|
Ghs i and d pilonidal cyst complex
|
$358.25 |
$679.80 |
$2,641.30 |
|
|
Ghs i and d pilonidal cyst simple
|
$142.60 |
$388.70 |
$1,236.05 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$242.10 |
$386.05 |
$774.75 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$312.80 |
$336.00 |
$471.05 |
|
|
Ghs inf midline insertion
|
$678.25 |
$678.25 |
$678.25 |
|
|
Ghs inhibitor screen
|
$80.30 |
$162.35 |
$260.45 |
|
|
Ghs init tx 1st degree burn
|
$134.95 |
$270.00 |
$662.40 |
|
|
Ghs inj neurolytic intercostal nerve
|
$2,256.65 |
$2,256.65 |
$2,615.05 |
|
|
Ghs inj neurolytic other perph nerve
|
$2,446.00 |
$2,446.00 |
$2,615.25 |
|
|
Ghs inj tendon origin/insertion
|
$137.65 |
$167.35 |
$522.35 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$1.00 |
$871.55 |
$2,684.15 |
|
|
Ghs inj transforaminal cerv single bil
|
$723.50 |
$2,256.65 |
$2,615.05 |
|
|
Ghs insertion of needle - bone
|
$181.65 |
$543.95 |
$1,137.75 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$382.20 |
$827.35 |
$1,979.95 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$431.40 |
$867.90 |
$982.70 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$572.70 |
$954.20 |
$1,047.35 |
|
|
Ghs intro needle/intracath vein - 36000
|
$314.45 |
$314.45 |
$314.45 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$344.85 |
$455.80 |
$868.70 |
|
|
Ghs IV inf sq injection, on-body injector
|
$83.75 |
$107.95 |
$516.10 |
|
|
Ghs IV thrombolytics - cerebral
|
$454.60 |
$647.85 |
$785.50 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$264.85 |
$589.85 |
$1,209.35 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$245.95 |
$515.55 |
$604.60 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$271.20 |
$525.60 |
$768.35 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$278.75 |
$560.15 |
$713.10 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$311.55 |
$639.50 |
$816.60 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$309.05 |
$628.95 |
$1,357.90 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$348.15 |
$750.40 |
$1,803.20 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$331.75 |
$677.55 |
$862.70 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$351.95 |
$780.10 |
$1,673.55 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$386.00 |
$782.75 |
$2,291.80 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$403.60 |
$459.75 |
$1,809.90 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$490.70 |
$893.70 |
$2,905.90 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$459.75 |
$626.25 |
$2,178.40 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$254.75 |
$517.15 |
$3,677.90 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$254.75 |
$1,191.75 |
$3,351.25 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$254.75 |
$1,017.70 |
$1,180.90 |
|
|
Ghs low level laser therapy
|
$140.35 |
$167.35 |
$191.35 |
|
|
Ghs mbp
|
$47.55 |
$51.55 |
$166.40 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$49.20 |
$171.45 |
$556.40 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$103.80 |
$205.20 |
$981.55 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$132.45 |
$178.15 |
$702.55 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$24.35 |
$27.75 |
$389.60 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$79.45 |
$126.85 |
$319.90 |
|
|
Ghs myocardial strain img spckl track
|
$54.05 |
$592.80 |
$650.10 |
|
|
Ghs nailbed repair/nail removal
|
$184.15 |
$511.50 |
$1,008.30 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$857.05 |
$1,391.20 |
$2,740.75 |
|
|
Ghs nerve blk intercostal, single level
|
$359.00 |
$1,073.10 |
$2,114.10 |
|
|
Ghs nerve block axillary nerve
|
$307.70 |
$1,085.50 |
