|
Ghs conjunctiva foreign body-superf bil
|
$890.40 |
$890.40 |
$890.40 |
$288.96
|
|
Ghs corneal fb without slit lamp bilat
|
$890.40 |
$890.40 |
$890.40 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$909.00 |
$909.00 |
$909.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$414.60 |
$414.60 |
$414.60 |
$1,103.75
|
|
Ghs dislocation elbow closed treatment
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$599.40
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,522.20 |
$1,522.20 |
$1,522.20 |
$1,192.32
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,429.20 |
$1,429.20 |
$1,429.20 |
$1,388.18
|
|
Ghs excision ingrown nail
|
$730.80 |
$730.80 |
$730.80 |
$443.00
|
|
Ghs eyelid foreign body-embedded - bil
|
$9,232.56 |
$9,232.56 |
$9,232.56 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$14,983.20 |
$14,983.20 |
$14,983.20 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$4,476.60 |
$4,476.60 |
$4,476.60 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$10,931.88 |
$10,931.88 |
$10,931.88 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,287.60 |
$1,287.60 |
$1,287.60 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$85.20 |
$85.20 |
$85.20 |
$48.10
|
|
Ghs fish cytogen
|
$210.60 |
$210.60 |
$210.60 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$382.20 |
$382.20 |
$382.20 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$1,014.60 |
$1,014.60 |
$1,014.60 |
$368.50
|
|
Ghs hcv amplificaiton
|
$289.80 |
$289.80 |
$289.80 |
$198.90
|
|
Ghs hepatitis c virus (hcv riba)
|
$190.20 |
$190.20 |
$190.20 |
$141.60
|
|
Ghs hgb stability-thal
|
$114.00 |
$114.00 |
$114.00 |
$89.67
|
|
Ghs histoplasma antigen
|
$190.20 |
$190.20 |
$190.20 |
$141.00
|
|
Ghs HIV antibody
|
$132.60 |
$132.60 |
$132.60 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$288.00 |
$288.00 |
$288.00 |
$483.04
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$3,506.40
|
|
Ghs i and d perirectal abscess 46040
|
$4,980.00 |
$4,980.00 |
$4,980.00 |
$2,657.23
|
|
Ghs i and d pilonidal cyst complex
|
$905.40 |
$905.40 |
$905.40 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$12,040.67 |
$12,040.67 |
$12,040.67 |
$701.60
|
|
Ghs incision thrombosed ext hemorrhoid
|
$2,380.80 |
$2,380.80 |
$2,380.80 |
$525.60
|
|
Ghs inf midline insertion
|
$510.60 |
$510.60 |
$510.60 |
$1,241.85
|
|
Ghs inhibitor screen
|
$192.00 |
$192.00 |
$192.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$455.40 |
$455.40 |
$455.40 |
$275.80
|
|
Ghs inj neurolytic other perph nerve
|
$18,926.70 |
$18,926.70 |
$18,926.70 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$754.80 |
$754.80 |
$754.80 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,602.80 |
$2,602.80 |
$2,602.80 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$4,469.40 |
$4,469.40 |
$4,469.40 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$412.80 |
$412.80 |
$412.80 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$32,438.22 |
$32,438.22 |
$32,438.22 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,276.80 |
$1,276.80 |
$1,276.80 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,189.60 |
$3,189.60 |
$3,189.60 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$51.60 |
$51.60 |
$51.60 |
$211.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$806.40 |
$806.40 |
$806.40 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$505.45
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$21,114.42 |
$21,114.42 |
$21,114.42 |
$602.55
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$13,104.18 |
$13,104.18 |
$13,104.18 |
$579.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$17,041.50 |
$17,041.50 |
$17,041.50 |
$614.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$11,799.90 |
$11,799.90 |
$11,799.90 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$7,320.66 |
$7,320.66 |
$7,320.66 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$25,211.04 |
