|
Ghs eye exam
|
$67.68 |
$67.68 |
$67.68 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$526.56 |
$526.56 |
$526.56 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$4,209.60 |
$4,209.60 |
$4,209.60 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$4,326.72 |
$4,326.72 |
$4,326.72 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$2,760.00 |
$2,760.00 |
$2,760.00 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$1,141.92 |
$1,141.92 |
$1,141.92 |
$1,794.93
|
|
Ghs flow volume loop
|
$341.28 |
$341.28 |
$341.28 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$395.04 |
$395.04 |
$395.04 |
$403.20
|
|
Ghs hcv amplificaiton
|
$28.32 |
$28.32 |
$28.32 |
$187.00
|
|
Ghs histoplasma antigen
|
$55.50 |
$55.50 |
$55.50 |
$137.80
|
|
Ghs HIV antibody
|
$39.19 |
$39.19 |
$39.19 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$6,073.92 |
$6,073.92 |
$6,073.92 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$6,577.44 |
$6,577.44 |
$6,577.44 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$2,810.88 |
$2,810.88 |
$2,810.88 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$570.72 |
$570.72 |
$570.72 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$597.12 |
$597.12 |
$597.12 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$340.32 |
$340.32 |
$340.32 |
$293.58
|
|
Ghs inf midline insertion
|
$397.92 |
$397.92 |
$397.92 |
$1,234.20
|
|
Ghs inhibitor screen
|
$96.97 |
$96.97 |
$96.97 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$251.04 |
$251.04 |
$251.04 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$1,573.44 |
$1,573.44 |
$1,573.44 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$1,635.84 |
$1,635.84 |
$1,635.84 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$562.08 |
$562.08 |
$562.08 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$592.32 |
$592.32 |
$592.32 |
$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
|
$597.60 |
$597.60 |
$597.60 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$701.76 |
$701.76 |
$701.76 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$701.76 |
$701.76 |
$701.76 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$192.48 |
$192.48 |
$192.48 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$544.80 |
$544.80 |
$544.80 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$614.88 |
$614.88 |
$614.88 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$336.96 |
$336.96 |
$336.96 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$651.84 |
$651.84 |
$651.84 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$563.04 |
$563.04 |
$563.04 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$651.84 |
$651.84 |
$651.84 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$651.84 |
$651.84 |
$651.84 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,037.76 |
$1,037.76 |
$1,037.76 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$651.84 |
$651.84 |
$651.84 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$651.84 |
$651.84 |
$651.84 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,037.76 |
$1,037.76 |
$1,037.76 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$651.84 |
$651.84 |
$651.84 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,037.76 |
$1,037.76 |
$1,037.76 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$651.84 |
$651.84 |
$651.84 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,037.76 |
$1,037.76 |
$1,037.76 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$651.84 |
$651.84 |
$651.84 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,529.12 |
$2,529.12 |
$2,529.12 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$651.84 |
$651.84 |
$651.84 |
$1,064.98
|
|
Ghs mbp
|
$56.95 |
$56.95 |
$56.95 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$246.24 |
$246.24 |
$246.24 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$272.64 |
$272.64 |
$272.64 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$246.24 |
$246.24 |
$246.24 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$157.44 |
$157.44 |
$157.44 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$157.44 |
$157.44 |
$157.44 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$309.12 |
$309.12 |
$309.12 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$651.84 |
$651.84 |
$651.84 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$516.00 |
$516.00 |
$516.00 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,345.44 |
$1,345.44 |
$1,345.44 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$516.00 |
$516.00 |
$516.00 |
$1,541.40
|
|
Ghs nerve block celiac plexus
|
$2,341.92 |
$2,341.92 |
$2,341.92 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$516.00 |
$516.00 |
$516.00 |
$1,607.45
|
|
Ghs nerve block sciatic nerve
|
$1,345.44 |
$1,345.44 |
$1,345.44 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$606.24 |
$606.24 |
$606.24 |
$468.75
|
|
Ghs o2 saturation
|
$10.56 |
$10.56 |
$10.56 |
$72.45
|
|
Ghs o2 uptake rest & exercise
|
$202.56 |
$202.56 |
$202.56 |
$185.15
|
|
Ghs ob unlisted IV or art inj or infusion
|
$94.56 |
$94.56 |
$94.56 |
$86.19
|
|
Ghs opcc repair cvp without subq port
|
$1,968.48 |
$1,968.48 |
$1,968.48 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$1,492.80 |
$1,492.80 |
$1,492.80 |
$2,430.56
|
|
Ghs pacing - transcutaneous
|
$741.12 |
$741.12 |
$741.12 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$558.72 |
$558.72 |
$558.72 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$685.92 |
$685.92 |
$685.92 |
$1,003.00
|
|
Ghs peritonsillar abscess i andd
|
$991.20 |
$991.20 |
$991.20 |
$694.20
|
|
Ghs picc line insert < 5
|
$3,531.84 |
$3,531.84 |
$3,531.84 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$489.60 |
$489.60 |
$489.60 |
$662.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,008.80 |
$2,008.80 |
$2,008.80 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$18.72 |
$18.72 |
$18.72 |
$43.45
|
|
Ghs pr without cont pulse ox
|
$72.48 |
$72.48 |
$72.48 |
$156.70
|
|
Ghs removal intranasal foreign body
|
$198.24 |
$198.24 |
$198.24 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$303.36 |
$303.36 |
$303.36 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,905.44 |
$2,905.44 |
$2,905.44 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$21.12 |
$21.12 |
$21.12 |
$101.15
|
|
Ghs sedimentation rate
|
$38.40 |
$38.40 |
$38.40 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$94.08 |
$94.08 |
$94.08 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$563.04 |
$563.04 |
$563.04 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$563.04 |
$563.04 |
$563.04 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$563.04 |
$563.04 |
$563.04 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$566.40 |
$566.40 |
$566.40 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$563.04 |
$563.04 |
$563.04 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$563.04 |
$563.04 |
$563.04 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$563.04 |
$563.04 |
$563.04 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$563.04 |
$563.04 |
$563.04 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$685.44 |
$685.44 |
$685.44 |
$589.18
|
|
Ghs sleep study unattended
|
$643.20 |
$643.20 |
$643.20 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$947.48
|
|
Ghs sphenopalatine ganglion block
|
$630.24 |
$630.24 |
$630.24 |
$706.56
|
|
Ghs sp train/fitting sp device - kx
|
$262.56 |
$262.56 |
$262.56 |
$261.95
|
|
Ghs strapping shoulder - 29240
|
$317.76 |
$317.76 |
$317.76 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$203.04 |
$203.04 |
$203.04 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$94.56 |
$94.56 |
$94.56 |
$93.75
|
