|
Ghs inj transforaminal cerv single bil
|
$744.88 |
$1,030.85 |
$1,426.13 |
|
|
Ghs insertion of needle - bone
|
$113.74 |
$142.16 |
$262.89 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$295.32 |
$523.21 |
$2,204.49 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$346.66 |
$547.64 |
$2,755.79 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$405.06 |
$957.22 |
$4,069.87 |
|
|
Ghs intro needle/intracath vein - 36000
|
$8.66 |
$30.10 |
$315.54 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$5,490.80 |
$5,490.80 |
$5,490.80 |
|
|
Ghs IV inf sq injection, on-body injector
|
$41.28 |
$87.35 |
$107.18 |
|
|
Ghs IV thrombolytics - cerebral
|
$354.60 |
$410.04 |
$556.58 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$570.60 |
$570.60 |
$570.60 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$162.61 |
$305.53 |
$1,130.81 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$179.45 |
$222.18 |
$1,130.81 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$206.30 |
$206.30 |
$942.34 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$243.98 |
$243.98 |
$1,177.56 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$239.74 |
$292.04 |
$1,412.77 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$263.76 |
$283.89 |
$1,330.41 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$251.51 |
$462.32 |
$1,766.71 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$261.88 |
$320.02 |
$687.39 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$269.88 |
$269.88 |
$1,472.13 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$330.17 |
$409.73 |
$880.08 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$368.32 |
$368.32 |
$368.32 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$386.22 |
$477.50 |
$1,025.64 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$471.94 |
$471.94 |
$471.94 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$430.49 |
$529.35 |
$1,137.01 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$521.87 |
$521.87 |
$521.87 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$1.66 |
$5.43 |
$133.56 |
|
|
Ghs mbp
|
$5.29 |
$10.46 |
$69.75 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$72.72 |
$170.18 |
$437.78 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$72.72 |
$165.64 |
$276.03 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$50.73 |
$162.06 |
$437.78 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$36.72 |
$85.94 |
$255.94 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$36.72 |
$95.72 |
$255.94 |
|
|
Ghs musc test done w/n test comp
|
$43.68 |
$67.80 |
$151.37 |
|
|
Ghs musc tst done w/nerv tst lim
|
$30.23 |
$44.11 |
$98.69 |
|
|
Ghs musc tst done w/n tst non ext
|
$50.70 |
$61.97 |
$129.85 |
|
|
Ghs myocardial strain img spckl track
|
$45.27 |
$104.42 |
$575.05 |
|
|
Ghs nailbed repair/nail removal
|
$1,132.30 |
$1,132.30 |
$1,132.30 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$402.20 |
$711.45 |
$1,423.16 |
|
|
Ghs nerve blk intercostal, single level
|
$338.32 |
$548.08 |
$1,112.26 |
|
|
Ghs nerve block axillary nerve
|
$205.54 |
$205.54 |
$817.48 |
|
|
Ghs nerve block brachial plexus
|
$166.21 |
$354.84 |
$538.98 |
|
|
Ghs nerve block celiac plexus
|
$256.31 |
$461.36 |
$1,495.88 |
|
|
Ghs nerve block interscaline
|
$117.98 |
$869.94 |
$1,021.48 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$129.85 |
$489.23 |
$1,078.39 |
|
|
Ghs nerve block sciatic nerve
|
$191.44 |
$590.98 |
$1,047.07 |
|
|
Ghs nerve block suprascapular
|
$129.11 |
$129.11 |
$488.96 |
|
|
Ghs ng placement w fluoro guidance
|
$123.14 |
$275.38 |
$618.09 |
|
|
Ghs o2 saturation
|
$3.39 |
