|
Ghs indirect laryngoscopy/w fb removal
|
$105.05 |
$105.05 |
$105.05 |
$293.58
|
|
Ghs inhibitor screen
|
$574.75 |
$574.75 |
$574.75 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$298.10 |
$298.10 |
$298.10 |
$300.30
|
|
Ghs inj transforaminal cerv ea add bil
|
$3,897.85 |
$3,897.85 |
$3,897.85 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$3,927.55 |
$3,927.55 |
$3,927.55 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$416.35 |
$416.35 |
$416.35 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$743.05 |
$743.05 |
$743.05 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,068.10 |
$1,068.10 |
$1,068.10 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,079.55 |
$2,079.55 |
$2,079.55 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$584.65 |
$584.65 |
$584.65 |
$637.92
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$380.60 |
$380.60 |
$380.60 |
$576.40
|
|
Ghs IV infusion casirivimab/imdevimab
|
$567.05 |
$567.05 |
$567.05 |
$604.50
|
|
Ghs IV infusion sotrovimab
|
$492.80 |
$492.80 |
$492.80 |
$665.50
|
|
Ghs IV thrombolytics - cerebral
|
$447.70 |
$447.70 |
$447.70 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$365.75 |
$365.75 |
$365.75 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$389.40 |
$389.40 |
$389.40 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$371.80 |
$371.80 |
$371.80 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$416.90 |
$416.90 |
$416.90 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$441.10 |
$441.10 |
$441.10 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$464.20 |
$464.20 |
$464.20 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$534.05 |
$534.05 |
$534.05 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$627.00 |
$627.00 |
$627.00 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$586.85 |
$586.85 |
$586.85 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$647.90 |
$647.90 |
$647.90 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$640.20 |
$640.20 |
$640.20 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$677.60 |
$677.60 |
$677.60 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$694.10 |
$694.10 |
$694.10 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$799.15 |
$799.15 |
$799.15 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$2,230.25 |
$2,230.25 |
$2,230.25 |
$1,064.98
|
|
Ghs mbp
|
$29.15 |
$29.15 |
$29.15 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$122.10 |
$122.10 |
$122.10 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$212.30 |
$212.30 |
$212.30 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$212.30 |
$212.30 |
$212.30 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$59.95 |
$59.95 |
$59.95 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$205.15 |
$205.15 |
$205.15 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$238.70 |
$238.70 |
$238.70 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$1,068.10 |
$1,068.10 |
$1,068.10 |
$808.80
|
|
Ghs nerve blk intercostal, single level
|
$1,053.80 |
$1,053.80 |
$1,053.80 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$1,642.30 |
$1,642.30 |
$1,642.30 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$1,642.30 |
$1,642.30 |
$1,642.30 |
$1,768.00
|
|
Ghs nerve block sciatic nerve
|
$1,642.30 |
$1,642.30 |
$1,642.30 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$577.50 |
$577.50 |
$577.50 |
$468.75
|
|
Ghs ot prosthetic training/15 min
|
$102.85 |
$102.85 |
$102.85 |
$92.35
|
|
Ghs ot work hardening-additional hours
|
$134.20 |
$134.20 |
$134.20 |
$121.54
|
|
Ghs pacing - transcutaneous
|
$706.20 |
$706.20 |
$706.20 |
$868.68
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$110.00 |
$110.00 |
$110.00 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$344.30 |
$344.30 |
$344.30 |
$694.20
|
|
Ghs picc line insert < 5
|
$735.90 |
$735.90 |
$735.90 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$1,068.10 |
