|
Ghs init tx 1st degree burn
|
$175.00 |
$275.50 |
$753.06 |
|
|
Ghs inj neurolytic intercostal nerve
|
$1,446.50 |
$1,477.10 |
$1,477.10 |
|
|
Ghs inj neurolytic other perph nerve
|
$848.00 |
$1,017.10 |
$2,420.67 |
|
|
Ghs inj tendon origin/insertion
|
$238.93 |
$238.93 |
$1,555.00 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$739.00 |
$1,126.23 |
$1,575.11 |
|
|
Ghs inj transforaminal cerv single bil
|
$1,523.38 |
$1,523.38 |
$7,747.00 |
|
|
Ghs insertion of needle - bone
|
$115.03 |
$115.03 |
$829.40 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$374.58 |
$374.58 |
$3,780.00 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$339.90 |
$339.90 |
$4,568.00 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$944.20 |
$944.20 |
$5,399.00 |
|
|
Ghs intro needle/intracath vein - 36000
|
$263.98 |
$263.98 |
$466.50 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$615.58 |
$615.58 |
$1,567.00 |
|
|
Ghs IV inf sq injection, on-body injector
|
$38.03 |
$38.03 |
$357.00 |
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$289.00 |
$603.65 |
$603.65 |
|
|
Ghs IV infusion casirivimab/imdevimab
|
$225.00 |
$603.65 |
$603.65 |
|
|
Ghs IV infusion sotrovimab
|
$225.00 |
$603.65 |
$603.65 |
|
|
Ghs IV thrombolytics - cerebral
|
$739.53 |
$739.53 |
$1,458.00 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$196.00 |
$610.00 |
$1,333.00 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$397.48 |
$397.48 |
$2,160.00 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$225.00 |
$411.85 |
$2,205.00 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$225.00 |
$424.75 |
$2,229.00 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$225.00 |
$396.63 |
$2,745.00 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$225.00 |
$454.65 |
$2,930.00 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$258.00 |
$310.75 |
$3,032.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$410.25 |
$410.25 |
$3,207.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$352.50 |
$371.23 |
$3,350.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$297.50 |
$399.20 |
$3,348.00 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$306.50 |
$339.90 |
$339.90 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$339.90 |
$339.90 |
$341.50 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$339.90 |
$339.90 |
$339.90 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$339.90 |
$339.90 |
$392.50 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$981.00 |
$1,064.98 |
$1,064.98 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$452.00 |
$1,064.98 |
$1,064.98 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$97.58 |
$97.58 |
$103.50 |
|
|
Ghs mbp
|
$83.00 |
$159.40 |
$159.40 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$273.38 |
$273.38 |
$845.00 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$29.63 |
$29.63 |
$845.00 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$29.63 |
$29.63 |
$845.00 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$240.00 |
$273.38 |
$456.00 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$29.35 |
$29.35 |
$281.00 |
|
|
Ghs musc test done w/n test comp
|
$158.00 |
$158.00 |
$312.00 |
|
|
Ghs musc tst done w/nerv tst lim
|
$158.00 |
$158.00 |
$404.00 |
|
|
Ghs musc tst done w/n tst non ext
|
$83.08 |
$83.08 |
$451.00 |
|
|
Ghs myocardial strain img spckl track
|
$378.50 |
$464.95 |
$831.00 |
|
|
Ghs nailbed repair/nail removal
|
$411.78 |
$411.78 |
$1,363.00 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,113.50 |
$1,113.50 |
$2,173.82 |
|
|
Ghs nerve blk intercostal, single level
|
$869.48 |
$869.48 |
$1,342.11 |
|
|
Ghs nerve block axillary nerve
|
