|
Gentamicin peak therapeutic drug level
|
$192.50 |
$192.50 |
$192.50 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$2,098.00 |
$2,098.00 |
$2,098.00 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$1,841.50 |
$1,841.50 |
$1,841.50 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$4,677.00 |
$4,677.00 |
$4,677.00 |
$3,515.40
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$86.00 |
$86.00 |
$86.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$780.00 |
$780.00 |
$780.00 |
$403.38
|
|
Ghs antibodies (torch) igm
|
$13.00 |
$13.00 |
$13.00 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$520.50 |
$520.50 |
$520.50 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,623.50 |
$2,623.50 |
$2,623.50 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$1,741.50 |
$1,741.50 |
$1,741.50 |
$594.55
|
|
Ghs chemo >8 hrs
|
$826.00 |
$826.00 |
$826.00 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$515.00 |
$515.00 |
$515.00 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$108.00 |
$108.00 |
$108.00 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$463.00 |
$463.00 |
$463.00 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$1,391.50 |
$1,391.50 |
$1,391.50 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,078.50 |
$1,078.50 |
$1,078.50 |
$1,554.70
|
|
Ghs closed tx radiocarpal disloc w manip
|
$881.50 |
$881.50 |
$881.50 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,393.50 |
$2,393.50 |
$2,393.50 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$6,759.00 |
$6,759.00 |
$6,759.00 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$397.50 |
$397.50 |
$397.50 |
$494.40
|
|
Ghs clsd red med malleolus fx w manip
|
$1,626.00 |
$1,626.00 |
$1,626.00 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,239.00 |
$3,239.00 |
$3,239.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$525.00 |
$525.00 |
$525.00 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$604.50 |
$604.50 |
$604.50 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$142.50 |
$142.50 |
$142.50 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$951.00 |
$951.00 |
$951.00 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$998.00 |
$998.00 |
$998.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$1,237.50 |
$1,237.50 |
$1,237.50 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$932.50 |
$932.50 |
$932.50 |
$339.60
|
|
Ghs cutdown placement under 1 yr
|
$610.50 |
$610.50 |
$610.50 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$54.00 |
$54.00 |
$54.00 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$616.00 |
$616.00 |
$616.00 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$4,485.00 |
$4,485.00 |
$4,485.00 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$641.50 |
$641.50 |
$641.50 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$435.00 |
$435.00 |
$435.00 |
$560.00
|
|
Ghs excision ingrown nail
|
$453.00 |
$453.00 |
$453.00 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$6,542.00 |
$6,542.00 |
$6,542.00 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$5,506.00 |
$5,506.00 |
$5,506.00 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$848.50 |
$848.50 |
$848.50 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$7.50 |
$7.50 |
$7.50 |
$48.10
|
|
Ghs fish cytogen
|
$1,354.00 |
$1,354.00 |
$1,354.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$225.00
|
|
Ghs flow volume loop
|
$420.50 |
$420.50 |
$420.50 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$342.00 |
$342.00 |
$342.00 |
$365.40
|
|
Ghs hcv amplificaiton
|
$314.00 |
$314.00 |
$314.00 |
$203.45
|
|
Ghs histoplasma antigen
|
$68.50 |
$68.50 |
$68.50 |
$141.00
|
|
Ghs HIV antibody
|
$308.00 |
$308.00 |
$308.00 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,270.50 |
$4,270.50 |
$4,270.50 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$3,227.00 |
$3,227.00 |
$3,227.00 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$2,631.00 |
$2,631.00 |
$2,631.00 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$503.50 |
$503.50 |
$503.50 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$733.50 |
$733.50 |
$733.50 |
$520.80
|
|
Ghs inf midline insertion
|
$2,937.00 |
$2,937.00 |
$2,937.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$201.00 |
$201.00 |
$201.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$351.00 |
$351.00 |
$351.00 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$3,304.50 |
$3,304.50 |
$3,304.50 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,534.50 |
$2,534.50 |
$2,534.50 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$783.00 |
$783.00 |
$783.00 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,197.50 |
$2,197.50 |
$2,197.50 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$3,745.00 |
$3,745.00 |
$3,745.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$216.00 |
$216.00 |
$216.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$981.50 |
$981.50 |
$981.50 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,315.50 |
$1,315.50 |
$1,315.50 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,942.00 |
$1,942.00 |
$1,942.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$117.50 |
$117.50 |
$117.50 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,096.50 |
$1,096.50 |
$1,096.50 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$258.00 |
$258.00 |
$258.00 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$928.00 |
$928.00 |
$928.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$578.50 |
$578.50 |
$578.50 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$783.00 |
$783.00 |
$783.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$745.00 |
$745.00 |
$745.00 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$624.00 |
$624.00 |
$624.00 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$597.00 |
$597.00 |
$597.00 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$775.50 |
$775.50 |
$775.50 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$721.00 |
$721.00 |
$721.00 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$599.50 |
$599.50 |
$599.50 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$610.50 |
$610.50 |
$610.50 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,304.50 |
$1,304.50 |
$1,304.50 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$596.50 |
$596.50 |
$596.50 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$788.50 |
$788.50 |
$788.50 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$985.50 |
$985.50 |
$985.50 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$1,897.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$2,008.00 |
$2,008.00 |
$2,008.00 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$64.00 |
$64.00 |
$64.00 |
$73.50
|
|
Ghs low level laser therapy
|
$957.00 |
$957.00 |
$957.00 |
$85.00
|
|
Ghs mbp
|
$29.00 |
$29.00 |
$29.00 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$677.00 |
$677.00 |
$677.00 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$747.50 |
$747.50 |
$747.50 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$75.50 |
$75.50 |
$75.50 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$79.00 |
$79.00 |
$79.00 |
$141.00
|
|
Ghs myocardial strain img spckl track
|
$701.50 |
$701.50 |
$701.50 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$776.00 |
$776.00 |
$776.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,901.50 |
$1,901.50 |
$1,901.50 |
$1,545.05
|
