|
Ghs moderate sedation ea addtl 15 min, other
|
$112.42 |
$251.94 |
$361.00 |
|
|
Ghs musc test done w/n test comp
|
$478.53 |
$564.33 |
$992.49 |
|
|
Ghs musc tst done w/nerv tst lim
|
$357.28 |
$377.91 |
$710.00 |
|
|
Ghs musc tst done w/n tst non ext
|
$59.80 |
$377.91 |
$649.00 |
|
|
Ghs myocardial strain img spckl track
|
$19.84 |
$444.60 |
$1,869.00 |
|
|
Ghs nailbed repair/nail removal
|
$1,715.99 |
$1,727.70 |
$8,661.00 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,432.44 |
$3,539.25 |
$4,862.00 |
|
|
Ghs nerve blk intercostal, single level
|
$2,245.22 |
$2,258.10 |
$4,862.00 |
|
|
Ghs nerve block axillary nerve
|
$3,301.74 |
$3,301.74 |
$5,656.22 |
|
|
Ghs nerve block brachial plexus
|
$964.96 |
$2,224.17 |
$4,862.00 |
|
|
Ghs nerve block celiac plexus
|
$648.84 |
$2,520.18 |
$10,987.27 |
|
|
Ghs nerve block interscaline
|
$2,223.78 |
$2,223.78 |
$4,862.00 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$872.91 |
$2,420.73 |
$4,862.00 |
|
|
Ghs nerve block sciatic nerve
|
$2,869.23 |
$2,869.23 |
$4,862.00 |
|
|
Ghs nerve block suprascapular
|
$2,625.09 |
$2,625.09 |
$4,609.00 |
|
|
Ghs ng placement w fluoro guidance
|
$376.52 |
$1,182.09 |
$9,495.43 |
|
|
Ghs o2 saturation
|
$12.14 |
$108.81 |
$3,623.61 |
|
|
Ghs o2 uptake rest & indirect
|
$450.00 |
$521.04 |
$1,275.00 |
|
|
Ghs ob unlisted IV or art inj or infusion
|
$6,039.00 |
$6,039.00 |
$6,039.00 |
|
|
Ghs opcc repair cvp without subq port
|
$436.31 |
$1,593.93 |
$7,445.51 |
|
|
Ghs opcc repair cvp w subq port
|
$4,943.00 |
$5,005.65 |
$5,005.65 |
|
|
Ghs optokenetic
|
$707.00 |
$707.00 |
$707.00 |
|
|
Ghs oscillating trac
|
$707.00 |
$707.00 |
$707.00 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$55.77 |
$55.77 |
$55.77 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$46.80 |
$46.80 |
$46.80 |
|
|
Ghs ot dds rom
|
$186.03 |
$186.03 |
$186.03 |
|
|
Ghs ot group caregiver training
|
$30.03 |
$30.03 |
$59.63 |
|
|
Ghs ot prosthetic training/15 min
|
$58.61 |
$99.45 |
$127.00 |
|
|
Ghs ot sensory integrative tech/15min
|
$48.75 |
$48.75 |
$421.85 |
|
|
Ghs ot work hardening-additional hours
|
$49.14 |
$49.14 |
$205.50 |
|
|
Ghs pacing - transcutaneous
|
$994.00 |
$2,132.91 |
$2,132.91 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$217.86 |
$583.83 |
$5,778.00 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$234.44 |
$1,346.28 |
$4,862.00 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$36.68 |
$125.97 |
$221.57 |
|
|
Ghs peritonsillar abscess i andd
|
$236.80 |
$1,678.03 |
$1,857.57 |
|
|
Ghs phenylketonurid
|
$140.00 |
$175.11 |
$188.90 |
|
|
Ghs picc line insert < 5
|
$4,943.00 |
$6,195.93 |
$7,675.04 |
|
|
Ghs plngl fx pm cl
|
$806.13 |
$858.00 |
$8,209.00 |
|
|
Ghs plt ct-manual
|
$76.44 |
$76.44 |
$76.44 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,557.58 |
$3,557.58 |
$6,290.00 |
|
|
Ghs pos nystagmus
|
$497.00 |
$497.00 |
$497.00 |
|
|
Ghs ppd (tb intradermal)
|
$15.40 |
$80.00 |
$333.29 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$20.72 |
$127.92 |
$517.74 |
|
|
Ghs protoporphyrins fract
|
$23.98 |
$171.21 |
$314.92 |
|
|
Ghs pr without cont pulse ox
|
$68.38 |
$133.77 |
$308.00 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$56.00 |
$85.80 |
$278.00 |
|
|
Ghs pt - work hardening/int 2hrs
|
$116.61 |
$116.61 |
$1,378.54 |
|
|
Ghs quinidine
|
$91.17 |
$112.71 |
$432.00 |
|
|
Ghs refill of implantable pump
|
$378.00 |
$422.37 |
$422.37 |
|
|
Ghs removal intranasal foreign body
|
$208.00 |
$368.55 |
$1,475.52 |
|
|
Ghs removal pharyngeal foreign body
|
$242.25 |
$329.16 |
