|
Ghs o2 uptake rest & exercise
|
$357.42 |
$357.42 |
$357.42 |
$239.05
|
|
Ghs o2 uptake rest & indirect
|
$2.60 |
$2.60 |
$2.60 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$1,738.26 |
$1,738.26 |
$1,738.26 |
$1,241.00
|
|
Ghs opcc repair cvp w subq port
|
$4,368.22 |
$4,368.22 |
$4,368.22 |
$2,194.40
|
|
Ghs optokenetic
|
$10.40 |
$10.40 |
$10.40 |
$214.00
|
|
Ghs oscillating trac
|
$9.62 |
$9.62 |
$9.62 |
$325.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$16.64 |
$16.64 |
$16.64 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$25.22 |
$25.22 |
$25.22 |
$64.50
|
|
Ghs ot dds rom
|
$5.72 |
$5.72 |
$5.72 |
$65.21
|
|
Ghs ot group caregiver training
|
$51.06 |
$51.06 |
$51.06 |
$36.85
|
|
Ghs ot prosthetic training/15 min
|
$151.70 |
$151.70 |
$151.70 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$128.02 |
$128.02 |
$128.02 |
$96.00
|
|
Ghs pacing - transcutaneous
|
$1,840.38 |
$1,840.38 |
$1,840.38 |
$828.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,877.38 |
$1,877.38 |
$1,877.38 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,877.38 |
$1,877.38 |
$1,877.38 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$17.94 |
$17.94 |
$17.94 |
$72.80
|
|
Ghs peritonsillar abscess i andd
|
$653.42 |
$653.42 |
$653.42 |
$569.70
|
|
Ghs phenylketonurid
|
$4.16 |
$4.16 |
$4.16 |
$53.76
|
|
Ghs picc line insert < 5
|
$4,368.22 |
$4,368.22 |
$4,368.22 |
$2,035.00
|
|
Ghs plngl fx pm cl
|
$842.86 |
$842.86 |
$842.86 |
$578.00
|
|
Ghs plt ct-manual
|
$3.12 |
$3.12 |
$3.12 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$88.40 |
$88.40 |
$88.40 |
$3,587.50
|
|
Ghs pos nystagmus
|
$17.94 |
$17.94 |
$17.94 |
$232.70
|
|
Ghs ppd (tb intradermal)
|
$154.66 |
$154.66 |
$154.66 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$61.42 |
$61.42 |
$61.42 |
$43.55
|
|
Ghs protein, misc fluid
|
$4.16 |
$4.16 |
$4.16 |
$24.60
|
|
Ghs protoporphyrins fract
|
$91.02 |
$91.02 |
$91.02 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$13.00 |
$13.00 |
$13.00 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$77.70 |
$77.70 |
$77.70 |
$47.55
|
|
Ghs quinidine
|
$91.76 |
$91.76 |
$91.76 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$362.60 |
$362.60 |
$362.60 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$1,121.84 |
$1,121.84 |
$1,121.84 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$4,500.68 |
$4,500.68 |
$4,500.68 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$9,123.46 |
$9,123.46 |
$9,123.46 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$12.48 |
$12.48 |
$12.48 |
$73.50
|
|
Ghs reticulocyte count
|
$3.12 |
$3.12 |
$3.12 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$10.92 |
$10.92 |
$10.92 |
$99.00
|
|
Ghs sedimentation rate
|
$3.12 |
$3.12 |
$3.12 |
$44.27
|
|
Ghs semen analysis fert
|
$9.36 |
$9.36 |
$9.36 |
$129.00
|
|
Ghs semen analysis, post-vas
|
$7.80 |
$7.80 |
$7.80 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$47.36 |
$47.36 |
$47.36 |
$56.50
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,123.32 |
$1,123.32 |
$1,123.32 |
$587.30
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$592.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$698.56 |
$698.56 |
$698.56 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$698.56 |
$698.56 |
$698.56 |
$441.60
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$698.56 |
$698.56 |
$698.56 |
$492.80
|
|
Ghs simple repair over 30 cm - 12007
|
$698.56 |
$698.56 |
$698.56 |
$602.00
|
|
Ghs simple repair over 30 cm - 12018
|
$127.40 |
$127.40 |
$127.40 |
$537.60
|
|
Ghs sleep study unattended
