|
Ghs fb removal - non-incisional
|
$1,810.80 |
$1,810.80 |
$16,216.08 |
$1,706.20
|
|
Ghs fish cytogen
|
$288.00 |
$288.00 |
$288.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$360.60 |
$360.60 |
$360.60 |
$225.00
|
|
Ghs flow volume loop
|
$672.00 |
$672.00 |
$672.00 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$385.80 |
$385.80 |
$385.80 |
$365.40
|
|
Ghs hcv amplificaiton
|
$161.40 |
$161.40 |
$161.40 |
$203.45
|
|
Ghs hgb stability-thal
|
$210.60 |
$210.60 |
$210.60 |
$89.91
|
|
Ghs histoplasma antigen
|
$171.60 |
$171.60 |
$171.60 |
$141.00
|
|
Ghs HIV antibody
|
$82.80 |
$82.80 |
$82.80 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,608.60 |
$4,608.60 |
$4,608.60 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$3,434.40 |
$3,434.40 |
$3,434.40 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$465.60 |
$465.60 |
$465.60 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$520.80
|
|
Ghs inf midline insertion
|
$54,272.86 |
$54,272.86 |
$54,272.86 |
$1,219.20
|
|
Ghs inhibitor screen
|
$217.20 |
$217.20 |
$217.20 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$440.40 |
$440.40 |
$440.40 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$56,930.65 |
$56,930.65 |
$56,930.65 |
$1,710.80
|
|
Ghs insertion of needle - bone
|
$306.00 |
$306.00 |
$306.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$733.20 |
$733.20 |
$10,156.61 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$733.20 |
$733.20 |
$733.20 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$4,408.20 |
$4,408.20 |
$13,022.69 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$1,349.40 |
$1,349.40 |
$1,349.40 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$396.00 |
$396.00 |
$396.00 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$780.00 |
$780.00 |
$780.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$698.40 |
$698.40 |
$698.40 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$13,256.30 |
$13,256.30 |
$13,426.77 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$733.20 |
$733.20 |
$15,249.61 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$8,586.60 |
$8,586.60 |
$28,067.98 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$733.20 |
$733.20 |
$17,217.10 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$733.20 |
$733.20 |
$11,923.71 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$733.20 |
$733.20 |
$733.20 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$16,023.60 |
$16,023.60 |
$24,115.57 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$733.20 |
$733.20 |
$733.20 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$733.20 |
$733.20 |
$733.20 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$733.20 |
$733.20 |
$733.20 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$733.20 |
$733.20 |
$733.20 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$733.20 |
$733.20 |
$733.20 |
$907.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$889.80 |
$889.80 |
$889.80 |
$1,064.98
|
|
Ghs mbp
|
$101.40 |
$101.40 |
$101.40 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$142.20 |
$142.20 |
$142.20 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$4,759.80 |
$4,759.80 |
$4,759.80 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$215.40 |
$215.40 |
$215.40 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$228.00 |
$228.00 |
$228.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$115.80 |
$115.80 |
$115.80 |
$141.00
|
|
Ghs nailbed repair/nail removal
|
$1,348.20 |
$1,348.20 |
$12,808.68 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,796.40 |
$1,796.40 |
$1,796.40 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$1,105.80 |
$1,105.80 |
$1,105.80 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$1,828.80 |
$1,828.80 |
$1,828.80 |
$1,556.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,539.60 |
$1,539.60 |
$1,539.60 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$2,530.20 |
$2,530.20 |
$2,530.20 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$793.80 |
$793.80 |
$793.80 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$393.60 |
$393.60 |
$393.60 |
$478.50
|
|
Ghs o2 saturation
|
$70.80 |
$70.80 |
$70.80 |
$69.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$101.40 |
$101.40 |
$101.40 |
$83.04
|
|
Ghs opcc repair cvp without subq port
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$68.40 |
$68.40 |
$68.40 |
$58.00
|
|
Ghs ot prosthetic training/15 min
|
$81.00 |
$81.00 |
$81.00 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$626.40 |
$626.40 |
$626.40 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,141.80 |
$1,141.80 |
$1,141.80 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$781.80 |
$781.80 |
$781.80 |
$545.40
|
|
Ghs phenylketonurid
|
$16.80 |
$16.80 |
$16.80 |
$53.76
|
|
Ghs picc line insert < 5
|
$3,662.40 |
$3,662.40 |
$3,662.40 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$378.60 |
$378.60 |
$378.60 |
$564.50
|
|
Ghs ppd (tb intradermal)
|
$75.00 |
$75.00 |
$75.00 |
$37.44
|
|
Ghs protoporphyrins fract
|
$199.80 |
$199.80 |
$199.80 |
$60.75
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$43.20 |
$43.20 |
$43.20 |
$47.55
|
|
Ghs removal intranasal foreign body
|
$234.00 |
$234.00 |
$234.00 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$630.00 |
$630.00 |
$630.00 |
$436.10
|
|
Ghs sensitivity (per antimicro)
|
$57.60 |
$57.60 |
$57.60 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$570.60 |
$570.60 |
$570.60 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$570.60 |
$570.60 |
$570.60 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$570.60 |
$570.60 |
$570.60 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$570.60 |
$570.60 |
$570.60 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$570.60 |
$570.60 |
$570.60 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$570.60 |
$570.60 |
$570.60 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$570.60 |
$570.60 |
$570.60 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$570.60 |
$570.60 |
$570.60 |
$584.00
|
|
Ghs simple repair over 30 cm - 12018
|
$570.60 |
$570.60 |
$570.60 |
$537.60
|
|
Ghs sphenopalatine ganglion block
|
$481.20 |
$481.20 |
$481.20 |
$616.00
|
|
Ghs strapping shoulder - 29240
|
$187.20 |
$187.20 |
$187.20 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$348.00 |
$348.00 |
$348.00 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,348.20 |
$1,348.20 |
$8,040.31 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$889.80 |
$889.80 |
$889.80 |
$692.80
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,741.20 |
$1,741.20 |
$1,741.20 |
$1,752.89
|
|
Ghs tx distal phalangeal fx with manipulation
|
$378.60 |
$378.60 |
$378.60 |
$525.60
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$378.60 |
$378.60 |
$378.60 |
$493.68
|
|
Ghs urine, porphyrins quant
|
$107.40 |
$107.40 |
$107.40 |
$73.80
|
|
Ghs vaginal delivery only
|
$2,921.40 |
$2,921.40 |
$2,921.40 |
$3,338.40
|
|
Giardia lamblia antibody
|
$52.20 |
$52.20 |
$52.20 |
$83.44
|
|
Gi inhouse confirmation
|
$155.40 |
$155.40 |
$155.40 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$13,376.60 |
$13,376.60 |
$13,376.60 |
$2,195.76
|
|
Gi wireless capsule measure
|
$17,528.89 |
$17,528.89 |
$17,528.89 |
$1,579.30
|
|
Glove finger flexion right lg xl
|
$542.04 |
$542.04 |
$542.04 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$2,326.80 |
$2,326.80 |
$2,604.00 |
$601.79
|
|
Glucagon plasma - sendout
|
$163.80 |
$163.80 |
$163.80 |
$63.20
|
