|
Ghs inj tendon origin/insertion
|
$55.89 |
$55.89 |
$55.89 |
$431.07
|
|
Ghs insertion of needle - bone
|
$61.87 |
$61.87 |
$61.87 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$305.21 |
$305.21 |
$305.21 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$316.48 |
$316.48 |
$316.48 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$134.09 |
$134.09 |
$134.09 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$251.62 |
$251.62 |
$251.62 |
$544.80
|
|
Ghs IV thrombolytics - cerebral
|
$1,484.42 |
$1,484.42 |
$1,484.42 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$250.70 |
$250.70 |
$250.70 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$97.98 |
$97.98 |
$97.98 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$109.94 |
$109.94 |
$109.94 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$125.58 |
$125.58 |
$125.58 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$171.58 |
$171.58 |
$171.58 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$148.12 |
$148.12 |
$148.12 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$243.11 |
$243.11 |
$243.11 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$290.95 |
$290.95 |
$290.95 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$246.79 |
$246.79 |
$246.79 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$267.49 |
$267.49 |
$267.49 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$303.60 |
$303.60 |
$303.60 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$294.17 |
$294.17 |
$294.17 |
$790.40
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$119.37 |
$119.37 |
$119.37 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$90.16 |
$90.16 |
$90.16 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$73.83 |
$73.83 |
$73.83 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$38.41 |
$38.41 |
$38.41 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$55.89 |
$55.89 |
$55.89 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$504.85 |
$504.85 |
$504.85 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$62.56 |
$62.56 |
$62.56 |
$724.37
|
|
Ghs o2 saturation
|
$14.95 |
$14.95 |
$14.95 |
$70.80
|
|
Ghs ob unlisted IV or art inj or infusion
|
$19.09 |
$19.09 |
$19.09 |
$75.00
|
|
Ghs opcc repair cvp w subq port
|
$5,787.95 |
$5,787.95 |
$5,787.95 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$31.51 |
$31.51 |
$31.51 |
$90.50
|
|
Ghs pacing - transcutaneous
|
$504.16 |
$504.16 |
$504.16 |
$815.20
|
|
Ghs peritonsillar abscess i andd
|
$207.92 |
$207.92 |
$207.92 |
$546.36
|
|
Ghs picc line insert < 5
|
$480.93 |
$480.93 |
$480.93 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$85.56 |
$85.56 |
$85.56 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$25.65 |
$25.65 |
$25.65 |
$37.70
|
|
Ghs pr without cont pulse ox
|
$33.58 |
$33.58 |
$33.58 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$20.93 |
$20.93 |
$20.93 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$122.36 |
$122.36 |
$122.36 |
$275.60
|
|
Ghs quinidine
|
$25.07 |
$25.07 |
$25.07 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$58.42 |
$58.42 |
$58.42 |
$287.50
|
|
Ghs sedimentation rate
|
$5.98 |
$5.98 |
$5.98 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$11.73 |
$11.73 |
$11.73 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$290.95 |
$290.95 |
$290.95 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$243.11 |
$243.11 |
$243.11 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$177.79 |
$177.79 |
$177.79 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$278.76 |
$278.76 |
$278.76 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$133.63 |
$133.63 |
$133.63 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$121.90 |
$121.90 |
$121.90 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$173.42 |
$173.42 |
