|
Ghs incision thrombosed ext hemorrhoid
|
$499.80 |
$499.80 |
$499.80 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$499.80 |
$499.80 |
$499.80 |
$350.90
|
|
Ghs inf midline insertion
|
$411.60 |
$411.60 |
$411.60 |
$1,241.85
|
|
Ghs inhibitor screen
|
$414.12 |
$414.12 |
$414.12 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$190.68 |
$190.68 |
$190.68 |
$275.50
|
|
Ghs inj tendon origin/insertion
|
$297.36 |
$297.36 |
$297.36 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$435.12 |
$435.12 |
$435.12 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,116.80 |
$2,116.80 |
$2,116.80 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$253.68 |
$253.68 |
$253.68 |
$415.20
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,314.60 |
$1,314.60 |
$1,314.60 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,597.68 |
$1,597.68 |
$1,597.68 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,017.68 |
$2,017.68 |
$2,017.68 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$126.00 |
$126.00 |
$126.00 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$108.36 |
$108.36 |
$108.36 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$287.28 |
$287.28 |
$287.28 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$278.88 |
$278.88 |
$278.88 |
$569.40
|
|
Ghs IV infusion sotrovimab
|
$287.28 |
$287.28 |
$287.28 |
$556.40
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$669.48 |
$669.48 |
$669.48 |
$505.45
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$626.64 |
$626.64 |
$626.64 |
$602.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$630.00 |
$630.00 |
$630.00 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$674.52 |
$674.52 |
$674.52 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$750.12 |
$750.12 |
$750.12 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$737.52 |
$737.52 |
$737.52 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$865.20 |
$865.20 |
$865.20 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$902.16 |
$902.16 |
$902.16 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$910.56 |
$910.56 |
$910.56 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$957.60 |
$957.60 |
$957.60 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,186.08 |
$1,186.08 |
$1,186.08 |
$782.46
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,166.76 |
$1,166.76 |
$1,166.76 |
$1,025.64
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,361.64 |
$1,361.64 |
$1,361.64 |
$929.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,445.64 |
$1,445.64 |
$1,445.64 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,448.16 |
$1,448.16 |
$1,448.16 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$207.48 |
$207.48 |
$207.48 |
$76.20
|
|
Ghs low level laser therapy
|
$94.08 |
$94.08 |
$94.08 |
$77.70
|
|
Ghs mbp
|
$194.88 |
$194.88 |
$194.88 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$18.48 |
$18.48 |
$18.48 |
$246.40
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$158.76 |
$158.76 |
$158.76 |
$231.00
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$130.20 |
$130.20 |
$130.20 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$39.48 |
$39.48 |
$39.48 |
$151.20
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$99.12 |
$99.12 |
$99.12 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$240.24 |
$240.24 |
$240.24 |
$322.80
|
|
Ghs musc tst done w/nerv tst lim
|
$154.56 |
$154.56 |
$154.56 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$206.64 |
$206.64 |
$206.64 |
$184.80
|
|
Ghs nailbed repair/nail removal
|
$446.88 |
$446.88 |
$446.88 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$515.76 |
$515.76 |
$515.76 |
$1,549.80
|
|
Ghs nerve blk intercostal, single level
|
$494.76 |
$494.76 |
$494.76 |
$1,109.38
|
|
Ghs nerve block celiac plexus
|
$931.56 |
$931.56 |
$931.56 |
$1,556.40
|
|
Ghs nerve block sciatic nerve
|
$65.52 |
$65.52 |