$1,068.10 |
$1,068.10 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$22.00 |
$22.00 |
$22.00 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$19.80 |
$19.80 |
$19.80 |
$40.56
|
|
Ghs protein, misc fluid
|
$22.55 |
$22.55 |
$22.55 |
$24.60
|
|
Ghs protoporphyrins fract
|
$22.55 |
$22.55 |
$22.55 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$172.70 |
$172.70 |
$172.70 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$16.50 |
$16.50 |
$16.50 |
$45.05
|
|
Ghs pt - work hardening/int 2hrs
|
$268.95 |
$268.95 |
$268.95 |
$255.60
|
|
Ghs quinidine
|
$27.50 |
$27.50 |
$27.50 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$297.00 |
$297.00 |
$297.00 |
$324.35
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,322.00 |
$3,322.00 |
$3,322.00 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$23.65 |
$23.65 |
$23.65 |
$42.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$93.50 |
$93.50 |
$93.50 |
$101.15
|
|
Ghs sensitivity (per antimicro)
|
$133.65 |
$133.65 |
$133.65 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$408.10 |
$408.10 |
$408.10 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$586.85 |
$586.85 |
$586.85 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$512.05 |
$512.05 |
$512.05 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$640.20 |
$640.20 |
$640.20 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$502.15 |
$502.15 |
$502.15 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$380.60 |
$380.60 |
$380.60 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$464.20 |
$464.20 |
$464.20 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$554.95 |
$554.95 |
$554.95 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$694.10 |
$694.10 |
$694.10 |
$589.18
|
|
Ghs sleep study unattended
|
$640.20 |
$640.20 |
$640.20 |
$503.38
|
|
Ghs sphenopalatine ganglion block
|
$899.80 |
$899.80 |
$899.80 |
$706.56
|
|
Ghs sp train/fitting sp device - kx
|
$218.35 |
$218.35 |
$218.35 |
$261.95
|
|
Ghs st - eval for alt comm
|
$62.70 |
$62.70 |
$62.70 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$330.00 |
$330.00 |
$330.00 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$508.75 |
$508.75 |
$508.75 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$563.75 |
$563.75 |
$563.75 |
$976.98
|
|
Ghs tx distal phalangeal fx with manipulation
|
$270.05 |
$270.05 |
$270.05 |
$591.00
|
|
Ghs urine, porphyrins quant
|
$46.20 |
$46.20 |
$46.20 |
$70.20
|
|
Ghs vaginal delivery only
|
$2,159.85 |
$2,159.85 |
$2,159.85 |
$3,525.06
|
|
Giardia lamblia antibody
|
$146.85 |
$146.85 |
$146.85 |
$81.60
|
|
Gi inhouse confirmation
|
$40.15 |
$40.15 |
$40.15 |
$87.00
|
|
Glucagon plasma - sendout
|
$26.40 |
$26.40 |
$26.40 |
$58.56
|
|
Glucose 1 hr post dose
|
$62.70 |
$62.70 |
$62.70 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$89.10 |
$89.10 |
$89.10 |
$22.00
|
|
Glucose blood quantitative
|
$37.40 |
$37.40 |
$37.40 |
$44.76
|
|
Glucose body fluid
|
$79.20 |
$79.20 |
$79.20 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$127.05 |
$127.05 |
$127.05 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$69.30 |
$69.30 |
$69.30 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$106.15 |
$106.15 |
$106.15 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$105.60 |
$105.60 |
$105.60 |
$123.75
|
|
Graft xenmtrx sft rect 15x20cm
|
$671.03 |
$671.03 |
$671.03 |
$43,312.93
|
|
Granulocyte pheresis ea unit
|
$3,481.50 |
$3,481.50 |
$3,481.50 |
$2,950.30
|
|
Great toe with reduction 28495
|
$311.30 |
$311.30 |
$311.30 |
$577.03
|
|
G-tube reposition
|
$541.20 |
$541.20 |
$541.20 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$2,261.05 |
$2,261.05 |
$2,261.05 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$174.74 |
$174.74 |
$174.74 |
$3,474.86
|
|
Guid loc target vol rad tx
|
$580.80 |
$580.80 |
$580.80 |
$503.80
|
|
Handle/convey/speciman/office-lab 99000
|
$7.15 |
$7.15 |
$7.15 |
$30.36
|
