|
Ghs nerve blk intercostal, single level
|
$1,096.42 |
$1,096.42 |
$1,096.42 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$5,444.80 |
$5,444.80 |
$5,444.80 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$2,877.26 |
$2,877.26 |
$2,877.26 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$4,518.81 |
$4,518.81 |
$4,518.81 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$1,304.56 |
$1,304.56 |
$1,304.56 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$4,292.83 |
$4,292.83 |
$4,292.83 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$4,518.81 |
$4,518.81 |
$4,518.81 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$3,434.54 |
$3,434.54 |
$3,434.54 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$960.91 |
$960.91 |
$960.91 |
$468.75
|
|
Ghs o2 saturation
|
$499.81 |
$499.81 |
$499.81 |
$72.45
|
|
Ghs o2 uptake rest & indirect
|
$347.93 |
$347.93 |
$347.93 |
$195.00
|
|
Ghs opcc repair cvp without subq port
|
$2,772.47 |
$2,772.47 |
$2,772.47 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$8,122.48 |
$8,122.48 |
$8,122.48 |
$2,430.56
|
|
Ghs optokenetic
|
$883.07 |
$883.07 |
$883.07 |
$196.66
|
|
Ghs oscillating trac
|
$1,663.95 |
$1,663.95 |
$1,663.95 |
$267.15
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$83.27 |
$83.27 |
$83.27 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$83.27 |
$83.27 |
$83.27 |
$57.65
|
|
Ghs ot dds rom
|
$146.21 |
$146.21 |
$146.21 |
$56.55
|
|
Ghs ot group caregiver training
|
$55.64 |
$55.64 |
$55.64 |
$43.20
|
|
Ghs ot sensory integrative tech/15min
|
$180.12 |
$180.12 |
$180.12 |
$101.05
|
|
Ghs ot work hardening-additional hours
|
$320.59 |
$320.59 |
$320.59 |
$121.54
|
|
Ghs pacing - transcutaneous
|
$2,277.52 |
$2,277.52 |
$2,277.52 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,380.76 |
$1,380.76 |
$1,380.76 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,579.01 |
$1,579.01 |
$1,579.01 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$308.64 |
$308.64 |
$308.64 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$1,615.31 |
$1,615.31 |
$1,615.31 |
$694.20
|
|
Ghs phenylketonurid
|
$212.91 |
$212.91 |
$212.91 |
$51.58
|
|
Ghs picc line insert < 5
|
$7,388.14 |
$7,388.14 |
$7,388.14 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$1,705.16 |
$1,705.16 |
$1,705.16 |
$662.20
|
|
Ghs plt ct-manual
|
$35.30 |
$35.30 |
$35.30 |
$39.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$6,281.84 |
$6,281.84 |
$6,281.84 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$173.07 |
$173.07 |
$173.07 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$118.27 |
$118.27 |
$118.27 |
$40.56
|
|
Ghs protein, misc fluid
|
$98.61 |
$98.61 |
$98.61 |
$24.60
|
|
Ghs protoporphyrins fract
|
$217.51 |
$217.51 |
$217.51 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$618.60 |
$618.60 |
$618.60 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$107.10 |
$107.10 |
$107.10 |
$45.05
|
|
Ghs pt - work hardening/int 2hrs
|
$635.22 |
$635.22 |
$635.22 |
$255.60
|
|
Ghs refill of implantable pump
|
$751.67 |
$751.67 |
$751.67 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$778.33 |
$778.33 |
$778.33 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$949.45 |
$949.45 |
$949.45 |
$460.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$31,980.12 |
$31,980.12 |
$31,980.12 |
$4,150.20
|
|
Ghs reticulocyte count
|
$155.59 |
$155.59 |
$155.59 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$500.19 |
$500.19 |
$500.19 |
$101.15
|
|
Ghs sedimentation rate
|
$136.64 |
$136.64 |
$136.64 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$361.54 |
$361.54 |
$361.54 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$2,229.95 |
$2,229.95 |
$2,229.95 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$2,215.89 |
$2,215.89 |
$2,215.89 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,338.15 |
