|
Ghs elect torsion swing
|
$70.96 |
$70.96 |
$70.96 |
$242.40
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$470.51
|
|
Ghs excision ingrown nail
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$536.77
|
|
Ghs fat & muscle
|
$5.34 |
$5.34 |
$5.34 |
$33.00
|
|
Ghs fb removal foot - deep - left
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$7.68 |
$7.68 |
$7.68 |
$48.57
|
|
Ghs fish cytogen
|
$23.56 |
$23.56 |
$23.56 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$56.31 |
$56.31 |
$56.31 |
$229.45
|
|
Ghs flow volume loop
|
$82.76 |
$82.76 |
$82.76 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$403.20
|
|
Ghs hcv amplificaiton
|
$38.60 |
$38.60 |
$38.60 |
$187.00
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$25.27 |
$25.27 |
$25.27 |
$27.56
|
|
Ghs hepatitis c virus (hcv riba)
|
$17.04 |
$17.04 |
$17.04 |
$106.05
|
|
Ghs hgb stability-thal
|
$10.42 |
$10.42 |
$10.42 |
$85.28
|
|
Ghs histoplasma antigen
|
$14.58 |
$14.58 |
$14.58 |
$137.80
|
|
Ghs HIV antibody
|
$15.08 |
$15.08 |
$15.08 |
$91.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$116.75 |
$116.75 |
$116.75 |
$462.60
|
|
Ghs i and d abscess/hematoma scrotum
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$794.82
|
|
Ghs immun0electrophoresis
|
$32.91 |
$32.91 |
$32.91 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$293.58
|
|
Ghs inf midline insertion
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,234.20
|
|
Ghs inhibitor screen
|
$14.16 |
$14.16 |
$14.16 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$431.07
|
|
Ghs inj transforaminal cerv single bil
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$45.89 |
$45.89 |
$45.89 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$9.46 |
$9.46 |
$9.46 |
$59.40
|
|
Ghs mbp
|
$18.92 |
$18.92 |
$18.92 |
$74.19
|
|
Ghs musc test done w/n test comp
|
$62.44 |
$62.44 |
$62.44 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$50.15 |
$50.15 |
$50.15 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$60.15 |
$60.15 |
$60.15 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$185.37 |
$185.37 |
$185.37 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$468.75
|
|
Ghs o2 saturation
|
$10.75 |
$10.75 |
$10.75 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,430.56
|
|
Ghs peritonsillar abscess i andd
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$694.20
|
|
Ghs phenylketonurid
|
$6.05 |
$6.05 |
$6.05 |
$51.58
|
|
Ghs picc line insert < 5
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$662.20
|
|
Ghs plt ct-manual
|
$4.74 |
$4.74 |
$4.74 |
$39.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,335.62 |
$1,335.62 |
$1,335.62 |
$3,705.80
|
|
Ghs prostatic acid phosphatase (mayo)
|
$10.63 |
$10.63 |
$10.63 |
$40.56
|
|
Ghs protein, misc fluid
|
$6.17 |
$6.17 |
$6.17 |
$24.60
|
|
Ghs protoporphyrins fract
|
$15.79 |
$15.79 |
$15.79 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$28.51 |
$28.51 |
$28.51 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$13.48 |
$13.48 |
$13.48 |
$45.05
|
|
Ghs quinidine
|
$16.06 |
$16.06 |
$16.06 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$17.48 |
$17.48 |
$17.48 |
$42.40
|
|
Ghs reticulocyte count
|
$4.74 |
$4.74 |
$4.74 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$15.30 |
$15.30 |
$15.30 |
$101.15
|
|
Ghs sedimentation rate
|
$4.70 |
$4.70 |
$4.70 |
$45.50
|
|
Ghs semen analysis fert
|
$13.54 |
$13.54 |
$13.54 |
$123.20
|
|
Ghs semen analysis, post-vas
|
$10.82 |
$10.82 |
$10.82 |
$32.37
|