$173.42 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$303.60 |
$303.60 |
$303.60 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$134.09 |
$134.09 |
$134.09 |
$537.60
|
|
Ghs strapping shoulder - 29240
|
$50.83 |
$50.83 |
$50.83 |
$213.20
|
|
Ghs superficial wnd dehiscence simp12020
|
$241.50 |
$241.50 |
$241.50 |
$861.75
|
|
Ghs superficial wnd dehis w packing12021
|
$218.27 |
$218.27 |
$218.27 |
$661.50
|
|
Ghs tracheostomy emergency - transtracheal
|
$237.82 |
$237.82 |
$237.82 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$72.68 |
$72.68 |
$72.68 |
$523.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$352.59 |
$352.59 |
$352.59 |
$486.35
|
|
Ghs vaginal delivery only
|
$455.86 |
$455.86 |
$455.86 |
$3,152.00
|
|
Gi inhouse confirmation
|
$16.10 |
$16.10 |
$16.10 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$620.97 |
$620.97 |
$620.97 |
$601.79
|
|
Glucagon plasma - sendout
|
$24.61 |
$24.61 |
$24.61 |
$63.00
|
|
Glucose 1 hr post dose
|
$8.28 |
$8.28 |
$8.28 |
$47.20
|
|
Glucose-6-phosphate dhydrogenase screen
|
$6.90 |
$6.90 |
$6.90 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$4.14 |
$4.14 |
$4.14 |
$23.86
|
|
Glucose blood quantitative
|
$6.67 |
$6.67 |
$6.67 |
$40.00
|
|
Glucose body fluid
|
$6.67 |
$6.67 |
$6.67 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$17.25 |
$17.25 |
$17.25 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$6.67 |
$6.67 |
$6.67 |
$35.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$31.97 |
$31.97 |
$31.97 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$31.74 |
$31.74 |
$31.74 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$73.83 |
$73.83 |
$73.83 |
$672.50
|
|
Graft axiofill 1000mg
|
$145.14 |
$145.14 |
$145.14 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$9,519.85 |
$9,519.85 |
$9,519.85 |
$584.99
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$40,207.12 |
$40,207.12 |
$40,207.12 |
$24,469.57
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$310.27 |
$310.27 |
$310.27 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,491.55 |
$1,491.55 |
$1,491.55 |
$1,132.47
|
|
Granulocyte pheresis ea unit
|
$106.26 |
$106.26 |
$106.26 |
$2,309.40
|
|
Great toe with reduction 28495
|
$78.20 |
$78.20 |
$78.20 |
$482.40
|
|
Guide wire threaded 1.4x150mm
|
$23,495.50 |
$23,495.50 |
$23,495.50 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$188.42 |
$188.42 |
$188.42 |
$1,105.00
|
|
Gw stiffened micro access kit
|
$5,095.07 |
$5,095.07 |
$5,095.07 |
$6,696.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$37.50 |
$37.50 |
$37.50 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$77.37 |
$77.37 |
$77.37 |
$23.06
|
|
Hand X-ray
|
$78.66 |
$78.66 |
$78.66 |
$356.00
|
|
Haptoglobin quantitative
|
$21.39 |
$21.39 |
$21.39 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$755.55 |
$755.55 |
$755.55 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$108.33 |
$108.33 |
$108.33 |
$404.80
|
|
Hba1/hba2 gene fam vrnt
|
$472.65 |
$472.65 |
$472.65 |
$633.10
|
|
Hbb full gene sequence
|
$275.77 |
$275.77 |
$275.77 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$120.29 |
$120.29 |
$120.29 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$245.87 |
$245.87 |
$245.87 |
$759.72
|
|
Hcg qualitative
|
$13.11 |
$13.11 |
$13.11 |
$89.70
|
|
Hcg quantitative
|
$25.76 |
$25.76 |
$25.76 |
$139.20
|
|
Hc nm kidney imaging with flow
|
$411.01 |
$411.01 |
$411.01 |
$822.60
|
|
Head CT scan (with and without contrast)
|
$576.61 |
$576.61 |
$576.61 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$549.24 |
$549.24 |
$549.24 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$521.87 |
$521.87 |
$521.87 |
$1,268.90
|
|
Hematocrit
|
$4.14 |
$4.14 |
$4.14 |
$33.57
|
|
Hemoglobin
|
$4.14 |
$4.14 |
$4.14 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$11.73 |
$11.73 |
$11.73 |
$53.60
|
