|
Ghs conjunctiva foreign body-superf bil
|
$251.41 |
$251.41 |
$251.41 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$252.14 |
$252.14 |
$252.14 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$251.41 |
$251.41 |
$251.41 |
$365.43
|
|
Ghs cricothyroidotomy
|
$1,240.17 |
$1,240.17 |
$1,240.17 |
$1,199.25
|
|
Ghs diphtheria toxoid ab igg
|
$108.12 |
$108.12 |
$108.12 |
$74.53
|
|
Ghs dislocation elbow closed treatment
|
$288.06 |
$288.06 |
$288.06 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$108.12 |
$108.12 |
$108.12 |
$330.85
|
|
Ghs eyelid foreign body-embedded - bil
|
$274.13 |
$274.13 |
$274.13 |
$539.85
|
|
Ghs fb removal - incisional
|
$856.47 |
$856.47 |
$856.47 |
$2,355.20
|
|
Ghs fb removal - non-incisional
|
$437.58 |
$437.58 |
$437.58 |
$1,793.38
|
|
Ghs febrile agglutinns(mayo)
|
$18.33 |
$18.33 |
$18.33 |
$48.57
|
|
Ghs fish cytogen
|
$137.44 |
$137.44 |
$137.44 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$259.84 |
$259.84 |
$259.84 |
$229.45
|
|
Ghs flow volume loop
|
$86.49 |
$86.49 |
$86.49 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$300.15 |
$300.15 |
$300.15 |
$375.20
|
|
Ghs hcv amplificaiton
|
$183.25 |
$183.25 |
$183.25 |
$195.60
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$148.80 |
$148.80 |
$148.80 |
$27.56
|
|
Ghs hepatitis c virus (hcv riba)
|
$165.65 |
$165.65 |
$165.65 |
$105.00
|
|
Ghs histoplasma antigen
|
$91.99 |
$91.99 |
$91.99 |
$144.50
|
|
Ghs HIV antibody
|
$42.52 |
$42.52 |
$42.52 |
$93.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$321.41 |
$321.41 |
$321.41 |
$462.60
|
|
Ghs i and d perirectal abscess 46040
|
$310.41 |
$310.41 |
$310.41 |
$2,831.40
|
|
Ghs i and d pilonidal cyst complex
|
$403.13 |
$403.13 |
$403.13 |
$1,549.80
|
|
Ghs i and d pilonidal cyst simple
|
$212.20 |
$212.20 |
$212.20 |
$794.82
|
|
Ghs immun0electrophoresis
|
$45.45 |
$45.45 |
$45.45 |
$102.70
|
|
Ghs incision thrombosed ext hemorrhoid
|
$233.82 |
$233.82 |
$233.82 |
$540.10
|
|
Ghs init tx 1st degree burn
|
$177.01 |
$177.01 |
$177.01 |
$298.10
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$355.12 |
$355.12 |
$355.12 |
$943.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$445.65 |
$445.65 |
$445.65 |
$1,122.16
|
|
Ghs intermed repair over 30 cm - 12037
|
$347.43 |
$347.43 |
$347.43 |
$2,123.36
|
|
Ghs irrigate corpora cavernosa for priapism
|
$210.73 |
$210.73 |
$210.73 |
$615.58
|
|
Ghs IV inf sq injection, on-body injector
|
$42.88 |
$42.88 |
$42.88 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$299.42 |
$299.42 |
$299.42 |
$663.03
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$212.93 |
$212.93 |
$212.93 |
$542.40
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$267.90 |
$267.90 |
$267.90 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$274.13 |
$274.13 |
$274.13 |
$599.55
|
|
Ghs layer closure 2.5cm or less - 12051
|
$457.37 |
$457.37 |
$457.37 |
$629.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$289.52 |
$289.52 |
$289.52 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$308.95 |
$308.95 |
$308.95 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$322.87 |
$322.87 |
$322.87 |
$742.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$335.70 |
$335.70 |
$335.70 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$322.87 |
$322.87 |
$322.87 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$322.87 |
$322.87 |
$322.87 |
$741.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$355.12 |
$355.12 |
$355.12 |
$995.20
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$322.87 |
$322.87 |
$322.87 |
$929.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$621.56 |
$621.56 |
$621.56 |
$1,930.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$76.97 |
$76.97 |
$76.97 |
$59.40
|
|
Ghs mbp
|
$119.84 |
$119.84 |
$119.84 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$37.39 |
$37.39 |
$37.39 |
$253.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$50.58 |
