|
Ghs inf midline insertion
|
$1,279.05 |
$1,279.05 |
$4,872.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$42.30 |
$42.30 |
$197.12 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$694.40 |
$694.40 |
$694.40 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$4,132.80 |
$4,132.80 |
$4,132.80 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$3,925.60 |
$3,925.60 |
$3,925.60 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$73.50 |
$73.50 |
$968.80 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,584.80 |
$1,584.80 |
$1,584.80 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$4,216.80 |
$4,216.80 |
$4,216.80 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$761.60 |
$761.60 |
$761.60 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$139.05 |
$139.05 |
$1,097.60 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,797.60 |
$1,797.60 |
$1,797.60 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$4,844.00 |
$4,844.00 |
$4,844.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$103.80 |
$103.80 |
$543.20 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$54.75 |
$54.75 |
$227.36 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$1,331.68 |
$1,331.68 |
$1,331.68 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,331.68 |
$1,331.68 |
$1,331.68 |
$569.28
|
|
Ghs IV thrombolytics - cerebral
|
$264.00 |
$264.00 |
$2,234.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$840.00 |
$840.00 |
$840.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$89.85 |
$89.85 |
$1,092.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$99.45 |
$99.45 |
$666.40 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$117.00 |
$117.00 |
$1,092.00 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$78.75 |
$78.75 |
$1,092.00 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,719.20 |
$1,719.20 |
$1,719.20 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$2,144.80 |
$2,144.80 |
$2,144.80 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$4,844.00 |
$4,844.00 |
$4,844.00 |
$1,897.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,607.20 |
$1,607.20 |
$1,607.20 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$105.84 |
$105.84 |
$105.84 |
$73.50
|
|
Ghs low level laser therapy
|
$22.96 |
$22.96 |
$67.80 |
$85.00
|
|
Ghs mbp
|
$50.96 |
$50.96 |
$50.96 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$144.45 |
$144.45 |
$386.40 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$99.00 |
$99.00 |
$207.20 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$147.75 |
$147.75 |
$302.40 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$151.20 |
$151.20 |
$408.80 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$147.75 |
$147.75 |
$157.92 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$403.20 |
$403.20 |
$403.20 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$352.80 |
$352.80 |
$352.80 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$336.00 |
$336.00 |
$336.00 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$81.20 |
$81.20 |
$81.20 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,990.40 |
$2,990.40 |
$2,990.40 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$172.50 |
$172.50 |
$2,805.60 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$2,637.60 |
$2,637.60 |
$2,637.60 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$7,750.40 |
$7,750.40 |
$7,750.40 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$628.95 |
$628.95 |
$3,511.20 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$2,665.60 |
$2,665.60 |
$2,665.60 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$8,624.00 |
$8,624.00 |
$8,624.00 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$5,140.80 |
$5,140.80 |
$5,140.80 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$2,004.80 |
$2,004.80 |
$2,004.80 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$1,181.60 |
$1,181.60 |
$1,181.60 |
$478.50
|
|
Ghs o2 saturation
|
$44.40 |
$44.40 |
$124.88 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$599.20 |
$599.20 |
$599.20 |
$239.05
|
|
Ghs o2 uptake rest & indirect
|
$135.60 |
$135.60 |
$159.60 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$85.20 |
$85.20 |
$160.72 |
$83.04
|
|
Ghs opcc repair cvp without subq port
|
$843.00 |
$843.00 |
$4,748.80 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$1,386.75 |
$1,386.75 |
$4,793.60 |
$2,194.40
|
|
Ghs optokenetic
|
$487.20 |
$487.20 |
$487.20 |
$211.20
|
|
Ghs oscillating trac
|
$828.80 |
$828.80 |
$828.80 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$141.12 |
$141.12 |
$141.12 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$141.12 |
$141.12 |
$141.12 |
$64.50
|
|
Ghs ot group caregiver training
|
$51.52 |
$51.52 |
$51.52 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$38.85 |
$38.85 |
$151.76 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$35.25 |
$35.25 |
$241.92 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$19.95 |
$19.95 |
$146.16 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$356.25 |
$356.25 |
$1,719.20 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,332.80 |
$1,332.80 |
$1,332.80 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$3.56 |
$3.56 |
$92.40 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$1,842.40 |
$1,842.40 |
$1,842.40 |
$545.40
|
|
Ghs phenylketonurid
|
$53.76 |
$53.76 |
$53.76 |
$53.76
|
|
Ghs picc line insert < 5
|
$418.80 |
$418.80 |
$4,793.60 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$190.35 |
$190.35 |
$1,282.40 |
$564.50
|
|
Ghs plt ct-manual
|
$57.12 |
$57.12 |
$57.12 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,279.05 |
$1,279.05 |
$3,897.60 |
$3,557.58
|
|
Ghs pos nystagmus
|
$392.00 |
$392.00 |
$392.00 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$22.35 |
$22.35 |
$61.60 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$25.76 |
$25.76 |
$25.76 |
$43.55
|
|
Ghs protein, misc fluid
|
$9.45 |
$9.45 |
$16.80 |
$24.60
|
|
Ghs protoporphyrins fract
|
$1.91 |
$1.91 |
$38.08 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$251.44 |
$251.44 |
$251.44 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$1.63 |
$1.63 |
$124.32 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$73.35 |
$73.35 |
$285.60 |
$285.60
|
|
Ghs quinidine
|
$178.64 |
$178.64 |
$178.64 |
$83.20
|
|
Ghs refill of implantable pump
|
$205.65 |
$205.65 |
$1,019.20 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$543.20 |
$543.20 |
$543.20 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$532.00 |
$532.00 |
$532.00 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$371.85 |
$371.85 |
$8,618.40 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$6,865.60 |
$6,865.60 |
$6,865.60 |
$4,108.00
|
|
Ghs respiratory syncytical virus igg/m
|
$156.80 |
$156.80 |
$156.80 |
$74.82
|
|
Ghs reticulocyte count
|
$27.45 |
$27.45 |
$90.16 |
$35.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$131.04 |
$131.04 |
$131.04 |
$99.00
|
|
Ghs sedimentation rate
|
$0.64 |
$0.64 |
$91.84 |
$45.50
|
|
Ghs semen analysis fert
|
$44.55 |
$44.55 |
$138.88 |
$124.80
|
