|
Ghs inj neurolytic other perph nerve
|
$258.65 |
$2,598.00 |
$4,526.21 |
|
|
Ghs inj tendon origin/insertion
|
$33.42 |
$33.42 |
$1,405.87 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,628.40 |
$1,628.40 |
$2,255.83 |
|
|
Ghs inj transforaminal cerv single bil
|
$2,945.30 |
$5,077.20 |
$5,077.20 |
|
|
Ghs intro needle/intracath vein - 36000
|
$222.00 |
$587.40 |
$1,114.28 |
|
|
Ghs IV inf sq injection, on-body injector
|
$97.88 |
$189.50 |
$464.40 |
|
|
Ghs IV thrombolytics - cerebral
|
$592.80 |
$823.20 |
$2,205.60 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$238.50 |
$238.50 |
$238.50 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$313.50 |
$313.50 |
$313.50 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$419.00 |
$419.00 |
$419.00 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$462.00 |
$462.00 |
$462.00 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$487.00 |
$487.00 |
$487.00 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$427.50 |
$427.50 |
$427.50 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$119.35 |
$119.35 |
$421.50 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$438.00 |
$438.00 |
$438.00 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$460.00 |
$460.00 |
$460.00 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$108.35 |
$192.00 |
$303.00 |
|
|
Ghs low level laser therapy
|
$72.00 |
$72.00 |
$106.80 |
|
|
Ghs mbp
|
$58.50 |
$190.20 |
$312.00 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$139.00 |
$293.40 |
$674.40 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$266.50 |
$274.50 |
$621.00 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$216.00 |
$274.50 |
$565.20 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$93.00 |
$268.00 |
$371.36 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$99.60 |
$267.00 |
$371.36 |
|
|
Ghs musc test done w/n test comp
|
$87.10 |
$349.80 |
$1,831.34 |
|
|
Ghs musc tst done w/nerv tst lim
|
$42.25 |
$349.80 |
$1,831.34 |
|
|
Ghs musc tst done w/n tst non ext
|
$93.28 |
$184.80 |
$709.80 |
|
|
Ghs myocardial strain img spckl track
|
$300.47 |
$545.40 |
$573.00 |
|
|
Ghs nailbed repair/nail removal
|
$293.50 |
$293.50 |
$293.50 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,319.60 |
$2,319.60 |
$2,319.60 |
|
|
Ghs nerve blk intercostal, single level
|
$2,319.60 |
$2,319.60 |
$2,319.60 |
|
|
Ghs nerve block axillary nerve
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
|
|
Ghs nerve block brachial plexus
|
$1,254.78 |
$1,254.78 |
$2,709.05 |
|
|
Ghs nerve block celiac plexus
|
$2,175.60 |
$2,307.60 |
$2,307.60 |
|
|
Ghs nerve block interscaline
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
|
|
Ghs nerve block sciatic nerve
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
|
|
Ghs nerve block suprascapular
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
|
|
Ghs ng placement w fluoro guidance
|
$282.60 |
$467.40 |
$1,745.40 |
|
|
Ghs o2 saturation
|
$21.60 |
$68.00 |
$161.40 |
|
|
Ghs o2 uptake rest & indirect
|
$93.75 |
$93.75 |
$93.75 |
|
|
Ghs ob unlisted IV or art inj or infusion
|
$203.40 |
$203.40 |
$219.66 |
|
|
Ghs opcc repair cvp without subq port
|
$1,607.40 |
$2,071.80 |
$2,274.50 |
|
|
Ghs opcc repair cvp w subq port
|
$2,815.20 |
$4,704.60 |
$4,704.60 |
|
|
Ghs optokenetic
|
$153.60 |
$211.20 |
$211.20 |
|
|
Ghs oscillating trac
|
$189.00 |
$233.40 |
$233.40 |
|
|
Ghs ot dds rom
|
$43.20 |
$51.60 |
$110.14 |
|
|
Ghs ot group caregiver training
|
$275.63 |
$275.63 |
$275.63 |
|
|
Ghs ot prosthetic training/15 min
|
$57.60 |
$89.00 |
$261.89 |
|
|
