|
Ghs fb removal from muscle - complicated
|
$4,359.75 |
$4,359.75 |
$4,359.75 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$1,268.25 |
$1,268.25 |
$1,268.25 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$76.50 |
$76.50 |
$76.50 |
$48.10
|
|
Ghs fish cytogen
|
$1,133.25 |
$1,133.25 |
$1,133.25 |
$174.50
|
|
Ghs fish hybrid in situ 100-300
|
$566.25 |
$566.25 |
$566.25 |
$225.00
|
|
Ghs flow volume loop
|
$364.50 |
$364.50 |
$364.50 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$268.50 |
$268.50 |
$268.50 |
$368.50
|
|
Ghs hcv amplificaiton
|
$371.25 |
$371.25 |
$371.25 |
$196.30
|
|
Ghs hepatitis c virus (hcv riba)
|
$784.50 |
$784.50 |
$784.50 |
$144.54
|
|
Ghs hgb stability-thal
|
$252.75 |
$252.75 |
$252.75 |
$87.84
|
|
Ghs histoplasma antigen
|
$492.00 |
$492.00 |
$492.00 |
$142.00
|
|
Ghs HIV antibody
|
$102.75 |
$102.75 |
$102.75 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,134.00 |
$4,134.00 |
$4,134.00 |
$3,511.80
|
|
Ghs i and d perirectal abscess 46040
|
$2,771.25 |
$2,771.25 |
$2,771.25 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$2,337.75 |
$2,337.75 |
$2,337.75 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$825.00 |
$825.00 |
$825.00 |
$707.25
|
|
Ghs immun0electrophoresis
|
$417.00 |
$417.00 |
$417.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$526.50 |
$526.50 |
$526.50 |
$526.50
|
|
Ghs inf midline insertion
|
$1,807.50 |
$1,807.50 |
$1,807.50 |
$1,241.85
|
|
Ghs inhibitor screen
|
$186.75 |
$186.75 |
$186.75 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$485.25 |
$485.25 |
$485.25 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$3,021.75 |
$3,021.75 |
$3,021.75 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,637.75 |
$2,637.75 |
$2,637.75 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$291.00 |
$291.00 |
$291.00 |
$433.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,479.75 |
$1,479.75 |
$1,479.75 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,110.50 |
$2,110.50 |
$2,110.50 |
$1,836.00
|
|
Ghs insertion of needle - bone
|
$366.00 |
$366.00 |
$366.00 |
$434.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,315.25 |
$2,315.25 |
$2,315.25 |
$887.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,315.25 |
$2,315.25 |
$2,315.25 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,912.25 |
$2,912.25 |
$2,912.25 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$240.75 |
$240.75 |
$240.75 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$286.50 |
$286.50 |
$286.50 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$153.00 |
$153.00 |
$153.00 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$784.50 |
$784.50 |
$784.50 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$784.50 |
$784.50 |
$784.50 |
$573.86
|
|
Ghs IV infusion sotrovimab
|
$784.50 |
$784.50 |
$784.50 |
$563.40
|
|
Ghs IV thrombolytics - cerebral
|
$541.50 |
$541.50 |
$541.50 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$637.50 |
$637.50 |
$637.50 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$905.25 |
$905.25 |
$905.25 |
$602.55
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,428.75 |
$1,428.75 |
$1,428.75 |
$583.44
|
|
Ghs layer closure 2.5cm or less - 12051
|
$456.75 |
$456.75 |
$456.75 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,967.25 |
$1,967.25 |
$1,967.25 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$2,092.50 |
$2,092.50 |
$2,092.50 |
$702.24
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$2,306.25 |
$2,306.25 |
$2,306.25 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$774.90
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$630.00 |
$630.00 |
$630.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$979.50 |
$979.50 |
$979.50 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$2,315.25 |
$2,315.25 |
