|
Ghs IV thrombolytics - cerebral
|
$219.66 |
$219.66 |
$1,042.49 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$136.50 |
$231.84 |
$677.45 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$171.05 |
$308.70 |
$660.63 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$165.62 |
$292.32 |
$637.50 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$190.59 |
$318.36 |
$682.55 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$225.35 |
$441.84 |
$813.13 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$221.54 |
$369.60 |
$746.30 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$243.26 |
$477.12 |
$879.01 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$231.86 |
$454.02 |
$1,168.64 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$241.64 |
$902.16 |
$913.08 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$249.24 |
$490.56 |
$921.40 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$304.62 |
$969.00 |
$1,035.84 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$339.92 |
$428.82 |
$1,200.20 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$356.21 |
$1,180.65 |
$1,319.64 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$435.49 |
$1,131.06 |
$1,377.85 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$397.48 |
$1,462.85 |
$1,588.62 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$481.64 |
$1,465.40 |
$1,630.02 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$69.54 |
$125.58 |
$209.95 |
|
|
Ghs low level laser therapy
|
$43.68 |
$43.68 |
$95.20 |
|
|
Ghs mbp
|
$38.62 |
$86.10 |
$197.20 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$18.26 |
$44.94 |
$251.32 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$44.94 |
$152.00 |
$251.32 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$44.94 |
$130.20 |
$318.99 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$22.00 |
$48.72 |
$251.32 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$44.94 |
$97.94 |
$251.32 |
|
|
Ghs musc test done w/n test comp
|
$240.24 |
$379.26 |
$622.81 |
|
|
Ghs musc tst done w/nerv tst lim
|
$154.56 |
$314.58 |
$571.57 |
|
|
Ghs musc tst done w/n tst non ext
|
$98.70 |
$98.70 |
$209.10 |
|
|
Ghs myocardial strain img spckl track
|
$303.50 |
$340.62 |
$596.16 |
|
|
Ghs nailbed repair/nail removal
|
$129.23 |
$442.26 |
$452.20 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$515.76 |
$630.84 |
$1,292.31 |
|
|
Ghs nerve blk intercostal, single level
|
$307.02 |
$494.76 |
$990.64 |
|
|
Ghs nerve block axillary nerve
|
$246.03 |
$561.12 |
$762.50 |
|
|
Ghs nerve block brachial plexus
|
$171.69 |
$171.69 |
$210.82 |
|
|
Ghs nerve block celiac plexus
|
$784.56 |
$784.56 |
$1,739.72 |
|
|
Ghs nerve block interscaline
|
$547.26 |
$547.26 |
$1,302.27 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$539.85 |
$558.15 |
$711.82 |
|
|
Ghs nerve block sciatic nerve
|
$65.52 |
$614.88 |
$1,325.53 |
|
|
Ghs nerve block suprascapular
|
$453.60 |
$453.60 |
$770.87 |
|
|
Ghs ng placement w fluoro guidance
|
$46.70 |
$207.06 |
$343.43 |
|
|
Ghs o2 saturation
|
$57.54 |
$60.07 |
$73.16 |
|
|
Ghs o2 uptake rest & exercise
|
$102.06 |
$102.06 |
$181.05 |
|
|
Ghs o2 uptake rest & indirect
|
$89.46 |
$89.46 |
$636.65 |
|
|
Ghs ob unlisted IV or art inj or infusion
|
$29.50 |
$119.85 |
$285.66 |
|
|
Ghs opcc repair cvp without subq port
|
$780.50 |
$981.12 |
$1,769.62 |
|
|
Ghs opcc repair cvp w subq port
|
$981.12 |
$981.12 |
$2,153.50 |
|
|
Ghs optokenetic
|
$192.36 |
$192.36 |
$194.65 |
|
|
Ghs oscillating trac
|
$192.36 |
$192.36 |
$194.65 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$49.56 |
