|
Ghs inj transforaminal cerv ea add bil
|
$752.64 |
$752.64 |
$752.64 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$1,357.44 |
$1,357.44 |
$1,357.44 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$262.08 |
$262.08 |
$262.08 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$406.08 |
$406.08 |
$406.08 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$596.64 |
$596.64 |
$596.64 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,840.32 |
$1,840.32 |
$1,840.32 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$252.96 |
$252.96 |
$252.96 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,149.60 |
$1,149.60 |
$1,149.60 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$413.76 |
$413.76 |
$413.76 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$301.92 |
$301.92 |
$301.92 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$406.08 |
$406.08 |
$406.08 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$349.44 |
$349.44 |
$349.44 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$406.08 |
$406.08 |
$406.08 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$418.56 |
$418.56 |
$418.56 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$520.32 |
$520.32 |
$520.32 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$431.04 |
$431.04 |
$431.04 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$406.08 |
$406.08 |
$406.08 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$418.56 |
$418.56 |
$418.56 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$443.04 |
$443.04 |
$443.04 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$427.68 |
$427.68 |
$427.68 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$455.04 |
$455.04 |
$455.04 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$790.56 |
$790.56 |
$790.56 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$396.00 |
$396.00 |
$396.00 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$396.00 |
$396.00 |
$396.00 |
$1,064.98
|
|
Ghs mbp
|
$56.95 |
$56.95 |
$56.95 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$233.28 |
$233.28 |
$233.28 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$233.28 |
$233.28 |
$233.28 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$233.28 |
$233.28 |
$233.28 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$47.52 |
$47.52 |
$47.52 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$47.52 |
$47.52 |
$47.52 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$255.36 |
$255.36 |
$255.36 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$395.52 |
$395.52 |
$395.52 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$521.28 |
$521.28 |
$521.28 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,352.64 |
$1,352.64 |
$1,352.64 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$521.28 |
$521.28 |
$521.28 |
$1,541.40
|
|
Ghs nerve block celiac plexus
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$521.28 |
$521.28 |
$521.28 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$1,352.64 |
$1,352.64 |
$1,352.64 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$443.52 |
$443.52 |
$443.52 |
$468.75
|
|
Ghs o2 saturation
|
$84.00 |
$84.00 |
$84.00 |
$72.45
|
|
Ghs o2 uptake rest & exercise
|
$296.64 |
$296.64 |
$296.64 |
$185.15
|
|
Ghs o2 uptake rest & indirect
|
$87.36 |
$87.36 |
$87.36 |
$195.00
|
|
Ghs ob unlisted IV or art inj or infusion
|
$62.40 |
$62.40 |
$62.40 |
$86.19
|
|
Ghs opcc repair cvp without subq port
|
$1,209.12 |
$1,209.12 |
$1,209.12 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$1,700.16 |
$1,700.16 |
$1,700.16 |
$2,430.56
|
|
Ghs ot group caregiver training
|
$29.76 |
$29.76 |
$29.76 |
$43.20
|
|
Ghs ot prosthetic training/15 min
|
$120.96 |
$120.96 |
$120.96 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$131.52 |
$131.52 |
$131.52 |
$101.05
|
|
Ghs pacing - transcutaneous
|
$755.52 |
$755.52 |
$755.52 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$510.24 |
$510.24 |
$510.24 |
$1,003.00
|
|
Ghs peritonsillar abscess i andd
|
$310.56 |
$310.56 |
$310.56 |
$694.20
|
|
Ghs phenylketonurid
|
$5.28 |
$5.28 |
$5.28 |
$51.58
|
|
Ghs picc line insert < 5
|
$1,311.84 |
$1,311.84 |
$1,311.84 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$580.32 |
$580.32 |
$580.32 |
$662.20
|
|
Ghs pr without cont pulse ox
|
$332.16 |
$332.16 |
$332.16 |
$156.70
|
|
Ghs refill of implantable pump
|
$177.12 |
$177.12 |
$177.12 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$280.80 |
$280.80 |
$280.80 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$312.00 |
$312.00 |
$312.00 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,854.08 |
$2,854.08 |
$2,854.08 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$27.84 |
$27.84 |
$27.84 |
$101.15
|
|
Ghs sedimentation rate
|
$41.76 |
$41.76 |
$41.76 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$122.88 |
$122.88 |
$122.88 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$381.12 |
$381.12 |
$381.12 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$613.92 |
$613.92 |
$613.92 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$576.48 |
$576.48 |
$576.48 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$396.00 |
$396.00 |
$396.00 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$381.12 |
$381.12 |
$381.12 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$381.12 |
$381.12 |
$381.12 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$613.92 |
$613.92 |
$613.92 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$590.88 |
$590.88 |
$590.88 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$613.92 |
$613.92 |
$613.92 |
$589.18
|
|
Ghs sleep study unattended
|
$764.64 |
$764.64 |
$764.64 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$308.16 |
$308.16 |
$308.16 |
$947.48
|
|
Ghs sphenopalatine ganglion block
|
$706.56 |
$706.56 |
$706.56 |
$706.56
|
|
Ghs sp train/fitting sp device - kx
|
$287.04 |
$287.04 |
$287.04 |
$261.95
|
|
Ghs strapping shoulder - 29240
|
$185.76 |
$185.76 |
$185.76 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$379.68 |
$379.68 |
$379.68 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$62.40 |
$62.40 |
$62.40 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$254.88 |
$254.88 |
$254.88 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$562.56 |
$562.56 |
$562.56 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$406.08 |
$406.08 |
$406.08 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,569.44 |
$2,569.44 |
$2,569.44 |
$2,225.73
|
|
Ghs tx distal phalangeal fx with manipulation
|
$1,616.64 |
$1,616.64 |
$1,616.64 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$390.72 |
$390.72 |
$390.72 |
$540.00
|
|
Ghs urine, porphyrins quant
|
$63.00 |
$63.00 |
$63.00 |
$70.20
|
|
Ghs vaginal delivery only
|
$5,525.76 |
$5,525.76 |
$5,525.76 |
$3,525.06
|
|
Ghs veeg 12-26 hr intmt mont
|
$865.92 |
$865.92 |
$865.92 |
$1,843.00
|
|
Ghs windowing of cast
|
$236.16 |
$236.16 |
$236.16 |
$204.00
|
|
Gi inhouse confirmation
|
$172.32 |
$172.32 |
$172.32 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,266.72 |
$1,266.72 |
$1,266.72 |
$2,382.90
|
|
Glucagon 1 mg solution for injection
|
$534.44 |
$534.44 |
$534.44 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$662.12 |
$662.12 |
$662.12 |
$509.06
|
|
Glucagon plasma - sendout
|
$65.24 |
$65.24 |
$65.24 |
$58.56
|
|
Glucose 1 hr post dose
|
$44.64 |
$44.64 |
$44.64 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$67.68 |
$67.68 |
$67.68 |
$22.00
|
|
Glucose blood quantitative
|
$45.12 |
$45.12 |
$45.12 |
$44.76
|
