|
Ghs cricothyroidotomy
|
$355.32 |
$355.32 |
$355.32 |
$1,199.25
|
|
Ghs cutdown placement age 1 and over
|
$399.35 |
$399.35 |
$399.35 |
$391.20
|
|
Ghs cutdown placement under 1 yr
|
$128.10 |
$128.10 |
$128.10 |
$152.54
|
|
Ghs diphtheria toxoid ab igg
|
$80.64 |
$80.64 |
$80.64 |
$72.05
|
|
Ghs dislocation elbow closed treatment
|
$79.70 |
$79.70 |
$79.70 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$81.27 |
$81.27 |
$81.27 |
$351.46
|
|
Ghs eyelid foreign body-embedded - bil
|
$354.06 |
$354.06 |
$354.06 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$774.59 |
$774.59 |
$774.59 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$523.85 |
$523.85 |
$523.85 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$756.95 |
$756.95 |
$756.95 |
$2,355.20
|
|
Ghs fb removal - non-incisional
|
$488.25 |
$488.25 |
$488.25 |
$1,793.38
|
|
Ghs febrile agglutinns(mayo)
|
$55.13 |
$55.13 |
$55.13 |
$48.57
|
|
Ghs flow volume loop
|
$612.50 |
$612.50 |
$612.50 |
$309.00
|
|
Ghs gastric intub aspiration lavage
|
$90.72 |
$90.72 |
$90.72 |
$403.20
|
|
Ghs hcv amplificaiton
|
$197.75 |
$197.75 |
$1,907.41 |
$195.60
|
|
Ghs histoplasma antigen
|
$63.95 |
$63.95 |
$546.31 |
$137.80
|
|
Ghs HIV antibody
|
$114.66 |
$114.66 |
$114.66 |
$92.58
|
|
Ghs hla-dr/dq, multiple antigens
|
$217.98 |
$217.98 |
$217.98 |
$462.60
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,283.63 |
$1,283.63 |
$1,283.63 |
$3,786.00
|
|
Ghs i and d pilonidal cyst simple
|
$204.75 |
$204.75 |
$204.75 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$100.49 |
$100.49 |
$100.49 |
$543.21
|
|
Ghs indirect laryngoscopy/w fb removal
|
$110.25 |
$110.25 |
$110.25 |
$293.58
|
|
Ghs inf midline insertion
|
$846.41 |
$846.41 |
$846.41 |
$1,228.50
|
|
Ghs inhibitor screen
|
$158.76 |
$158.76 |
$158.76 |
$152.10
|
|
Ghs init tx 1st degree burn
|
$73.40 |
$73.40 |
$73.40 |
$298.10
|
|
Ghs inj tendon origin/insertion
|
$183.02 |
$183.02 |
$183.02 |
$431.07
|
|
Ghs insertion of needle - bone
|
$112.77 |
$112.77 |
$112.77 |
$460.65
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$332.85 |
$332.85 |
$332.85 |
$943.20
|
|
Ghs intro needle/intracath vein - 36000
|
$8,678.25 |
$8,678.25 |
$8,678.25 |
$218.05
|
|
Ghs irrigate corpora cavernosa for priapism
|
$262.40 |
$262.40 |
$262.40 |
$633.05
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$394.45 |
$394.45 |
$394.45 |
$576.40
|
|
Ghs IV infusion casirivimab/imdevimab
|
$569.28 |
$569.28 |
$569.28 |
$604.50
|
|
Ghs IV infusion sotrovimab
|
$394.45 |
$394.45 |
$826.36 |
$665.50
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$104.27 |
$104.27 |
$104.27 |
$542.40
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$332.85 |
$332.85 |
$332.85 |
$617.60
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$332.85 |
$332.85 |
$332.85 |
$810.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$60.48 |
$60.48 |
$60.48 |
$59.40
|
|
Ghs low level laser therapy
|
$36.54 |
$36.54 |
$360.36 |
$106.00
|
|
Ghs mbp
|
$68.36 |
$68.36 |
$1,147.53 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$253.83 |
$253.83 |
$253.83 |
$257.56
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$253.83 |
$253.83 |
$253.83 |
$251.20
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$253.83 |
$253.83 |
$253.83 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$214.55 |
$214.55 |
$214.55 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$253.83 |
$253.83 |
$253.83 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$3,809.55 |
$3,809.55 |
$3,809.55 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$168.21 |
$168.21 |
$168.21 |
$800.00
|
|
Ghs nerve block interscaline
|
$509.04 |
$509.04 |
$509.04 |
$1,580.60
|
|
Ghs ng placement w fluoro guidance
|
$217.98 |
$217.98 |
$217.98 |
$468.75
|
|
Ghs o2 saturation
|
$43.16 |
$43.16 |
$43.16 |
$72.45
|
|
Ghs o2 uptake rest & indirect
