|
Ghs inj transforaminal cerv single bil
|
$446.25 |
$1,836.00 |
$9,043.75 |
|
|
Ghs insertion of needle - bone
|
$202.80 |
$415.20 |
$910.70 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$187.50 |
$800.00 |
$33,869.53 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$534.40 |
$865.00 |
$58,107.33 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$891.60 |
$1,539.20 |
$51,675.17 |
|
|
Ghs intro needle/intracath vein - 36000
|
$34.56 |
$200.00 |
$2,988.30 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$282.50 |
$564.60 |
$1,124.20 |
|
|
Ghs IV inf sq injection, on-body injector
|
$37.50 |
$88.20 |
$125.30 |
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$300.60 |
$563.40 |
$973.44 |
|
|
Ghs IV infusion casirivimab/imdevimab
|
$300.60 |
$563.40 |
$973.44 |
|
|
Ghs IV infusion sotrovimab
|
$300.60 |
$552.60 |
$1,362.24 |
|
|
Ghs IV thrombolytics - cerebral
|
$289.60 |
$580.30 |
$3,641.60 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$235.00 |
$466.56 |
$1,401.60 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$112.50 |
$617.60 |
$43,893.70 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$112.50 |
$619.20 |
$20,196.39 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$112.50 |
$620.00 |
$20,672.94 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$125.00 |
$675.00 |
$13,384.88 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$137.50 |
$675.00 |
$25,645.56 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$150.00 |
$705.00 |
$14,655.49 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$162.50 |
$740.00 |
$30,005.48 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$162.50 |
$740.00 |
$28,053.23 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$162.50 |
$740.00 |
$31,705.34 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$325.00 |
$800.00 |
$1,844.50 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$187.50 |
$800.00 |
$1,958.40 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$627.60 |
$784.80 |
$9,831.07 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$431.28 |
$967.80 |
$1,972.80 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$482.40 |
$1,237.80 |
$39,175.74 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$431.28 |
$1,029.60 |
$4,673.60 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$18.75 |
$103.60 |
$397.10 |
|
|
Ghs low level laser therapy
|
$57.00 |
$87.50 |
$87.50 |
|
|
Ghs mbp
|
$31.25 |
$106.80 |
$303.05 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$66.25 |
$371.00 |
$1,515.60 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$109.56 |
$389.40 |
$1,560.24 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$66.25 |
$389.40 |
$1,560.24 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$33.75 |
$169.20 |
$915.20 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$79.86 |
$215.00 |
$915.20 |
|
|
Ghs musc test done w/n test comp
|
$85.00 |
$332.50 |
$1,308.24 |
|
|
Ghs musc tst done w/nerv tst lim
|
$62.50 |
$265.68 |
$515.20 |
|
|
Ghs musc tst done w/n tst non ext
|
$47.50 |
$125.00 |
$529.90 |
|
|
Ghs myocardial strain img spckl track
|
$0.60 |
$210.60 |
$723.60 |
|
|
Ghs nailbed repair/nail removal
|
$325.00 |
$625.00 |
$1,452.96 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$446.25 |
$1,726.80 |
$4,656.05 |
|
|
Ghs nerve blk intercostal, single level
|
$435.00 |
$1,451.52 |
$32,474.73 |
|
|
Ghs nerve block axillary nerve
|
$446.25 |
$1,629.36 |
$47,716.93 |
|
|
Ghs nerve block brachial plexus
|
$610.80 |
$1,923.12 |
$97,381.75 |
|
|
Ghs nerve block celiac plexus
|
$446.25 |
$1,967.76 |
$20,102.07 |
|
|
Ghs nerve block interscaline
|
$446.25 |
$1,869.70 |
