|
Ghs inj neurolytic other perph nerve
|
$2,523.12 |
$2,523.12 |
$2,523.12 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$682.21 |
$682.21 |
$682.21 |
$433.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,537.16 |
$1,537.16 |
$1,537.16 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$3,351.88 |
$3,351.88 |
$3,351.88 |
$1,836.00
|
|
Ghs insertion of needle - bone
|
$235.83 |
$235.83 |
$235.83 |
$434.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$943.20 |
$943.20 |
$943.20 |
$887.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,499.32 |
$1,499.32 |
$1,499.32 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$499.78 |
$499.78 |
$499.78 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$523.20 |
$523.20 |
$523.20 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$92.20 |
$92.20 |
$92.20 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$681.60 |
$681.60 |
$681.60 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$617.60 |
$617.60 |
$617.60 |
$602.55
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$619.20 |
$619.20 |
$619.20 |
$583.44
|
|
Ghs layer closure 2.5cm or less - 12051
|
$667.20 |
$667.20 |
$667.20 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$750.40 |
$750.40 |
$750.40 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$738.40 |
$738.40 |
$738.40 |
$702.24
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$875.20 |
$875.20 |
$875.20 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$795.20 |
$795.20 |
$795.20 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$911.20 |
$911.20 |
$911.20 |
$774.90
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$920.00 |
$920.00 |
$920.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$995.20 |
$995.20 |
$995.20 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,190.40 |
$1,190.40 |
$1,190.40 |
$789.50
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,188.80 |
$1,188.80 |
$1,188.80 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,397.60 |
$1,397.60 |
$1,397.60 |
$922.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,485.60 |
$1,485.60 |
$1,485.60 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$33.57 |
$33.57 |
$33.57 |
$73.50
|
|
Ghs mbp
|
$64.28 |
$64.28 |
$64.28 |
$76.64
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$365.86 |
$365.86 |
$365.86 |
$246.40
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$365.86 |
$365.86 |
$365.86 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$365.86 |
$365.86 |
$365.86 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$105.79 |
$105.79 |
$105.79 |
$151.20
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$142.40 |
$142.40 |
$142.40 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$357.12 |
$357.12 |
$357.12 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$357.12 |
$357.12 |
$357.12 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$188.26 |
$188.26 |
$188.26 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$664.75 |
$664.75 |
$664.75 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$478.40 |
$478.40 |
$478.40 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,816.64 |
$1,816.64 |
$1,816.64 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,067.48 |
$1,067.48 |
$1,067.48 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,399.37 |
$1,399.37 |
$1,399.37 |
$1,601.60
|
|
Ghs nerve block brachial plexus
|
$693.87 |
$693.87 |
$693.87 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,259.18 |
$2,259.18 |
$2,259.18 |
$1,668.80
|
|
Ghs nerve block interscaline
|
$2,280.52 |
$2,280.52 |
$2,280.52 |
$1,541.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,607.04 |
$1,607.04 |
$1,607.04 |
$1,706.50
|
|
Ghs nerve block sciatic nerve
|
$1,006.34 |
$1,006.34 |
$1,006.34 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,253.80 |
$1,253.80 |
$1,253.80 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$237.76 |
$237.76 |
$237.76 |
$485.00
|
|
Ghs o2 saturation
|
$33.57 |
$33.57 |
$33.57 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$118.40 |
$118.40 |
$118.40 |
$239.05
|
|
Ghs o2 uptake rest & indirect
|
$108.80 |
$108.80 |
$108.80 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$28.80 |
$28.80 |
$28.80 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$1,899.13 |
$1,899.13 |
$1,899.13 |
$1,236.96
|
|
Ghs opcc repair cvp w subq port
|
$2,199.00 |
$2,199.00 |
$2,199.00 |
$2,194.40
|
|
Ghs optokenetic
|
$50.40 |
$50.40 |
$50.40 |
$214.00
|
|
Ghs oscillating trac
|
$46.40 |
$46.40 |
$46.40 |
$296.91
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$69.60 |
$69.60 |
$69.60 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$100.80 |
$100.80 |
$100.80 |
$61.11
|
|
Ghs ot dds rom
|
$48.00 |
$48.00 |
$48.00 |
$66.95
|
|
Ghs ot group caregiver training
|
$52.00 |
$52.00 |
$52.00 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$113.54 |
$113.54 |
$113.54 |
$93.50
|
|
Ghs ot sensory integrative tech/15min
|
$132.95 |
$132.95 |
$132.95 |
$96.60
|
|
Ghs ot work hardening-additional hours
|
$68.00 |
$68.00 |
$68.00 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$1,299.42 |
$1,299.42 |
$1,299.42 |
$839.65
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,199.46 |
$1,199.46 |
$1,199.46 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,199.46 |
$1,199.46 |
$1,199.46 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$55.20 |
$55.20 |
$55.20 |
$72.80
|
|
Ghs peritonsillar abscess i andd
|
$546.36 |
$546.36 |
$546.36 |
$560.53
|
|
Ghs phenylketonurid
|
$33.57 |
$33.57 |
$33.57 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,403.24 |
$1,403.24 |
$1,403.24 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$832.80 |
$832.80 |
$832.80 |
$578.00
|
|
Ghs plt ct-manual
|
$33.57 |
$33.57 |
$33.57 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,263.57 |
$3,263.57 |
$3,263.57 |
$3,557.58
|
|
Ghs pos nystagmus
|
$73.60 |
$73.60 |
$73.60 |
$232.70
|
|
Ghs ppd (tb intradermal)
|
$48.57 |
$48.57 |
$48.57 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$33.57 |
$33.57 |
$33.57 |
$43.55
|
|
Ghs protein, misc fluid
|
$33.57 |
$33.57 |
$33.57 |
$24.60
|
|
Ghs protoporphyrins fract
|
$64.28 |
$64.28 |
$64.28 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$188.95 |
$188.95 |
$188.95 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$31.20 |
$31.20 |
$31.20 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$170.40 |
$170.40 |
$170.40 |
$285.60
|
|
Ghs quinidine
|
$66.43 |
$66.43 |
$66.43 |
$85.00
|
|
Ghs refill of implantable pump
|
$897.65 |
$897.65 |
$897.65 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$464.00 |
$464.00 |
$464.00 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$495.20 |
$495.20 |
$495.20 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,785.15 |
$2,785.15 |
$2,785.15 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,937.57 |
$4,937.57 |
$4,937.57 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$48.57 |
$48.57 |
$48.57 |
$73.50
|
|
Ghs reticulocyte count
|
$33.57 |
$33.57 |
$33.57 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$38.58 |
$38.58 |
$38.58 |
$99.00
|
|
Ghs sedimentation rate
|
$33.57 |
$33.57 |
$33.57 |
$45.50
|
|
Ghs semen analysis fert
|
$56.44 |
$56.44 |
$56.44 |
$124.15
|
|
Ghs semen analysis, post-vas
|
$56.44 |
$56.44 |
$56.44 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$38.58 |
$38.58 |
$38.58 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$416.00 |
$416.00 |
$416.00 |
$572.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$525.60 |
$525.60 |
$525.60 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$491.20 |
$491.20 |
$491.20 |
$590.40
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$381.60 |
$381.60 |
$381.60 |
$607.35
|