$1,517.00 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,799.07 |
$1,799.07 |
$6,653.00 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
|
|
Ghs respiratory syncytical virus igg/m
|
$19.24 |
$197.73 |
$197.73 |
|
|
Ghs reticulocyte count
|
$20.00 |
$74.49 |
$74.49 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$16.28 |
$173.94 |
$745.52 |
|
|
Ghs sedimentation rate
|
$42.92 |
$67.47 |
$67.47 |
|
|
Ghs semen analysis fert
|
$311.22 |
$311.22 |
$311.22 |
|
|
Ghs semen analysis, post-vas
|
$32.37 |
$32.37 |
$32.37 |
|
|
Ghs sensitivity (per antimicro)
|
$15.40 |
$83.46 |
$123.55 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$741.00 |
$805.00 |
$5,001.27 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$445.00 |
$741.00 |
$1,499.00 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$741.00 |
$741.00 |
$2,301.93 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$741.00 |
$741.00 |
$1,499.00 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$398.00 |
$741.00 |
$2,510.28 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$248.64 |
$741.00 |
$2,510.28 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$199.51 |
$741.00 |
$2,510.28 |
|
|
Ghs simple repair over 30 cm - 12007
|
$726.00 |
$741.00 |
$1,084.00 |
|
|
Ghs simple repair over 30 cm - 12018
|
$726.00 |
$741.00 |
$741.00 |
|
|
Ghs sleep study unattended
|
$170.20 |
$430.95 |
$886.00 |
|
|
Ghs somatosensory testing lower extremit
|
$1,438.00 |
$2,308.02 |
$2,308.02 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,586.00 |
$3,985.41 |
$3,985.41 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$114.66 |
$114.66 |
$117.00 |
|
|
Ghs sphenopalatine ganglion block
|
$783.90 |
$783.90 |
$4,862.00 |
|
|
Ghs spont nystagmus
|
$497.00 |
$497.00 |
$497.00 |
|
|
Ghs sp train/fitting sp device - kx
|
$115.05 |
$115.05 |
$477.17 |
|
|
Ghs st - eval for alt comm
|
$157.95 |
$157.95 |
$420.00 |
|
|
Ghs strapping shoulder - 29240
|
$304.59 |
$304.59 |
$1,475.52 |
|
|
Ghs st - re-eval for alt comm
|
$79.92 |
$193.44 |
$604.52 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$58.89 |
$58.89 |
$580.84 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$266.37 |
$266.37 |
$1,754.00 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$606.80 |
$1,579.89 |
$4,609.00 |
|
|
Ghs superficial wnd dehis w packing12021
|
$1,232.79 |
$1,232.79 |
$1,499.00 |
|
|
Ghs tracheostomy emergency - transtracheal
|
$714.25 |
$3,304.08 |
$18,284.14 |
|
|
Ghs trypsin (fecal)
|
$21.84 |
$21.84 |
$21.84 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$620.00 |
$900.51 |
$1,472.70 |
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$662.00 |
$806.13 |
$858.00 |
|
|
Ghs urine, hydroxproline total
|
$157.56 |
$157.56 |
$157.56 |
|
|
Ghs urine, porphyrins quant
|
$27.83 |
$207.48 |
$337.00 |
|
|
Ghs vaginal delivery only
|
$5,171.40 |
$5,171.40 |
$12,010.12 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,038.00 |
$2,176.59 |
$6,536.53 |
|
|
Ghs windowing of cast
|
$184.86 |
$184.86 |
$184.86 |
|
|
Giardia lamblia antibody
|
$281.58 |
$281.58 |
$281.58 |
|
|
Gi inhouse confirmation
|
$24.57 |
$134.16 |
$722.68 |
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,754.00 |
$3,224.91 |
$5,016.00 |
|
|
Gi trc img intral esophagus
|
$1,545.57 |
$1,545.57 |
$2,384.00 |
|
|
Gi wireless capsule measure
|
$1,049.49 |
$1,049.49 |
$1,049.49 |
|
|
Glaucoma surgery
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
|
|
Glaucoma surgery
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
|
|
Glucagon 1 mg solution for injection
|
$129.24 |
$1,092.83 |
$1,179.36 |
|
