|
Ghs insertion of needle - bone
|
$61.87 |
$61.87 |
$61.87 |
$412.80
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$305.21 |
$305.21 |
$305.21 |
$863.20
|
|
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 |
$528.96
|
|
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 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$109.94 |
$109.94 |
$109.94 |
$570.11
|
|
Ghs layer closure 2.5cm or less - 12051
|
$125.58 |
$125.58 |
$125.58 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$171.58 |
$171.58 |
$171.58 |
$679.20
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$148.12 |
$148.12 |
$148.12 |
$703.20
|
|
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 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$246.79 |
$246.79 |
$246.79 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$267.49 |
$267.49 |
$267.49 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$303.60 |
$303.60 |
$303.60 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$294.17 |
$294.17 |
$294.17 |
$779.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$119.37 |
$119.37 |
$119.37 |
$240.00
|
|
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 |
$228.45
|
|
Ghs moderate sedation ea addtl 15 min
|
$38.41 |
$38.41 |
$38.41 |
$148.18
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$55.89 |
$55.89 |
$55.89 |
$141.00
|
|
Ghs myocardial strain img spckl track
|
$504.85 |
$504.85 |
$504.85 |
$464.95
|
|
Ghs nailbed repair/nail removal
|
$62.56 |
$62.56 |
$62.56 |
$724.37
|
|
Ghs o2 saturation
|
$14.95 |
$14.95 |
$14.95 |
$66.70
|
|
Ghs ob unlisted IV or art inj or infusion
|
$19.09 |
$19.09 |
$19.09 |
$81.09
|
|
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 |
$89.05
|
|
Ghs pacing - transcutaneous
|
$504.16 |
$504.16 |
$504.16 |
$815.00
|
|
Ghs peritonsillar abscess i andd
|
$207.92 |
$207.92 |
$207.92 |
$544.14
|
|
Ghs picc line insert < 5
|
$480.93 |
$480.93 |
$480.93 |
$2,035.00
|
|
Ghs plngl fx pm cl
|
$85.56 |
$85.56 |
$85.56 |
$564.50
|
|
Ghs ppd (tb intradermal)
|
$24.18 |
$24.18 |
$24.18 |
$37.44
|
|
Ghs pr without cont pulse ox
|
$33.58 |
$33.58 |
$33.58 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$20.93 |
$20.93 |
$20.93 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$122.36 |
$122.36 |
$122.36 |
$270.00
|
|
Ghs quinidine
|
$25.07 |
$25.07 |
$25.07 |
$83.20
|
|
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 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$290.95 |
$290.95 |
$290.95 |
$558.97
|
|
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 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$133.63 |
$133.63 |
$133.63 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$121.90 |
$121.90 |
$121.90 |
$431.00
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$173.42 |
$173.42 |
$173.42 |
$492.80
|
|
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 |
$816.31
|
|
Ghs superficial wnd dehis w packing12021
|
$218.27 |
$218.27 |
$218.27 |
$634.80
|
|
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 |
$519.60
|
|
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 |
$3,142.35
|
|
Gi inhouse confirmation
|
$16.10 |
$16.10 |
$16.10 |
$86.25
|
|
Glucagon 1 mg solution for injection
|
$379.48 |
$379.48 |
$379.48 |
$592.05
|
|
Glucagon plasma - sendout
|
$24.61 |
$24.61 |
$24.61 |
$63.00
|
|
Glucose 1 hr post dose
|
$8.28 |
$8.28 |
$8.28 |
$46.15
|
|
Glucose-6-phosphate dhydrogenase screen
|
$6.90 |
$6.90 |
$6.90 |
$53.95
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$4.14 |
$4.14 |
$4.14 |
$23.68
|
|
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 |
$99.20
|
|
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 |
$115.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$31.74 |
$31.74 |
$31.74 |
$125.28
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$73.83 |
$73.83 |
$73.83 |
$125.50
|
|
Graft axiofill 1000mg
|
$145.14 |
$145.14 |
$145.14 |
$4,624.31
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$9,519.85 |
$9,519.85 |
$9,519.85 |
$605.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$40,207.12 |
$40,207.12 |
$40,207.12 |
$26,222.04
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$310.27 |
$310.27 |
$310.27 |
$1,057.31
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,491.55 |
$1,491.55 |
$1,491.55 |
$1,017.82
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$28,666.90 |
$28,666.90 |
$28,666.90 |
$24,591.57
|
|
Granulocyte pheresis ea unit
|
$106.26 |
$106.26 |
$106.26 |
$2,622.50
|
|
Great toe with reduction 28495
|
$78.20 |
$78.20 |
$78.20 |
$479.60
|
|
Guide wire threaded 1.4x150mm
|
$23,495.50 |
$23,495.50 |
$23,495.50 |
$3,643.32
|
|
Guide worley csg 9fx50cm std
|
$188.42 |
$188.42 |
$188.42 |
$1,070.69
|
|
Gw stiffened micro access kit
|
$5,095.07 |
$5,095.07 |
$5,095.07 |
$7,529.45
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$105.29 |
$105.29 |
$105.29 |
$92.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$77.37 |
$77.37 |
$77.37 |
$24.30
|
|
Hand X-ray
|
$78.66 |
$78.66 |
$78.66 |
$346.40
|
|
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 |
$517.85
|
|
Hbb full gene sequence
|
$275.77 |
$275.77 |
$275.77 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$120.29 |
$120.29 |
$120.29 |
$523.04
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$245.87 |
$245.87 |
$245.87 |
$726.00
|
|
Hcg qualitative
|
$13.11 |
$13.11 |
$13.11 |
$85.60
|
|
Hcg quantitative
|
$25.76 |
$25.76 |
$25.76 |
$134.40
|
|
Hc nm kidney imaging with flow
|
$411.01 |
$411.01 |
$411.01 |
$781.74
|
|
Head CT scan (with and without contrast)
|
$576.61 |
$576.61 |
$576.61 |
$1,798.98
|
|
Head CT scan (with contrast)
|
$549.24 |
$549.24 |
$549.24 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$521.87 |
$521.87 |
$521.87 |
$1,268.90
|
|
Hematocrit
|
$4.14 |
$4.14 |
$4.14 |
$33.26
|
|
Hemoglobin
|
$4.14 |
$4.14 |
$4.14 |
$31.20
|
|
Hemoglobin methemoglobin quantitative
|
$11.73 |
$11.73 |
$11.73 |
$52.32
|
