|
Ghs indirect laryngoscopy/w fb removal
|
$285.60 |
$285.60 |
$285.60 |
$350.90
|
|
Ghs inf midline insertion
|
$235.20 |
$235.20 |
$235.20 |
$1,219.20
|
|
Ghs inhibitor screen
|
$236.64 |
$236.64 |
$236.64 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$108.96 |
$108.96 |
$108.96 |
$275.50
|
|
Ghs inj tendon origin/insertion
|
$169.92 |
$169.92 |
$169.92 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$248.64 |
$248.64 |
$248.64 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$144.96 |
$144.96 |
$144.96 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$751.20 |
$751.20 |
$751.20 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$912.96 |
$912.96 |
$912.96 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,152.96 |
$1,152.96 |
$1,152.96 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$72.00 |
$72.00 |
$72.00 |
$202.47
|
|
Ghs IV inf sq injection, on-body injector
|
$61.92 |
$61.92 |
$61.92 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$164.16 |
$164.16 |
$164.16 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$159.36 |
$159.36 |
$159.36 |
$569.28
|
|
Ghs IV infusion sotrovimab
|
$164.16 |
$164.16 |
$164.16 |
$553.80
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$382.56 |
$382.56 |
$382.56 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$358.08 |
$358.08 |
$358.08 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$360.00 |
$360.00 |
$360.00 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$385.44 |
$385.44 |
$385.44 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$428.64 |
$428.64 |
$428.64 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$421.44 |
$421.44 |
$421.44 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$494.40 |
$494.40 |
$494.40 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$631.20 |
$631.20 |
$631.20 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$515.52 |
$515.52 |
$515.52 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$520.32 |
$520.32 |
$520.32 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$547.20 |
$547.20 |
$547.20 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$677.76 |
$677.76 |
$677.76 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$666.72 |
$666.72 |
$666.72 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$778.08 |
$778.08 |
$778.08 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$826.08 |
$826.08 |
$826.08 |
$1,897.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$827.52 |
$827.52 |
$827.52 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$118.56 |
$118.56 |
$118.56 |
$73.50
|
|
Ghs low level laser therapy
|
$53.76 |
$53.76 |
$53.76 |
$85.00
|
|
Ghs mbp
|
$111.36 |
$111.36 |
$111.36 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$10.56 |
$10.56 |
$10.56 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$90.72 |
$90.72 |
$90.72 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$74.40 |
$74.40 |
$74.40 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$22.56 |
$22.56 |
$22.56 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$56.64 |
$56.64 |
$56.64 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$137.28 |
$137.28 |
$137.28 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$88.32 |
$88.32 |
$88.32 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$118.08 |
$118.08 |
$118.08 |
$184.80
|
|
Ghs nailbed repair/nail removal
|
$255.36 |
$255.36 |
$255.36 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$294.72 |
$294.72 |
$294.72 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$282.72 |
$282.72 |
$282.72 |
$1,121.00
|
|
Ghs nerve block celiac plexus
|
$532.32 |
$532.32 |
$532.32 |
$1,556.40
|
|
Ghs nerve block sciatic nerve
|
$37.44 |
$37.44 |
$37.44 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$153.12 |
$153.12 |
$153.12 |
$478.50
|
|
Ghs o2 saturation
|
$36.00 |
$36.00 |
$36.00 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$102.24 |
$102.24 |
$102.24 |
$239.05
|
|
Ghs o2 uptake rest & indirect
|
$359.52 |
$359.52 |
$359.52 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$67.68 |
$67.68 |
$67.68 |
$83.04
|
|
Ghs opcc repair cvp without subq port
|
$708.96 |
$708.96 |
$708.96 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$708.96 |
$708.96 |
$708.96 |
$2,194.40
|
|
Ghs optokenetic
|
$109.92 |
$109.92 |
$109.92 |
$211.20
|
|
Ghs oscillating trac
|
$109.92 |
$109.92 |
$109.92 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$28.32 |
$28.32 |
$28.32 |
$58.00
|
|
Ghs ot dds rom
|
$35.04 |
$35.04 |
$35.04 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$84.96 |
$84.96 |
$84.96 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$524.64 |
$524.64 |
$524.64 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$244.32 |
$244.32 |
$244.32 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$430.08 |
$430.08 |
$430.08 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$69.60 |
$69.60 |
$69.60 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$259.68 |
$259.68 |
$259.68 |
$545.40
|
|
Ghs phenylketonurid
|
$45.12 |
$45.12 |
$45.12 |
$53.76
|
|
Ghs picc line insert < 5
|
$748.32 |
$748.32 |
$748.32 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$459.36 |
$459.36 |
$459.36 |
$564.50
|
|
Ghs plt ct-manual
|
$34.56 |
$34.56 |
$34.56 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$692.64 |
$692.64 |
$692.64 |
$3,557.58
|
|
Ghs pos nystagmus
|
$100.80 |
$100.80 |
$100.80 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$993.39 |
$993.39 |
$993.39 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$61.44 |
$61.44 |
$61.44 |
$43.55
|
|
Ghs protoporphyrins fract
|
$367.20 |
$367.20 |
$367.20 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$284.64 |
$284.64 |
$284.64 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$112.32 |
$112.32 |
$112.32 |
$47.55
|
|
Ghs quinidine
|
$94.56 |
$94.56 |
$94.56 |
$83.20
|
|
Ghs removal intranasal foreign body
|
$287.04 |
$287.04 |
$287.04 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$304.32 |
$304.32 |
$304.32 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$819.84 |
$819.84 |
$819.84 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,775.04 |
$1,775.04 |
$1,775.04 |
$4,108.00
|
|
Ghs respiratory syncytical virus igg/m
|
$95.04 |
$95.04 |
$95.04 |
$74.82
|
|
Ghs reticulocyte count
|
$48.00 |
$48.00 |
$48.00 |
$35.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$43.20 |
$43.20 |
$43.20 |
$99.00
|
|
Ghs sedimentation rate
|
$37.44 |
$37.44 |
$37.44 |
$45.50
|
|
Ghs semen analysis fert
|
$168.00 |
$168.00 |
$168.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$99.84 |
$99.84 |
$99.84 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$239.52 |
$239.52 |
$239.52 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$291.84 |
$291.84 |
$291.84 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$274.56 |
$274.56 |
$274.56 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$303.36 |
$303.36 |
$303.36 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$258.72 |
$258.72 |
$258.72 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$233.28 |
$233.28 |
$233.28 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$279.84 |
$279.84 |
$279.84 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$308.64 |
$308.64 |
$308.64 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$293.76 |
$293.76 |
$293.76 |
$537.60
|
|
Ghs sleep study unattended
|
$93.12 |
$93.12 |
$93.12 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$233.28 |
$233.28 |
$233.28 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$223.68 |
$223.68 |
$223.68 |
$616.00
|
|
Ghs spont nystagmus
|
$39.84 |
$39.84 |
$39.84 |
$228.00
|