$2,781.90 |
|
|
Ghs nerve block brachial plexus
|
$201.05 |
$842.20 |
$2,871.20 |
|
|
Ghs nerve block celiac plexus
|
$2,596.95 |
$2,596.95 |
$2,615.05 |
|
|
Ghs nerve block interscaline
|
$285.95 |
$1,391.20 |
$2,740.75 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$451.60 |
$1,391.20 |
$2,740.75 |
|
|
Ghs nerve block sciatic nerve
|
$325.25 |
$1,086.80 |
$2,211.20 |
|
|
Ghs nerve block suprascapular
|
$53.55 |
$1,926.85 |
$1,977.25 |
|
|
Ghs ng placement w fluoro guidance
|
$70.00 |
$90.40 |
$870.60 |
|
|
Ghs o2 saturation
|
$105.20 |
$105.20 |
$105.20 |
|
|
Ghs o2 uptake rest & indirect
|
$72.65 |
$72.65 |
$72.65 |
|
|
Ghs opcc repair cvp without subq port
|
$321.05 |
$2,134.50 |
$2,655.20 |
|
|
Ghs opcc repair cvp w subq port
|
$3,389.65 |
$3,389.65 |
$3,389.65 |
|
|
Ghs optokenetic
|
$247.00 |
$247.00 |
$527.70 |
|
|
Ghs oscillating trac
|
$247.00 |
$247.00 |
$480.45 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$75.60 |
$86.70 |
$95.85 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$49.90 |
$49.90 |
$92.65 |
|
|
Ghs ot dds rom
|
$35.10 |
$35.10 |
$35.10 |
|
|
Ghs ot group caregiver training
|
$16.05 |
$27.45 |
$36.05 |
|
|
Ghs ot prosthetic training/15 min
|
$104.55 |
$159.35 |
$216.75 |
|
|
Ghs ot sensory integrative tech/15min
|
$93.20 |
$159.35 |
$188.00 |
|
|
Ghs ot work hardening-additional hours
|
$291.20 |
$291.20 |
$291.20 |
|
|
Ghs pacing - transcutaneous
|
$26.75 |
$251.05 |
$604.60 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1.00 |
$230.85 |
$2,379.20 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$545.55 |
$1,204.80 |
$2,432.20 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$17.00 |
$17.00 |
$17.00 |
|
|
Ghs peritonsillar abscess i andd
|
$242.10 |
$522.75 |
$784.15 |
|
|
Ghs phenylketonurid
|
$55.50 |
$183.25 |
$244.85 |
|
|
Ghs picc line insert < 5
|
$939.45 |
$2,411.75 |
$2,553.20 |
|
|
Ghs plngl fx pm cl
|
$683.90 |
$752.10 |
$1,580.50 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$6,724.15 |
$6,724.15 |
$6,724.15 |
|
|
Ghs pos nystagmus
|
$247.00 |
$247.00 |
$445.40 |
|
|
Ghs ppd (tb intradermal)
|
$50.29 |
$81.46 |
$133.92 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$38.85 |
$44.55 |
$115.30 |
|
|
Ghs protoporphyrins fract
|
$31.60 |
$62.10 |
$247.85 |
|
|
Ghs pr without cont pulse ox
|
$165.30 |
$165.30 |
$181.95 |
|
|
Ghs pt - work hardening/int 2hrs
|
$582.35 |
$582.35 |
$582.35 |
|
|
Ghs quinidine
|
$137.85 |
$141.45 |
$251.90 |
|
|
Ghs removal intranasal foreign body
|
$132.45 |
$467.40 |
$723.90 |
|
|
Ghs removal pharyngeal foreign body
|
$268.70 |
$452.20 |
$1,090.60 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$924.60 |
$1,217.40 |
$3,760.30 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$957.90 |
$4,786.10 |
$9,428.65 |
|
|
Ghs respiratory syncytical virus igg/m
|
$40.45 |
$41.30 |
$125.95 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$72.85 |
$163.65 |
$535.70 |
|
|
Ghs sedimentation rate
|
$21.00 |
$63.85 |
$86.35 |
|
|
Ghs semen analysis fert
|
$30.80 |
$133.40 |
$376.60 |
|
|
Ghs sensitivity (per antimicro)
|
$78.15 |
$116.05 |
$161.25 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$320.35 |
$492.50 |
$1,491.40 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$316.95 |
$437.75 |
$2,001.60 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$211.90 |
$539.85 |
$2,384.90 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$113.20 |
$243.40 |
$425.20 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$278.75 |
$434.30 |
$1,306.55 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$253.50 |
$395.80 |
$668.60 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$340.20 |
$545.50 |
$1,743.75 |
|