|
Ghs layered repair over 3.0 cm -12057
|
$1,590.93 |
$1,590.93 |
$1,590.93 |
$1,024.40
|
|
Ghs leukocyte alkaline phos (mayo)
|
$229.02 |
$229.02 |
$229.02 |
$72.60
|
|
Ghs low level laser therapy
|
$88.77 |
$88.77 |
$88.77 |
$88.77
|
|
Ghs mbp
|
$153.12 |
$153.12 |
$153.12 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$191.40 |
$191.40 |
$191.40 |
$240.00
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$262.35 |
$262.35 |
$262.35 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$159.39 |
$159.39 |
$159.39 |
$228.45
|
|
Ghs moderate sedation ea addtl 15 min
|
$81.51 |
$81.51 |
$81.51 |
$149.40
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$111.54 |
$111.54 |
$111.54 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$639.21 |
$639.21 |
$639.21 |
$464.95
|
|
Ghs nailbed repair/nail removal
|
$369.27 |
$369.27 |
$369.27 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$716.43 |
$716.43 |
$716.43 |
$1,523.76
|
|
Ghs nerve blk intercostal, single level
|
$317.46 |
$317.46 |
$317.46 |
$1,096.42
|
|
Ghs nerve block brachial plexus
|
$716.76 |
$716.76 |
$716.76 |
$1,657.03
|
|
Ghs nerve block celiac plexus
|
$865.26 |
$865.26 |
$865.26 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$684.42 |
$684.42 |
$684.42 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,590.93 |
$1,590.93 |
$1,590.93 |
$1,706.50
|
|
Ghs nerve block sciatic nerve
|
$1,210.44 |
$1,210.44 |
$1,210.44 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$684.42 |
$684.42 |
$684.42 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$602.58 |
$602.58 |
$602.58 |
$478.50
|
|
Ghs opcc repair cvp without subq port
|
$1,247.73 |
$1,247.73 |
$1,247.73 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$3,231.36 |
$3,231.36 |
$3,231.36 |
$2,194.40
|
|
Ghs ot dds rom
|
$127.05 |
$127.05 |
$127.05 |
$61.19
|
|
Ghs ot group caregiver training
|
$22.44 |
$22.44 |
$22.44 |
$33.60
|
|
Ghs ot prosthetic training/15 min
|
$56.10 |
$56.10 |
$56.10 |
$89.95
|
|
Ghs ot sensory integrative tech/15min
|
$81.84 |
$81.84 |
$81.84 |
$92.50
|
|
Ghs ot work hardening-additional hours
|
$241.56 |
$241.56 |
$241.56 |
$125.50
|
|
Ghs pacing - transcutaneous
|
$1,192.95 |
$1,192.95 |
$1,192.95 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$619.74 |
$619.74 |
$619.74 |
$770.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$76.56 |
$76.56 |
$76.56 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$797.28 |
$797.28 |
$797.28 |
$546.36
|
|
Ghs picc line insert < 5
|
$2,022.90 |
$2,022.90 |
$2,022.90 |
$2,053.60
|
|
Ghs plngl fx pm cl
|
$401.94 |
$401.94 |
$401.94 |
$565.60
|
|
Ghs ppd (tb intradermal)
|
$51.48 |
$51.48 |
$51.48 |
$37.44
|
|
Ghs protein, misc fluid
|
$4.95 |
$4.95 |
$4.95 |
$24.60
|
|
Ghs protoporphyrins fract
|
$7.59 |
$7.59 |
$7.59 |
$64.28
|
|
Ghs pt - work hardening/int 2hrs
|
$487.74 |
$487.74 |
$487.74 |
$270.00
|
|
Ghs removal intranasal foreign body
|
$127.05 |
$127.05 |
$127.05 |
$295.75
|
|
Ghs removal pharyngeal foreign body
|
$383.79 |
$383.79 |
$383.79 |
$452.20
|
|
Ghs reticulocyte count
|
$88.77 |
$88.77 |
$88.77 |
$33.60
|
|
Ghs rsv eia (respir synctial vrs)
|
$160.05 |
$160.05 |
$160.05 |
$95.20
|
|
Ghs sedimentation rate
|
$59.40 |
$59.40 |
$59.40 |
$44.85
|
|
Ghs sensitivity (per antimicro)
|
$284.46 |
$284.46 |
$284.46 |
$55.25
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$821.04 |
$821.04 |
$821.04 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,096.59 |
$1,096.59 |
$1,096.59 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,225.29 |
$1,225.29 |
$1,225.29 |
$592.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,422.30 |
$1,422.30 |
$1,422.30 |
$602.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$761.31 |
$761.31 |
$761.31 |
$454.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$693.00 |
$693.00 |
$693.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$924.00 |
$924.00 |
$924.00 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$1,347.72 |