|
$671.25 |
$671.25 |
$671.25 |
$195.00
|
|
Ghs ot dds rom
|
$52.92 |
$52.92 |
$52.92 |
$56.55
|
|
Ghs ot prosthetic training/15 min
|
$80.96 |
$80.96 |
$80.96 |
$92.35
|
|
Ghs ot work hardening-additional hours
|
$74.66 |
$74.66 |
$989.12 |
$116.85
|
|
Ghs pacing - transcutaneous
|
$175.46 |
$175.46 |
$6,293.59 |
$856.44
|
|
Ghs peritonsillar abscess i andd
|
$158.45 |
$158.45 |
$158.45 |
$694.20
|
|
Ghs phenylketonurid
|
$629.13 |
$629.13 |
$629.13 |
$53.30
|
|
Ghs picc line insert < 5
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$87.57 |
$87.57 |
$87.57 |
$662.20
|
|
Ghs plt ct-manual
|
$39.06 |
$39.06 |
$39.06 |
$39.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$8,828.36 |
$8,828.36 |
$8,828.36 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$13.23 |
$13.23 |
$13.23 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$13.55 |
$13.55 |
$687.59 |
$40.56
|
|
Ghs protoporphyrins fract
|
$75.29 |
$75.29 |
$75.29 |
$64.35
|
|
Ghs pt - work hardening/int 2hrs
|
$83.16 |
$83.16 |
$1,979.70 |
$253.60
|
|
Ghs quinidine
|
$49.14 |
$49.14 |
$49.14 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$78.44 |
$78.44 |
$78.44 |
$321.75
|
|
Ghs removal pharyngeal foreign body
|
$114.03 |
$114.03 |
$114.03 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$793.49 |
$793.49 |
$793.49 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,621.31 |
$1,621.31 |
$1,621.31 |
$4,108.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$136.71 |
$136.71 |
$2,265.83 |
$103.95
|
|
Ghs sedimentation rate
|
$71.67 |
$71.67 |
$1,022.93 |
$46.62
|
|
Ghs semen analysis fert
|
$44.42 |
$44.42 |
$44.42 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$41.58 |
$41.58 |
$732.32 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$484.16 |
$484.16 |
$484.16 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$771.75 |
$771.75 |
$771.75 |
$1,431.56
|
|
Ghs sp train/fitting sp device - kx
|
$695.49 |
$695.49 |
$695.49 |
$260.65
|
|
Ghs strapping shoulder - 29240
|
$78.12 |
$78.12 |
$78.12 |
$243.07
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$153.30 |
$153.30 |
$153.30 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$306.25 |
$306.25 |
$306.25 |
$342.40
|
|
Ghs superficial wnd dehiscence simp12020
|
$228.06 |
$228.06 |
$228.06 |
$972.40
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,272.95 |
$1,272.95 |
$1,272.95 |
$2,224.80
|
|
Ghs tx distal phalangeal fx with manipulation
|
$86.94 |
$86.94 |
$86.94 |
$578.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$217.35 |
$217.35 |
$217.35 |
$545.05
|
|
Ghs urine, hydroxproline total
|
$93.24 |
$93.24 |
$93.24 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$42.53 |
$42.53 |
$42.53 |
$67.60
|
|
Ghs vaginal delivery only
|
$1,283.63 |
$1,283.63 |
$1,283.63 |
$3,522.35
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,408.18 |
$2,408.18 |
$2,408.18 |
$1,843.00
|
|
Ghs windowing of cast
|
$66.15 |
$66.15 |
$66.15 |
$204.00
|
|
Giardia lamblia antibody
|
$53.87 |
$53.87 |
$53.87 |
$81.60
|
|
Gi inhouse confirmation
|
$141.86 |
$141.86 |
$1,396.72 |
$87.75
|
|
Glove finger flexion right lg xl
|
$59.54 |
$59.54 |
$59.54 |
$93.10
|
|
Glucagon 1 mg solution for injection
|
$444.68 |
$444.68 |
$977.04 |
$613.00
|
|
Glucagon plasma - sendout
|
$46.31 |
$46.31 |
$46.31 |
$58.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$13.55 |
$13.55 |
$13.55 |
$22.75
|
|
Glucose blood quantitative
|
$72.40 |
$72.40 |
$590.68 |
$44.80
|
|
Glucose body fluid
|
$77.91 |
$77.91 |
$590.68 |
$50.71
|
|
Glucose tolerance test (gtt) 3 specimens
|
$114.98 |
$114.98 |
$1,009.08 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$14.49 |
$14.49 |
$14.49 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$147.35 |
$147.35 |
$2,082.78 |
$108.08
|
|
Gonadotropin luteinizing hormone (lh)
|
$105.21 |
$105.21 |
$2,173.54 |
$123.75
|