|
Ghs gastric intub aspiration lavage
|
$530.25 |
$530.25 |
$530.25 |
$368.50
|
|
Ghs hgb stability-thal
|
$19.80 |
$19.80 |
$19.80 |
$89.91
|
|
Ghs histoplasma antigen
|
$178.15 |
$178.15 |
$178.15 |
$142.00
|
|
Ghs HIV antibody
|
$135.80 |
$135.80 |
$135.80 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,012.50 |
$4,012.50 |
$4,012.50 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,696.80 |
$3,696.80 |
$3,696.80 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$3,119.35 |
$3,119.35 |
$3,119.35 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$1,224.75 |
$1,224.75 |
$1,224.75 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$885.75 |
$885.75 |
$885.75 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$338.20 |
$338.20 |
$338.20 |
$350.90
|
|
Ghs inf midline insertion
|
$1,930.20 |
$1,930.20 |
$1,930.20 |
$1,238.25
|
|
Ghs inhibitor screen
|
$385.80 |
$385.80 |
$385.80 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$368.40 |
$368.40 |
$368.40 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$379.80 |
$379.80 |
$379.80 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,651.70 |
$1,651.70 |
$1,651.70 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$697.25 |
$697.25 |
$697.25 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,071.80 |
$2,071.80 |
$2,071.80 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,071.80 |
$2,071.80 |
$2,071.80 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$409.45 |
$409.45 |
$409.45 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,046.70 |
$1,046.70 |
$1,046.70 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,525.10 |
$1,525.10 |
$1,525.10 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$554.15 |
$554.15 |
$554.15 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$130.85 |
$130.85 |
$130.85 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$3,292.15 |
$3,292.15 |
$3,292.15 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$893.60 |
$893.60 |
$893.60 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$559.30 |
$559.30 |
$559.30 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$599.55 |
$599.55 |
$599.55 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$680.20 |
$680.20 |
$680.20 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$738.10 |
$738.10 |
$738.10 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$760.40 |
$760.40 |
$760.40 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$751.50 |
$751.50 |
$751.50 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$859.00 |
$859.00 |
$859.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$889.05 |
$889.05 |
$889.05 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$954.75 |
$954.75 |
$954.75 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$908.75 |
$908.75 |
$908.75 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,232.25 |
$1,232.25 |
$1,232.25 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,281.85 |
$1,281.85 |
$1,281.85 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,561.45 |
$1,561.45 |
$1,561.45 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,525.10 |
$1,525.10 |
$1,525.10 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,770.70 |
$1,770.70 |
$1,770.70 |
$1,064.98
|
|
Ghs mbp
|
$154.40 |
$154.40 |
$154.40 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$273.00 |
$273.00 |
$273.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$293.60 |
$293.60 |
$293.60 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$307.30 |
$307.30 |
$307.30 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$168.55 |
$168.55 |
$168.55 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$178.10 |
$178.10 |
$178.10 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$147.00 |
$147.00 |
$147.00 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$327.30 |
$327.30 |
$327.30 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$261.35 |
$261.35 |
$261.35 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$793.95 |
$793.95 |
$793.95 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$526.70 |
$526.70 |
$526.70 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,919.50 |
$1,919.50 |
$1,919.50 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,219.95 |
$1,219.95 |
$1,219.95 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,461.40 |
$1,461.40 |
$1,461.40 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$1,144.70 |
$1,144.70 |
$1,144.70 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$2,132.95 |
$2,132.95 |
$2,132.95 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,132.95 |
$2,132.95 |
$2,132.95 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,683.90 |
$1,683.90 |
$1,683.90 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,027.90 |
$1,027.90 |
$1,027.90 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$572.65 |
$572.65 |
$572.65 |
$485.00
|
|
Ghs o2 saturation
|
$112.00 |
$112.00 |
$112.00 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$510.95 |
$510.95 |
$510.95 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$7,279.30 |
$7,279.30 |
$7,279.30 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$1,367.25 |
$1,367.25 |
$1,367.25 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$2,255.65 |
$2,255.65 |
$2,255.65 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$77.50 |
$77.50 |
$77.50 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$107.60 |
$107.60 |
$107.60 |
$64.50
|
|
Ghs ot dds rom
|
$190.35 |
$190.35 |
$190.35 |
$69.00
|
|
Ghs ot group caregiver training
|
$16.60 |
$16.60 |
$16.60 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$149.15 |
$149.15 |
$149.15 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$112.80 |
$112.80 |
$112.80 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$246.05 |
$246.05 |
$246.05 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$664.60 |
$664.60 |
$664.60 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$853.65 |
$853.65 |
$853.65 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$340.55 |
$340.55 |
$340.55 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$739.55 |
$739.55 |
$739.55 |
$555.00
|
|
Ghs phenylketonurid
|
$250.15 |
$250.15 |
$250.15 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,585.25 |
$2,585.25 |
$2,585.25 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$898.45 |
$898.45 |
$898.45 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$112.21 |
$112.21 |
$112.21 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$85.05 |
$85.05 |
$85.05 |
$43.55
|
|
Ghs protoporphyrins fract
|
$220.90 |
$220.90 |
$220.90 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$360.25 |
$360.25 |
$360.25 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$406.50 |
$406.50 |
$406.50 |
$285.60
|
|
Ghs quinidine
|
$227.05 |
$227.05 |
$227.05 |
$85.00
|
|
Ghs refill of implantable pump
|
$584.55 |
$584.55 |
$584.55 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$612.25 |
$612.25 |
$612.25 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$388.85 |
$388.85 |
$388.85 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$5,376.45 |
$5,376.45 |
$5,376.45 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$57.45 |
$57.45 |
$57.45 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$175.80 |
$175.80 |
$175.80 |
$99.00
|
|
Ghs sedimentation rate
|
$69.05 |
$69.05 |
$69.05 |
$45.50
|
|
Ghs semen analysis fert
|
$284.15 |
$284.15 |
$284.15 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$226.80 |
$226.80 |
$226.80 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$721.80 |
$721.80 |
$721.80 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,162.30 |
$1,162.30 |
$1,162.30 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$562.25 |
$562.25 |
$562.25 |
$586.50
|
