|
Ghs layered repair over 3.0 cm -12057
|
$446.16 |
$4,221.20 |
$4,221.20 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$163.55 |
$858.24 |
$2,337.00 |
|
|
Ghs low level laser therapy
|
$429.00 |
$429.00 |
$429.00 |
|
|
Ghs mbp
|
$14.30 |
$278.98 |
$1,600.00 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$44.07 |
$44.07 |
$250.69 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$44.07 |
$44.07 |
$250.69 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$44.07 |
$44.07 |
$291.06 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$44.07 |
$44.07 |
$125.34 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$44.07 |
$44.07 |
$168.77 |
|
|
Ghs musc test done w/n test comp
|
$693.80 |
$693.80 |
$693.80 |
|
|
Ghs musc tst done w/nerv tst lim
|
$693.80 |
$693.80 |
$693.80 |
|
|
Ghs musc tst done w/n tst non ext
|
$734.53 |
$734.53 |
$734.53 |
|
|
Ghs myocardial strain img spckl track
|
$203.00 |
$484.53 |
$484.53 |
|
|
Ghs nailbed repair/nail removal
|
$119.71 |
$1,262.90 |
$1,262.90 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,021.56 |
$2,662.01 |
$2,662.01 |
|
|
Ghs nerve blk intercostal, single level
|
$700.00 |
$951.15 |
$1,069.88 |
|
|
Ghs nerve block axillary nerve
|
$903.39 |
$2,928.19 |
$2,928.19 |
|
|
Ghs nerve block brachial plexus
|
$170.53 |
$1,564.75 |
$1,564.75 |
|
|
Ghs nerve block celiac plexus
|
$527.57 |
$1,826.00 |
$1,826.00 |
|
|
Ghs nerve block interscaline
|
$918.02 |
$2,079.76 |
$2,079.76 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$785.24 |
$2,079.76 |
$2,079.76 |
|
|
Ghs nerve block sciatic nerve
|
$217.41 |
$1,377.86 |
$1,377.86 |
|
|
Ghs nerve block suprascapular
|
$402.67 |
$2,928.19 |
$2,928.19 |
|
|
Ghs ng placement w fluoro guidance
|
$220.67 |
$1,250.75 |
$1,250.75 |
|
|
Ghs o2 saturation
|
$22.25 |
$203.95 |
$503.52 |
|
|
Ghs o2 uptake rest & exercise
|
$209.45 |
$209.45 |
$6,797.75 |
|
|
Ghs o2 uptake rest & indirect
|
$100.29 |
$183.95 |
$1,751.00 |
|
|
Ghs opcc repair cvp without subq port
|
$560.27 |
$1,864.66 |
$1,864.66 |
|
|
Ghs opcc repair cvp w subq port
|
$2,699.58 |
$2,699.58 |
$3,348.92 |
|
|
Ghs optokenetic
|
$248.75 |
$248.75 |
$248.75 |
|
|
Ghs oscillating trac
|
$359.50 |
$359.50 |
$359.50 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$25.15 |
$102.32 |
$102.32 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$72.29 |
$72.29 |
$72.29 |
|
|
Ghs ot dds rom
|
$48.86 |
$61.19 |
$66.72 |
|
|
Ghs ot group caregiver training
|
$39.03 |
$45.17 |
$56.42 |
|
|
Ghs ot prosthetic training/15 min
|
$20.56 |
$140.00 |
$352.50 |
|
|
Ghs ot sensory integrative tech/15min
|
$69.42 |
$221.39 |
$1,394.00 |
|
|
Ghs ot work hardening-additional hours
|
$85.68 |
$163.25 |
$163.25 |
|
|
Ghs pacing - transcutaneous
|
$402.92 |
$3,271.20 |
$5,667.75 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$674.53 |
$3,970.83 |
$3,970.83 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$601.24 |
$3,701.29 |
$3,701.29 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$1,956.42 |
$1,956.42 |
$1,956.42 |
|
|
Ghs peritonsillar abscess i andd
|
$140.34 |
$6,756.29 |
$6,756.29 |
|
|
Ghs phenylketonurid
|
$3.86 |
$121.33 |
$1,094.07 |
|
|
Ghs picc line insert < 5
|
$761.60 |
$3,105.57 |
$3,105.57 |
|
|
Ghs plngl fx pm cl
|
$317.39 |
$2,030.33 |
$2,030.33 |
|
|
Ghs plt ct-manual
|
$106.16 |
$106.16 |
$605.25 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$8,039.75 |
$8,946.28 |
$24,070.20 |
|
|
Ghs pos nystagmus
|
$663.25 |
$663.25 |
$663.25 |
|
|
Ghs ppd (tb intradermal)
|
$11.10 |
$371.07 |
$532.64 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$13.62 |
$156.59 |
$1,757.97 |
|
|
