|
Ghs histoplasma antigen
|
$107.62 |
$107.62 |
$107.62 |
$142.00
|
|
Ghs HIV antibody
|
$49.69 |
$49.69 |
$49.69 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$401.33 |
$401.33 |
$401.33 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$525.92 |
$525.92 |
$525.92 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$213.24 |
$213.24 |
$213.24 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$127.59 |
$127.59 |
$127.59 |
$707.25
|
|
Ghs immun0electrophoresis
|
$106.47 |
$106.47 |
$106.47 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$135.37 |
$135.37 |
$135.37 |
$526.50
|
|
Ghs inhibitor screen
|
$143.32 |
$143.32 |
$143.32 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$57.50 |
$57.50 |
$57.50 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$871.29 |
$871.29 |
$871.29 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$249.20 |
$249.20 |
$249.20 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,550.64 |
$1,550.64 |
$1,550.64 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,706.32 |
$1,706.32 |
$1,706.32 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$283.20 |
$283.20 |
$283.20 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$300.10 |
$300.10 |
$300.10 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$352.81 |
$352.81 |
$352.81 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$412.11 |
$412.11 |
$412.11 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$11.38 |
$11.38 |
$11.38 |
$200.20
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$191.68 |
$191.68 |
$191.68 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$188.68 |
$188.68 |
$188.68 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$182.70 |
$182.70 |
$182.70 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$210.25 |
$210.25 |
$210.25 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$248.58 |
$248.58 |
$248.58 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$244.39 |
$244.39 |
$244.39 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$268.35 |
$268.35 |
$268.35 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$255.77 |
$255.77 |
$255.77 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$266.56 |
$266.56 |
$266.56 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$274.94 |
$274.94 |
$274.94 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$336.04 |
$336.04 |
$336.04 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$374.97 |
$374.97 |
$374.97 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$392.94 |
$392.94 |
$392.94 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$480.40 |
$480.40 |
$480.40 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$438.47 |
$438.47 |
$438.47 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$531.31 |
$531.31 |
$531.31 |
$1,064.98
|
|
Ghs mbp
|
$40.45 |
$40.45 |
$40.45 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$265.30 |
$265.30 |
$265.30 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$267.50 |
$267.50 |
$267.50 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$376.81 |
$376.81 |
$376.81 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$134.58 |
$134.58 |
$134.58 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$199.58 |
$199.58 |
$199.58 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$408.32 |
$408.32 |
$408.32 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$142.56 |
$142.56 |
$142.56 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,489.19 |
$1,489.19 |
$1,489.19 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,119.68 |
$1,119.68 |
$1,119.68 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,579.20 |
$1,579.20 |
$1,579.20 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$749.28 |
$749.28 |
$749.28 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$871.36 |
$871.36 |
$871.36 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,123.92 |
$1,123.92 |
$1,123.92 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$749.28 |
$749.28 |
$749.28 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,337.28 |
$1,337.28 |
$1,337.28 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$811.44 |
$811.44 |
$811.44 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$51.51 |
$51.51 |
$51.51 |
$485.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$29.95 |
$29.95 |
$29.95 |
$58.00
|
|
Ghs ot dds rom
|
$66.24 |
$66.24 |
$66.24 |
$69.00
|
|
Ghs ot group caregiver training
|
$51.02 |
$51.02 |
$51.02 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$82.42 |
$82.42 |
$82.42 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$104.40 |
$104.40 |
$104.40 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$592.20 |
$592.20 |
$592.20 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$996.24 |
$996.24 |
$996.24 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,534.96 |
$1,534.96 |
$1,534.96 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$167.12 |
$167.12 |
$167.12 |
$555.00
|
|
Ghs phenylketonurid
|
$10.91 |
$10.91 |
$10.91 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,432.80 |
$1,432.80 |
$1,432.80 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$377.97 |
$377.97 |
$377.97 |
$564.80
|
|
Ghs protoporphyrins fract
|
$71.26 |
$71.26 |
$71.26 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$132.17 |
$132.17 |
$132.17 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$217.45 |
$217.45 |
$217.45 |
$285.60
|
|
Ghs quinidine
|
$38.52 |
$38.52 |
$38.52 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$140.17 |
$140.17 |
$140.17 |
$283.24
|
|
Ghs repair extensor tendon hand, ea tendon
|
$716.40 |
$716.40 |
$716.40 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$613.98 |
$613.98 |
$613.98 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$85.18 |
$85.18 |
$85.18 |
$74.82
|
|
Ghs reticulocyte count
|
$8.28 |
$8.28 |
$8.28 |
$34.50
|
|
Ghs sensitivity (per antimicro)
|
$16.28 |
$16.28 |
$16.28 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$121.60 |
$121.60 |
$121.60 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$163.53 |
$163.53 |
$163.53 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$148.55 |
$148.55 |
$148.55 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$194.08 |
$194.08 |
$194.08 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$95.24 |
$95.24 |
$95.24 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$93.44 |
$93.44 |
$93.44 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$120.40 |
$120.40 |
$120.40 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$183.29 |
$183.29 |
$183.29 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$219.83 |
$219.83 |
$219.83 |
$537.60
|
|
Ghs sleep study unattended
|
$560.62 |
$560.62 |
$560.62 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$63.47 |
$63.47 |
$63.47 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$719.95 |
$719.95 |
$719.95 |
$630.24
|
|
Ghs sp train/fitting sp device - kx
|
$169.78 |
$169.78 |
$169.78 |
$252.75
|
|
Ghs strapping shoulder - 29240
|
$35.34 |
$35.34 |
$35.34 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$234.81 |
$234.81 |
$234.81 |
$953.27
|
|
Ghs tracheostomy emergency - transtracheal
|
$402.53 |
$402.53 |
$402.53 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$340.83 |
$340.83 |
$340.83 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$39.80 |
$39.80 |
$39.80 |
$73.80
|
|
Ghs vaginal delivery only
|
$1,017.70 |
$1,017.70 |
$1,017.70 |
$3,341.93
|
|
Giardia ag if
|
$43.19 |
$43.19 |
$43.19 |
$38.58
|
|
Giardia lamblia antibody
|
$79.26 |
$79.26 |
$79.26 |
$83.44
|
|
Gi inhouse confirmation
|
$44.60 |
$44.60 |
$44.60 |
$87.75
|
|
Glucagon plasma - sendout
|
$43.01 |
$43.01 |
$43.01 |
$64.35
|
|
Glucose 1 hr post dose
|
$9.63 |
$9.63 |
$9.63 |
$49.00
|
|
Glucose body fluid
|
$35.95 |
$35.95 |
$35.95 |
$51.30
|