$4,347.17 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$446.25 |
$1,607.04 |
$5,616.00 |
|
|
Ghs nerve block sciatic nerve
|
$540.60 |
$1,890.00 |
$98,369.65 |
|
|
Ghs nerve block suprascapular
|
$435.00 |
$1,253.80 |
$37,042.00 |
|
|
Ghs ng placement w fluoro guidance
|
$237.76 |
$515.00 |
$43,601.53 |
|
|
Ghs o2 saturation
|
$22.11 |
$50.00 |
$398.16 |
|
|
Ghs o2 uptake rest & exercise
|
$118.40 |
$333.00 |
$337.68 |
|
|
Ghs o2 uptake rest & indirect
|
$108.80 |
$154.00 |
$888.00 |
|
|
Ghs ob unlisted IV or art inj or infusion
|
$28.80 |
$132.60 |
$132.60 |
|
|
Ghs opcc repair cvp without subq port
|
$343.80 |
$1,335.00 |
$3,252.84 |
|
|
Ghs opcc repair cvp w subq port
|
$625.00 |
$1,470.00 |
$7,105.70 |
|
|
Ghs optokenetic
|
$50.40 |
$266.00 |
$598.80 |
|
|
Ghs oscillating trac
|
$46.40 |
$182.00 |
$672.48 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$37.50 |
$57.60 |
$126.00 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$37.50 |
$87.60 |
$100.80 |
|
|
Ghs ot dds rom
|
$22.50 |
$53.28 |
$209.52 |
|
|
Ghs ot group caregiver training
|
$21.00 |
$34.80 |
$71.50 |
|
|
Ghs ot prosthetic training/15 min
|
$62.70 |
$123.00 |
$262.80 |
|
|
Ghs ot sensory integrative tech/15min
|
$32.50 |
$108.00 |
$303.84 |
|
|
Ghs ot work hardening-additional hours
|
$37.50 |
$127.80 |
$234.00 |
|
|
Ghs pacing - transcutaneous
|
$484.20 |
$1,127.40 |
$2,144.16 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$162.50 |
$1,080.72 |
$5,962.25 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$162.50 |
$1,212.60 |
$10,553.20 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$23.40 |
$50.00 |
$117.36 |
|
|
Ghs peritonsillar abscess i andd
|
$130.00 |
$392.00 |
$4,865.70 |
|
|
Ghs phenylketonurid
|
$4.75 |
$120.60 |
$441.60 |
|
|
Ghs picc line insert < 5
|
$625.00 |
$1,320.00 |
$5,440.80 |
|
|
Ghs plngl fx pm cl
|
$131.25 |
$557.20 |
$5,725.60 |
|
|
Ghs plt ct-manual
|
$23.40 |
$39.00 |
$68.60 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,419.33 |
$3,409.70 |
$7,486.80 |
|
|
Ghs pos nystagmus
|
$73.60 |
$196.00 |
$598.80 |
|
|
Ghs ppd (tb intradermal)
|
$16.10 |
$32.20 |
$252.00 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$22.50 |
$58.10 |
$150.40 |
|
|
Ghs protein, misc fluid
|
$31.80 |
$33.57 |
$283.25 |
|
|
Ghs protoporphyrins fract
|
$20.13 |
$95.40 |
$457.60 |
|
|
Ghs pr without cont pulse ox
|
$70.00 |
$137.50 |
$448.20 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$19.80 |
$67.50 |
$80.40 |
|
|
Ghs pt - work hardening/int 2hrs
|
$75.00 |
$361.20 |
$822.96 |
|
|
Ghs quinidine
|
$40.32 |
$93.60 |
$2,179.44 |
|
|
Ghs refill of implantable pump
|
$174.90 |
$426.30 |
$1,440.72 |
|
|
Ghs removal intranasal foreign body
|
$43.75 |
$267.50 |
$877.20 |
|
|
Ghs removal pharyngeal foreign body
|
$211.40 |
$347.50 |
$3,118.40 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$769.80 |
$2,802.80 |
$3,878.00 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,077.60 |
$2,788.50 |
$7,008.48 |
|
|
Ghs respiratory syncytical virus igg/m
|
$48.57 |
$78.40 |
$193.80 |
|
|
Ghs reticulocyte count
|
$13.20 |
$30.00 |
$154.40 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$33.99 |
$103.95 |
$448.56 |
|
|
Ghs sedimentation rate
|
$3.75 |
$52.50 |
$117.00 |
|
|
Ghs semen analysis fert
|
$56.44 |
$124.80 |
$594.00 |
|
|
Ghs semen analysis, post-vas
|
$56.44 |
$66.00 |
$66.00 |
|
|
Ghs sensitivity (per antimicro)
|
$17.50 |
$87.12 |
$322.56 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$187.50 |
$515.90 |
$20,371.82 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$187.50 |
$557.40 |
$1,697.50 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$112.50 |
$528.60 |
$1,003.10 |
|