$5.19 |
$187.95 |
|
|
Ghs o2 uptake rest & exercise
|
$26.95 |
$142.45 |
$533.61 |
|
|
Ghs o2 uptake rest & indirect
|
$25.69 |
$135.79 |
$508.66 |
|
|
Ghs opcc repair cvp without subq port
|
$299.11 |
$551.23 |
$779.33 |
|
|
Ghs opcc repair cvp w subq port
|
$627.25 |
$1,943.08 |
$2,657.14 |
|
|
Ghs optokenetic
|
$27.46 |
$81.20 |
$99.00 |
|
|
Ghs oscillating trac
|
$98.00 |
$98.00 |
$117.22 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$45.27 |
$45.27 |
$45.27 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$65.30 |
$65.30 |
$65.30 |
|
|
Ghs ot dds rom
|
$9.18 |
$9.18 |
$15.15 |
|
|
Ghs ot group caregiver training
|
$16.05 |
$44.76 |
$49.28 |
|
|
Ghs ot prosthetic training/15 min
|
$11.66 |
$24.97 |
$99.43 |
|
|
Ghs ot sensory integrative tech/15min
|
$9.64 |
$27.54 |
$117.98 |
|
|
Ghs ot work hardening-additional hours
|
$19.76 |
$33.52 |
$57.28 |
|
|
Ghs pacing - transcutaneous
|
$220.34 |
$319.37 |
$713.48 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$286.11 |
$357.89 |
$1,087.73 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$552.85 |
$708.82 |
$1,285.43 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$28.65 |
$28.65 |
$120.95 |
|
|
Ghs peritonsillar abscess i andd
|
$704.16 |
$704.16 |
$704.16 |
|
|
Ghs phenylketonurid
|
$1.92 |
$2.72 |
$9.54 |
|
|
Ghs picc line insert < 5
|
$402.80 |
$750.48 |
$2,565.52 |
|
|
Ghs plngl fx pm cl
|
$655.19 |
$655.19 |
$655.19 |
|
|
Ghs plt ct-manual
|
$3.90 |
$3.90 |
$4.20 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,628.94 |
$3,225.58 |
$4,319.42 |
|
|
Ghs pos nystagmus
|
$44.52 |
$44.52 |
$145.99 |
|
|
Ghs ppd (tb intradermal)
|
$7.21 |
$19.40 |
$39.73 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$6.78 |
$9.72 |
$33.66 |
|
|
Ghs protoporphyrins fract
|
$9.32 |
$17.76 |
$120.95 |
|
|
Ghs pr without cont pulse ox
|
$59.10 |
$62.49 |
$114.47 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$10.45 |
$17.18 |
$28.65 |
|
|
Ghs pt - work hardening/int 2hrs
|
$39.43 |
$66.89 |
$552.79 |
|
|
Ghs quinidine
|
$5.04 |
$9.48 |
$123.92 |
|
|
Ghs refill of implantable pump
|
$220.00 |
$261.36 |
$271.04 |
|
|
Ghs removal intranasal foreign body
|
$362.10 |
$362.10 |
$362.10 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$946.80 |
$946.80 |
$946.80 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$775.39 |
$775.39 |
$775.39 |
|
|
Ghs respiratory syncytical virus igg/m
|
$9.43 |
$14.98 |
$109.08 |
|
|
Ghs reticulocyte count
|
$0.83 |
$2.72 |
$58.07 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$76.26 |
$98.40 |
$126.06 |
|
|
Ghs sedimentation rate
|
$0.83 |
$2.76 |
$16.05 |
|
|
Ghs sensitivity (per antimicro)
|
$3.75 |
$5.82 |
$103.77 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$184.01 |
$277.33 |
$1,004.67 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$522.62 |
$612.45 |
$1,687.31 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$225.00 |
$339.04 |
$2,001.92 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$236.70 |
$580.99 |
$783.73 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$211.07 |
$283.01 |
$1,156.04 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$143.01 |
$209.92 |
$891.89 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$118.22 |
$415.80 |
$1,345.25 |
|
|
Ghs simple repair over 30 cm - 12007
|
$179.92 |
$410.29 |
$600.36 |
|
|
Ghs simple repair over 30 cm - 12018
|
$654.34 |
$766.80 |
$882.67 |
|
|
Ghs sleep study unattended
|
$243.38 |
$497.50 |
$558.12 |
|
|
Ghs somatosensory testing lower extremit
|
$228.10 |
$355.51 |
$1,260.66 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$457.47 |
$659.39 |
$1,038.06 |
|
