|
Ghs incision thrombosed ext hemorrhoid
|
$342.00 |
$683.76 |
$2,182.40 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$86.25 |
$546.12 |
$1,693.20 |
|
|
Ghs inf midline insertion
|
$327.00 |
$3,559.20 |
$5,790.00 |
|
|
Ghs inhibitor screen
|
$28.20 |
$104.40 |
$734.40 |
|
|
Ghs init tx 1st degree burn
|
$175.20 |
$378.60 |
$691.20 |
|
|
Ghs inj neurolytic intercostal nerve
|
$115.23 |
$130.26 |
$5,083.20 |
|
|
Ghs inj neurolytic other perph nerve
|
$87.62 |
$1,231.20 |
$2,824.00 |
|
|
Ghs inj tendon origin/insertion
|
$24.84 |
$441.60 |
$1,928.00 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$84.60 |
$1,362.60 |
$3,243.60 |
|
|
Ghs inj transforaminal cerv single bil
|
$334.20 |
$2,647.20 |
$3,816.00 |
|
|
Ghs insertion of needle - bone
|
$289.20 |
$550.80 |
$1,173.60 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$682.33 |
$1,440.80 |
$4,144.20 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$764.40 |
$2,075.40 |
$4,739.40 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,693.20 |
$3,189.00 |
$8,088.00 |
|
|
Ghs intro needle/intracath vein - 36000
|
$96.50 |
$228.69 |
$2,304.60 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$320.00 |
$2,494.20 |
$3,562.20 |
|
|
Ghs IV inf sq injection, on-body injector
|
$96.60 |
$124.20 |
$191.40 |
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$213.67 |
$1,020.00 |
$1,360.00 |
|
|
Ghs IV infusion casirivimab/imdevimab
|
$213.67 |
$1,020.00 |
$1,360.00 |
|
|
Ghs IV infusion sotrovimab
|
$310.50 |
$1,020.00 |
$1,360.00 |
|
|
Ghs IV thrombolytics - cerebral
|
$513.60 |
$1,295.40 |
$7,038.60 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$471.00 |
$724.20 |
$5,052.60 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$289.20 |
$543.60 |
$1,168.86 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$289.20 |
$560.80 |
$1,168.86 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$308.40 |
$554.50 |
$2,249.20 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$289.20 |
$554.40 |
$1,461.46 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$363.00 |
$820.80 |
$1,461.46 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$428.40 |
$831.00 |
$2,249.60 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$363.00 |
$1,315.20 |
$4,765.20 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$825.60 |
$1,315.20 |
$4,779.60 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$394.80 |
$1,314.40 |
$4,144.20 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$363.00 |
$1,372.00 |
$4,545.60 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$421.80 |
$998.40 |
$4,144.20 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,693.20 |
$1,927.80 |
$4,193.40 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$467.00 |
$1,272.60 |
$4,176.60 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$227.70 |
$2,925.00 |
$2,925.00 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$270.94 |
$1,272.60 |
$1,717.80 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$5.98 |
$116.40 |
$703.20 |
|
|
Ghs low level laser therapy
|
$5.72 |
$124.20 |
$159.60 |
|
|
Ghs mbp
|
$62.00 |
$112.80 |
$491.40 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$35.40 |
$367.20 |
$759.00 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$139.00 |
$468.60 |
$636.79 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$118.80 |
$188.80 |
$1,703.60 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$18.60 |
$190.20 |
$831.60 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$36.00 |
$128.80 |
$263.34 |
|
|
Ghs musc test done w/n test comp
|
$104.40 |
$322.80 |
$548.00 |
|
|
Ghs musc tst done w/nerv tst lim
|
$86.40 |
$309.60 |
$429.66 |
|
|
