|
Ghs fb removal foot - deep - left
|
$3,968.22 |
$3,968.22 |
$4,582.16 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$4,582.16 |
$4,582.16 |
$4,919.31 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$4,582.16 |
$4,582.16 |
$4,919.31 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$31.10 |
$31.10 |
$31.10 |
$48.10
|
|
Ghs fish cytogen
|
$77.51 |
$77.51 |
$95.39 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$150.05 |
$150.05 |
$184.68 |
$226.20
|
|
Ghs flow volume loop
|
$692.70 |
$692.70 |
$934.83 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$870.76 |
$870.76 |
$934.83 |
$368.50
|
|
Ghs hcv amplificaiton
|
$127.02 |
$127.02 |
$156.33 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$69.00 |
$69.00 |
$69.00 |
$144.54
|
|
Ghs histoplasma antigen
|
$43.39 |
$43.39 |
$53.40 |
$142.00
|
|
Ghs HIV antibody
|
$49.61 |
$49.61 |
$61.06 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$5,191.40 |
$5,191.40 |
$5,573.38 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,186.98 |
$3,186.98 |
$3,421.48 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,994.36 |
$1,994.36 |
$2,141.10 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$1,994.36 |
$1,994.36 |
$2,141.10 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$293.47 |
$293.47 |
$315.06 |
$526.50
|
|
Ghs inf midline insertion
|
$1,111.21 |
$1,111.21 |
$1,302.52 |
$1,238.25
|
|
Ghs inhibitor screen
|
$46.58 |
$46.58 |
$57.33 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$584.21 |
$584.21 |
$627.20 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$2,188.39 |
$2,188.39 |
$2,460.94 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,188.39 |
$2,188.39 |
$2,349.42 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$418.44 |
$418.44 |
$449.22 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$964.35 |
$964.35 |
$1,230.48 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,188.39 |
$2,188.39 |
$2,349.42 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$440.81 |
$440.81 |
$473.25 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,651.23 |
$1,651.23 |
$1,663.57 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,699.50 |
$2,699.50 |
$2,898.12 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$140.94 |
$140.94 |
$318.69 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$293.47 |
$293.47 |
$315.06 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$133.11 |
$133.11 |
$156.02 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$823.15 |
$823.15 |
$1,013.10 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$823.15 |
$823.15 |
$1,013.10 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$823.15 |
$823.15 |
$1,013.10 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$597.01 |
$597.01 |
$726.45 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$335.52 |
$335.52 |
$360.21 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,651.23 |
$1,651.23 |
$1,688.30 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,651.23 |
$1,651.23 |
$1,772.72 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$784.80
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$31.14 |
$31.14 |
$38.32 |
$75.00
|
|
Ghs mbp
|
$62.27 |
$62.27 |
$76.64 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$173.84 |
$173.84 |
$202.10 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$173.84 |
$173.84 |
$202.10 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$173.84 |
$173.84 |
$202.10 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$89.22 |
$89.22 |
$173.84 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$94.61 |
$94.61 |
$173.84 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$91.47 |
$91.47 |
$308.09 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$80.87 |
$80.87 |
$308.09 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$99.44 |
$99.44 |
$161.82 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$219.26 |
$219.26 |
$269.86 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,651.23 |
$1,651.23 |
$1,772.72 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,188.39 |
$2,188.39 |
$2,349.42 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,161.14 |
$1,161.14 |
$1,429.10 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,077.70 |
$2,077.70 |
$2,527.54 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,188.39 |
$2,188.39 |
$2,407.18 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,188.39 |
$2,188.39 |
$2,527.54 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$2,188.39 |
$2,188.39 |
$2,349.42 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,188.39 |
$2,188.39 |
$2,349.42 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$852.20 |
$852.20 |
$1,515.42 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$852.20 |
$852.20 |
$914.90 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$440.81 |
$440.81 |
$473.25 |
$485.00
|
|
Ghs o2 saturation
|
$31.58 |
$31.58 |
$38.86 |
$69.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$133.11 |
$133.11 |
$133.11 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$2,032.74 |
$2,032.74 |
$2,053.14 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$2,535.44 |
$2,535.44 |
$2,535.44 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$84.22 |
$84.22 |
$96.47 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$69.15 |
$69.15 |
$84.22 |
$64.50
|
|
Ghs ot group caregiver training
|
$15.56 |
$15.56 |
$19.15 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$130.62 |
$130.62 |
$160.76 |
$93.00
|
|
Ghs ot work hardening-additional hours
|
$73.28 |
$73.28 |
$73.28 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$1,600.17 |
$1,600.17 |
$1,700.22 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$608.93 |
$608.93 |
$676.78 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$566.25 |
$566.25 |
$608.93 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$129.18 |
$129.18 |
$158.99 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$618.08 |
$618.08 |
$663.57 |
$555.00
|
|
Ghs phenylketonurid
|
$19.90 |
$19.90 |
$24.50 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,053.14 |
$2,053.14 |
$2,053.14 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$763.42 |
$763.42 |
$819.58 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$49.84 |
$49.84 |
$61.34 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$34.97 |
$34.97 |
$43.04 |
$43.55
|
|
Ghs protein, misc fluid
|
$14.92 |
$14.92 |
$18.36 |
$24.60
|
|
Ghs protoporphyrins fract
|
$51.92 |
$51.92 |
$63.90 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$139.95 |
$139.95 |
$172.25 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$44.32 |
$44.32 |
$54.55 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$621.88 |
$621.88 |
$621.88 |
$285.60
|
|
Ghs refill of implantable pump
|
$419.72 |
$419.72 |
$419.72 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$335.52 |
$335.52 |
$360.21 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$766.19 |
$766.19 |
$943.00 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$4,572.13 |
$4,572.13 |
$4,572.13 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$4,150.20
|