$1,338.15 |
$1,338.15 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,120.75 |
$1,120.75 |
$1,120.75 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$1,120.75 |
$1,120.75 |
$1,120.75 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$1,120.75 |
$1,120.75 |
$1,120.75 |
$589.18
|
|
Ghs sleep study unattended
|
$1,759.19 |
$1,759.19 |
$1,759.19 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,859.99 |
$1,859.99 |
$1,859.99 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$5,296.71 |
$5,296.71 |
$5,296.71 |
$1,435.00
|
|
Ghs sphenopalatine ganglion block
|
$1,485.22 |
$1,485.22 |
$1,485.22 |
$706.56
|
|
Ghs spont nystagmus
|
$712.35 |
$712.35 |
$712.35 |
$217.57
|
|
Ghs sp train/fitting sp device - kx
|
$467.74 |
$467.74 |
$467.74 |
$261.95
|
|
Ghs st - eval for alt comm
|
$263.40 |
$263.40 |
$263.40 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$1,289.72 |
$1,289.72 |
$1,289.72 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$768.25 |
$768.25 |
$768.25 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$387.21 |
$387.21 |
$387.21 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$598.01 |
$598.01 |
$598.01 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$3,841.84 |
$3,841.84 |
$3,841.84 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$4,371.49 |
$4,371.49 |
$4,371.49 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$8,243.52 |
$8,243.52 |
$8,243.52 |
$2,225.73
|
|
Ghs tx distal phalangeal fx with manipulation
|
$1,417.66 |
$1,417.66 |
$1,417.66 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$540.00
|
|
Ghs urine, porphyrins quant
|
$234.47 |
$234.47 |
$234.47 |
$70.20
|
|
Ghs vaginal delivery only
|
$7,559.96 |
$7,559.96 |
$7,559.96 |
$3,525.06
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,985.83 |
$1,985.83 |
$1,985.83 |
$1,843.00
|
|
Ghs windowing of cast
|
$906.69 |
$906.69 |
$906.69 |
$204.00
|
|
Giardia lamblia antibody
|
$178.42 |
$178.42 |
$178.42 |
$81.60
|
|
Gi inhouse confirmation
|
$157.76 |
$157.76 |
$157.76 |
$87.00
|
|
Gjb2 gene full sequence
|
$861.91 |
$861.91 |
$861.91 |
$386.10
|
|
Glove finger flexion right lg xl
|
$697.94 |
$697.94 |
$697.94 |
$93.10
|
|
Glucagon plasma - sendout
|
$87.50 |
$87.50 |
$87.50 |
$58.56
|
|
Glucose 1 hr post dose
|
$161.03 |
$161.03 |
$161.03 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$40.50 |
$40.50 |
$40.50 |
$22.00
|
|
Glucose blood quantitative
|
$240.12 |
$240.12 |
$240.12 |
$44.76
|
|
Glucose body fluid
|
$114.14 |
$114.14 |
$114.14 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$226.00 |
$226.00 |
$226.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$82.64 |
$82.64 |
$82.64 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$54.00 |
$54.00 |
$54.00 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$1,683.67 |
$1,683.67 |
$1,683.67 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$393.73 |
$393.73 |
$393.73 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$455.18 |
$455.18 |
$455.18 |
$123.75
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$659.21 |
$659.21 |
$659.21 |
$336.78
|
|
Granulocyte pheresis ea unit
|
$5,039.08 |
$5,039.08 |
$5,039.08 |
$2,950.30
|
|
Great toe with reduction 28495
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$577.03
|
|
G-tube reposition
|
$2,125.27 |
$2,125.27 |
$2,125.27 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$8,795.40 |
$8,795.40 |
$8,795.40 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$4,021.92 |
$4,021.92 |
$4,021.92 |
$1,461.15
|
|
Guid loc target vol rad tx
|
$481.84 |
$481.84 |
$481.84 |
$503.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$69.63 |
$69.63 |
$69.63 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$20.72 |
$20.72 |
$20.72 |
$35.40
|
|
Hand X-ray
|
$644.05 |
$644.05 |
$644.05 |
$338.58
|