$50.58 |
$50.58 |
$144.46
|
|
Ghs myocardial strain img spckl track
|
$325.07 |
$325.07 |
$325.07 |
$500.00
|
|
Ghs nailbed repair/nail removal
|
$267.90 |
$267.90 |
$267.90 |
$788.15
|
|
Ghs nerve blk intercostal, ea addtl level
|
$808.83 |
$808.83 |
$808.83 |
$1,556.24
|
|
Ghs nerve block axillary nerve
|
$331.30 |
$331.30 |
$331.30 |
$1,501.60
|
|
Ghs nerve block brachial plexus
|
$911.81 |
$911.81 |
$911.81 |
$1,789.51
|
|
Ghs nerve block sciatic nerve
|
$623.75 |
$623.75 |
$623.75 |
$1,709.77
|
|
Ghs nerve block suprascapular
|
$316.28 |
$316.28 |
$316.28 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$677.26 |
$677.26 |
$677.26 |
$456.33
|
|
Ghs o2 saturation
|
$32.62 |
$32.62 |
$32.62 |
$72.45
|
|
Ghs ot dds rom
|
$79.90 |
$79.90 |
$79.90 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$54.98 |
$54.98 |
$54.98 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$52.78 |
$52.78 |
$52.78 |
$101.50
|
|
Ghs ot work hardening-additional hours
|
$90.89 |
$90.89 |
$90.89 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$428.05 |
$428.05 |
$428.05 |
$842.40
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$422.92 |
$422.92 |
$422.92 |
$804.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$45.08 |
$45.08 |
$45.08 |
$971.33
|
|
Ghs peritonsillar abscess i andd
|
$193.14 |
$193.14 |
$193.14 |
$694.20
|
|
Ghs phenylketonurid
|
$37.39 |
$37.39 |
$37.39 |
$55.53
|
|
Ghs picc line insert < 5
|
$1,317.87 |
$1,317.87 |
$1,317.87 |
$2,035.00
|
|
Ghs plngl fx pm cl
|
$218.06 |
$218.06 |
$218.06 |
$642.20
|
|
Ghs ppd (tb intradermal)
|
$9.17 |
$9.17 |
$9.17 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$64.51 |
$64.51 |
$64.51 |
$41.40
|
|
Ghs protoporphyrins fract
|
$54.98 |
$54.98 |
$54.98 |
$64.35
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$129.74 |
$129.74 |
$129.74 |
$45.05
|
|
Ghs pt - work hardening/int 2hrs
|
$133.77 |
$133.77 |
$133.77 |
$233.70
|
|
Ghs quinidine
|
$79.53 |
$79.53 |
$79.53 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$135.97 |
$135.97 |
$135.97 |
$320.00
|
|
Ghs removal pharyngeal foreign body
|
$211.83 |
$211.83 |
$211.83 |
$460.00
|
|
Ghs respiratory syncytical virus igg/m
|
$45.45 |
$45.45 |
$45.45 |
$42.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$41.42 |
$41.42 |
$41.42 |
$101.15
|
|
Ghs sedimentation rate
|
$31.16 |
$31.16 |
$31.16 |
$45.50
|
|
Ghs semen analysis fert
|
$12.10 |
$12.10 |
$12.10 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$14.30 |
$14.30 |
$14.30 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$550.09 |
$550.09 |
$550.09 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$409.00 |
$409.00 |
$409.00 |
$652.80
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$527.74 |
$527.74 |
$527.74 |
$625.60
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$425.49 |
$425.49 |
$425.49 |
$472.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$387.37 |
$387.37 |
$387.37 |
$447.70
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$587.11 |
$587.11 |
$587.11 |
$510.15
|
|
Ghs simple repair over 30 cm - 12007
|
$151.73 |
$151.73 |
$151.73 |
$620.00
|
|
Ghs simple repair over 30 cm - 12018
|
$262.04 |
$262.04 |
$262.04 |
$452.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$63.04 |
$63.04 |
$63.04 |
$118.20
|
|
Ghs sp train/fitting sp device - kx
|
$116.91 |
$116.91 |
$116.91 |
$249.60
|
|
Ghs strapping shoulder - 29240
|
$174.82 |
$174.82 |
$174.82 |
$240.35
|
|
Ghs st - re-eval for alt comm
|
$194.24 |
$194.24 |
$194.24 |
$313.80
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$38.85 |
$38.85 |
$38.85 |
$90.40
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$189.11 |
$189.11 |
$189.11 |
$342.40
|
|
Ghs superficial wnd dehiscence simp12020
|
$293.56 |
$293.56 |
$293.56 |
$972.40
|
|
Ghs superficial wnd dehis w packing12021
|
$267.90 |
$267.90 |
$267.90 |
$765.68
|
|
Ghs tracheostomy emergency - transtracheal
|
$735.16 |
$735.16 |
$735.16 |
$2,133.48
|