$659.00 |
$1,015.50 |
$1,015.50 |
|
|
Ghs nerve block brachial plexus
|
$418.50 |
$1,391.40 |
$1,391.40 |
|
|
Ghs nerve block celiac plexus
|
$1,213.53 |
$1,213.53 |
$3,224.13 |
|
|
Ghs nerve block interscaline
|
$1,009.50 |
$1,329.73 |
$1,329.73 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,060.50 |
$2,118.43 |
$2,390.96 |
|
|
Ghs nerve block sciatic nerve
|
$637.50 |
$1,287.30 |
$1,287.30 |
|
|
Ghs nerve block suprascapular
|
$659.00 |
$718.90 |
$718.90 |
|
|
Ghs ng placement w fluoro guidance
|
$109.85 |
$109.85 |
$525.00 |
|
|
Ghs o2 saturation
|
$40.50 |
$141.88 |
$194.00 |
|
|
Ghs o2 uptake rest & indirect
|
$129.00 |
$173.50 |
$173.50 |
|
|
Ghs opcc repair cvp without subq port
|
$717.50 |
$961.73 |
$961.73 |
|
|
Ghs opcc repair cvp w subq port
|
$697.00 |
$697.00 |
$697.00 |
|
|
Ghs optokenetic
|
$201.00 |
$201.00 |
$201.00 |
|
|
Ghs oscillating trac
|
$201.00 |
$201.00 |
$201.00 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$39.18 |
$39.18 |
$101.00 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$42.63 |
$42.63 |
$101.00 |
|
|
Ghs ot dds rom
|
$47.65 |
$47.65 |
$47.65 |
|
|
Ghs ot group caregiver training
|
$14.50 |
$81.65 |
$215.88 |
|
|
Ghs ot prosthetic training/15 min
|
$40.38 |
$40.38 |
$89.00 |
|
|
Ghs ot sensory integrative tech/15min
|
$83.00 |
$89.73 |
$166.00 |
|
|
Ghs ot work hardening-additional hours
|
$146.50 |
$146.50 |
$146.50 |
|
|
Ghs pacing - transcutaneous
|
$359.50 |
$372.28 |
$372.28 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,167.18 |
$1,611.33 |
$1,611.33 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$443.00 |
$1,611.33 |
$1,611.33 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$21.50 |
$21.50 |
$198.00 |
|
|
Ghs peritonsillar abscess i andd
|
$373.60 |
$373.60 |
$1,960.00 |
|
|
Ghs phenylketonurid
|
$90.10 |
$90.10 |
$252.00 |
|
|
Ghs picc line insert < 5
|
$1,501.50 |
$1,538.15 |
$8,965.00 |
|
|
Ghs plngl fx pm cl
|
$268.00 |
$352.38 |
$2,069.00 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,836.50 |
$3,836.50 |
$3,836.50 |
|
|
Ghs ppd (tb intradermal)
|
$20.50 |
$1,003.85 |
$1,003.85 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$34.50 |
$34.50 |
$73.00 |
|
|
Ghs protoporphyrins fract
|
$57.00 |
$78.10 |
$173.00 |
|
|
Ghs pr without cont pulse ox
|
$79.00 |
$125.58 |
$125.58 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$59.50 |
$59.50 |
$104.00 |
|
|
Ghs pt - work hardening/int 2hrs
|
$423.50 |
$423.50 |
$423.50 |
|
|
Ghs quinidine
|
$82.00 |
$109.98 |
$109.98 |
|
|
Ghs refill of implantable pump
|
$236.50 |
$539.13 |
$539.13 |
|
|
Ghs removal intranasal foreign body
|
$93.50 |
$128.10 |
$944.00 |
|
|
Ghs removal pharyngeal foreign body
|
$134.65 |
$134.65 |
$941.33 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,903.00 |
$1,903.00 |
$1,903.00 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,864.50 |
$3,864.50 |
$8,178.56 |
|
|
Ghs respiratory syncytical virus igg/m
|
$73.50 |
$73.50 |
$73.50 |
|
|
Ghs reticulocyte count
|
$101.83 |
$101.83 |
$101.83 |
|
|
Ghs rsv eia (respir synctial vrs)
|
$60.93 |
$60.93 |
$175.00 |
|
|
Ghs sedimentation rate
|
$69.83 |
$89.38 |
$89.38 |
|
|
Ghs semen analysis fert
|
$133.63 |
$133.63 |
$133.63 |
|
|
Ghs sensitivity (per antimicro)
|
$59.90 |
$59.90 |
$140.00 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$359.35 |
$359.35 |
$2,178.00 |
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$444.18 |
$444.18 |
$2,642.00 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$383.83 |
$383.83 |
$2,642.00 |
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$339.90 |
$339.90 |
$733.50 |
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$354.88 |
$354.88 |
$1,938.00 |
|