Ghs protoporphyrins fract
|
$25.20 |
$228.22 |
$2,287.51 |
|
|
Ghs pr without cont pulse ox
|
$55.48 |
$173.25 |
$891.84 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$189.99 |
$703.43 |
$1,153.50 |
|
|
Ghs pt - work hardening/int 2hrs
|
$140.99 |
$330.70 |
$330.70 |
|
|
Ghs quinidine
|
$13.62 |
$729.00 |
$1,348.15 |
|
|
Ghs refill of implantable pump
|
$319.28 |
$842.61 |
$842.61 |
|
|
Ghs removal intranasal foreign body
|
$117.70 |
$1,148.14 |
$1,148.14 |
|
|
Ghs removal pharyngeal foreign body
|
$1,350.96 |
$1,350.96 |
$1,350.96 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$601.59 |
$601.59 |
$601.59 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$515.58 |
$8,675.77 |
$8,675.77 |
|
|
Ghs respiratory syncytical virus igg/m
|
$13.32 |
$213.88 |
$2,187.36 |
|
|
Ghs reticulocyte count
|
$3.67 |
$106.16 |
$1,326.33 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$6.09 |
$213.07 |
$2,309.15 |
|
|
Ghs sedimentation rate
|
$1.33 |
$103.65 |
$662.00 |
|
|
Ghs semen analysis fert
|
$191.66 |
$191.66 |
$191.66 |
|
|
Ghs sensitivity (per antimicro)
|
$3.34 |
$109.73 |
$1,135.01 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$102.11 |
$1,077.84 |
$1,077.84 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$137.32 |
$2,209.29 |
$2,209.29 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$124.74 |
$1,274.23 |
$1,274.23 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$162.97 |
$2,433.73 |
$2,433.73 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$79.98 |
$1,019.23 |
$1,019.23 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$78.47 |
$983.92 |
$983.92 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$101.10 |
$1,030.82 |
$1,030.82 |
|
|
Ghs simple repair over 30 cm - 12007
|
$153.92 |
$1,472.62 |
$1,472.62 |
|
|
Ghs simple repair over 30 cm - 12018
|
$184.60 |
$2,669.73 |
$2,669.73 |
|
|
Ghs sleep study unattended
|
$435.00 |
$781.36 |
$1,807.34 |
|
|
Ghs somatosensory testing lower extremit
|
$480.02 |
$4,793.62 |
$8,294.00 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,252.59 |
$1,252.59 |
$12,020.79 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$57.93 |
$87.51 |
$365.15 |
|
|
Ghs sphenopalatine ganglion block
|
$356.96 |
$3,119.74 |
$3,119.74 |
|
|
Ghs spont nystagmus
|
$356.75 |
$356.75 |
$356.75 |
|
|
Ghs sp train/fitting sp device - kx
|
$113.49 |
$445.82 |
$526.00 |
|
|
Ghs st - eval for alt comm
|
$87.14 |
$354.97 |
$354.97 |
|
|
Ghs strapping shoulder - 29240
|
$29.68 |
$315.27 |
$315.27 |
|
|
Ghs st - re-eval for alt comm
|
$129.02 |
$245.06 |
$736.45 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$676.50 |
$676.50 |
$676.50 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$1,034.75 |
$1,034.75 |
$1,034.75 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$341.46 |
$3,602.71 |
$3,602.71 |
|
|
Ghs superficial wnd dehis w packing12021
|
$1,087.35 |
$1,087.35 |
$1,087.35 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$338.02 |
$1,700.53 |
$1,700.53 |
|
|
Ghs trypsin (fecal)
|
$316.28 |
$316.28 |
$1,264.75 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$286.21 |
$2,030.33 |
$2,030.33 |
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$5,693.96 |
$5,693.96 |
$5,693.96 |
|
|
Ghs urine, hydroxproline total
|
$170.90 |
$1,708.33 |
$3,353.75 |
|
|
Ghs urine, porphyrins quant
|
$14.07 |
$228.11 |
$1,735.16 |
|
|
Ghs vaginal delivery only
|
$854.60 |
$11,509.31 |
$11,509.31 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,114.26 |
$2,476.45 |
$14,855.00 |
|
|
Giardia ag if
|
$865.25 |
$865.25 |
$865.25 |
|
|
Giardia lamblia antibody
|
$12.39 |
$227.23 |
$2,391.00 |
|
