|
Ghs closure surg wound/dehiscence-13160
|
$503.75 |
$503.75 |
$503.75 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$53.30 |
$53.30 |
$53.30 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$748.80 |
$748.80 |
$748.80 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$816.40 |
$816.40 |
$816.40 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$816.40 |
$816.40 |
$816.40 |
$368.16
|
|
Ghs cricothyroidotomy
|
$1,238.90 |
$1,238.90 |
$1,238.90 |
$1,207.80
|
|
Ghs diphtheria toxoid ab igg
|
$66.95 |
$66.95 |
$66.95 |
$72.05
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$674.70 |
$674.70 |
$674.70 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,232.10 |
$2,232.10 |
$2,232.10 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$984.75 |
$984.75 |
$984.75 |
$586.80
|
|
Ghs excision ingrown nail
|
$311.35 |
$311.35 |
$311.35 |
$457.60
|
|
Ghs fb removal from muscle - complicated
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$1,771.25 |
$1,771.25 |
$1,771.25 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$34.45 |
$34.45 |
$34.45 |
$48.57
|
|
Ghs fish cytogen
|
$459.55 |
$459.55 |
$459.55 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$621.40 |
$621.40 |
$621.40 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$403.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$506.35 |
$506.35 |
$506.35 |
$106.05
|
|
Ghs hgb stability-thal
|
$95.55 |
$95.55 |
$95.55 |
$85.28
|
|
Ghs histoplasma antigen
|
$117.00 |
$117.00 |
$117.00 |
$137.80
|
|
Ghs HIV antibody
|
$20.15 |
$20.15 |
$20.15 |
$91.00
|
|
Ghs i and d perirectal abscess 46040
|
$826.15 |
$826.15 |
$826.15 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$653.25 |
$653.25 |
$653.25 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$653.25 |
$653.25 |
$653.25 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$349.05 |
$349.05 |
$349.05 |
$543.60
|
|
Ghs inf midline insertion
|
$1,360.45 |
$1,360.45 |
$1,360.45 |
$1,234.20
|
|
Ghs inhibitor screen
|
$1,093.30 |
$1,093.30 |
$1,093.30 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$339.30 |
$339.30 |
$339.30 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$2,037.10 |
$2,037.10 |
$2,037.10 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$1,562.60 |
$1,562.60 |
$1,562.60 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$520.00 |
$520.00 |
$520.00 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,327.95 |
$1,327.95 |
$1,327.95 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$3,660.80 |
$3,660.80 |
$3,660.80 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$297.70 |
$297.70 |
$297.70 |
$461.58
|
|
Ghs intro needle/intracath vein - 36000
|
$440.05 |
$440.05 |
$440.05 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$384.80 |
$384.80 |
$384.80 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$144.95 |
$144.95 |
$144.95 |
$117.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$604.50 |
$604.50 |
$604.50 |
$576.40
|
|
Ghs IV infusion casirivimab/imdevimab
|
$731.25 |
$731.25 |
$731.25 |
$604.50
|
|
Ghs IV infusion sotrovimab
|
$604.50 |
$604.50 |
$604.50 |
$665.50
|
|
Ghs IV thrombolytics - cerebral
|
$239.20 |
$239.20 |
$239.20 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$347.75 |
$347.75 |
$347.75 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$322.40 |
$322.40 |
$322.40 |
$619.20
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$322.40 |
$322.40 |
$322.40 |
$741.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$592.80 |
$592.80 |
$592.80 |
$261.80
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$592.80 |
$592.80 |
$592.80 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$592.80 |
$592.80 |
$592.80 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$592.80 |
$592.80 |
$592.80 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$174.85 |
$174.85 |