$1,347.72 |
$1,347.72 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$1,475.43 |
$1,475.43 |
$1,475.43 |
$537.60
|
|
Ghs somatosensory testing lower extremit
|
$694.98 |
$694.98 |
$694.98 |
$885.81
|
|
Ghs sphenopalatine ganglion block
|
$977.79 |
$977.79 |
$977.79 |
$628.16
|
|
Ghs st - eval for alt comm
|
$89.10 |
$89.10 |
$89.10 |
$87.50
|
|
Ghs strapping shoulder - 29240
|
$195.36 |
$195.36 |
$195.36 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$135.63 |
$135.63 |
$135.63 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$122.76 |
$122.76 |
$122.76 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$455.40 |
$455.40 |
$455.40 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$826.32 |
$826.32 |
$826.32 |
$861.75
|
|
Ghs tx distal phalangeal fx with manipulation
|
$506.88 |
$506.88 |
$506.88 |
$520.00
|
|
Ghs urine, porphyrins quant
|
$70.95 |
$70.95 |
$70.95 |
$73.80
|
|
Ghs vaginal delivery only
|
$1,225.29 |
$1,225.29 |
$1,225.29 |
$3,217.00
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,070.85 |
$1,070.85 |
$1,070.85 |
$1,843.00
|
|
Gi inhouse confirmation
|
$395.01 |
$395.01 |
$395.01 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,142.13 |
$1,142.13 |
$1,142.13 |
$2,165.00
|
|
Glucagon 1 mg solution for injection
|
$5,666.63 |
$5,666.63 |
$5,666.63 |
$592.05
|
|
Glucose 1 hr post dose
|
$74.58 |
$74.58 |
$74.58 |
$45.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$21.78 |
$21.78 |
$21.78 |
$22.80
|
|
Glucose blood quantitative
|
$69.63 |
$69.63 |
$69.63 |
$40.80
|
|
Glucose body fluid
|
$66.99 |
$66.99 |
$66.99 |
$52.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$129.36 |
$129.36 |
$129.36 |
$96.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$60.06 |
$60.06 |
$60.06 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$65.24 |
$65.24 |
$65.24 |
$40.84
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$239.91 |
$239.91 |
$239.91 |
$115.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$155.76 |
$155.76 |
$155.76 |
$125.28
|
|
Granisetron hcl injection
|
$41.56 |
$41.56 |
$41.56 |
$41.45
|
|
Great toe with reduction 28495
|
$141.24 |
$141.24 |
$141.24 |
$495.00
|
|
G-tube reposition
|
$304.26 |
$304.26 |
$304.26 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$2,331.45 |
$2,331.45 |
$2,331.45 |
$1,807.05
|
|
Guided cath fluid drainage 10030
|
$787.71 |
$787.71 |
$787.71 |
$1,372.15
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$12.53 |
$12.53 |
$12.53 |
$23.66
|
|
Handle/convey/speciman/office-lab 99000
|
$27.39 |
$27.39 |
$27.39 |
$23.40
|
|
Hand X-ray
|
$1,075.14 |
$1,075.14 |
$1,075.14 |
$352.00
|
|
Haptoglobin quantitative
|
$262.68 |
$262.68 |
$262.68 |
$90.24
|
|
Hba1/hba2 full gene sequence
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$454.08 |
$454.08 |
$454.08 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$1,312.08 |
$1,312.08 |
$1,312.08 |
$526.90
|
|
Hc ea ha check monaural
|
$436.92 |
$436.92 |
$436.92 |
$45.60
|
|
Hcg qualitative
|
$172.59 |
$172.59 |
$172.59 |
$85.15
|
|
Hcg quantitative
|
$333.63 |
$333.63 |
$333.63 |
$137.70
|
|
Hc metata joint dislocation anes
|
$1,679.04 |
$1,679.04 |
$1,679.04 |
$2,423.85
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$1,028.94 |
$1,028.94 |
$1,028.94 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$1,028.94 |
$1,028.94 |
$1,028.94 |
$858.00
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$1,008.81 |
$1,008.81 |
$1,008.81 |
$1,221.12
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$1,018.05 |
$1,018.05 |
$1,018.05 |
$562.25
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$1,008.81 |
$1,008.81 |
$1,008.81 |
$845.60
|
|
Hc nm kidney imaging with flow
|
$1,335.18 |
$1,335.18 |
$1,335.18 |
$802.80
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$2,299.44 |
$2,299.44 |
$2,299.44 |
$1,266.58
|
|
Head CT scan (with and without contrast)
|
$533.28 |
$533.28 |
$533.28 |
$1,801.80
|
