|
Ghs mbp
|
$128.96 |
$128.96 |
$128.96 |
$75.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$331.24 |
$331.24 |
$331.24 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$236.08 |
$236.08 |
$236.08 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$199.16 |
$199.16 |
$199.16 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$283.40 |
$283.40 |
$283.40 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$272.48 |
$272.48 |
$272.48 |
$268.80
|
|
Ghs musc tst done w/n tst non ext
|
$160.16 |
$160.16 |
$160.16 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$520.00 |
$520.00 |
$520.00 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$1,138.80 |
$1,138.80 |
$1,138.80 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$1,450.80 |
$1,450.80 |
$1,450.80 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$988.00 |
$988.00 |
$988.00 |
$478.50
|
|
Ghs o2 saturation
|
$93.08 |
$93.08 |
$93.08 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$346.84 |
$346.84 |
$346.84 |
$239.05
|
|
Ghs o2 uptake rest & indirect
|
$116.48 |
$116.48 |
$116.48 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$72.80 |
$72.80 |
$72.80 |
$83.04
|
|
Ghs opcc repair cvp without subq port
|
$1,742.00 |
$1,742.00 |
$1,742.00 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$2,194.40 |
$2,194.40 |
$2,194.40 |
$2,194.40
|
|
Ghs optokenetic
|
$343.72 |
$343.72 |
$343.72 |
$211.20
|
|
Ghs oscillating trac
|
$617.24 |
$617.24 |
$617.24 |
$280.50
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$72.80 |
$72.80 |
$72.80 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$72.80 |
$72.80 |
$72.80 |
$64.50
|
|
Ghs ot prosthetic training/15 min
|
$117.52 |
$117.52 |
$117.52 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$146.64 |
$146.64 |
$146.64 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$188.76 |
$188.76 |
$188.76 |
$126.40
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$936.00 |
$936.00 |
$936.00 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$962.00 |
$962.00 |
$962.00 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$52.00 |
$52.00 |
$52.00 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$728.00 |
$728.00 |
$728.00 |
$545.40
|
|
Ghs phenylketonurid
|
$49.40 |
$49.40 |
$49.40 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$535.60 |
$535.60 |
$535.60 |
$564.50
|
|
Ghs plt ct-manual
|
$37.96 |
$37.96 |
$37.96 |
$37.96
|
|
Ghs pos nystagmus
|
$264.68 |
$264.68 |
$264.68 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$58.76 |
$58.76 |
$58.76 |
$37.00
|
|
Ghs prostatic acid phosphatase (mayo)
|
$78.00 |
$78.00 |
$78.00 |
$43.55
|
|
Ghs protein, misc fluid
|
$32.76 |
$32.76 |
$32.76 |
$24.60
|
|
Ghs protoporphyrins fract
|
$127.92 |
$127.92 |
$127.92 |
$60.75
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$94.64 |
$94.64 |
$94.64 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$370.76 |
$370.76 |
$370.76 |
$285.60
|
|
Ghs quinidine
|
$117.52 |
$117.52 |
$117.52 |
$82.35
|
|
Ghs refill of implantable pump
|
$785.20 |
$785.20 |
$785.20 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$301.60 |
$301.60 |
$301.60 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$764.40 |
$764.40 |
$764.40 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$4,108.00
|
|
Ghs respiratory syncytical virus igg/m
|
$109.20 |
$109.20 |
$109.20 |
$74.82
|
|
Ghs reticulocyte count
|
$44.20 |
$44.20 |
$44.20 |
$35.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$82.68 |
$82.68 |
$82.68 |
$98.40
|
|
Ghs sedimentation rate
|
$76.44 |
$76.44 |
$76.44 |
$45.50
|
|
Ghs semen analysis fert
|
$138.32 |
$138.32 |
$138.32 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$47.32 |
$47.32 |
$47.32 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$587.60 |
$587.60 |
$587.60 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$702.00 |
$702.00 |
$702.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$598.00 |
$598.00 |
$598.00 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$738.40 |
$738.40 |
$738.40 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$670.80 |
$670.80 |
$670.80 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$572.00 |
$572.00 |
$572.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$686.40 |
$686.40 |
$686.40 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$613.60 |
$613.60 |
$613.60 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$769.60 |
$769.60 |
$769.60 |
$537.60
|
|
Ghs somatosensory testing lower extremit
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$906.18
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,055.08 |
$1,055.08 |
$1,055.08 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$223.08 |
$223.08 |
$223.08 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$795.60 |
$795.60 |
$795.60 |
$616.00
|
|
Ghs spont nystagmus
|
$279.76 |
$279.76 |
$279.76 |
$228.00
|
|
Ghs st - eval for alt comm
|
$109.20 |
$109.20 |
$109.20 |
$95.25
|
|
Ghs strapping shoulder - 29240
|
$213.20 |
$213.20 |
$213.20 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$394.16 |
$394.16 |
$394.16 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$140.40 |
$140.40 |
$140.40 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$468.00 |
$468.00 |
$468.00 |
$354.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$722.80 |
$722.80 |
$722.80 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$1,752.89
|
|
Ghs trypsin (fecal)
|
$65.00 |
$65.00 |
$65.00 |
$50.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$535.60 |
$535.60 |
$535.60 |
$525.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$452.40 |
$452.40 |
$452.40 |
$493.68
|
|
Ghs urine, hydroxproline total
|
$197.08 |
$197.08 |
$197.08 |
$107.99
|
|
Ghs urine, porphyrins quant
|
$118.56 |
$118.56 |
$118.56 |
$73.71
|
|
Ghs veeg 12-26 hr intmt mont
|
$5,569.20 |
$5,569.20 |
$5,569.20 |
$1,932.00
|
|
Ghs windowing of cast
|
$296.40 |
$296.40 |
$296.40 |
$212.55
|
|
Giardia ag if
|
$67.60 |
$67.60 |
$67.60 |
$38.58
|
|
Giardia lamblia antibody
|
$124.80 |
$124.80 |
$124.80 |
$83.44
|
|
Gi endoscopic ultrasound
|
$951.60 |
$951.60 |
$951.60 |
$582.31
|
|
Gi inhouse confirmation
|
$67.08 |
$67.08 |
$67.08 |
$85.20
|
|
Gingivoplasty each quadrant
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$4,350.00
|
|
Gi protein loss
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$700.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,664.00 |
$1,664.00 |
$1,664.00 |
$2,179.25
|
|
Gi trc img intral colon i&r
|
$1,959.88 |
$1,959.88 |
$1,959.88 |
$1,959.88
|
|
Gi trc img intral esophagus
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$1,897.82
|
|
Gi wireless capsule measure
|
$2,548.00 |
$2,548.00 |
$2,548.00 |
$1,579.30
|
|
Glassia injection
|
$18.87 |
$18.87 |
$18.87 |
$20.32
|
|
Glaucoma scrn hgh risk direc
|
$123.76 |
$123.76 |
$123.76 |
$116.17
|