$2,315.25 |
$789.50
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$979.50 |
$979.50 |
$979.50 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$2,315.25 |
$2,315.25 |
$2,315.25 |
$922.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,912.25 |
$2,912.25 |
$2,912.25 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$630.00 |
$630.00 |
$630.00 |
$1,064.98
|
|
Ghs mbp
|
$155.25 |
$155.25 |
$155.25 |
$76.64
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$330.00 |
$330.00 |
$330.00 |
$246.40
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$330.00 |
$330.00 |
$330.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$330.00 |
$330.00 |
$330.00 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$262.50 |
$262.50 |
$262.50 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$435.00 |
$435.00 |
$435.00 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$340.50 |
$340.50 |
$340.50 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$305.25 |
$305.25 |
$305.25 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$138.00 |
$138.00 |
$138.00 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$529.50 |
$529.50 |
$529.50 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,618.50 |
$1,618.50 |
$1,618.50 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,907.25 |
$1,907.25 |
$1,907.25 |
$1,601.60
|
|
Ghs nerve block brachial plexus
|
$1,828.50 |
$1,828.50 |
$1,828.50 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,300.25 |
$2,300.25 |
$2,300.25 |
$1,668.80
|
|
Ghs nerve block interscaline
|
$1,926.75 |
$1,926.75 |
$1,926.75 |
$1,541.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,907.25 |
$1,907.25 |
$1,907.25 |
$1,706.50
|
|
Ghs nerve block sciatic nerve
|
$1,736.25 |
$1,736.25 |
$1,736.25 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,621.50 |
$1,621.50 |
$1,621.50 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$507.00 |
$507.00 |
$507.00 |
$485.00
|
|
Ghs o2 saturation
|
$106.50 |
$106.50 |
$106.50 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$490.50 |
$490.50 |
$490.50 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$1,668.75 |
$1,668.75 |
$1,668.75 |
$1,236.96
|
|
Ghs opcc repair cvp w subq port
|
$5,914.50 |
$5,914.50 |
$5,914.50 |
$2,194.40
|
|
Ghs optokenetic
|
$295.50 |
$295.50 |
$295.50 |
$214.00
|
|
Ghs oscillating trac
|
$291.75 |
$291.75 |
$291.75 |
$296.91
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$79.50 |
$79.50 |
$79.50 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$88.50 |
$88.50 |
$88.50 |
$61.11
|
|
Ghs ot dds rom
|
$196.50 |
$196.50 |
$196.50 |
$66.95
|
|
Ghs ot prosthetic training/15 min
|
$90.75 |
$90.75 |
$90.75 |
$93.50
|
|
Ghs ot sensory integrative tech/15min
|
$120.00 |
$120.00 |
$120.00 |
$96.60
|
|
Ghs pacing - transcutaneous
|
$940.50 |
$940.50 |
$940.50 |
$839.65
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,236.75 |
$1,236.75 |
$1,236.75 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$1,080.75 |
$1,080.75 |
$1,080.75 |
$560.53
|
|
Ghs phenylketonurid
|
$213.75 |
$213.75 |
$213.75 |
$53.76
|
|
Ghs picc line insert < 5
|
$7,528.50 |
$7,528.50 |
$7,528.50 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$308.25 |
$308.25 |
$308.25 |
$578.00
|
|
Ghs polysom <6 yrs 4/> parameters
|
$8,068.50 |
$8,068.50 |
$8,068.50 |
$3,557.58
|
|
Ghs pos nystagmus
|
$543.75 |
$543.75 |
$543.75 |
$232.70
|
|
Ghs ppd (tb intradermal)
|
$51.00 |
$51.00 |
$51.00 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$120.75 |
$120.75 |
$120.75 |
$43.55
|
|
Ghs protoporphyrins fract
|
$83.25 |
$83.25 |
$83.25 |
$60.75
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$99.75 |
$99.75 |
$99.75 |
$47.55
|
|
Ghs refill of implantable pump
|
$618.00 |
$618.00 |
$618.00 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$421.50 |
$421.50 |
$421.50 |
$283.51
|
