|
Ghs excision ingrown nail
|
$974.35 |
$974.35 |
$974.35 |
$449.25
|
|
Ghs eye exam
|
$481.65 |
$481.65 |
$481.65 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,117.35 |
$1,117.35 |
$1,117.35 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$920.40 |
$920.40 |
$920.40 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$41.60 |
$41.60 |
$41.60 |
$48.10
|
|
Ghs fish cytogen
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$174.50
|
|
Ghs fish hybrid in situ 100-300
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$368.50
|
|
Ghs hcv amplificaiton
|
$211.90 |
$211.90 |
$211.90 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$63.05 |
$63.05 |
$63.05 |
$144.54
|
|
Ghs hgb stability-thal
|
$27.95 |
$27.95 |
$27.95 |
$89.67
|
|
Ghs histoplasma antigen
|
$219.70 |
$219.70 |
$219.70 |
$142.00
|
|
Ghs HIV antibody
|
$94.25 |
$94.25 |
$94.25 |
$90.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$419.25 |
$419.25 |
$419.25 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,511.80
|
|
Ghs i and d perirectal abscess 46040
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$909.35 |
$909.35 |
$909.35 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$725.40 |
$725.40 |
$725.40 |
$350.90
|
|
Ghs inf midline insertion
|
$2,971.15 |
$2,971.15 |
$2,971.15 |
$1,238.25
|
|
Ghs inhibitor screen
|
$250.90 |
$250.90 |
$250.90 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$484.25 |
$484.25 |
$484.25 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$433.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,105.65 |
$1,105.65 |
$1,105.65 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$434.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$887.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$200.20 |
$200.20 |
$200.20 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$909.35 |
$909.35 |
$909.35 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$258.70 |
$258.70 |
$258.70 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$1,549.60 |
$1,549.60 |
$1,549.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$974.35 |
$974.35 |
$974.35 |
$602.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$974.35 |
$974.35 |
$974.35 |
$583.44
|
|
Ghs layer closure 2.5cm or less - 12051
|
$974.35 |
$974.35 |
$974.35 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$974.35 |
$974.35 |
$974.35 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$974.35 |
$974.35 |
$974.35 |
$702.10
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$974.35 |
$974.35 |
$974.35 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$974.35 |
$974.35 |
$974.35 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$764.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$787.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,515.80 |
$1,515.80 |
$1,515.80 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$18.20 |
$18.20 |
$18.20 |
$73.50
|
|
Ghs mbp
|
$24.05 |
$24.05 |
$24.05 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$949.65 |
$949.65 |
$949.65 |
$246.40
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$582.40 |
$582.40 |
$582.40 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$474.50 |
$474.50 |
$474.50 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$224.25 |
$224.25 |
$224.25 |
$151.20
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$325.00 |
$325.00 |
$325.00 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$1,437.15 |
$1,437.15 |
$1,437.15 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$900.90 |
$900.90 |
$900.90 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$656.50 |
$656.50 |
$656.50 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$124.80 |
$124.80 |
$124.80 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$374.40 |
$374.40 |
$374.40 |
$1,579.20
|
|
Ghs nerve block brachial plexus
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$1,706.50
|
|
Ghs nerve block sciatic nerve
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$485.00
|
|
Ghs o2 saturation
|
$57.85 |
$57.85 |
$57.85 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$652.60 |
$652.60 |
$652.60 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$239.85 |
$239.85 |
$239.85 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$2,888.60 |
$2,888.60 |
$2,888.60 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,194.40
|
|
Ghs optokenetic
|
$585.00 |
$585.00 |
$585.00 |
$214.00
|
|
Ghs oscillating trac
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$296.91
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$131.30 |
$131.30 |
$131.30 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$202.80 |
$202.80 |
$202.80 |
$62.04
|
|
Ghs ot group caregiver training
|
$720.85 |
$720.85 |
$720.85 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$219.70 |
$219.70 |
$219.70 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$152.75 |
$152.75 |
$152.75 |
$96.60
|
|
Ghs ot work hardening-additional hours
|
$408.85 |
$408.85 |
$408.85 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
$839.65
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$533.00 |
$533.00 |
$533.00 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,023.75 |
$1,023.75 |
$1,023.75 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$72.80 |
$72.80 |
$72.80 |
$72.80
|
|
Ghs peritonsillar abscess i andd
|
$867.75 |
$867.75 |
$867.75 |
$555.00
|
|
Ghs phenylketonurid
|
$92.95 |
$92.95 |
$92.95 |
$53.76
|
|
Ghs picc line insert < 5
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$995.15 |
$995.15 |
$995.15 |
$565.60
|
|
Ghs plt ct-manual
|
$79.95 |
$79.95 |
$79.95 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$6,447.35 |
$6,447.35 |
$6,447.35 |
$3,557.58
|