|
Ghs conjunctiva foreign body-superf bil
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Ghs corneal fb without slit lamp bilat
|
$436.10 |
$3,986.00 |
$6,839.00 |
|
|
Ghs corneal fb with slit lamp bilat
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Ghs cricothyroidotomy
|
$253.79 |
$3,986.00 |
$6,839.00 |
|
|
Ghs cutdown placement age 1 and over
|
$436.10 |
$3,986.00 |
$6,839.00 |
|
|
Ghs cutdown placement under 1 yr
|
$140.87 |
$3,986.00 |
$6,839.00 |
|
|
Ghs diphtheria toxoid ab igg
|
$15.21 |
$16.73 |
$47.00 |
|
|
Ghs dislocation elbow closed treatment
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,024.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs ed rmvl or bivalving cast
|
$290.25 |
$3,986.00 |
$6,839.00 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$756.84 |
$3,986.00 |
$6,839.00 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$170.99 |
$184.26 |
$295.46 |
|
|
Ghs electrostagmgraphy
|
$127.18 |
$170.99 |
$184.69 |
|
|
Ghs elect torsion swing
|
$70.96 |
$170.99 |
$184.26 |
|
|
Ghs elect vertical elct
|
$55.29 |
$55.29 |
$147.13 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs excision ingrown nail
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs eye exam
|
$54.65 |
$142.64 |
$151.77 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$326.69 |
$3,986.00 |
$6,839.00 |
|
|
Ghs fat & muscle
|
$4.85 |
$5.34 |
$5.34 |
|
|
Ghs fb removal foot - deep - left
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Ghs fb removal from muscle - complicated
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Ghs fb removal - incisional
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Ghs fb removal - non-incisional
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Ghs febrile agglutinns(mayo)
|
$6.98 |
$7.68 |
$7.68 |
|
|
Ghs fish cytogen
|
$21.42 |
$23.56 |
$23.56 |
|
|
Ghs fish hybrid in situ 100-300
|
$51.19 |
$56.31 |
$56.31 |
|
|
Ghs flow volume loop
|
$65.14 |
$201.09 |
$366.72 |
|
|
Ghs gastric intub aspiration lavage
|
$340.32 |
$3,986.00 |
$6,839.00 |
|
|
Ghs hcv amplificaiton
|
$35.09 |
$38.60 |
$244.00 |
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$22.97 |
$25.27 |
$25.27 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$15.49 |
$17.04 |
$17.04 |
|
|
Ghs hgb stability-thal
|
$9.47 |
$10.42 |
$10.42 |
|
|
Ghs histoplasma antigen
|
$13.25 |
$14.58 |
$14.58 |
|
|
Ghs HIV antibody
|
$13.71 |
$15.08 |
$131.50 |
|
|
Ghs hla-dr/dq, multiple antigens
|
$106.14 |
$116.75 |
$116.75 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Ghs i and d perirectal abscess 46040
|
$1,288.59 |
$3,986.00 |
$6,839.00 |
|
|
Ghs i and d pilonidal cyst complex
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Ghs i and d pilonidal cyst simple
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Ghs immun0electrophoresis
|
$29.92 |
$32.91 |
$32.91 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$212.17 |
$3,986.00 |
$6,839.00 |
|
|
Ghs inf midline insertion
|
$3,786.00 |
$5,339.00 |
$6,311.00 |
|
|
Ghs inhibitor screen
|
$12.87 |
$14.16 |
$14.16 |
|
|
Ghs init tx 1st degree burn
|
$217.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs inj neurolytic intercostal nerve
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs inj neurolytic other perph nerve
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs inj tendon origin/insertion
|
$322.61 |
$3,986.00 |
$6,839.00 |
|
|
Ghs inj transforaminal cerv single bil
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs insertion of needle - bone
|
$436.10 |
$3,986.00 |
$6,839.00 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Ghs IV inf sq injection, on-body injector
|
$36.12 |
$51.80 |
$81.90 |
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$530.54 |
$530.54 |
$530.54 |
|
|
Ghs IV infusion casirivimab/imdevimab
|
$530.54 |
$530.54 |
$530.54 |
|
|
Ghs IV infusion sotrovimab
|
$530.54 |
$530.54 |
$530.54 |
|
|
Ghs IV thrombolytics - cerebral
|
$362.50 |
$3,986.00 |
$6,839.00 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$436.10 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$8.60 |
$9.46 |
$9.46 |
|
|
Ghs mbp
|
$17.20 |
$18.92 |
$18.92 |
|
|
Ghs musc test done w/n test comp
|
$62.44 |
$123.74 |
$168.00 |
|
|
Ghs musc tst done w/nerv tst lim
|
$50.15 |
$81.29 |
$152.00 |
|
|
Ghs musc tst done w/n tst non ext
|
$51.53 |
$65.05 |
$219.50 |
|
|
Ghs myocardial strain img spckl track
|
$37.15 |
$194.91 |
$304.80 |
|
|
Ghs nailbed repair/nail removal
|
$668.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs nerve blk intercostal, single level
|
$756.84 |
$3,986.00 |
$6,839.00 |
|
|
Ghs nerve block axillary nerve
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs nerve block brachial plexus
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs nerve block celiac plexus
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs nerve block interscaline
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$972.98 |
$3,986.00 |
$6,839.00 |
|
|
Ghs nerve block sciatic nerve
|
$756.84 |
$3,986.00 |
$6,839.00 |
|
|
Ghs nerve block suprascapular
|
$756.84 |
$3,986.00 |
$6,839.00 |
|
|
Ghs ng placement w fluoro guidance
|
$436.10 |
$3,986.00 |
$6,839.00 |
|
|
Ghs o2 saturation
|
$9.77 |
$10.75 |
$10.75 |
|
|
Ghs o2 uptake rest & exercise
|
$170.99 |
$173.18 |
$184.26 |
|
|
Ghs o2 uptake rest & indirect
|
$64.92 |
$65.75 |
$100.65 |
|
|
Ghs ob unlisted IV or art inj or infusion
|
$12.76 |
$51.07 |
$54.34 |
|
|
Ghs opcc repair cvp without subq port
|
$675.68 |
$3,986.00 |
$6,839.00 |
|
|
Ghs opcc repair cvp w subq port
|
$1,697.72 |
$3,986.00 |
$6,839.00 |
|
|
Ghs optokenetic
|
$68.32 |
$170.99 |
$184.26 |
|