|
Gallbladder Removal (Laparoscopic)
|
$6,913.60 |
$6,913.60 |
$6,913.60 |
$12,906.50
|
|
Gamma globulin 1 cc inj
|
$114.40 |
$114.40 |
$114.40 |
$406.90
|
|
Gammaglobulin iga
|
$558.40 |
$558.40 |
$558.40 |
$69.42
|
|
Gammaglobulin ige
|
$76.00 |
$76.00 |
$76.00 |
$83.40
|
|
Gamma glutamyltransferase
|
$45.60 |
$45.60 |
$45.60 |
$57.54
|
|
Gammagraft
|
$191.20 |
$191.20 |
$191.20 |
$143.50
|
|
Gamunex-c/gammaked
|
$142.40 |
$142.40 |
$142.40 |
$7,435.88
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$2,368.00 |
$2,368.00 |
$2,368.00 |
$2,376.00
|
|
Gel-one
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$1,862.40 |
$1,862.40 |
$1,862.40 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$106.80 |
$106.80 |
$106.80 |
$208.92
|
|
General health panel
|
$283.20 |
$283.20 |
$283.20 |
$262.44
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$7.68 |
$7.68 |
$7.68 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$80.00 |
$80.00 |
$80.00 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$152.80 |
$152.80 |
$152.80 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$1,436.80 |
$1,436.80 |
$1,436.80 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$315.20 |
$315.20 |
$315.20 |
$3,515.40
|
|
Ghs analysis neurostim without reprogramming
|
$204.00 |
$204.00 |
$204.00 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$41.60 |
$41.60 |
$41.60 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$125.60 |
$125.60 |
$125.60 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$4,714.66 |
$4,714.66 |
$4,714.66 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$5,194.40 |
$5,194.40 |
$5,194.40 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$521.60 |
$521.60 |
$521.60 |
$594.55
|
|
Ghs chemo >8 hrs
|
$621.60 |
$621.60 |
$621.60 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$130.40 |
$130.40 |
$130.40 |
$276.02
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$538.40 |
$538.40 |
$538.40 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$796.00 |
$796.00 |
$796.00 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$3,472.80 |
$3,472.80 |
$3,472.80 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$3,156.00 |
$3,156.00 |
$3,156.00 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$554.40 |
$554.40 |
$554.40 |
$494.40
|
|
Ghs clsd red med malleolus fx w manip
|
$866.40 |
$866.40 |
$866.40 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$924.80 |
$924.80 |
$924.80 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$612.80 |
$612.80 |
$612.80 |
$497.53
|
|
Ghs conjunctiva foreign body-embed bil
|
$53.60 |
$53.60 |
$53.60 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$249.60 |
$249.60 |
$249.60 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$684.80 |
$684.80 |
$684.80 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$248.80 |
$248.80 |
$248.80 |
$339.60
|
|
Ghs cricothyroidotomy
|
$579.20 |
$579.20 |
$579.20 |
$1,103.75
|
|
Ghs diphtheria toxoid ab igg
|
$32.00 |
$32.00 |
$32.00 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$709.60 |
$709.60 |
$709.60 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$184.00 |
$184.00 |
$184.00 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$55.20 |
$55.20 |
$55.20 |
$335.08
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$106.40 |
$106.40 |
$106.40 |
$467.00
|
|
Ghs excision ingrown nail
|
$1,196.80 |
$1,196.80 |
$1,196.80 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$172.80 |
$172.80 |
$172.80 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$520.80 |
$520.80 |
$520.80 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$421.60 |
$421.60 |
$421.60 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$2,676.80 |
$2,676.80 |
$2,676.80 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$2,673.60 |
$2,673.60 |
$2,673.60 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$720.00 |
$720.00 |
$720.00 |
$48.10
|
|
Ghs fish cytogen
|
$704.00 |
$704.00 |
$704.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$1,049.60 |
$1,049.60 |
$1,049.60 |
$225.00
|
|
Ghs flow volume loop
|
$25.60 |
$25.60 |
$25.60 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$679.20 |
$679.20 |
$679.20 |
$365.40
|
|
Ghs histoplasma antigen
|
$88.00 |
$88.00 |
$88.00 |
$141.00
|
|
Ghs HIV antibody
|
$53.60 |
$53.60 |
$53.60 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$362.40 |
$362.40 |
$362.40 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$2,621.60 |
$2,621.60 |
$2,621.60 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,160.80 |
$1,160.80 |
$1,160.80 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$408.80 |
$408.80 |
$408.80 |
$520.80
|
|
Ghs inf midline insertion
|
$152.00 |
$152.00 |
$152.00 |
$1,219.20
|
|
Ghs init tx 1st degree burn
|
$79.20 |
$79.20 |
$79.20 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$301.60 |
$301.60 |
$301.60 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$5,340.80 |
$5,340.80 |
$5,340.80 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$470.40 |
$470.40 |
$470.40 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$97.60 |
$97.60 |
$97.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,402.40 |
$1,402.40 |
$1,402.40 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$684.80 |
$684.80 |
$684.80 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,386.66 |
$1,386.66 |
$1,386.66 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$494.40 |
$494.40 |
$494.40 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$566.40 |
$566.40 |
$566.40 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$61.60 |
$61.60 |
$61.60 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$401.60 |
$401.60 |
$401.60 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$84.00 |
$84.00 |
$84.00 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$548.00 |
$548.00 |
$548.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$295.20 |
$295.20 |
$295.20 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$2,481.60 |
$2,481.60 |
$2,481.60 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,793.33 |
$1,793.33 |
$1,793.33 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$970.66 |
$970.66 |
$970.66 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$903.20 |
$903.20 |
$903.20 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$903.20 |
$903.20 |
$903.20 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$903.20 |
$903.20 |
$903.20 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$903.20 |
$903.20 |
$903.20 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,406.40 |
$1,406.40 |
$1,406.40 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$358.40 |
$358.40 |
$358.40 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$533.60 |
$533.60 |
$533.60 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$571.20 |
$571.20 |
$571.20 |
$1,016.25
|
|
Ghs low level laser therapy
|
$31.20 |
$31.20 |
$31.20 |
$85.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$38.40 |
$38.40 |
$38.40 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$153.60 |
$153.60 |
$153.60 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$210.40 |
$210.40 |
$210.40 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$20.80 |
$20.80 |
$20.80 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$100.80 |
$100.80 |
$100.80 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$80.00 |
$80.00 |
$80.00 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$32.00 |
$32.00 |
$32.00 |
$272.25
|
|
Ghs nailbed repair/nail removal
|
$5,096.80 |
$5,096.80 |
$5,096.80 |
$724.37
|