$65.52 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$267.96 |
$267.96 |
$267.96 |
$485.00
|
|
Ghs o2 saturation
|
$63.00 |
$63.00 |
$63.00 |
$72.45
|
|
Ghs o2 uptake rest & exercise
|
$178.92 |
$178.92 |
$178.92 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$629.16 |
$629.16 |
$629.16 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$118.44 |
$118.44 |
$118.44 |
$83.04
|
|
Ghs opcc repair cvp without subq port
|
$1,240.68 |
$1,240.68 |
$1,240.68 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$1,240.68 |
$1,240.68 |
$1,240.68 |
$2,194.40
|
|
Ghs optokenetic
|
$192.36 |
$192.36 |
$192.36 |
$203.50
|
|
Ghs oscillating trac
|
$192.36 |
$192.36 |
$192.36 |
$325.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$49.56 |
$49.56 |
$49.56 |
$57.60
|
|
Ghs ot dds rom
|
$61.32 |
$61.32 |
$61.32 |
$66.95
|
|
Ghs ot prosthetic training/15 min
|
$148.68 |
$148.68 |
$148.68 |
$90.75
|
|
Ghs pacing - transcutaneous
|
$918.12 |
$918.12 |
$918.12 |
$819.60
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$427.56 |
$427.56 |
$427.56 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$752.64 |
$752.64 |
$752.64 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$121.80 |
$121.80 |
$121.80 |
$76.56
|
|
Ghs peritonsillar abscess i andd
|
$454.44 |
$454.44 |
$454.44 |
$544.44
|
|
Ghs phenylketonurid
|
$78.96 |
$78.96 |
$78.96 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,309.56 |
$1,309.56 |
$1,309.56 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$803.88 |
$803.88 |
$803.88 |
$580.32
|
|
Ghs plt ct-manual
|
$60.48 |
$60.48 |
$60.48 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,212.12 |
$1,212.12 |
$1,212.12 |
$3,557.58
|
|
Ghs pos nystagmus
|
$176.40 |
$176.40 |
$176.40 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$1,738.43 |
$1,738.43 |
$1,738.43 |
$37.50
|
|
Ghs prostatic acid phosphatase (mayo)
|
$107.52 |
$107.52 |
$107.52 |
$43.55
|
|
Ghs protoporphyrins fract
|
$642.60 |
$642.60 |
$642.60 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$498.12 |
$498.12 |
$498.12 |
$147.95
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$196.56 |
$196.56 |
$196.56 |
$50.05
|
|
Ghs quinidine
|
$165.48 |
$165.48 |
$165.48 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$502.32 |
$502.32 |
$502.32 |
$294.00
|
|
Ghs removal pharyngeal foreign body
|
$532.56 |
$532.56 |
$532.56 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,434.72 |
$1,434.72 |
$1,434.72 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,106.32 |
$3,106.32 |
$3,106.32 |
$4,108.00
|
|
Ghs respiratory syncytical virus igg/m
|
$166.32 |
$166.32 |
$166.32 |
$73.50
|
|
Ghs reticulocyte count
|
$84.00 |
$84.00 |
$84.00 |
$36.80
|
|
Ghs rsv eia (respir synctial vrs)
|
$75.60 |
$75.60 |
$75.60 |
$99.00
|
|
Ghs sedimentation rate
|
$65.52 |
$65.52 |
$65.52 |
$45.50
|
|
Ghs semen analysis fert
|
$294.00 |
$294.00 |
$294.00 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$174.72 |
$174.72 |
$174.72 |
$58.95
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$419.16 |
$419.16 |
$419.16 |
$558.97
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$510.72 |
$510.72 |
$510.72 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$480.48 |
$480.48 |
$480.48 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$530.88 |
$530.88 |
$530.88 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$452.76 |
$452.76 |
$452.76 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$408.24 |
$408.24 |
$408.24 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$489.72 |
$489.72 |
$489.72 |
$492.80
|
|
Ghs simple repair over 30 cm - 12007
|
$540.12 |
$540.12 |
$540.12 |
$589.80
|
|
Ghs simple repair over 30 cm - 12018
|
$514.08 |
$514.08 |
$514.08 |
$537.60
|
|
Ghs sleep study unattended
|
$162.96 |
$162.96 |
$162.96 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$408.24 |
$408.24 |
$408.24 |
$153.00
|
|
Ghs sphenopalatine ganglion block
|
$391.44 |
$391.44 |
$391.44 |
$628.16
|
