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$2,183.40 |
$2,183.40 |
$2,183.40 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$4,548.00 |
$4,548.00 |
$4,548.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$4,594.20 |
$4,594.20 |
$4,594.20 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$610.80 |
$610.80 |
$610.80 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$610.80 |
$610.80 |
$610.80 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$610.80 |
$610.80 |
$610.80 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$4,795.80 |
$4,795.80 |
$4,795.80 |
$590.88
|
|
Ghs somatosensory testing lower extremit
|
$490.20 |
$490.20 |
$490.20 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,858.80 |
$1,858.80 |
$1,858.80 |
$1,416.80
|
|
Ghs sp train/fitting sp device - kx
|
$378.00 |
$378.00 |
$378.00 |
$252.75
|
|
Ghs st - re-eval for alt comm
|
$991.80 |
$991.80 |
$991.80 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$3,112.80 |
$3,112.80 |
$3,112.80 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$3,197.40 |
$3,197.40 |
$3,197.40 |
$695.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$824.40 |
$824.40 |
$824.40 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$80.40 |
$80.40 |
$80.40 |
$73.80
|
|
Giardia lamblia antibody
|
$186.00 |
$186.00 |
$186.00 |
$83.44
|
|
Gi inhouse confirmation
|
$84.60 |
$84.60 |
$84.60 |
$87.75
|
|
Glucagon 1 mg solution for injection
|
$522.40 |
$522.40 |
$522.40 |
$613.79
|
|
Glucagon plasma - sendout
|
$131.40 |
$131.40 |
$131.40 |
$64.35
|
|
Glucose 1 hr post dose
|
$54.00 |
$54.00 |
$54.00 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$32.40 |
$32.40 |
$32.40 |
$23.12
|
|
Glucose blood quantitative
|
$34.80 |
$34.80 |
$34.80 |
$42.25
|
|
Glucose body fluid
|
$34.80 |
$34.80 |
$34.80 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$96.60 |
$96.60 |
$96.60 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$34.80 |
$34.80 |
$34.80 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$11.60 |
$11.60 |
$11.60 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$108.00 |
$108.00 |
$108.00 |
$5,009.45
|
