|
Ghs eyelid foreign body-embedded - bil
|
$738.00 |
$738.00 |
$738.00 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$1,961.00 |
$1,961.00 |
$1,961.00 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$5,007.00 |
$5,007.00 |
$5,007.00 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$2,958.00 |
$2,958.00 |
$2,958.00 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$762.00 |
$762.00 |
$762.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$26.50 |
$26.50 |
$26.50 |
$48.57
|
|
Ghs fish cytogen
|
$122.00 |
$122.00 |
$122.00 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$186.50 |
$186.50 |
$186.50 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$156.50 |
$156.50 |
$156.50 |
$368.50
|
|
Ghs hcv amplificaiton
|
$122.50 |
$122.50 |
$122.50 |
$187.00
|
|
Ghs histoplasma antigen
|
$123.50 |
$123.50 |
$123.50 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,433.50 |
$2,433.50 |
$2,433.50 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$2,102.00 |
$2,102.00 |
$2,102.00 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$413.00 |
$413.00 |
$413.00 |
$703.15
|
|
Ghs immun0electrophoresis
|
$18.50 |
$18.50 |
$18.50 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$345.00 |
$345.00 |
$345.00 |
$523.73
|
|
Ghs inf midline insertion
|
$2,179.50 |
$2,179.50 |
$2,179.50 |
$1,219.20
|
|
Ghs inhibitor screen
|
$181.50 |
$181.50 |
$181.50 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$175.00 |
$175.00 |
$175.00 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$1,446.50 |
$1,446.50 |
$1,446.50 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$848.00 |
$848.00 |
$848.00 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$287.50 |
$287.50 |
$287.50 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$739.00 |
$739.00 |
$739.00 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$256.50 |
$256.50 |
$256.50 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$543.50 |
$543.50 |
$543.50 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$716.00 |
$716.00 |
$716.00 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,342.50 |
$2,342.50 |
$2,342.50 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$466.50 |
$466.50 |
$466.50 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,241.00 |
$1,241.00 |
$1,241.00 |
$544.80
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$289.00 |
$289.00 |
$289.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$225.00 |
$225.00 |
$225.00 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$225.00 |
$225.00 |
$225.00 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$196.00 |
$196.00 |
$196.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$543.50 |
$543.50 |
$543.50 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$225.00 |
$225.00 |
$225.00 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$225.00 |
$225.00 |
$225.00 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$225.00 |
$225.00 |
$225.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$225.00 |
$225.00 |
$225.00 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$258.00 |
$258.00 |
$258.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$543.50 |
$543.50 |
$543.50 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$352.50 |
$352.50 |
$352.50 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$297.50 |
$297.50 |
$297.50 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$306.50 |
$306.50 |
$306.50 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$341.50 |
$341.50 |
$341.50 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$392.50 |
$392.50 |
$392.50 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$981.00 |
$981.00 |
$981.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$452.00 |
$452.00 |
$452.00 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$103.50 |
$103.50 |
$103.50 |
$76.20
|
|
Ghs mbp
|
$94.00 |
$94.00 |
$94.00 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$281.00 |
$281.00 |
$281.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$281.00 |
$281.00 |
$281.00 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$281.00 |
$281.00 |
$281.00 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$281.00 |
$281.00 |
$281.00 |
$147.75
|
|
Ghs musc test done w/n test comp
|
$214.50 |
$214.50 |
$214.50 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$246.50 |
$246.50 |
$246.50 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$156.50 |
$156.50 |
$156.50 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$378.50 |
$378.50 |
$378.50 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$565.00 |
$565.00 |
$565.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,008.50 |
$1,008.50 |
$1,008.50 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$659.00 |
$659.00 |
$659.00 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$418.50 |
$418.50 |
$418.50 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$1,272.50 |
$1,272.50 |
$1,272.50 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,009.50 |
$1,009.50 |
$1,009.50 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,060.50 |
$1,060.50 |
$1,060.50 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$637.50 |
$637.50 |
$637.50 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$659.00 |
$659.00 |
$659.00 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$321.50 |
$321.50 |
$321.50 |
$478.50
|
|
Ghs o2 saturation
|
$40.50 |
$40.50 |
$40.50 |
$70.80
|
|
Ghs o2 uptake rest & indirect
|
$129.00 |
$129.00 |
$129.00 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$717.50 |
$717.50 |
$717.50 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$697.00 |
$697.00 |
$697.00 |
$2,194.40
|
|
Ghs optokenetic
|
$201.00 |
$201.00 |
$201.00 |
$211.20
|
|
Ghs oscillating trac
|
$201.00 |
$201.00 |
$201.00 |
$344.68
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$64.50 |
$64.50 |
$64.50 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$64.50 |
$64.50 |
$64.50 |
$57.65
|
|
Ghs ot group caregiver training
|
$14.50 |
$14.50 |
$14.50 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$89.00 |
$89.00 |
$89.00 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$83.00 |
$83.00 |
$83.00 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$146.50 |
$146.50 |
$146.50 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$359.50 |
$359.50 |
$359.50 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,361.50 |
$1,361.50 |
$1,361.50 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$443.00 |
$443.00 |
$443.00 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$21.50 |
$21.50 |
$21.50 |
$76.56
|
|
Ghs peritonsillar abscess i andd
|
$486.00 |
$486.00 |
$486.00 |
$546.36
|
|
Ghs phenylketonurid
|
$189.50 |
$189.50 |
$189.50 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$268.00 |
$268.00 |
$268.00 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$20.50 |
$20.50 |
$20.50 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$34.50 |
$34.50 |
$34.50 |
$43.55
|
|
Ghs protoporphyrins fract
|
$57.00 |
$57.00 |
$57.00 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$79.00 |
$79.00 |
$79.00 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$59.50 |
$59.50 |
$59.50 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$423.50 |
$423.50 |
$423.50 |
$275.60
|
|
Ghs quinidine
|
$82.00 |
$82.00 |
$82.00 |
$85.00
|
|
Ghs refill of implantable pump
|
$236.50 |
$236.50 |
$236.50 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$93.50 |
$93.50 |
$93.50 |
$287.50
|
