|
Ghs incision thrombosed ext hemorrhoid
|
$505.75 |
$505.75 |
$505.75 |
$520.80
|
|
Ghs indirect laryngoscopy/w fb removal
|
$505.75 |
$505.75 |
$505.75 |
$350.90
|
|
Ghs inf midline insertion
|
$416.50 |
$416.50 |
$416.50 |
$1,219.20
|
|
Ghs inhibitor screen
|
$419.05 |
$419.05 |
$419.05 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$192.95 |
$192.95 |
$192.95 |
$275.50
|
|
Ghs inj tendon origin/insertion
|
$300.90 |
$300.90 |
$300.90 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$440.30 |
$440.30 |
$440.30 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,142.00 |
$2,142.00 |
$2,142.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$256.70 |
$256.70 |
$256.70 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,330.25 |
$1,330.25 |
$1,330.25 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,616.70 |
$1,616.70 |
$1,616.70 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,041.70 |
$2,041.70 |
$2,041.70 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$127.50 |
$127.50 |
$127.50 |
$202.64
|
|
Ghs IV inf sq injection, on-body injector
|
$109.65 |
$109.65 |
$109.65 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$290.70 |
$290.70 |
$290.70 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$282.20 |
$282.20 |
$282.20 |
$569.28
|
|
Ghs IV infusion sotrovimab
|
$290.70 |
$290.70 |
$290.70 |
$553.80
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$677.45 |
$677.45 |
$677.45 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$634.10 |
$634.10 |
$634.10 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$637.50 |
$637.50 |
$637.50 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$682.55 |
$682.55 |
$682.55 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$759.05 |
$759.05 |
$759.05 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$746.30 |
$746.30 |
$746.30 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$875.50 |
$875.50 |
$875.50 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,117.75 |
$1,117.75 |
$1,117.75 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$912.90 |
$912.90 |
$912.90 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$921.40 |
$921.40 |
$921.40 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$969.00 |
$969.00 |
$969.00 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,200.20 |
$1,200.20 |
$1,200.20 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,180.65 |
$1,180.65 |
$1,180.65 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,377.85 |
$1,377.85 |
$1,377.85 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,462.85 |
$1,462.85 |
$1,462.85 |
$1,897.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,465.40 |
$1,465.40 |
$1,465.40 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$209.95 |
$209.95 |
$209.95 |
$72.60
|
|
Ghs low level laser therapy
|
$95.20 |
$95.20 |
$95.20 |
$85.00
|
|
Ghs mbp
|
$197.20 |
$197.20 |
$197.20 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$18.70 |
$18.70 |
$18.70 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$160.65 |
$160.65 |
$160.65 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$131.75 |
$131.75 |
$131.75 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$39.95 |
$39.95 |
$39.95 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$100.30 |
$100.30 |
$100.30 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$243.10 |
$243.10 |
$243.10 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$156.40 |
$156.40 |
$156.40 |
$268.80
|
|
Ghs musc tst done w/n tst non ext
|
$209.10 |
$209.10 |
$209.10 |
$184.80
|
|
Ghs nailbed repair/nail removal
|
$452.20 |
$452.20 |
$452.20 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$521.90 |
$521.90 |
$521.90 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$500.65 |
$500.65 |
$500.65 |
$1,121.00
|
|
Ghs nerve block celiac plexus
|
$942.65 |
$942.65 |
$942.65 |
$1,556.40
|
|
Ghs nerve block sciatic nerve
|
$66.30 |
$66.30 |
$66.30 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$271.15 |
$271.15 |
$271.15 |
$478.50
|
|
Ghs o2 saturation
|
$63.75 |
$63.75 |
$63.75 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$181.05 |
$181.05 |
$181.05 |
$239.05
|
|
Ghs o2 uptake rest & indirect
|
$636.65 |
$636.65 |
$636.65 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$119.85 |
$119.85 |
$119.85 |
$83.04
|
|
Ghs opcc repair cvp without subq port
|
$1,255.45 |
$1,255.45 |
$1,255.45 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$1,255.45 |
$1,255.45 |
$1,255.45 |
$2,194.40
|
|
Ghs optokenetic
|
$194.65 |
$194.65 |
$194.65 |
$211.20
|
|
Ghs oscillating trac
|
$194.65 |
$194.65 |
$194.65 |
$280.50
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$50.15 |
$50.15 |
$50.15 |
$58.00
|
|
Ghs ot dds rom
|
$62.05 |
$62.05 |
$62.05 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$150.45 |
$150.45 |
$150.45 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$929.05 |
$929.05 |
$929.05 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$432.65 |
$432.65 |
$432.65 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$761.60 |
$761.60 |
$761.60 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$123.25 |
$123.25 |
$123.25 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$459.85 |
$459.85 |
$459.85 |
$545.40
|
|
Ghs phenylketonurid
|
$79.90 |
$79.90 |
$79.90 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,325.15 |
$1,325.15 |
$1,325.15 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$813.45 |
$813.45 |
$813.45 |
$564.50
|
|
Ghs plt ct-manual
|
$61.20 |
$61.20 |
$61.20 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,226.55 |
$1,226.55 |
$1,226.55 |
$3,557.58
|
|
Ghs pos nystagmus
|
$178.50 |
$178.50 |
$178.50 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$1,759.12 |
$1,759.12 |
$1,759.12 |
$37.00
|
|
Ghs prostatic acid phosphatase (mayo)
|
$108.80 |
$108.80 |
$108.80 |
$43.55
|
|
Ghs protoporphyrins fract
|
$650.25 |
$650.25 |
$650.25 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$504.05 |
$504.05 |
$504.05 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$198.90 |
$198.90 |
$198.90 |
$47.55
|
|
Ghs quinidine
|
$167.45 |
$167.45 |
$167.45 |
$82.35
|
|
Ghs removal intranasal foreign body
|
$508.30 |
$508.30 |
$508.30 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$538.90 |
$538.90 |
$538.90 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,451.80 |
$1,451.80 |
$1,451.80 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,143.30 |
$3,143.30 |
$3,143.30 |
$4,108.00
|
|
Ghs respiratory syncytical virus igg/m
|
$168.30 |
$168.30 |
$168.30 |
$74.82
|
|
Ghs reticulocyte count
|
$85.00 |
$85.00 |
$85.00 |
$35.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$76.50 |
$76.50 |
$76.50 |
$98.40
|
|
Ghs sedimentation rate
|
$66.30 |
$66.30 |
$66.30 |
$45.50
|
|
Ghs semen analysis fert
|
$297.50 |
$297.50 |
$297.50 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$176.80 |
$176.80 |
$176.80 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$424.15 |
$424.15 |
$424.15 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$516.80 |
$516.80 |
$516.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$486.20 |
$486.20 |
$486.20 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$537.20 |
$537.20 |
$537.20 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$458.15 |
$458.15 |
$458.15 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$413.10 |
$413.10 |
$413.10 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$495.55 |
$495.55 |
$495.55 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$546.55 |
$546.55 |
$546.55 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$520.20 |
$520.20 |
$520.20 |
$537.60
|
|
Ghs sleep study unattended
|
$164.90 |
$164.90 |
$164.90 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$413.10 |
$413.10 |
$413.10 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$396.10 |
$396.10 |
$396.10 |
$616.00
|
