|
Ghs ed therapeutic lp, drain csf w fluoro
|
$735.50 |
$735.50 |
$735.50 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$439.50 |
$439.50 |
$439.50 |
$560.00
|
|
Ghs excision ingrown nail
|
$615.50 |
$615.50 |
$615.50 |
$442.61
|
|
Ghs fb removal foot - deep - left
|
$2,602.50 |
$2,602.50 |
$2,602.50 |
$2,723.00
|
|
Ghs fb removal - incisional
|
$2,941.50 |
$2,941.50 |
$2,941.50 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$2,602.50 |
$2,602.50 |
$2,602.50 |
$1,706.20
|
|
Ghs fish cytogen
|
$286.00 |
$286.00 |
$286.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$325.50 |
$325.50 |
$325.50 |
$225.00
|
|
Ghs hgb stability-thal
|
$74.00 |
$74.00 |
$74.00 |
$89.91
|
|
Ghs histoplasma antigen
|
$110.00 |
$110.00 |
$110.00 |
$141.00
|
|
Ghs HIV antibody
|
$88.00 |
$88.00 |
$88.00 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,503.00 |
$3,503.00 |
$3,503.00 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$3,028.50 |
$3,028.50 |
$3,028.50 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,622.00 |
$1,622.00 |
$1,622.00 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$406.50 |
$406.50 |
$406.50 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$454.50 |
$454.50 |
$454.50 |
$520.80
|
|
Ghs inf midline insertion
|
$103.50 |
$103.50 |
$103.50 |
$1,219.20
|
|
Ghs inhibitor screen
|
$455.50 |
$455.50 |
$455.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$110.50 |
$110.50 |
$110.50 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$724.00 |
$724.00 |
$724.00 |
$1,710.80
|
|
Ghs insertion of needle - bone
|
$555.00 |
$555.00 |
$555.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$678.50 |
$678.50 |
$678.50 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,065.50 |
$1,065.50 |
$1,065.50 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,422.50 |
$3,422.50 |
$3,422.50 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$142.00 |
$142.00 |
$142.00 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$471.50 |
$471.50 |
$471.50 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$21.50 |
$21.50 |
$21.50 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$327.00 |
$327.00 |
$327.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$327.00 |
$327.00 |
$327.00 |
$569.28
|
|
Ghs IV infusion sotrovimab
|
$327.00 |
$327.00 |
$327.00 |
$553.80
|
|
Ghs IV thrombolytics - cerebral
|
$255.00 |
$255.00 |
$255.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$229.00 |
$229.00 |
$229.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$615.50 |
$615.50 |
$615.50 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$615.50 |
$615.50 |
$615.50 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$322.00 |
$322.00 |
$322.00 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$615.50 |
$615.50 |
$615.50 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$615.50 |
$615.50 |
$615.50 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$615.50 |
$615.50 |
$615.50 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$615.50 |
$615.50 |
$615.50 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,065.50 |
$1,065.50 |
$1,065.50 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$678.50 |
$678.50 |
$678.50 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,065.50 |
$1,065.50 |
$1,065.50 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$678.50 |
$678.50 |
$678.50 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$678.50 |
$678.50 |
$678.50 |
$1,016.25
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$71.50 |
$71.50 |
$71.50 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$71.50 |
$71.50 |
$71.50 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$71.50 |
$71.50 |
$71.50 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$56.50 |
$56.50 |
$56.50 |
$150.00
|
|
Ghs myocardial strain img spckl track
|
$468.50 |
$468.50 |
$468.50 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$421.50 |
$421.50 |
$421.50 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,779.50 |
$1,779.50 |
$1,779.50 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$1,369.50 |
$1,369.50 |
$1,369.50 |
$1,121.00
|
|
Ghs nerve block sciatic nerve
|
$648.50 |
$648.50 |
$648.50 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$720.00 |
$720.00 |
$720.00 |
$478.50
|
|
Ghs o2 saturation
|
$47.50 |
$47.50 |
$47.50 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$69.00 |
$69.00 |
$69.00 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$38.00 |
$38.00 |
$38.00 |
$83.04
|
|
Ghs opcc repair cvp without subq port
|
$909.00 |
$909.00 |
$909.00 |
$1,229.24
|
|
Ghs ot group caregiver training
|
$10.00 |
$10.00 |
$10.00 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$174.00 |
$174.00 |
$174.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$102.50 |
$102.50 |
$102.50 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$112.00 |
$112.00 |
$112.00 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$275.50 |
$275.50 |
$275.50 |
$822.00
|
|
Ghs peritonsillar abscess i andd
|
$377.00 |
$377.00 |
$377.00 |
$545.40
|
|
Ghs picc line insert < 5
|
$7,394.00 |
$7,394.00 |
$7,394.00 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$248.50 |
$248.50 |
$248.50 |
$564.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,305.50 |
$2,305.50 |
$2,305.50 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$28.50 |
$28.50 |
$28.50 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$67.00 |
$67.00 |
$67.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$147.50 |
$147.50 |
$147.50 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$191.50 |
$191.50 |
$191.50 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$168.50 |
$168.50 |
$168.50 |
$285.60
|
|
Ghs removal intranasal foreign body
|
$208.00 |
$208.00 |
$208.00 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$720.00 |
$720.00 |
$720.00 |
$436.10
|
|
Ghs rsv eia (respir synctial vrs)
|
$423.50 |
$423.50 |
$423.50 |
$99.00
|
|
Ghs sedimentation rate
|
$60.00 |
$60.00 |
$60.00 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$208.00 |
$208.00 |
$208.00 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$615.50 |
$615.50 |
$615.50 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$322.00 |
$322.00 |
$322.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$615.50 |
$615.50 |
$615.50 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$615.50 |
$615.50 |
$615.50 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$322.00 |
$322.00 |
$322.00 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$358.50 |
$358.50 |
$358.50 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$322.00 |
$322.00 |
$322.00 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$444.50 |
$444.50 |
$444.50 |
$584.00
|
|
Ghs sleep study unattended
|
$1,329.50 |
$1,329.50 |
$1,329.50 |
$503.38
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$1,405.20
|
|
Ghs sphenopalatine ganglion block
|
$290.50 |
$290.50 |
$290.50 |
$616.00
|
|
Ghs sp train/fitting sp device - kx
|
$124.50 |
$124.50 |
$124.50 |
$249.60
|
|
Ghs strapping shoulder - 29240
|
$119.00 |
$119.00 |
$119.00 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$258.00 |
$258.00 |
$258.00 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$953.50 |
$953.50 |
$953.50 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$615.50 |
$615.50 |
$615.50 |
$692.80
|
|
Ghs tx distal phalangeal fx with manipulation
|
$420.50 |
$420.50 |
$420.50 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$102.50 |
$102.50 |
$102.50 |
$73.80
|
|
Ghs vaginal delivery only
|
$4,439.00 |
$4,439.00 |
$4,439.00 |
$3,338.40
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$1,932.00
|
|
Gi inhouse confirmation
|
$121.00 |
$121.00 |
$121.00 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$669.00 |
$669.00 |
$669.00 |
$2,195.76
|
|
Gi wireless capsule measure
|
$733.00 |
$733.00 |
$733.00 |
$1,579.30
|
