|
Ghs inj transforaminal cerv single bil
|
$3,992.95 |
$3,992.95 |
$3,992.95 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$1,491.10 |
$1,491.10 |
$1,491.10 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,209.65 |
$1,209.65 |
$1,209.65 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$159.90 |
$159.90 |
$159.90 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$727.35 |
$727.35 |
$727.35 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$206.70 |
$206.70 |
$206.70 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$1,348.75 |
$1,348.75 |
$1,348.75 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$779.35 |
$779.35 |
$779.35 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$779.35 |
$779.35 |
$779.35 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$779.35 |
$779.35 |
$779.35 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$820.95 |
$820.95 |
$820.95 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$798.20 |
$798.20 |
$798.20 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$906.75 |
$906.75 |
$906.75 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$849.55 |
$849.55 |
$849.55 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,846.00 |
$1,846.00 |
$1,846.00 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,515.80 |
$1,515.80 |
$1,515.80 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$2,048.15 |
$2,048.15 |
$2,048.15 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$38.35 |
$38.35 |
$38.35 |
$75.00
|
|
Ghs low level laser therapy
|
$105.95 |
$105.95 |
$105.95 |
$87.50
|
|
Ghs mbp
|
$77.35 |
$77.35 |
$77.35 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$143.00 |
$143.00 |
$143.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$494.00 |
$494.00 |
$494.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$429.00 |
$429.00 |
$429.00 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$179.40 |
$179.40 |
$179.40 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$325.00 |
$325.00 |
$325.00 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$952.90 |
$952.90 |
$952.90 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$739.05 |
$739.05 |
$739.05 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$565.50 |
$565.50 |
$565.50 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$68.90 |
$68.90 |
$68.90 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$3,992.95 |
$3,992.95 |
$3,992.95 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$3,992.95 |
$3,992.95 |
$3,992.95 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$3,992.95 |
$3,992.95 |
$3,992.95 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$3,992.95 |
$3,992.95 |
$3,992.95 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$3,992.95 |
$3,992.95 |
$3,992.95 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$3,992.95 |
$3,992.95 |
$3,992.95 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$485.00
|
|
Ghs o2 saturation
|
$43.55 |
$43.55 |
$43.55 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$18.20 |
$18.20 |
$18.20 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$2,310.75 |
$2,310.75 |
$2,310.75 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,194.40
|
|
Ghs optokenetic
|
$468.00 |
$468.00 |
$468.00 |
$214.00
|
|
Ghs oscillating trac
|
$930.80 |
$930.80 |
$930.80 |
$325.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$131.30 |
$131.30 |
$131.30 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$202.80 |
$202.80 |
$202.80 |
$64.50
|
|
Ghs ot dds rom
|
$43.55 |
$43.55 |
$43.55 |
$69.00
|
|
Ghs ot group caregiver training
|
$576.55 |
$576.55 |
$576.55 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$175.50 |
$175.50 |
$175.50 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$124.80 |
$124.80 |
$124.80 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$326.95 |
$326.95 |
$326.95 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$2,445.95 |
$2,445.95 |
$2,445.95 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$426.40 |
$426.40 |
$426.40 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$819.00 |
$819.00 |
$819.00 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$74.10 |
$74.10 |
$74.10 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$694.20 |
$694.20 |
$694.20 |
$555.00
|
|
Ghs phenylketonurid
|
$24.70 |
$24.70 |
$24.70 |
$53.76
|
|
Ghs picc line insert < 5
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$995.15 |
$995.15 |
$995.15 |
$564.80
|
|
Ghs plt ct-manual
|
$19.50 |
$19.50 |
$19.50 |
$37.96
|
|
Ghs pos nystagmus
|
$472.55 |
$472.55 |
$472.55 |
$241.80
|
|
Ghs ppd (tb intradermal)
|
$109.85 |
$109.85 |
$109.85 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$43.55 |
$43.55 |
$43.55 |
$43.55
|
|
Ghs protoporphyrins fract
|
$64.35 |
$64.35 |
$64.35 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$177.45 |
$177.45 |
$177.45 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$55.25 |
$55.25 |
$55.25 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$652.60 |
$652.60 |
$652.60 |
$285.60
|
|
Ghs quinidine
|
$65.65 |
$65.65 |
$65.65 |
$85.00
|
|
Ghs refill of implantable pump
|
$141.05 |
$141.05 |
$141.05 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$385.45 |
$385.45 |
$385.45 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,604.20 |
$1,604.20 |
$1,604.20 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$62.40 |
$62.40 |
$62.40 |
$99.00
|
|
Ghs sedimentation rate
|
$18.85 |
$18.85 |
$18.85 |
$45.50
|
|
Ghs semen analysis fert
|
$133.25 |
$133.25 |
$133.25 |
$124.80
|
|
Ghs semen analysis, post-vas
|
$44.20 |
$44.20 |
$44.20 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$33.80 |
$33.80 |
$33.80 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$779.35 |
$779.35 |
$779.35 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$779.35 |
$779.35 |
$779.35 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$779.35 |
$779.35 |
$779.35 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$909.35 |
$909.35 |
$909.35 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$449.15 |
$449.15 |
$449.15 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$412.10 |
$412.10 |
$412.10 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$566.15 |
$566.15 |
$566.15 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$829.40 |
$829.40 |
$829.40 |
$590.88
|
|
Ghs sleep study unattended
|
$221.00 |
$221.00 |
$221.00 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$182.00 |
$182.00 |
$182.00 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$1,324.05 |
$1,324.05 |
$1,324.05 |
$630.24
|
|
Ghs spont nystagmus
|
$449.80 |
$449.80 |
$449.80 |
$246.50
|