Ghs ot sensory integrative tech/15min
|
$49.80 |
$80.88 |
$231.29 |
|
|
Ghs ot work hardening-additional hours
|
$62.40 |
$181.80 |
$400.80 |
|
|
Ghs pacing - transcutaneous
|
$840.00 |
$1,282.80 |
$9,338.35 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$3,252.60 |
$3,252.60 |
$3,252.60 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$826.20 |
$2,124.60 |
$2,255.83 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$82.80 |
$100.20 |
$115.20 |
|
|
Ghs phenylketonurid
|
$93.00 |
$145.80 |
$195.60 |
|
|
Ghs picc line insert < 5
|
$1,047.60 |
$1,581.50 |
$4,980.60 |
|
|
Ghs plngl fx pm cl
|
$648.00 |
$648.00 |
$648.00 |
|
|
Ghs plt ct-manual
|
$21.60 |
$85.80 |
$109.20 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,198.00 |
$3,401.40 |
$9,873.06 |
|
|
Ghs pos nystagmus
|
$226.80 |
$289.20 |
$289.20 |
|
|
Ghs ppd (tb intradermal)
|
$16.50 |
$50.40 |
$73.80 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$30.00 |
$112.20 |
$175.80 |
|
|
Ghs protein, misc fluid
|
$16.20 |
$39.00 |
$108.60 |
|
|
Ghs protoporphyrins fract
|
$12.00 |
$69.00 |
$179.43 |
|
|
Ghs pr without cont pulse ox
|
$117.00 |
$281.40 |
$416.40 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$13.50 |
$43.80 |
$144.53 |
|
|
Ghs pt - work hardening/int 2hrs
|
$152.96 |
$315.60 |
$428.40 |
|
|
Ghs quinidine
|
$135.60 |
$184.11 |
$206.40 |
|
|
Ghs refill of implantable pump
|
$630.65 |
$630.65 |
$630.65 |
|
|
Ghs removal intranasal foreign body
|
$225.00 |
$225.00 |
$241.00 |
|
|
Ghs respiratory syncytical virus igg/m
|
$152.61 |
$152.61 |
$171.60 |
|
|
Ghs reticulocyte count
|
$18.60 |
$93.00 |
$105.60 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$121.80 |
$219.12 |
$318.00 |
|
|
Ghs sedimentation rate
|
$28.20 |
$76.80 |
$125.40 |
|
|
Ghs semen analysis fert
|
$90.00 |
$150.38 |
$343.20 |
|
|
Ghs sensitivity (per antimicro)
|
$20.75 |
$114.00 |
$158.40 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$352.00 |
$352.00 |
$352.00 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$528.50 |
$528.50 |
$528.50 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$372.00 |
$372.00 |
$385.20 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$294.00 |
$294.00 |
$361.80 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$381.50 |
$381.50 |
$381.50 |
|
|
Ghs sleep study unattended
|
$585.00 |
$731.50 |
$1,535.60 |
|
|
Ghs somatosensory testing lower extremit
|
$881.40 |
$1,046.40 |
$3,892.92 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,959.60 |
$1,959.60 |
$7,475.07 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$108.00 |
$108.00 |
$274.11 |
|
|
Ghs spont nystagmus
|
$202.20 |
$300.60 |
$300.60 |
|
|
Ghs sp train/fitting sp device - kx
|
$112.20 |
$258.00 |
$764.82 |
|
|
Ghs st - eval for alt comm
|
$20.80 |
$138.00 |
$149.00 |
|
|
Ghs strapping shoulder - 29240
|
$100.20 |
$160.80 |
$379.36 |
|
|
Ghs st - re-eval for alt comm
|
$182.40 |
$294.00 |
$942.27 |
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$984.11 |
$984.11 |
$984.11 |
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$354.00 |
$354.00 |
$2,705.64 |
|
|
Ghs superficial wnd dehiscence simp12020
|
$340.80 |
$340.80 |
$340.80 |
|
|
Ghs trypsin (fecal)
|
$86.20 |
$86.20 |
$86.20 |
|
|
Ghs tx distal phalangeal fx with manipulation
|
$615.00 |
$615.00 |
$615.00 |
|
|
Ghs urine, hydroxproline total
|
$119.40 |
$162.60 |
$407.40 |
|
|
Ghs urine, porphyrins quant
|
$46.20 |
$195.00 |
$291.00 |
|
|
Ghs vaginal delivery only
|
$965.50 |
$965.50 |
$965.50 |
|
|
Ghs veeg 12-26 hr intmt mont
|
$928.20 |
$1,191.00 |
$5,908.59 |
|
|
Giardia ag if
|
$61.20 |
$113.40 |
$129.00 |
|
