|
Ghs i and d abscess/hematoma scrotum
|
$140.79 |
$140.79 |
$140.79 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$284.81 |
$284.81 |
$284.81 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$111.72 |
$111.72 |
$111.72 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$70.68 |
$70.68 |
$70.68 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$73.34 |
$73.34 |
$73.34 |
$520.80
|
|
Ghs inf midline insertion
|
$404.51 |
$404.51 |
$404.51 |
$1,219.20
|
|
Ghs inhibitor screen
|
$2.17 |
$2.17 |
$2.17 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$29.07 |
$29.07 |
$29.07 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$117.61 |
$117.61 |
$117.61 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$79.42 |
$79.42 |
$79.42 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$24.89 |
$24.89 |
$24.89 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$39.90 |
$39.90 |
$39.90 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$85.88 |
$85.88 |
$85.88 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$37.43 |
$37.43 |
$37.43 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$158.46 |
$158.46 |
$158.46 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$183.73 |
$183.73 |
$183.73 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$212.04 |
$212.04 |
$212.04 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$188.67 |
$188.67 |
$188.67 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$86.07 |
$86.07 |
$86.07 |
$551.20
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$102.22 |
$102.22 |
$102.22 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$142.12 |
$142.12 |
$142.12 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$142.12 |
$142.12 |
$142.12 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$112.67 |
$112.67 |
$112.67 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$132.62 |
$132.62 |
$132.62 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$274.74 |
$274.74 |
$274.74 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$142.69 |
$142.69 |
$142.69 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$136.04 |
$136.04 |
$136.04 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$141.74 |
$141.74 |
$141.74 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$144.02 |
$144.02 |
$144.02 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$179.55 |
$179.55 |
$179.55 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$196.65 |
$196.65 |
$196.65 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$206.72 |
$206.72 |
$206.72 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$253.46 |
$253.46 |
$253.46 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$228.19 |
$228.19 |
$228.19 |
$1,897.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$275.69 |
$275.69 |
$275.69 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$29.07 |
$29.07 |
$29.07 |
$73.50
|
|
Ghs low level laser therapy
|
$21.28 |
$21.28 |
$21.28 |
$85.00
|
|
Ghs mbp
|
$2.91 |
$2.91 |
$2.91 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$46.36 |
$46.36 |
$46.36 |
$242.64
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$33.63 |
$33.63 |
$33.63 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$46.36 |
$46.36 |
$46.36 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$26.22 |
$26.22 |
$26.22 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$21.09 |
$21.09 |
$21.09 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$8.55 |
$8.55 |
$8.55 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$17.29 |
$17.29 |
$17.29 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$282.15 |
$282.15 |
$282.15 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$72.77 |
$72.77 |
$72.77 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$15.77 |
$15.77 |
$15.77 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$446.69 |
$446.69 |
$446.69 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$41.61 |
$41.61 |
$41.61 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$44.84 |
$44.84 |
$44.84 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$62.32 |
$62.32 |
$62.32 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$50.35 |
$50.35 |
$50.35 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$56.24 |
$56.24 |
$56.24 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$46.55 |
$46.55 |
$46.55 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$35.72 |
$35.72 |
$35.72 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$281.58 |
$281.58 |
$281.58 |
$478.50
|
|
Ghs o2 uptake rest & exercise
|
$5.70 |
$5.70 |
$5.70 |
$239.05
|
|
Ghs opcc repair cvp without subq port
|
$373.16 |
$373.16 |
$373.16 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$854.43 |
$854.43 |
$854.43 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$10.64 |
$10.64 |
$10.64 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$16.15 |
$16.15 |
$16.15 |
$64.50
|
|
Ghs ot prosthetic training/15 min
|
$48.26 |
$48.26 |
$48.26 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$52.25 |
$52.25 |
$52.25 |
$96.00
|
|
Ghs pacing - transcutaneous
|
$342.57 |
$342.57 |
$342.57 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$58.14 |
$58.14 |
$58.14 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$33.44 |
$33.44 |
$33.44 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$4.50 |
$4.50 |
$4.50 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$91.58 |
$91.58 |
$91.58 |
$545.40
|
|
Ghs picc line insert < 5
|
$937.65 |
$937.65 |
$937.65 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$212.80 |
$212.80 |
$212.80 |
$564.50
|
|
Ghs plt ct-manual
|
$38.19 |
$38.19 |
$38.19 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$56.81 |
$56.81 |
$56.81 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$19.38 |
$19.38 |
$19.38 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$32.68 |
$32.68 |
$32.68 |
$43.55
|
|
Ghs protoporphyrins fract
|
$2.42 |
$2.42 |
$2.42 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$8.17 |
$8.17 |
$8.17 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$2.07 |
$2.07 |
$2.07 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$144.40 |
$144.40 |
$144.40 |
$285.60
|
|
Ghs removal intranasal foreign body
|
$82.27 |
$82.27 |
$82.27 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$83.41 |
$83.41 |
$83.41 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$408.88 |
$408.88 |
$408.88 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$336.49 |
$336.49 |
$336.49 |
$4,108.00
|
|
Ghs reticulocyte count
|
$15.77 |
$15.77 |
$15.77 |
$35.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$40.09 |
$40.09 |
$40.09 |
$99.00
|
|
Ghs sedimentation rate
|
$44.08 |
$44.08 |
$44.08 |
$45.50
|
|
Ghs semen analysis fert
|
$71.06 |
$71.06 |
$71.06 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$59.09 |
$59.09 |
$59.09 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$58.52 |
$58.52 |
$58.52 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$78.66 |
$78.66 |
$78.66 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$72.20 |
$72.20 |
$72.20 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$95.00 |
$95.00 |
$95.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$46.17 |
$46.17 |
$46.17 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$124.64 |
$124.64 |
$124.64 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$58.14 |
$58.14 |
$58.14 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$90.06 |
$90.06 |
$90.06 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$107.54 |
$107.54 |
$107.54 |
$537.60
|
|
Ghs sleep study unattended
|
$18.05 |
$18.05 |
$18.05 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$140.79 |
$140.79 |
$140.79 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$355.30 |
$355.30 |
$355.30 |
$1,405.20
|