|
$28.08 |
$28.08 |
$28.08 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,094.46 |
$1,094.46 |
$1,094.46 |
$906.18
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$1,416.80
|
|
Ghs sphenopalatine ganglion block
|
$830.28 |
$830.28 |
$830.28 |
$644.00
|
|
Ghs spont nystagmus
|
$15.08 |
$15.08 |
$15.08 |
$242.00
|
|
Ghs st - eval for alt comm
|
$7.80 |
$7.80 |
$7.80 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$13.00 |
$13.00 |
$13.00 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,721.98 |
$1,721.98 |
$1,721.98 |
$975.00
|
|
Ghs superficial wnd dehis w packing12021
|
$1,123.32 |
$1,123.32 |
$1,123.32 |
$696.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$4,165.46 |
$4,165.46 |
$4,165.46 |
$1,867.84
|
|
Ghs trypsin (fecal)
|
$46.62 |
$46.62 |
$46.62 |
$50.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$842.86 |
$842.86 |
$842.86 |
$535.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$674.88 |
$674.88 |
$674.88 |
$513.80
|
|
Ghs urine, hydroxproline total
|
$18.72 |
$18.72 |
$18.72 |
$109.20
|
|
Ghs urine, porphyrins quant
|
$92.50 |
$92.50 |
$92.50 |
$73.80
|
|
Ghs vaginal delivery only
|
$7,823.28 |
$7,823.28 |
$7,823.28 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,305.36 |
$1,305.36 |
$1,305.36 |
$1,932.00
|
|
Ghs windowing of cast
|
$32.50 |
$32.50 |
$32.50 |
$212.55
|
|
Giardia ag if
|
$10.40 |
$10.40 |
$10.40 |
$38.58
|
|
Giardia lamblia antibody
|
$92.50 |
$92.50 |
$92.50 |
$83.44
|
|
Gi endoscopic ultrasound
|
$29.38 |
$29.38 |
$29.38 |
$582.31
|
|
Gi inhouse confirmation
|
$59.94 |
$59.94 |
$59.94 |
$86.40
|
|
Gingivoplasty each quadrant
|
$223.08 |
$223.08 |
$223.08 |
$4,296.60
|
|
Gi protein loss
|
$11.18 |
$11.18 |
$11.18 |
$700.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,306.58 |
$2,306.58 |
$2,306.58 |
$2,203.00
|
|
Gi trc img intral colon i&r
|
$87.10 |
$87.10 |
$87.10 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$32.50 |
$32.50 |
$32.50 |
$1,897.82
|
|
Gi wireless capsule measure
|
$75.66 |
$75.66 |
$75.66 |
$1,579.30
|
|
Glaucoma surgery
|
$624.78 |
$624.78 |
$624.78 |
$4,760.49
|
|
Glaucoma surgery
|
$624.26 |
$624.26 |
$624.26 |
$4,340.80
|
|
Glaucoma surgery
|
$702.52 |
$702.52 |
$702.52 |
$4,684.00
|
|
Glaucoma surgery
|
$780.26 |
$780.26 |
$780.26 |
$4,786.53
|
|
Glucagon 1 mg solution for injection
|
$2,555.28 |
$2,555.28 |
$2,555.28 |
$613.79
|
|
Glucagon plasma - sendout
|
$91.02 |
$91.02 |
$91.02 |
$64.35
|
|
Glucagon tolerance panel
|
$35.88 |
$35.88 |
$35.88 |
$115.70
|
|
Glucagon tolerance panel
|
$39.52 |
$39.52 |
$39.52 |
$69.69
|
|
Glucagon tolerance test
|
$14.04 |
$14.04 |
$14.04 |
$36.00
|
|
Glucose 1 hr post dose
|
$30.34 |
$30.34 |
$30.34 |
$48.11
|
|
Glucose-6-phosphate dhydrogenase screen
|
$37.74 |
$37.74 |
$37.74 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$21.46 |
$21.46 |
$21.46 |
$23.12
|
|
Glucose blood quantitative
|
$24.42 |
$24.42 |
$24.42 |
$41.40
|
|
Glucose body fluid
|
$24.42 |
$24.42 |
$24.42 |
$51.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$81.40 |
$81.40 |
$81.40 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$24.42 |
$24.42 |
$24.42 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$117.66 |
$117.66 |
$117.66 |
$117.00
|
|
Gonadotropin hormone panel
|
$115.96 |
$115.96 |
$115.96 |
$372.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$117.66 |
$117.66 |
$117.66 |
$129.03
|
|
Gonioscopy
|
$14.56 |
$14.56 |
$14.56 |
$135.52
|
|
Goniotomy
|
$582.14 |
$582.14 |
$582.14 |
$4,396.50
|
|
Graft axiofill 1000mg
|
$1,074.78 |
$1,074.78 |
$1,074.78 |
$5,125.68
|
