|
Ghs nerve block axillary nerve
|
$102.60 |
$2,285.40 |
$3,420.00 |
|
|
Ghs nerve block brachial plexus
|
$180.60 |
$1,815.00 |
$3,420.00 |
|
|
Ghs nerve block celiac plexus
|
$1,292.80 |
$2,512.80 |
$3,156.00 |
|
|
Ghs nerve block interscaline
|
$132.60 |
$2,565.60 |
$3,582.00 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$255.00 |
$2,450.40 |
$3,570.00 |
|
|
Ghs nerve block sciatic nerve
|
$350.40 |
$2,184.60 |
$3,420.00 |
|
|
Ghs nerve block suprascapular
|
$166.80 |
$1,108.20 |
$2,285.40 |
|
|
Ghs ng placement w fluoro guidance
|
$146.40 |
$474.00 |
$2,568.60 |
|
|
Ghs o2 saturation
|
$40.80 |
$53.40 |
$502.20 |
|
|
Ghs o2 uptake rest & exercise
|
$184.80 |
$210.00 |
$997.80 |
|
|
Ghs o2 uptake rest & indirect
|
$54.00 |
$54.00 |
$172.80 |
|
|
Ghs ob unlisted IV or art inj or infusion
|
$75.00 |
$75.00 |
$197.40 |
|
|
Ghs opcc repair cvp without subq port
|
$820.00 |
$3,413.40 |
$5,838.00 |
|
|
Ghs opcc repair cvp w subq port
|
$457.20 |
$3,535.80 |
$5,159.40 |
|
|
Ghs optokenetic
|
$65.40 |
$195.50 |
$378.00 |
|
|
Ghs oscillating trac
|
$60.00 |
$260.40 |
$392.50 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$27.60 |
$97.80 |
$187.20 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$19.20 |
$19.20 |
$27.60 |
|
|
Ghs ot dds rom
|
$79.00 |
$79.00 |
$79.00 |
|
|
Ghs ot group caregiver training
|
$26.50 |
$44.40 |
$44.40 |
|
|
Ghs ot prosthetic training/15 min
|
$69.60 |
$118.40 |
$225.60 |
|
|
Ghs ot sensory integrative tech/15min
|
$81.00 |
$125.60 |
$288.60 |
|
|
Ghs ot work hardening-additional hours
|
$124.20 |
$127.20 |
$251.20 |
|
|
Ghs pacing - transcutaneous
|
$676.20 |
$1,734.00 |
$2,086.20 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$80.40 |
$855.60 |
$3,157.80 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$82.80 |
$750.00 |
$2,703.60 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$75.00 |
$91.20 |
$116.80 |
|
|
Ghs peritonsillar abscess i andd
|
$309.00 |
$1,225.20 |
$3,653.40 |
|
|
Ghs phenylketonurid
|
$37.80 |
$123.20 |
$249.60 |
|
|
Ghs picc line insert < 5
|
$2,060.40 |
$2,060.40 |
$4,480.80 |
|
|
Ghs plngl fx pm cl
|
$289.20 |
$520.80 |
$1,095.60 |
|
|
Ghs plt ct-manual
|
$40.80 |
$63.60 |
$147.00 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,217.00 |
$5,327.40 |
$5,327.40 |
|
|
Ghs pos nystagmus
|
$80.40 |
$251.40 |
$591.00 |
|
|
Ghs ppd (tb intradermal)
|
$18.60 |
$70.20 |
$104.80 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$27.50 |
$56.40 |
$287.20 |
|
|
Ghs protoporphyrins fract
|
$60.00 |
$99.00 |
$336.60 |
|
|
Ghs pr without cont pulse ox
|
$87.50 |
$245.40 |
$453.20 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$44.40 |
$78.60 |
$799.80 |
|
|
Ghs pt - work hardening/int 2hrs
|
$247.80 |
$248.40 |
$503.20 |
|
|
Ghs quinidine
|
$60.80 |
$103.80 |
$216.00 |
|
|
Ghs refill of implantable pump
|
$77.40 |
$379.50 |
$774.60 |
|
|
Ghs removal intranasal foreign body
|
$165.60 |
$328.80 |
$727.20 |
|
|
Ghs removal pharyngeal foreign body
|
$135.20 |
$343.20 |
$852.00 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,902.00 |
$2,055.00 |
$4,405.20 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$943.80 |
$4,150.20 |
$8,044.80 |
|
|
Ghs respiratory syncytical virus igg/m
|
$129.60 |
$172.80 |
$201.60 |
|
|
Ghs reticulocyte count
|
$22.20 |
$23.00 |
$429.60 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$91.20 |
$155.40 |
$345.60 |
|
|
Ghs sedimentation rate
|
$28.20 |
$59.40 |
$283.20 |
|
|
Ghs semen analysis fert
|
$50.40 |
$88.80 |
$380.40 |
|
|
