|
Ghs fb removal - incisional
|
$560.16 |
$2,070.54 |
$21,480.15 |
|
|
Ghs fb removal - non-incisional
|
$293.76 |
$579.32 |
$3,190.95 |
|
|
Ghs febrile agglutinns(mayo)
|
$43.68 |
$48.57 |
$112.20 |
|
|
Ghs fish cytogen
|
$58.40 |
$127.86 |
$207.60 |
|
|
Ghs fish hybrid in situ 100-300
|
$100.80 |
$127.86 |
$439.40 |
|
|
Ghs flow volume loop
|
$89.60 |
$197.60 |
$801.45 |
|
|
Ghs gastric intub aspiration lavage
|
$56.00 |
$279.25 |
$825.00 |
|
|
Ghs hcv amplificaiton
|
$88.80 |
$88.80 |
$334.80 |
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$64.28 |
$64.28 |
$86.40 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$48.57 |
$48.57 |
$732.55 |
|
|
Ghs hgb stability-thal
|
$12.60 |
$33.57 |
$106.60 |
|
|
Ghs histoplasma antigen
|
$38.58 |
$131.88 |
$363.00 |
|
|
Ghs HIV antibody
|
$44.52 |
$48.57 |
$116.00 |
|
|
Ghs hla-dr/dq, multiple antigens
|
$73.80 |
$212.80 |
$1,113.28 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$766.00 |
$2,379.77 |
$6,564.01 |
|
|
Ghs i and d perirectal abscess 46040
|
$1,031.52 |
$1,926.60 |
$31,020.75 |
|
|
Ghs i and d pilonidal cyst complex
|
$471.36 |
$1,398.16 |
$22,939.70 |
|
|
Ghs i and d pilonidal cyst simple
|
$298.20 |
$512.80 |
$32,113.22 |
|
|
Ghs immun0electrophoresis
|
$59.40 |
$110.00 |
$110.00 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$191.94 |
$485.22 |
$1,168.00 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$99.12 |
$520.00 |
$520.00 |
|
|
Ghs inf midline insertion
|
$235.20 |
$1,245.68 |
$38,117.57 |
|
|
Ghs inhibitor screen
|
$32.85 |
$32.85 |
$344.50 |
|
|
Ghs init tx 1st degree burn
|
$81.06 |
$180.80 |
$789.75 |
|
|
Ghs inj neurolytic intercostal nerve
|
$520.80 |
$599.50 |
$2,911.30 |
|
|
Ghs inj neurolytic other perph nerve
|
$758.52 |
$2,096.25 |
$5,805.94 |
|
|
Ghs inj tendon origin/insertion
|
$169.92 |
$278.40 |
$2,902.97 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$248.64 |
$625.60 |
$5,447.19 |
|
|
Ghs inj transforaminal cerv single bil
|
$793.20 |
$1,303.73 |
$5,447.19 |
|
|
Ghs insertion of needle - bone
|
$128.70 |
$202.80 |
$799.00 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$562.80 |
$943.20 |
$30,271.57 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$756.60 |
$1,051.20 |
$1,230.48 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$849.00 |
$1,480.68 |
$3,788.18 |
|
|
Ghs intro needle/intracath vein - 36000
|
$42.60 |
$237.75 |
$672.80 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$272.16 |
$528.96 |
$716.36 |
|
|
Ghs IV inf sq injection, on-body injector
|
$31.08 |
$76.88 |
$141.60 |
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$164.16 |
$270.00 |
$300.60 |
|
|
Ghs IV infusion casirivimab/imdevimab
|
$159.36 |
$230.16 |
$300.60 |
|
|
Ghs IV infusion sotrovimab
|
$164.16 |
$270.00 |
$300.60 |
|
|
Ghs IV thrombolytics - cerebral
|
$219.66 |
$1,257.60 |
$1,450.80 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$231.84 |
$681.60 |
$1,208.93 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$308.70 |
$617.60 |
$17,109.60 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$292.32 |
$619.20 |
$15,943.17 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$318.36 |
$667.20 |
$16,380.55 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$384.00 |
$750.40 |
$17,368.75 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$369.60 |
$738.40 |
$16,315.75 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$477.12 |
$875.20 |
$875.20 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$454.02 |
$795.20 |
$21,313.56 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$515.52 |
$911.20 |
$3,778.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$490.56 |
