|
Genome sequence analysis
|
$3,082.80 |
$3,082.80 |
$3,082.80 |
$5,031.20
|
|
Genome sequence analysis
|
$3,082.80 |
$3,082.80 |
$3,082.80 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$58.31 |
$58.31 |
$58.31 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$171.00 |
$171.00 |
$171.00 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$5,737.70 |
$5,737.70 |
$5,737.70 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$693.00 |
$693.00 |
$693.00 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$25,191.80 |
$25,191.80 |
$25,191.80 |
$3,515.40
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$54.00 |
$54.00 |
$54.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$855.00 |
$855.00 |
$855.00 |
$403.38
|
|
Ghs antibodies (torch) igm
|
$80.40 |
$80.40 |
$80.40 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$388.80 |
$388.80 |
$388.80 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$790.80 |
$790.80 |
$790.80 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,779.20 |
$2,779.20 |
$2,779.20 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$2,077.20 |
$2,077.20 |
$2,077.20 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$336.60 |
$336.60 |
$336.60 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$285.60 |
$285.60 |
$285.60 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$172.80 |
$172.80 |
$172.80 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$172.80 |
$172.80 |
$172.80 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$10,038.95 |
$10,038.95 |
$10,038.95 |
$3,448.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$172.80 |
$172.80 |
$172.80 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$172.80 |
$172.80 |
$172.80 |
$497.53
|
|
Ghs conjunctiva foreign body-embed bil
|
$315.60 |
$315.60 |
$315.60 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$97.20 |
$97.20 |
$97.20 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$433.80 |
$433.80 |
$433.80 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$97.20 |
$97.20 |
$97.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$174.00 |
$174.00 |
$174.00 |
$1,103.75
|
|
Ghs dislocation elbow closed treatment
|
$172.80 |
$172.80 |
$172.80 |
$583.80
|
|
Ghs ed rmvl or bivalving cast
|
$237.00 |
$237.00 |
$237.00 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$1,381.60
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$755.40 |
$755.40 |
$755.40 |
$467.00
|
|
Ghs excision ingrown nail
|
$311.40 |
$311.40 |
$311.40 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$221.40 |
$221.40 |
$221.40 |
$501.04
|
|
Ghs fb removal - incisional
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$1,706.20
|
|
Ghs fish cytogen
|
$164.40 |
$164.40 |
$164.40 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$349.80 |
$349.80 |
$349.80 |
$225.00
|
|
Ghs flow volume loop
|
$893.40 |
$893.40 |
$893.40 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$229.20 |
$229.20 |
$229.20 |
$365.40
|
|
Ghs hcv amplificaiton
|
$359.40 |
$359.40 |
$359.40 |
$203.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$136.80 |
$136.80 |
$136.80 |
$144.60
|
|
Ghs i and d abscess/hematoma scrotum
|
$14,338.07 |
$14,338.07 |
$14,338.07 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$10,413.64 |
$10,413.64 |
$10,413.64 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,421.40 |
$1,421.40 |
$1,421.40 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$1,351.80 |
$1,351.80 |
$1,351.80 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$850.80 |
$850.80 |
$850.80 |
$520.80
|
|
Ghs inf midline insertion
|
$22,407.12 |
$22,407.12 |
$22,407.12 |
$1,219.20
|
|
Ghs inhibitor screen
|
$38.40 |
$38.40 |
$38.40 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$150.60 |
$150.60 |
$150.60 |
$275.50
|
|
Ghs inj tendon origin/insertion
|
$549.60 |
$549.60 |
$549.60 |
$434.12
|
|
Ghs insertion of needle - bone
|
$352.20 |
$352.20 |
$352.20 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,596.40 |
$3,596.40 |
$3,596.40 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$179.40 |
$179.40 |
$179.40 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$482.40 |
$482.40 |
$482.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$315.60 |
$315.60 |
$315.60 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$10,836.35 |
$10,836.35 |
$10,836.35 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$8,482.96 |
$8,482.96 |
$8,482.96 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$8,067.10 |
$8,067.10 |
$8,067.10 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$14,237.98 |
$14,237.98 |
$14,237.98 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$155.40 |
$155.40 |
$155.40 |
$73.50
|
|
Ghs mbp
|
$186.00 |
$186.00 |
$186.00 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$462.00 |
$462.00 |
$462.00 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$174.00 |
$174.00 |
$174.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$499.20 |
$499.20 |
$499.20 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$197.40 |
$197.40 |
$197.40 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$197.40 |
$197.40 |
$197.40 |
$141.00
|
|
Ghs myocardial strain img spckl track
|
$712.80 |
$712.80 |
$712.80 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$31,711.76 |
$31,711.76 |
$31,711.76 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,217.40 |
$1,217.40 |
$1,217.40 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$952.80 |
$952.80 |
$952.80 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$1,793.40 |
$1,793.40 |
$1,793.40 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$2,104.80 |
$2,104.80 |
$2,104.80 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$1,216.20 |
$1,216.20 |
$1,216.20 |
$1,556.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$950.40 |
$950.40 |
$950.40 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$2,112.00 |
$2,112.00 |
$2,112.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$501.00 |
$501.00 |
$501.00 |
$1,183.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$88.20 |
$88.20 |
$88.20 |
$83.04
|
|
Ghs opcc repair cvp without subq port
|
$483.00 |
$483.00 |
$483.00 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$478.20 |
$478.20 |
$478.20 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$21.60 |
$21.60 |
$21.60 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$52.20 |
$52.20 |
$52.20 |
$64.50
|
|
Ghs ot group caregiver training
|
$40.80 |
$40.80 |
$40.80 |
$34.80
|
|
Ghs pacing - transcutaneous
|
$490.20 |
$490.20 |
$490.20 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$307.20 |
$307.20 |
$307.20 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$545.40
|
|
Ghs phenylketonurid
|
$19.80 |
$19.80 |
$19.80 |
$53.76
|