Ghs sensitivity (per antimicro)
|
$30.40 |
$42.00 |
$520.80 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$262.20 |
$1,248.00 |
$4,765.20 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$265.20 |
$1,305.00 |
$4,765.20 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$421.80 |
$1,472.00 |
$8,408.40 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,693.20 |
$2,079.60 |
$4,799.40 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$237.60 |
$808.20 |
$1,341.60 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$237.60 |
$808.20 |
$1,341.60 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$265.20 |
$808.20 |
$1,341.60 |
|
|
Ghs simple repair over 30 cm - 12007
|
$589.80 |
$1,588.00 |
$4,795.80 |
|
|
Ghs simple repair over 30 cm - 12018
|
$660.00 |
$660.00 |
$1,693.20 |
|
|
Ghs sleep study unattended
|
$90.00 |
$680.00 |
$2,205.60 |
|
|
Ghs somatosensory testing lower extremit
|
$429.60 |
$720.60 |
$1,864.80 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$687.00 |
$1,048.20 |
$2,179.20 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$116.40 |
$156.00 |
$190.20 |
|
|
Ghs sphenopalatine ganglion block
|
$106.80 |
$1,002.60 |
$2,380.80 |
|
|
Ghs spont nystagmus
|
$79.80 |
$250.80 |
$378.00 |
|
|
Ghs sp train/fitting sp device - kx
|
$154.80 |
$263.20 |
$442.20 |
|
|
Ghs st - eval for alt comm
|
$27.00 |
$123.00 |
$173.40 |
|
|
Ghs strapping shoulder - 29240
|
$220.20 |
$346.20 |
$569.60 |
|
|
Ghs st - re-eval for alt comm
|
$200.50 |
$737.60 |
$1,321.80 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$111.60 |
$147.60 |
$147.60 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$522.00 |
$522.00 |
$1,069.20 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$759.00 |
$1,145.40 |
$3,560.40 |
|
|
Ghs superficial wnd dehis w packing12021
|
$495.00 |
$1,272.60 |
$3,197.40 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,941.60 |
$5,073.00 |
$5,776.80 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$303.50 |
$574.80 |
$998.40 |
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$499.80 |
$1,961.40 |
$4,030.20 |
|
|
Ghs urine, hydroxproline total
|
$239.40 |
$264.60 |
$283.80 |
|
|
Ghs urine, porphyrins quant
|
$37.50 |
$81.60 |
$961.20 |
|
|
Ghs vaginal delivery only
|
$1,012.80 |
$4,464.60 |
$11,280.60 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,773.60 |
$1,992.60 |
$2,811.60 |
|
|
Ghs windowing of cast
|
$220.20 |
$220.20 |
$220.20 |
|
|
Giardia ag if
|
$75.60 |
$75.60 |
$75.60 |
|
|
Giardia lamblia antibody
|
$74.40 |
$81.60 |
$201.00 |
|
|
Gi endoscopic ultrasound
|
$574.20 |
$574.20 |
$574.20 |
|
|
Gi inhouse confirmation
|
$38.40 |
$58.80 |
$649.80 |
|
|
Gi protein loss
|
$735.00 |
$735.00 |
$735.00 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,191.00 |
$1,516.20 |
$4,451.40 |
|
|
Gi trc img intral esophagus
|
$1,794.60 |
$6,183.60 |
$6,660.60 |
|
|
Gi wireless capsule measure
|
$1,042.50 |
$5,499.60 |
$6,645.00 |
|
|
Gjb2 gene full sequence
|
$571.80 |
$571.80 |
$1,834.80 |
|
|
Gjb2 gene known fam variants
|
$308.40 |
$308.40 |
$706.80 |
|
|
Gjb6 gene com variants
|
$571.80 |
$571.80 |
$1,834.80 |
|
|
Glassia injection
|
$34.80 |
$384.00 |
$4,784.07 |
|
|
Glove finger flexion right lg xl
|
$200.00 |
$200.00 |
$429.60 |
|
|
Glucagon 1 mg solution for injection
|
$121.80 |
$522.40 |
$2,251.20 |
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$167.40 |
$653.00 |
$1,770.20 |
|
|
Glucagon plasma - sendout
|
$47.40 |
$138.60 |
$316.20 |
|
|
Glucose 1 hr post dose
|
$11.50 |
$37.20 |
$168.60 |
|