$920.00 |
$1,211.80 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$547.20 |
$995.20 |
$1,075.04 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$428.82 |
$1,190.40 |
$1,211.80 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$379.80 |
$1,188.80 |
$1,319.64 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$671.20 |
$1,397.60 |
$1,397.60 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$399.00 |
$1,304.00 |
$1,932.80 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$433.80 |
$1,485.60 |
$1,630.02 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$33.57 |
$33.57 |
$138.00 |
|
|
Ghs low level laser therapy
|
$43.68 |
$53.76 |
$57.00 |
|
|
Ghs mbp
|
$64.28 |
$81.90 |
$186.00 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$10.56 |
$278.86 |
$444.25 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$44.94 |
$226.85 |
$571.11 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$44.94 |
$230.00 |
$461.04 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$22.56 |
$61.47 |
$164.14 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$44.94 |
$142.40 |
$188.00 |
|
|
Ghs musc test done w/n test comp
|
$137.28 |
$315.00 |
$2,391.00 |
|
|
Ghs musc tst done w/nerv tst lim
|
$88.32 |
$264.42 |
$2,007.00 |
|
|
Ghs musc tst done w/n tst non ext
|
$72.60 |
$184.80 |
$434.20 |
|
|
Ghs myocardial strain img spckl track
|
$123.00 |
$416.85 |
$825.71 |
|
|
Ghs nailbed repair/nail removal
|
$255.36 |
$478.40 |
$51,856.87 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$294.72 |
$1,047.00 |
$5,521.45 |
|
|
Ghs nerve blk intercostal, single level
|
$282.72 |
$707.47 |
$5,521.45 |
|
|
Ghs nerve block axillary nerve
|
$236.50 |
$900.90 |
$2,902.97 |
|
|
Ghs nerve block brachial plexus
|
$221.00 |
$1,060.78 |
$61,283.43 |
|
|
Ghs nerve block celiac plexus
|
$529.60 |
$1,295.84 |
$2,925.00 |
|
|
Ghs nerve block interscaline
|
$547.26 |
$1,207.16 |
$3,015.60 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$690.60 |
$1,607.04 |
$3,015.60 |
|
|
Ghs nerve block sciatic nerve
|
$37.44 |
$1,006.34 |
$71,137.10 |
|
|
Ghs nerve block suprascapular
|
$188.00 |
$883.35 |
$1,680.90 |
|
|
Ghs ng placement w fluoro guidance
|
$104.00 |
$323.05 |
$1,149.20 |
|
|
Ghs o2 saturation
|
$33.57 |
$36.00 |
$106.80 |
|
|
Ghs o2 uptake rest & exercise
|
$102.06 |
$118.40 |
$380.25 |
|
|
Ghs o2 uptake rest & indirect
|
$89.46 |
$108.80 |
$1,012.96 |
|
|
Ghs ob unlisted IV or art inj or infusion
|
$28.80 |
$28.80 |
$132.60 |
|
|
Ghs opcc repair cvp without subq port
|
$327.60 |
$723.73 |
$10,978.00 |
|
|
Ghs opcc repair cvp w subq port
|
$608.00 |
$981.12 |
$3,695.20 |
|
|
Ghs optokenetic
|
$50.40 |
$50.40 |
$157.20 |
|
|
Ghs oscillating trac
|
$46.40 |
$46.40 |
$157.20 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$28.32 |
$69.60 |
$115.10 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$83.40 |
$100.80 |
$142.35 |
|
|
Ghs ot dds rom
|
$35.04 |
$48.00 |
$118.44 |
|
|
Ghs ot group caregiver training
|
$31.20 |
$52.00 |
$84.63 |
|
|
Ghs ot prosthetic training/15 min
|
$16.38 |
$86.38 |
$1,227.20 |
|
|
Ghs ot sensory integrative tech/15min
|
$17.64 |
$113.60 |
$132.95 |
|
|
Ghs ot work hardening-additional hours
|
$44.52 |
$68.00 |
$284.36 |
|
|
Ghs pacing - transcutaneous
|
$20.00 |
$755.20 |
$3,953.13 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$244.32 |
$1,076.40 |
$4,836.45 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$429.66 |
$1,199.46 |
$5,805.94 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$23.40 |
$55.20 |
$98.28 |
|
|
Ghs peritonsillar abscess i andd
|
$238.56 |
$468.80 |
$894.22 |
|
|
Ghs phenylketonurid
|
$21.60 |
$33.57 |
$120.60 |
|