$25,211.04 |
$25,211.04 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,112.40 |
$1,112.40 |
$1,112.40 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,168.20 |
$1,168.20 |
$1,168.20 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$15,140.46 |
$15,140.46 |
$15,140.46 |
$1,033.85
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,052.40 |
$1,052.40 |
$1,052.40 |
$929.50
|
|
Ghs mbp
|
$183.00 |
$183.00 |
$183.00 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$289.80 |
$289.80 |
$289.80 |
$246.40
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$289.80 |
$289.80 |
$289.80 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$361.20 |
$361.20 |
$361.20 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$41,774.62 |
$41,774.62 |
$41,774.62 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$149.40 |
$149.40 |
$149.40 |
$142.40
|
|
Ghs nailbed repair/nail removal
|
$20,406.89 |
$20,406.89 |
$20,406.89 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,748.00 |
$2,748.00 |
$2,748.00 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$1,159.20
|
|
Ghs nerve block axillary nerve
|
$3,066.00 |
$3,066.00 |
$3,066.00 |
$1,601.60
|
|
Ghs nerve block brachial plexus
|
$3,372.60 |
$3,372.60 |
$3,372.60 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$3,411.00 |
$3,411.00 |
$3,411.00 |
$1,560.13
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,988.60 |
$2,988.60 |
$2,988.60 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$3,351.60 |
$3,351.60 |
$3,351.60 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,919.40 |
$1,919.40 |
$1,919.40 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$525.00 |
$525.00 |
$525.00 |
$485.00
|
|
Ghs o2 saturation
|
$130.80 |
$130.80 |
$130.80 |
$72.15
|
|
Ghs ob unlisted IV or art inj or infusion
|
$73.80 |
$73.80 |
$73.80 |
$85.20
|
|
Ghs opcc repair cvp without subq port
|
$4,320.60 |
$4,320.60 |
$4,320.60 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$3,638.40 |
$3,638.40 |
$3,638.40 |
$2,194.40
|
|
Ghs oscillating trac
|
$205.80 |
$205.80 |
$205.80 |
$296.91
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$39.00 |
$39.00 |
$39.00 |
$58.00
|
|
Ghs ot group caregiver training
|
$34.20 |
$34.20 |
$34.20 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$172.80 |
$172.80 |
$172.80 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$153.60 |
$153.60 |
$153.60 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$420.60 |
$420.60 |
$420.60 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$1,634.40 |
$1,634.40 |
$1,634.40 |
$822.50
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,431.60 |
$1,431.60 |
$1,431.60 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$2,084.40 |
$2,084.40 |
$2,084.40 |
$944.80
|
|
Ghs peritonsillar abscess i andd
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$546.36
|
|
Ghs phenylketonurid
|
$54.60 |
$54.60 |
$54.60 |
$53.30
|
|
Ghs picc line insert < 5
|
$4,320.60 |
$4,320.60 |
$4,320.60 |
$2,005.58
|
|
Ghs plngl fx pm cl
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$586.00
|
|
Ghs plt ct-manual
|
$10.20 |
$10.20 |
$10.20 |
$37.96
|
|
Ghs prostatic acid phosphatase (mayo)
|
$102.60 |
$102.60 |
$102.60 |
$43.55
|
|
Ghs protoporphyrins fract
|
$186.60 |
$186.60 |
$186.60 |
$64.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$58.80 |
$58.80 |
$58.80 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$841.20 |
$841.20 |
$841.20 |
$285.60
|
|
Ghs quinidine
|
$155.40 |
$155.40 |
$155.40 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$405.60 |
$405.60 |
$405.60 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$405.60 |
$405.60 |
$405.60 |
$445.45
|
|
Ghs repair tendon ext forearm/wrist ea
|
$34,219.98 |
$34,219.98 |
$34,219.98 |
$4,108.00
|
|
Ghs respiratory syncytical virus igg/m
|
$79.20 |
$79.20 |
$79.20 |
$71.20
|
|
Ghs sedimentation rate
|
$47.40 |
$47.40 |
$47.40 |
$44.85
|