Ghs musc tst done w/n tst non ext
|
$90.00 |
$317.40 |
$429.66 |
|
|
Ghs myocardial strain img spckl track
|
$7.59 |
$792.60 |
$1,183.20 |
|
|
Ghs nailbed repair/nail removal
|
$413.40 |
$1,236.60 |
$3,560.40 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$844.20 |
$2,184.60 |
$8,413.80 |
|
|
Ghs nerve blk intercostal, single level
|
$105.00 |
$2,184.60 |
$3,420.00 |
|
|
Ghs nerve block axillary nerve
|
$102.60 |
$2,285.40 |
$3,420.00 |
|
|
Ghs nerve block brachial plexus
|
$180.60 |
$2,051.20 |
$3,420.00 |
|
|
Ghs nerve block celiac plexus
|
$1,292.80 |
$2,512.80 |
$3,156.00 |
|
|
Ghs nerve block interscaline
|
$132.60 |
$2,565.60 |
$3,582.00 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$255.00 |
$2,486.40 |
$3,570.00 |
|
|
Ghs nerve block sciatic nerve
|
$350.40 |
$2,184.60 |
$3,420.00 |
|
|
Ghs nerve block suprascapular
|
$166.80 |
$1,108.80 |
$2,285.40 |
|
|
Ghs ng placement w fluoro guidance
|
$146.40 |
$576.00 |
$2,568.60 |
|
|
Ghs o2 saturation
|
$6.90 |
$53.40 |
$502.20 |
|
|
Ghs o2 uptake rest & exercise
|
$8.05 |
$210.00 |
$997.80 |
|
|
Ghs o2 uptake rest & indirect
|
$2.30 |
$54.00 |
$172.80 |
|
|
Ghs ob unlisted IV or art inj or infusion
|
$75.00 |
$75.00 |
$197.40 |
|
|
Ghs opcc repair cvp without subq port
|
$820.00 |
$1,992.00 |
$5,838.00 |
|
|
Ghs opcc repair cvp w subq port
|
$457.20 |
$3,535.80 |
$5,159.40 |
|
|
Ghs optokenetic
|
$9.20 |
$65.40 |
$378.00 |
|
|
Ghs oscillating trac
|
$8.51 |
$60.00 |
$392.50 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$14.72 |
$97.80 |
$187.20 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$19.20 |
$22.31 |
$27.60 |
|
|
Ghs ot dds rom
|
$5.06 |
$5.72 |
$79.00 |
|
|
Ghs ot group caregiver training
|
$26.50 |
$44.40 |
$53.13 |
|
|
Ghs ot prosthetic training/15 min
|
$69.60 |
$121.20 |
$225.60 |
|
|
Ghs ot sensory integrative tech/15min
|
$81.00 |
$128.02 |
$288.60 |
|
|
Ghs ot work hardening-additional hours
|
$124.20 |
$127.20 |
$251.20 |
|
|
Ghs pacing - transcutaneous
|
$676.20 |
$1,735.20 |
$2,086.20 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$80.40 |
$1,320.00 |
$3,157.80 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$82.80 |
$777.00 |
$2,703.60 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$15.87 |
$75.00 |
$116.80 |
|
|
Ghs peritonsillar abscess i andd
|
$309.00 |
$1,225.20 |
$3,653.40 |
|
|
Ghs phenylketonurid
|
$3.68 |
$108.60 |
$249.60 |
|
|
Ghs picc line insert < 5
|
$59.57 |
$2,060.40 |
$4,480.80 |
|
|
Ghs plngl fx pm cl
|
$289.20 |
$530.40 |
$1,095.60 |
|
|
Ghs plt ct-manual
|
$2.76 |
$56.40 |
$147.00 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$78.20 |
$4,918.40 |
$5,327.40 |
|
|
Ghs pos nystagmus
|
$15.87 |
$80.40 |
$591.00 |
|
|
Ghs ppd (tb intradermal)
|
$18.60 |
$70.20 |
$154.66 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$27.50 |
$61.42 |
$287.20 |
|
|
Ghs protein, misc fluid
|
$3.68 |
$3.68 |
$4.16 |
|
|
Ghs protoporphyrins fract
|
$60.00 |
$94.71 |
$336.60 |
|
|
Ghs pr without cont pulse ox
|
$11.50 |
$186.60 |
$453.20 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$44.40 |
$78.60 |
$799.80 |
|
|
Ghs pt - work hardening/int 2hrs
|
$247.80 |
$248.40 |
$503.20 |
|
|
Ghs quinidine
|
$60.80 |
$103.80 |
$216.00 |
|
|
Ghs refill of implantable pump
|
$77.40 |
$379.50 |
$774.60 |
|
|
Ghs removal intranasal foreign body
|
$165.60 |
$328.80 |
$727.20 |
|
|
Ghs removal pharyngeal foreign body
|
$135.20 |
$550.80 |
$1,167.32 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,902.00 |
$2,055.00 |
$4,683.14 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$325.22 |
$4,150.20 |
$9,123.46 |
|
|
Ghs respiratory syncytical virus igg/m
|
$11.04 |
$168.60 |
$201.60 |
|
