|
Ghs eyelid foreign body-embedded - bil
|
$393.00 |
$393.00 |
$393.00 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$2,392.00 |
$2,392.00 |
$2,392.00 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$3,338.50 |
$3,338.50 |
$3,338.50 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$4,403.50 |
$4,403.50 |
$4,403.50 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$2,227.50 |
$2,227.50 |
$2,227.50 |
$1,706.20
|
|
Ghs fish cytogen
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$225.00
|
|
Ghs flow volume loop
|
$315.50 |
$315.50 |
$315.50 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$437.00 |
$437.00 |
$437.00 |
$365.40
|
|
Ghs hcv amplificaiton
|
$209.00 |
$209.00 |
$209.00 |
$203.45
|
|
Ghs histoplasma antigen
|
$434.50 |
$434.50 |
$434.50 |
$141.00
|
|
Ghs HIV antibody
|
$100.50 |
$100.50 |
$100.50 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,754.50 |
$2,754.50 |
$2,754.50 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$1,609.00 |
$1,609.00 |
$1,609.00 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$964.00 |
$964.00 |
$964.00 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$1,039.00 |
$1,039.00 |
$1,039.00 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$1,732.00 |
$1,732.00 |
$1,732.00 |
$520.80
|
|
Ghs inf midline insertion
|
$838.00 |
$838.00 |
$838.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$457.50 |
$457.50 |
$457.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$268.00 |
$268.00 |
$268.00 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$383.50 |
$383.50 |
$383.50 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$630.00 |
$630.00 |
$630.00 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,109.00 |
$1,109.00 |
$1,109.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$513.50 |
$513.50 |
$513.50 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$682.33 |
$682.33 |
$682.33 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$929.13 |
$929.13 |
$929.13 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$96.50 |
$96.50 |
$96.50 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$320.00 |
$320.00 |
$320.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$97.00 |
$97.00 |
$97.00 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$698.50 |
$698.50 |
$698.50 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$637.00 |
$637.00 |
$637.00 |
$569.28
|
|
Ghs IV infusion sotrovimab
|
$924.50 |
$924.50 |
$924.50 |
$553.80
|
|
Ghs IV thrombolytics - cerebral
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$561.00 |
$561.00 |
$561.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$554.50 |
$554.50 |
$554.50 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$629.88 |
$629.88 |
$629.88 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$554.50 |
$554.50 |
$554.50 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$629.83 |
$629.83 |
$629.83 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$554.50 |
$554.50 |
$554.50 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$554.50 |
$554.50 |
$554.50 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$554.50 |
$554.50 |
$554.50 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$863.00 |
$863.00 |
$863.00 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$554.50 |
$554.50 |
$554.50 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$863.00 |
$863.00 |
$863.00 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$554.50 |
$554.50 |
$554.50 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$467.00 |
$467.00 |
$467.00 |
$907.50
|
|
Ghs low level laser therapy
|
$42.50 |
$42.50 |
$42.50 |
$85.00
|
|
Ghs mbp
|
$62.00 |
$62.00 |
$62.00 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$122.50 |
$122.50 |
$122.50 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$139.00 |
$139.00 |
$139.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$122.50 |
$122.50 |
$122.50 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$402.00 |
$402.00 |
$402.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$86.00 |
$86.00 |
$86.00 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$465.00 |
$465.00 |
$465.00 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$227.00 |
$227.00 |
$227.00 |
$272.25
|
|
Ghs nailbed repair/nail removal
|
$849.50 |
$849.50 |
$849.50 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$954.00 |
$954.00 |
$954.00 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$1,461.50 |
$1,461.50 |
$1,461.50 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$1,265.50 |
$1,265.50 |
$1,265.50 |
$1,695.24
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,709.00 |
$1,709.00 |
$1,709.00 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$877.50 |
$877.50 |
$877.50 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$762.00 |
$762.00 |
$762.00 |
$478.50
|
|
Ghs opcc repair cvp without subq port
|
$820.00 |
$820.00 |
$820.00 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$2,036.00 |
$2,036.00 |
$2,036.00 |
$2,194.40
|
|
Ghs optokenetic
|
$195.50 |
$195.50 |
$195.50 |
$211.20
|
|
Ghs oscillating trac
|
$392.50 |
$392.50 |
$392.50 |
$291.75
|
|
Ghs ot dds rom
|
$79.00 |
$79.00 |
$79.00 |
$69.00
|
|
Ghs ot group caregiver training
|
$26.50 |
$26.50 |
$26.50 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$108.00 |
$108.00 |
$108.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$92.50 |
$92.50 |
$92.50 |
$96.00
|
|
Ghs pacing - transcutaneous
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,774.00 |
$1,774.00 |
$1,774.00 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$327.50 |
$327.50 |
$327.50 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$309.00 |
$309.00 |
$309.00 |
$545.40
|
|
Ghs phenylketonurid
|
$175.00 |
$175.00 |
$175.00 |
$53.76
|
|
Ghs plngl fx pm cl
|
$375.00 |
$375.00 |
$375.00 |
$564.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,217.00 |
$3,217.00 |
$3,217.00 |
$3,557.58
|
|
Ghs prostatic acid phosphatase (mayo)
|
$27.50 |
$27.50 |
$27.50 |
$43.55
|
|
Ghs protoporphyrins fract
|
$62.00 |
$62.00 |
$62.00 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$87.50 |
$87.50 |
$87.50 |
$146.86
|
|
Ghs quinidine
|
$167.50 |
$167.50 |
$167.50 |
$83.20
|
|
Ghs refill of implantable pump
|
$379.50 |
$379.50 |
$379.50 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$172.50 |
$172.50 |
$172.50 |
$283.51
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,447.00 |
$4,447.00 |
$4,447.00 |
$4,108.00
|
|
Ghs respiratory syncytical virus igg/m
|
$180.50 |
$180.50 |
$180.50 |
$74.82
|
|
Ghs reticulocyte count
|
$23.00 |
$23.00 |
$23.00 |
$35.40
|
|
Ghs sedimentation rate
|
$51.50 |
$51.50 |
$51.50 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$53.80 |
$53.80 |
$53.80 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$554.50 |
$554.50 |
$554.50 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$548.00 |
$548.00 |
$548.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$554.50 |
$554.50 |
$554.50 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$268.00 |
$268.00 |
$268.00 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$268.00 |
$268.00 |
$268.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$268.00 |
$268.00 |
$268.00 |
$492.00
|
|
Ghs sleep study unattended
|
$680.00 |
$680.00 |
$680.00 |
$503.38
|
