|
Ghs fb removal - incisional
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$1,794.93
|
|
Ghs flow volume loop
|
$255.50 |
$255.50 |
$255.50 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$474.95 |
$474.95 |
$474.95 |
$403.20
|
|
Ghs histoplasma antigen
|
$46.03 |
$46.03 |
$46.03 |
$137.80
|
|
Ghs HIV antibody
|
$72.80 |
$72.80 |
$72.80 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,547.35 |
$1,547.35 |
$1,547.35 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$896.00 |
$896.00 |
$896.00 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$540.75 |
$540.75 |
$540.75 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$537.95 |
$537.95 |
$537.95 |
$794.82
|
|
Ghs immun0electrophoresis
|
$271.25 |
$271.25 |
$271.25 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$275.80 |
$275.80 |
$275.80 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$183.75 |
$183.75 |
$183.75 |
$293.58
|
|
Ghs inf midline insertion
|
$934.15 |
$934.15 |
$934.15 |
$1,234.20
|
|
Ghs inhibitor screen
|
$85.05 |
$85.05 |
$85.05 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$275.80 |
$275.80 |
$275.80 |
$300.30
|
|
Ghs inj tendon origin/insertion
|
$446.60 |
$446.60 |
$446.60 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$754.60 |
$754.60 |
$754.60 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$754.60 |
$754.60 |
$754.60 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$617.40 |
$617.40 |
$617.40 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$275.80 |
$275.80 |
$275.80 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$453.25 |
$453.25 |
$453.25 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,480.50 |
$1,480.50 |
$1,480.50 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$134.75 |
$134.75 |
$134.75 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$275.80 |
$275.80 |
$275.80 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$463.05 |
$463.05 |
$463.05 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$275.80 |
$275.80 |
$275.80 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$275.80 |
$275.80 |
$275.80 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$298.55 |
$298.55 |
$298.55 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$275.80 |
$275.80 |
$275.80 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$275.80 |
$275.80 |
$275.80 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$275.80 |
$275.80 |
$275.80 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$275.80 |
$275.80 |
$275.80 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$275.80 |
$275.80 |
$275.80 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$453.25 |
$453.25 |
$453.25 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$540.75 |
$540.75 |
$540.75 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$453.25 |
$453.25 |
$453.25 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$540.75 |
$540.75 |
$540.75 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$397.95 |
$397.95 |
$397.95 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$540.75 |
$540.75 |
$540.75 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,626.10 |
$1,626.10 |
$1,626.10 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$242.20 |
$242.20 |
$242.20 |
$1,064.98
|
|
Ghs low level laser therapy
|
$80.85 |
$80.85 |
$80.85 |
$106.00
|
|
Ghs mbp
|
$20.13 |
$20.13 |
$20.13 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$115.85 |
$115.85 |
$115.85 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$115.85 |
$115.85 |
$115.85 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$115.85 |
$115.85 |
$115.85 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$92.75 |
$92.75 |
$92.75 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$92.75 |
$92.75 |
$92.75 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$338.80 |
$338.80 |
$338.80 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$269.15 |
$269.15 |
$269.15 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$338.80 |
$338.80 |
$338.80 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$360.15 |
$360.15 |
$360.15 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$453.25 |
$453.25 |
$453.25 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$923.65 |
$923.65 |
$923.65 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$482.30 |
$482.30 |
$482.30 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$428.40 |
$428.40 |
$428.40 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$711.90 |
$711.90 |
$711.90 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$1,079.05 |
$1,079.05 |
$1,079.05 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$428.40 |
$428.40 |
$428.40 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$923.65 |
$923.65 |
$923.65 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$482.30 |
$482.30 |
$482.30 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$754.60 |
$754.60 |
$754.60 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$408.45 |
$408.45 |
$408.45 |
$468.75
|
|
Ghs o2 saturation
|
$190.75 |
$190.75 |
$190.75 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$585.90 |
$585.90 |
$585.90 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$2,374.05 |
$2,374.05 |
$2,374.05 |
$2,430.56
|
|
Ghs ot prosthetic training/15 min
|
$80.85 |
$80.85 |
$80.85 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$822.50 |
$822.50 |
$822.50 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$2,922.85 |
$2,922.85 |
$2,922.85 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,594.25 |
$1,594.25 |
$1,594.25 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$93.10 |
$93.10 |
$93.10 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$275.80 |
$275.80 |
$275.80 |
$694.20
|
|
Ghs picc line insert < 5
|
$2,374.05 |
$2,374.05 |
$2,374.05 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$275.80 |
$275.80 |
$275.80 |
$662.20
|
|
Ghs pr without cont pulse ox
|
$580.30 |
$580.30 |
$580.30 |
$156.70
|
|
Ghs removal intranasal foreign body
|
$189.00 |
$189.00 |
$189.00 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$275.80 |
$275.80 |
$275.80 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,203.65 |
$1,203.65 |
$1,203.65 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$2,447.20 |
$2,447.20 |
$2,447.20 |
$4,150.20
|
|
Ghs reticulocyte count
|
$59.50 |
$59.50 |
$59.50 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$261.80 |
$261.80 |
$261.80 |
$101.15
|
|
Ghs sedimentation rate
|
$63.35 |
$63.35 |
$63.35 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$394.45 |
$394.45 |
$394.45 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$275.80 |
$275.80 |
$275.80 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$540.75 |
$540.75 |
$540.75 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$275.80 |
$275.80 |
$275.80 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$540.75 |
$540.75 |
$540.75 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$275.80 |
$275.80 |
$275.80 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$275.80 |
$275.80 |
$275.80 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$275.80 |
$275.80 |
$275.80 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$275.80 |
$275.80 |
$275.80 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$540.75 |
$540.75 |
$540.75 |
$589.18
|
|
Ghs somatosensory testing lower extremit
|
$1,226.75 |
$1,226.75 |
$1,226.75 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,452.80 |
$2,452.80 |
$2,452.80 |
$1,435.00
|
|
Ghs sphenopalatine ganglion block
|
$165.90 |
$165.90 |
$165.90 |
$706.56
|
|
Ghs strapping shoulder - 29240
|
$130.55 |
$130.55 |
$130.55 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$270.20 |
$270.20 |
$270.20 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$138.60 |
$138.60 |
$138.60 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$197.05 |
$197.05 |
$197.05 |
$351.45
|