$174.85 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$380.25 |
$380.25 |
$380.25 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,545.05 |
$1,545.05 |
$1,545.05 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$904.80 |
$904.80 |
$904.80 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$3,872.70 |
$3,872.70 |
$3,872.70 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$2,737.80 |
$2,737.80 |
$2,737.80 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$2,072.85 |
$2,072.85 |
$2,072.85 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$3,837.60 |
$3,837.60 |
$3,837.60 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$3,854.50 |
$3,854.50 |
$3,854.50 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$5,055.70 |
$5,055.70 |
$5,055.70 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$4,074.20 |
$4,074.20 |
$4,074.20 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$468.75
|
|
Ghs o2 saturation
|
$75.40 |
$75.40 |
$75.40 |
$72.45
|
|
Ghs o2 uptake rest & indirect
|
$356.85 |
$356.85 |
$356.85 |
$195.00
|
|
Ghs opcc repair cvp without subq port
|
$1,701.70 |
$1,701.70 |
$1,701.70 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$2,061.15 |
$2,061.15 |
$2,061.15 |
$2,430.56
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$260.65 |
$260.65 |
$260.65 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$260.65 |
$260.65 |
$260.65 |
$57.65
|
|
Ghs ot group caregiver training
|
$39.00 |
$39.00 |
$39.00 |
$43.20
|
|
Ghs ot prosthetic training/15 min
|
$66.95 |
$66.95 |
$66.95 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$66.95 |
$66.95 |
$66.95 |
$101.05
|
|
Ghs ot work hardening-additional hours
|
$48.75 |
$48.75 |
$48.75 |
$121.54
|
|
Ghs pacing - transcutaneous
|
$455.00 |
$455.00 |
$455.00 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,402.70 |
$1,402.70 |
$1,402.70 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$948.35 |
$948.35 |
$948.35 |
$1,003.00
|
|
Ghs peritonsillar abscess i andd
|
$367.90 |
$367.90 |
$367.90 |
$694.20
|
|
Ghs phenylketonurid
|
$75.40 |
$75.40 |
$75.40 |
$51.58
|
|
Ghs plt ct-manual
|
$85.80 |
$85.80 |
$85.80 |
$39.20
|
|
Ghs pos nystagmus
|
$150.80 |
$150.80 |
$150.80 |
$211.90
|
|
Ghs ppd (tb intradermal)
|
$46.80 |
$46.80 |
$46.80 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$35.75 |
$35.75 |
$35.75 |
$40.56
|
|
Ghs protoporphyrins fract
|
$239.20 |
$239.20 |
$239.20 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$128.70 |
$128.70 |
$128.70 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$78.00 |
$78.00 |
$78.00 |
$45.05
|
|
Ghs pt - work hardening/int 2hrs
|
$97.50 |
$97.50 |
$97.50 |
$255.60
|
|
Ghs quinidine
|
$74.75 |
$74.75 |
$74.75 |
$68.40
|
|
Ghs refill of implantable pump
|
$1,224.60 |
$1,224.60 |
$1,224.60 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$176.15 |
$176.15 |
$176.15 |
$324.35
|
|
Ghs rsv eia (respir synctial vrs)
|
$44.20 |
$44.20 |
$44.20 |
$101.15
|
|
Ghs sedimentation rate
|
$57.85 |
$57.85 |
$57.85 |
$45.50
|
|
Ghs semen analysis fert
|
$109.20 |
$109.20 |
$109.20 |
$123.20
|
|
Ghs somatosensory testing lower extremit
|
$921.70 |
$921.70 |
$921.70 |
$947.48
|
|
Ghs speech-gen aug dev eval iii, st
|
$83.20 |
$83.20 |
$83.20 |
$124.80
|
|
Ghs sphenopalatine ganglion block
|
$460.20 |
$460.20 |
$460.20 |
$706.56
|
|
Ghs spont nystagmus
|
$150.80 |
$150.80 |
$150.80 |
$217.57
|
|
Ghs sp train/fitting sp device - kx
|
$216.45 |
$216.45 |
$216.45 |
$261.95
|
|
Ghs st - re-eval for alt comm
|
$161.20 |
$161.20 |
$161.20 |
$309.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$310.05 |
$310.05 |
$310.05 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$237.25 |
$237.25 |
$237.25 |
$976.98
|
|
Ghs urine, porphyrins quant
|
$170.30 |
$170.30 |
$170.30 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$3,818.75 |
$3,818.75 |
$3,818.75 |
$1,843.00
|
