|
Ghs incision thrombosed ext hemorrhoid
|
$287.81 |
$287.81 |
$287.81 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$229.74 |
$229.74 |
$229.74 |
$350.90
|
|
Ghs inhibitor screen
|
$12.87 |
$12.87 |
$12.87 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$235.13 |
$235.13 |
$235.13 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$349.32 |
$349.32 |
$349.32 |
$433.20
|
|
Ghs inj transforaminal cerv single bil
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,836.00
|
|
Ghs insertion of needle - bone
|
$472.21 |
$472.21 |
$472.21 |
$434.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$472.79 |
$472.79 |
$472.79 |
$887.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$724.37 |
$724.37 |
$724.37 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$287.81 |
$287.81 |
$287.81 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$54.60 |
$54.60 |
$54.60 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$533.10 |
$533.10 |
$533.10 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$533.10 |
$533.10 |
$533.10 |
$573.86
|
|
Ghs IV infusion sotrovimab
|
$533.10 |
$533.10 |
$533.10 |
$563.40
|
|
Ghs IV thrombolytics - cerebral
|
$392.51 |
$392.51 |
$392.51 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$472.21 |
$472.21 |
$472.21 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$472.79 |
$472.79 |
$472.79 |
$602.55
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$472.79 |
$472.79 |
$472.79 |
$583.44
|
|
Ghs layer closure 2.5cm or less - 12051
|
$472.79 |
$472.79 |
$472.79 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$472.79 |
$472.79 |
$472.79 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$472.79 |
$472.79 |
$472.79 |
$702.24
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$472.79 |
$472.79 |
$472.79 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$472.79 |
$472.79 |
$472.79 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$724.37 |
$724.37 |
$724.37 |
$774.90
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$472.79 |
$472.79 |
$472.79 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$724.37 |
$724.37 |
$724.37 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$472.79 |
$472.79 |
$472.79 |
$789.50
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$724.37 |
$724.37 |
$724.37 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$472.79 |
$472.79 |
$472.79 |
$922.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$472.79 |
$472.79 |
$472.79 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$8.60 |
$8.60 |
$8.60 |
$73.50
|
|
Ghs mbp
|
$17.20 |
$17.20 |
$17.20 |
$76.64
|
|
Ghs nailbed repair/nail removal
|
$724.37 |
$724.37 |
$724.37 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$819.50 |
$819.50 |
$819.50 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,601.60
|
|
Ghs nerve block brachial plexus
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,668.80
|
|
Ghs nerve block interscaline
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,541.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,053.53 |
$1,053.53 |
$1,053.53 |
$1,706.50
|
|
Ghs nerve block sciatic nerve
|
$819.50 |
$819.50 |
$819.50 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$819.50 |
$819.50 |
$819.50 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$472.21 |
$472.21 |
$472.21 |
$485.00
|
|
Ghs o2 saturation
|
$9.77 |
$9.77 |
$9.77 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$185.15 |
$185.15 |
$185.15 |
$239.05
|
|
Ghs o2 uptake rest & indirect
|
$70.29 |
$70.29 |
$70.29 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$54.60 |
$54.60 |
$54.60 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$731.62 |
$731.62 |
$731.62 |
$1,236.96
|
|
Ghs opcc repair cvp w subq port
|
$1,838.28 |
$1,838.28 |
$1,838.28 |
$2,194.40
|
|
Ghs optokenetic
|
$185.15 |
$185.15 |
$185.15 |
$214.00
|
|
Ghs oscillating trac
|
$368.50 |
$368.50 |
$368.50 |
$296.91
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$29.94 |
$29.94 |
$29.94 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$29.94 |
$29.94 |
$29.94 |
$61.11
|
|
Ghs ot dds rom
|
$8.30 |
$8.30 |
$8.30 |
$66.95
|
|
Ghs ot group caregiver training
|
$11.49 |
$11.49 |
$11.49 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$46.30 |
$46.30 |
$46.30 |
$93.50
|
|
Ghs ot sensory integrative tech/15min
|
$70.35 |
$70.35 |
$70.35 |
$96.60
|
|
Ghs pacing - transcutaneous
|
$774.37 |
$774.37 |
$774.37 |
$839.65
|
|
Ghs peritonsillar abscess i andd
|
$274.80 |
$274.80 |
$274.80 |
$560.53
|
|
Ghs phenylketonurid
|
$5.50 |
$5.50 |
$5.50 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,838.28 |
$1,838.28 |
$1,838.28 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$283.86 |
$283.86 |
$283.86 |
$578.00
|
|
Ghs plt ct-manual
|
$4.31 |
$4.31 |
$4.31 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,203.94 |
$1,203.94 |
$1,203.94 |
$3,557.58
|
|
Ghs pos nystagmus
|
$152.54 |
$152.54 |
$152.54 |
$232.70
|
|
Ghs ppd (tb intradermal)
|
$28.98 |
$28.98 |
$28.98 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$9.66 |
$9.66 |
$9.66 |
$43.55
|
|
Ghs protein, misc fluid
|
$5.61 |
$5.61 |
$5.61 |
$24.60
|
|
Ghs protoporphyrins fract
|
$14.35 |
$14.35 |
$14.35 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$70.29 |
$70.29 |
$70.29 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$12.25 |
$12.25 |
$12.25 |
$47.55
|
|
Ghs quinidine
|
$14.60 |
$14.60 |
$14.60 |
$85.00
|
|
Ghs refill of implantable pump
|
$392.51 |
$392.51 |
$392.51 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$152.54 |
$152.54 |
$152.54 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$472.21 |
$472.21 |
$472.21 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$15.89 |
$15.89 |
$15.89 |
$73.50
|
|
Ghs reticulocyte count
|
$4.31 |
$4.31 |
$4.31 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$13.91 |
$13.91 |
$13.91 |
$99.00
|
|
Ghs sedimentation rate
|
$4.27 |
$4.27 |
$4.27 |
$45.50
|
|
Ghs semen analysis fert
|
$12.31 |
$12.31 |
$12.31 |
$124.15
|
|
Ghs semen analysis, post-vas
|
$9.84 |
$9.84 |
$9.84 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$7.48 |
$7.48 |
$7.48 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$472.79 |
$472.79 |
$472.79 |
$572.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$472.79 |
$472.79 |
$472.79 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$472.79 |
$472.79 |
$472.79 |
$590.40
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$472.79 |
$472.79 |
$472.79 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$235.13 |
$235.13 |
$235.13 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$235.13 |
$235.13 |
$235.13 |
$437.60
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$235.13 |
$235.13 |
$235.13 |
$491.30
|
|
Ghs simple repair over 30 cm - 12007
|
$235.13 |
$235.13 |
$235.13 |
$592.20
|
|
Ghs simple repair over 30 cm - 12018
|
$235.13 |
$235.13 |
$235.13 |
$537.60
|
|
Ghs sleep study unattended
|
$185.15 |
$185.15 |
$185.15 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$368.50 |
$368.50 |
$368.50 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$627.89 |
$627.89 |
$627.89 |
$1,416.80
|