|
Ghs ed rmvl or bivalving cast
|
$588.60 |
$588.60 |
$588.60 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,505.40 |
$1,505.40 |
$1,505.40 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$615.00 |
$615.00 |
$615.00 |
$586.80
|
|
Ghs excision ingrown nail
|
$382.20 |
$382.20 |
$382.20 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$2,061.00 |
$2,061.00 |
$2,061.00 |
$510.00
|
|
Ghs fb removal - incisional
|
$3,097.80 |
$3,097.80 |
$3,097.80 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$801.60 |
$801.60 |
$801.60 |
$1,706.20
|
|
Ghs fish cytogen
|
$420.60 |
$420.60 |
$420.60 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$420.60 |
$420.60 |
$420.60 |
$226.20
|
|
Ghs flow volume loop
|
$169.80 |
$169.80 |
$169.80 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$213.60 |
$213.60 |
$213.60 |
$368.50
|
|
Ghs hcv amplificaiton
|
$507.60 |
$507.60 |
$507.60 |
$196.20
|
|
Ghs hgb stability-thal
|
$32.40 |
$32.40 |
$32.40 |
$89.91
|
|
Ghs histoplasma antigen
|
$253.80 |
$253.80 |
$253.80 |
$142.00
|
|
Ghs HIV antibody
|
$111.60 |
$111.60 |
$111.60 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$468.60 |
$468.60 |
$468.60 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,273.20 |
$4,273.20 |
$4,273.20 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,558.60 |
$3,558.60 |
$3,558.60 |
$2,798.50
|
|
Ghs i and d pilonidal cyst simple
|
$566.40 |
$566.40 |
$566.40 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$539.40 |
$539.40 |
$539.40 |
$526.50
|
|
Ghs inf midline insertion
|
$3,559.20 |
$3,559.20 |
$3,559.20 |
$1,238.25
|
|
Ghs inhibitor screen
|
$734.40 |
$734.40 |
$734.40 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$411.60 |
$411.60 |
$411.60 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$1,122.60 |
$1,122.60 |
$1,122.60 |
$1,710.80
|
|
Ghs insertion of needle - bone
|
$672.00 |
$672.00 |
$672.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,869.20 |
$2,869.20 |
$2,869.20 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$3,124.20 |
$3,124.20 |
$3,124.20 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$4,104.60 |
$4,104.60 |
$4,104.60 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$3,254.40 |
$3,254.40 |
$3,254.40 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$96.60 |
$96.60 |
$96.60 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$3,456.60 |
$3,456.60 |
$3,456.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$541.20 |
$541.20 |
$541.20 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$539.40 |
$539.40 |
$539.40 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$539.40 |
$539.40 |
$539.40 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$539.40 |
$539.40 |
$539.40 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$857.40 |
$857.40 |
$857.40 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$880.20 |
$880.20 |
$880.20 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$3,124.20 |
$3,124.20 |
$3,124.20 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$3,123.00 |
$3,123.00 |
$3,123.00 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$4,066.80 |
$4,066.80 |
$4,066.80 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$4,193.40 |
$4,193.40 |
$4,193.40 |
$1,016.25
|
|
Ghs leukocyte alkaline phos (mayo)
|
$129.60 |
$129.60 |
$129.60 |
$75.00
|
|
Ghs mbp
|
$375.60 |
$375.60 |
$375.60 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$438.00 |
$438.00 |
$438.00 |
$246.33
|
|
Ghs moderate sedation ea addtl 15 min
|
$725.40 |
$725.40 |
$725.40 |
$150.00
|
|
Ghs myocardial strain img spckl track
|
$890.40 |
$890.40 |
$890.40 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$724.37
|
|
Ghs nerve blk intercostal, single level
|
$2,955.60 |
$2,955.60 |
$2,955.60 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,955.60 |
$2,955.60 |
$2,955.60 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,955.60 |
$2,955.60 |
$2,955.60 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$2,953.80 |
$2,953.80 |
$2,953.80 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$447.00 |
$447.00 |
$447.00 |
$485.00
|
|
Ghs o2 saturation
|
$307.20 |
$307.20 |
$307.20 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$184.80 |
$184.80 |
$184.80 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$54.00 |
$54.00 |
$54.00 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$197.40 |
$197.40 |
$197.40 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$4,338.60 |
$4,338.60 |
$4,338.60 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$1,528.20 |
$1,528.20 |
$1,528.20 |
$2,194.40
|
|
Ghs ot sensory integrative tech/15min
|
$273.00 |
$273.00 |
$273.00 |
$96.20
|
|
Ghs peritonsillar abscess i andd
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$555.00
|
|
Ghs plngl fx pm cl
|
$543.00 |
$543.00 |
$543.00 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$37.20 |
$37.20 |
$37.20 |
$37.44
|
|
Ghs protoporphyrins fract
|
$222.00 |
$222.00 |
$222.00 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$250.80 |
$250.80 |
$250.80 |
$147.00
|
|
Ghs refill of implantable pump
|
$726.60 |
$726.60 |
$726.60 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$382.20 |
$382.20 |
$382.20 |
$283.24
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,582.60 |
$3,582.60 |
$3,582.60 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$5,743.20 |
$5,743.20 |
$5,743.20 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$155.40 |
$155.40 |
$155.40 |
$99.00
|
|
Ghs sedimentation rate
|
$82.20 |
$82.20 |
$82.20 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$84.60 |
$84.60 |
$84.60 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$3,097.80 |
$3,097.80 |
$3,097.80 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$4,066.80 |
$4,066.80 |
$4,066.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$3,124.20 |
$3,124.20 |
$3,124.20 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$3,124.20 |
$3,124.20 |
$3,124.20 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$880.20 |
$880.20 |
$880.20 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$856.20 |
$856.20 |
$856.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$857.40 |
$857.40 |
$857.40 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$4,066.80 |
$4,066.80 |
$4,066.80 |
$590.88
|
|
Ghs sleep study unattended
|
$1,442.40 |
$1,442.40 |
$1,442.40 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$843.00 |
$843.00 |
$843.00 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$741.00 |
$741.00 |
$741.00 |
$1,416.80
|
|
Ghs sp train/fitting sp device - kx
|
$204.60 |
$204.60 |
$204.60 |
$252.75
|
|
Ghs st - eval for alt comm
|
$123.00 |
$123.00 |
$123.00 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$527.40 |
$527.40 |
$527.40 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$2,335.80 |
$2,335.80 |
$2,335.80 |
$953.27
|
|
Ghs tx distal phalangeal fx with manipulation
|
$539.40 |
$539.40 |
$539.40 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$3,111.60 |
$3,111.60 |
$3,111.60 |
$513.80
|
|
Ghs urine, porphyrins quant
|
$281.40 |
$281.40 |
$281.40 |
$73.80
|
|
Ghs vaginal delivery only
|
$9,315.60 |
$9,315.60 |
$9,315.60 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,205.60 |
$2,205.60 |
$2,205.60 |
$1,932.00
|
|
Gi inhouse confirmation
|
$91.80 |
$91.80 |
$91.80 |
$87.75
|
|
Glucagon 1 mg solution for injection
|
$522.40 |
$522.40 |
$522.40 |
$613.79
|