$49.56 |
$50.15 |
|
|
Ghs ot dds rom
|
$61.32 |
$118.44 |
$118.44 |
|
|
Ghs ot group caregiver training
|
$55.18 |
$55.18 |
$55.18 |
|
|
Ghs ot prosthetic training/15 min
|
$16.38 |
$43.50 |
$150.45 |
|
|
Ghs ot sensory integrative tech/15min
|
$17.64 |
$17.64 |
$78.20 |
|
|
Ghs ot work hardening-additional hours
|
$44.52 |
$44.52 |
$44.52 |
|
|
Ghs pacing - transcutaneous
|
$149.10 |
$437.50 |
$1,008.45 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$427.56 |
$548.94 |
$1,147.06 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$429.66 |
$442.50 |
$1,458.21 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$98.28 |
$98.28 |
$123.25 |
|
|
Ghs peritonsillar abscess i andd
|
$151.50 |
$238.56 |
$459.85 |
|
|
Ghs phenylketonurid
|
$10.42 |
$51.66 |
$93.50 |
|
|
Ghs picc line insert < 5
|
$397.90 |
$1,306.20 |
$1,325.15 |
|
|
Ghs plngl fx pm cl
|
$342.63 |
$370.86 |
$813.45 |
|
|
Ghs plt ct-manual
|
$39.48 |
$39.48 |
$61.20 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$609.50 |
$817.32 |
$1,226.55 |
|
|
Ghs pos nystagmus
|
$176.40 |
$176.40 |
$178.50 |
|
|
Ghs ppd (tb intradermal)
|
$48.88 |
$869.22 |
$1,759.12 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$36.78 |
$64.26 |
$108.80 |
|
|
Ghs protoporphyrins fract
|
$68.04 |
$71.40 |
$650.25 |
|
|
Ghs pr without cont pulse ox
|
$114.54 |
$166.32 |
$504.05 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$139.86 |
$139.86 |
$198.90 |
|
|
Ghs pt - work hardening/int 2hrs
|
$144.06 |
$144.06 |
$276.39 |
|
|
Ghs quinidine
|
$5.81 |
$112.98 |
$167.45 |
|
|
Ghs refill of implantable pump
|
$431.00 |
$431.00 |
$525.82 |
|
|
Ghs removal intranasal foreign body
|
$127.06 |
$162.54 |
$508.30 |
|
|
Ghs removal pharyngeal foreign body
|
$174.72 |
$377.50 |
$585.98 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$649.43 |
$1,252.02 |
$1,834.88 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$556.58 |
$3,143.30 |
$3,932.88 |
|
|
Ghs respiratory syncytical virus igg/m
|
$55.30 |
$112.14 |
$168.30 |
|
|
Ghs reticulocyte count
|
$7.83 |
$33.60 |
$85.00 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$42.00 |
$50.00 |
$201.94 |
|
|
Ghs sedimentation rate
|
$7.83 |
$55.44 |
$66.30 |
|
|
Ghs semen analysis fert
|
$251.16 |
$251.16 |
$297.50 |
|
|
Ghs sensitivity (per antimicro)
|
$15.80 |
$49.56 |
$176.80 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$110.23 |
$240.66 |
$424.15 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$148.24 |
$244.02 |
$516.80 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$134.66 |
$356.58 |
$486.20 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$175.93 |
$419.16 |
$537.20 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$86.34 |
$185.64 |
$458.15 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$84.71 |
$195.72 |
$413.10 |
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$109.14 |
$203.70 |
$495.55 |
|
|
Ghs simple repair over 30 cm - 12007
|
$166.16 |
$419.16 |
$546.55 |
|
|
Ghs simple repair over 30 cm - 12018
|
$199.28 |
$435.54 |
$531.31 |
|
|
Ghs sleep study unattended
|
$162.96 |
$291.48 |
$603.75 |
|
|
Ghs somatosensory testing lower extremit
|
$1,120.41 |
$1,120.41 |
$1,120.41 |
|
|
Ghs somatosensory testing upper & lower limbs
|
$347.76 |
$347.76 |
$1,060.23 |
|
|
Ghs speech-gen aug dev eval iii, st
|
$35.50 |
$71.40 |
$413.10 |
|
|
Ghs sphenopalatine ganglion block
|
$268.80 |
$268.80 |
$711.87 |
|
|
Ghs spont nystagmus
|
$69.72 |
$69.72 |
$70.55 |
|
|
Ghs sp train/fitting sp device - kx
|
$78.12 |
$78.12 |
$2,431.85 |
|
|
Ghs st - eval for alt comm
|
$1,870.68 |
$1,870.68 |
$1,892.95 |
|