|
Ghs corneal fb with slit lamp bilat
|
$158.40 |
$158.40 |
$158.40 |
$339.60
|
|
Ghs cricothyroidotomy
|
$717.42 |
$717.42 |
$717.42 |
$1,103.75
|
|
Ghs dislocation elbow closed treatment
|
$910.80 |
$910.80 |
$910.80 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$232.32 |
$232.32 |
$232.32 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$157.08 |
$157.08 |
$157.08 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$230.34 |
$230.34 |
$230.34 |
$1,381.60
|
|
Ghs elect vertical elct
|
$51.48 |
$51.48 |
$51.48 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$355.74 |
$355.74 |
$355.74 |
$467.00
|
|
Ghs excision ingrown nail
|
$392.04 |
$392.04 |
$392.04 |
$442.61
|
|
Ghs eye exam
|
$141.90 |
$141.90 |
$141.90 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$617.10 |
$617.10 |
$617.10 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$1,073.16 |
$1,073.16 |
$1,073.16 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$1,094.94 |
$1,094.94 |
$1,094.94 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$617.76 |
$617.76 |
$617.76 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$512.82 |
$512.82 |
$512.82 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$45.54 |
$45.54 |
$45.54 |
$48.10
|
|
Ghs fish cytogen
|
$61.31 |
$61.31 |
$61.31 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$114.91 |
$114.91 |
$114.91 |
$225.00
|
|
Ghs flow volume loop
|
$226.38 |
$226.38 |
$226.38 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$373.56 |
$373.56 |
$373.56 |
$365.40
|
|
Ghs histoplasma antigen
|
$6.67 |
$6.67 |
$6.67 |
$141.00
|
|
Ghs HIV antibody
|
$85.14 |
$85.14 |
$85.14 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$489.06 |
$489.06 |
$489.06 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$1,300.20 |
$1,300.20 |
$1,300.20 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$795.30 |
$795.30 |
$795.30 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$586.74 |
$586.74 |
$586.74 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$486.42 |
$486.42 |
$486.42 |
$520.80
|
|
Ghs indirect laryngoscopy/w fb removal
|
$487.08 |
$487.08 |
$487.08 |
$350.90
|
|
Ghs inf midline insertion
|
$187.44 |
$187.44 |
$187.44 |
$1,219.20
|
|
Ghs init tx 1st degree burn
|
$186.12 |
$186.12 |
$186.12 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$489.06 |
$489.06 |
$489.06 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$588.06 |
$588.06 |
$588.06 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$504.90 |
$504.90 |
$504.90 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$315.48 |
$315.48 |
$315.48 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$625.02 |
$625.02 |
$625.02 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$130.02 |
$130.02 |
$130.02 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$908.16 |
$908.16 |
$908.16 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,008.48 |
$1,008.48 |
$1,008.48 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$736.56 |
$736.56 |
$736.56 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$107.58 |
$107.58 |
$107.58 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$298.98 |
$298.98 |
$298.98 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$1,035.54 |
$1,035.54 |
$1,035.54 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$355.08 |
$355.08 |
$355.08 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$617.10 |
$617.10 |
$617.10 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$619.08 |
$619.08 |
$619.08 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$663.30 |
$663.30 |
$663.30 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$738.54 |
$738.54 |
$738.54 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$726.66 |
$726.66 |
$726.66 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$850.08 |
$850.08 |
$850.08 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$782.76 |
$782.76 |
$782.76 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$896.94 |
$896.94 |
$896.94 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$890.34 |
$890.34 |
$890.34 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$962.94 |
$962.94 |
$962.94 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$683.10 |
$683.10 |
$683.10 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,158.30 |
$1,158.30 |
$1,158.30 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$880.44 |
$880.44 |
$880.44 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$792.66 |
$792.66 |
$792.66 |
$1,897.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$957.66 |
$957.66 |
$957.66 |
$1,064.98
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$425.70 |
$425.70 |
$425.70 |
$242.64
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$425.70 |
$425.70 |
$425.70 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$425.70 |
$425.70 |
$425.70 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$425.70 |
$425.70 |
$425.70 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$159.06 |
$159.06 |
$159.06 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$102.96 |
$102.96 |
$102.96 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$138.60 |
$138.60 |
$138.60 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$30.36 |
$30.36 |
$30.36 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$434.94 |
$434.94 |
$434.94 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$86.46 |
$86.46 |
$86.46 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$229.68 |
$229.68 |
$229.68 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$378.18 |
$378.18 |
$378.18 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$311.52 |
$311.52 |
$311.52 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$216.48 |
$216.48 |
$216.48 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$174.90 |
$174.90 |
$174.90 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$539.22 |
$539.22 |
$539.22 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$367.62 |
$367.62 |
$367.62 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$199.32 |
$199.32 |
$199.32 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$88.44 |
$88.44 |
$88.44 |
$478.50
|
|
Ghs o2 uptake rest & exercise
|
$408.54 |
$408.54 |
$408.54 |
$239.05
|
|
Ghs opcc repair cvp without subq port
|
$73.92 |
$73.92 |
$73.92 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$404.58 |
$404.58 |
$404.58 |
$2,194.40
|
|
Ghs optokenetic
|
$51.48 |
$51.48 |
$51.48 |
$211.20
|
|
Ghs oscillating trac
|
$51.48 |
$51.48 |
$51.48 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$52.14 |
$52.14 |
$52.14 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$75.24 |
$75.24 |
$75.24 |
$64.50
|
|
Ghs ot prosthetic training/15 min
|
$79.86 |
$79.86 |
$79.86 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$41.58 |
$41.58 |
$41.58 |
$96.00
|
|
Ghs pacing - transcutaneous
|
$1,499.52 |
$1,499.52 |
$1,499.52 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$201.96 |
$201.96 |
$201.96 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$116.16 |
$116.16 |
$116.16 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$15.64 |
$15.64 |
$15.64 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$451.44 |
$451.44 |
$451.44 |
$545.40
|
|
Ghs picc line insert < 5
|
$3,375.90 |
$3,375.90 |
$3,375.90 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$835.56 |
$835.56 |
$835.56 |
$564.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,679.70 |
$1,679.70 |
$1,679.70 |
$3,557.58
|
|
Ghs pos nystagmus
|
$51.48 |
$51.48 |
$51.48 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$27.72 |
$27.72 |
$27.72 |
$37.44
|
|
Ghs protoporphyrins fract
|
$8.42 |
$8.42 |
$8.42 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$28.38 |
$28.38 |
$28.38 |
$146.86
|
|
Ghs refill of implantable pump
|
$151.14 |
$151.14 |
$151.14 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$493.68 |
$493.68 |
$493.68 |
$283.51
|