|
Ghs i and d pilonidal cyst complex
|
$1,341.60 |
$1,341.60 |
$1,341.60 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$924.60 |
$924.60 |
$924.60 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$520.80 |
$520.80 |
$520.80 |
$526.50
|
|
Ghs inf midline insertion
|
$4,321.20 |
$4,321.20 |
$4,321.20 |
$1,238.25
|
|
Ghs inhibitor screen
|
$65.40 |
$65.40 |
$65.40 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$378.60 |
$378.60 |
$378.60 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$1,710.80
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,362.60 |
$1,362.60 |
$1,362.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,647.20 |
$2,647.20 |
$2,647.20 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$550.80 |
$550.80 |
$550.80 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,075.40 |
$2,075.40 |
$2,075.40 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,189.00 |
$3,189.00 |
$3,189.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$745.80 |
$745.80 |
$745.80 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$108.00 |
$108.00 |
$108.00 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$309.60 |
$309.60 |
$309.60 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$309.60 |
$309.60 |
$309.60 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$1,295.40 |
$1,295.40 |
$1,295.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$724.20 |
$724.20 |
$724.20 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$520.80 |
$520.80 |
$520.80 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$520.80 |
$520.80 |
$520.80 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$520.80 |
$520.80 |
$520.80 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$520.80 |
$520.80 |
$520.80 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$819.00 |
$819.00 |
$819.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$819.00 |
$819.00 |
$819.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,200.60 |
$1,200.60 |
$1,200.60 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$993.00 |
$993.00 |
$993.00 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$993.00 |
$993.00 |
$993.00 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,927.80 |
$1,927.80 |
$1,927.80 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$1,064.98
|
|
Ghs mbp
|
$87.00 |
$87.00 |
$87.00 |
$76.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$831.60 |
$831.60 |
$831.60 |
$150.00
|
|
Ghs myocardial strain img spckl track
|
$306.60 |
$306.60 |
$306.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,236.60 |
$1,236.60 |
$1,236.60 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,160.00
|
|
Ghs nerve block brachial plexus
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,512.80 |
$2,512.80 |
$2,512.80 |
$1,661.40
|
|
Ghs nerve block sciatic nerve
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$485.00
|
|
Ghs o2 saturation
|
$53.40 |
$53.40 |
$53.40 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$172.80 |
$172.80 |
$172.80 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$3,535.80 |
$3,535.80 |
$3,535.80 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$97.80 |
$97.80 |
$97.80 |
$58.00
|
|
Ghs ot sensory integrative tech/15min
|
$96.00 |
$96.00 |
$96.00 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$595.20 |
$595.20 |
$595.20 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$750.00 |
$750.00 |
$750.00 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$75.00 |
$75.00 |
$75.00 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$555.00
|
|
Ghs picc line insert < 5
|
$2,060.40 |
$2,060.40 |
$2,060.40 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$520.80 |
$520.80 |
$520.80 |
$564.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$5,327.40 |
$5,327.40 |
$5,327.40 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$85.80 |
$85.80 |
$85.80 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$49.20 |
$49.20 |
$49.20 |
$43.55
|
|
Ghs protoporphyrins fract
|
$72.60 |
$72.60 |
$72.60 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$133.20 |
$133.20 |
$133.20 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$44.40 |
$44.40 |
$44.40 |
$47.55
|
|
Ghs quinidine
|
$103.80 |
$103.80 |
$103.80 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$328.80 |
$328.80 |
$328.80 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$550.80 |
$550.80 |
$550.80 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,150.20 |
$4,150.20 |
$4,150.20 |
$4,150.20
|
|
Ghs reticulocyte count
|
$22.20 |
$22.20 |
$22.20 |
$34.50
|
|
Ghs semen analysis fert
|
$88.80 |
$88.80 |
$88.80 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$42.00 |
$42.00 |
$42.00 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$819.60 |
$819.60 |
$819.60 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,230.60 |
$1,230.60 |
$1,230.60 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$965.40 |
$965.40 |
$965.40 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$2,079.60 |
$2,079.60 |
$2,079.60 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$808.20 |
$808.20 |
$808.20 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$808.20 |
$808.20 |
$808.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$808.20 |
$808.20 |
$808.20 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$660.00 |
$660.00 |
$660.00 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$660.00 |
$660.00 |
$660.00 |
$537.60
|
|
Ghs sleep study unattended
|
$513.00 |
$513.00 |
$513.00 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$720.60 |
$720.60 |
$720.60 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$1,416.80
|
|
Ghs sphenopalatine ganglion block
|
$2,380.80 |
$2,380.80 |
$2,380.80 |
$630.24
|
|
Ghs strapping shoulder - 29240
|
$346.20 |
$346.20 |
$346.20 |
$217.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$147.60 |
$147.60 |
$147.60 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$522.00 |
$522.00 |
$522.00 |
$360.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$759.00 |
$759.00 |
$759.00 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$695.93
|
|
Ghs tracheostomy emergency - transtracheal
|
$5,073.00 |
$5,073.00 |
$5,073.00 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$415.80 |
$415.80 |
$415.80 |
$529.65
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$1,961.40 |
$1,961.40 |
$1,961.40 |
$513.80
|
|
Ghs urine, porphyrins quant
|
$75.00 |
$75.00 |
$75.00 |
$73.80
|
|
Ghs vaginal delivery only
|
$4,464.60 |
$4,464.60 |
$4,464.60 |
$3,341.93
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,773.60 |
$1,773.60 |
$1,773.60 |
$1,932.00
|
|
Giardia ag if
|
$75.60 |
$75.60 |
$75.60 |
$38.58
|
|
Giardia lamblia antibody
|
$81.60 |
$81.60 |
$81.60 |
$83.44
|
|
Gi inhouse confirmation
|
$52.80 |
$52.80 |
$52.80 |
$87.75
|
