|
Ghs fb removal from muscle - complicated
|
$1,514.80 |
$1,514.80 |
$1,514.80 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$2,991.10 |
$2,991.10 |
$2,991.10 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$4,456.20 |
$4,456.20 |
$4,456.20 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$139.30 |
$139.30 |
$139.30 |
$48.10
|
|
Ghs fish cytogen
|
$812.70 |
$812.70 |
$812.70 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$287.00 |
$287.00 |
$287.00 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$628.60 |
$628.60 |
$628.60 |
$365.40
|
|
Ghs hcv amplificaiton
|
$322.00 |
$322.00 |
$322.00 |
$203.45
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$50.40 |
$50.40 |
$50.40 |
$64.28
|
|
Ghs hgb stability-thal
|
$107.80 |
$107.80 |
$107.80 |
$89.91
|
|
Ghs histoplasma antigen
|
$186.90 |
$186.90 |
$186.90 |
$141.00
|
|
Ghs HIV antibody
|
$121.80 |
$121.80 |
$121.80 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$7,662.20 |
$7,662.20 |
$7,662.20 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$11,166.13 |
$11,166.13 |
$11,166.13 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$3,035.90 |
$3,035.90 |
$3,035.90 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$725.20 |
$725.20 |
$725.20 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
$520.80
|
|
Ghs indirect laryngoscopy/w fb removal
|
$1,690.50 |
$1,690.50 |
$1,690.50 |
$350.90
|
|
Ghs inf midline insertion
|
$26,226.21 |
$26,226.21 |
$26,226.21 |
$1,219.20
|
|
Ghs inhibitor screen
|
$416.50 |
$416.50 |
$416.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$412.30 |
$412.30 |
$412.30 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$3,706.11 |
$3,706.11 |
$3,706.11 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$553.00 |
$553.00 |
$553.00 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,827.70 |
$1,827.70 |
$1,827.70 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,131.77 |
$2,131.77 |
$2,131.77 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$858.20 |
$858.20 |
$858.20 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$32,022.35 |
$32,022.35 |
$32,022.35 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$30,260.23 |
$30,260.23 |
$30,260.23 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,810.80 |
$3,810.80 |
$3,810.80 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$227.50 |
$227.50 |
$227.50 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$669.90 |
$669.90 |
$669.90 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$121.10 |
$121.10 |
$121.10 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$793.10 |
$793.10 |
$793.10 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$485.10 |
$485.10 |
$485.10 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$9,214.02 |
$9,214.02 |
$9,214.02 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$20,196.39 |
$20,196.39 |
$20,196.39 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$6,748.52 |
$6,748.52 |
$6,748.52 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$5,946.88 |
$5,946.88 |
$5,946.88 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$9,302.12 |
$9,302.12 |
$9,302.12 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$6,660.28 |
$6,660.28 |
$6,660.28 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$23,933.56 |
$23,933.56 |
$23,933.56 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$19,770.80 |
$19,770.80 |
$19,770.80 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$8,311.65 |
$8,311.65 |
$8,311.65 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,645.00 |
$1,645.00 |
$1,645.00 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,498.70 |
$1,498.70 |
$1,498.70 |
$779.35
|
|
Ghs leukocyte alkaline phos (mayo)
|
$103.60 |
$103.60 |
$103.60 |
$73.50
|
|
Ghs low level laser therapy
|
$87.50 |
$87.50 |
$87.50 |
$85.00
|
|
Ghs mbp
|
$200.20 |
$200.20 |
$200.20 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$371.00 |
$371.00 |
$371.00 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$196.00 |
$196.00 |
$196.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$385.70 |
$385.70 |
$385.70 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$168.00 |
$168.00 |
$168.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$130.20 |
$130.20 |
$130.20 |
$141.00
|
|
Ghs myocardial strain img spckl track
|
$555.80 |
$555.80 |
$555.80 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$1,052.10 |
$1,052.10 |
$1,052.10 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$4,536.34 |
$4,536.34 |
$4,536.34 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$4,536.34 |
$4,536.34 |
$4,536.34 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$2,487.80 |
$2,487.80 |
$2,487.80 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$57,561.80 |
$57,561.80 |
$57,561.80 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$4,311.45 |
$4,311.45 |
$4,311.45 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$2,934.60 |
$2,934.60 |
$2,934.60 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,602.07 |
$2,602.07 |
$2,602.07 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$77,853.07 |
$77,853.07 |
$77,853.07 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,262.80 |
$1,262.80 |
$1,262.80 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$779.80 |
$779.80 |
$779.80 |
$478.50
|
|
Ghs o2 saturation
|
$41.30 |
$41.30 |
$41.30 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$154.00 |
$154.00 |
$154.00 |
$173.50
|
|
Ghs optokenetic
|
$266.00 |
$266.00 |
$266.00 |
$211.20
|
|
Ghs oscillating trac
|
$182.00 |
$182.00 |
$182.00 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$55.30 |
$55.30 |
$55.30 |
$58.00
|
|
Ghs ot group caregiver training
|
$21.00 |
$21.00 |
$21.00 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$179.20 |
$179.20 |
$179.20 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$154.00 |
$154.00 |
$154.00 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$109.90 |
$109.90 |
$109.90 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$1,703.10 |
$1,703.10 |
$1,703.10 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,808.10 |
$1,808.10 |
$1,808.10 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$5,828.24 |
$5,828.24 |
$5,828.24 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$103.60 |
$103.60 |
$103.60 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$1,093.40 |
$1,093.40 |
$1,093.40 |
$545.40
|
|
Ghs phenylketonurid
|
$101.50 |
$101.50 |
$101.50 |
$53.76
|
|
Ghs picc line insert < 5
|
$695.80 |
$695.80 |
$695.80 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$557.20 |
$557.20 |
$557.20 |
$564.50
|
|
Ghs plt ct-manual
|
$68.60 |
$68.60 |
$68.60 |
$37.96
|
|
Ghs pos nystagmus
|
$196.00 |
$196.00 |
$196.00 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$32.20 |
$32.20 |
$32.20 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$58.10 |
$58.10 |
$58.10 |
$43.55
|
|
Ghs pr without cont pulse ox
|
$235.90 |
$235.90 |
$235.90 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$22.40 |
$22.40 |
$22.40 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$698.60 |
$698.60 |
$698.60 |
$285.60
|
|
Ghs refill of implantable pump
|
$426.30 |
$426.30 |
$426.30 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$214.20 |
$214.20 |
$214.20 |
$283.51
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,878.00 |
$3,878.00 |
$3,878.00 |
$2,408.00
|
|
Ghs sedimentation rate
|
$52.50 |
$52.50 |
$52.50 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$97.30 |
$97.30 |
$97.30 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$771.40 |
$771.40 |
$771.40 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$526.40 |
$526.40 |
$526.40 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$882.70 |
$882.70 |
$882.70 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$721.00 |
$721.00 |
$721.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$711.90 |
$711.90 |
$711.90 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$574.00 |
$574.00 |
$574.00 |
$436.80
|
