|
Ghs hcv amplificaiton
|
$61.50 |
$61.50 |
$61.50 |
$187.00
|
|
Ghs hgb stability-thal
|
$14.40 |
$14.40 |
$14.40 |
$87.60
|
|
Ghs histoplasma antigen
|
$20.10 |
$20.10 |
$20.10 |
$141.00
|
|
Ghs HIV antibody
|
$24.00 |
$24.00 |
$24.00 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$271.20 |
$271.20 |
$271.20 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$881.70 |
$881.70 |
$881.70 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$541.35 |
$541.35 |
$541.35 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$122.70 |
$122.70 |
$122.70 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$245.85 |
$245.85 |
$245.85 |
$523.73
|
|
Ghs inf midline insertion
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$1,219.20
|
|
Ghs inhibitor screen
|
$22.50 |
$22.50 |
$22.50 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$65.25 |
$65.25 |
$65.25 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$538.05 |
$538.05 |
$538.05 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$56.85 |
$56.85 |
$56.85 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$511.65 |
$511.65 |
$511.65 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$879.75 |
$879.75 |
$879.75 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$63.00 |
$63.00 |
$63.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$311.10 |
$311.10 |
$311.10 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$322.50 |
$322.50 |
$322.50 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$136.50 |
$136.50 |
$136.50 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$256.35 |
$256.35 |
$256.35 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$27.00 |
$27.00 |
$27.00 |
$107.58
|
|
Ghs IV thrombolytics - cerebral
|
$1,512.60 |
$1,512.60 |
$1,512.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$255.60 |
$255.60 |
$255.60 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$100.05 |
$100.05 |
$100.05 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$112.05 |
$112.05 |
$112.05 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$127.95 |
$127.95 |
$127.95 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$174.90 |
$174.90 |
$174.90 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$150.90 |
$150.90 |
$150.90 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$247.80 |
$247.80 |
$247.80 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$296.55 |
$296.55 |
$296.55 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$251.40 |
$251.40 |
$251.40 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$272.55 |
$272.55 |
$272.55 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$309.45 |
$309.45 |
$309.45 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$299.85 |
$299.85 |
$299.85 |
$790.40
|
|
Ghs leukocyte alkaline phos (mayo)
|
$15.15 |
$15.15 |
$15.15 |
$76.20
|
|
Ghs mbp
|
$30.15 |
$30.15 |
$30.15 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$121.65 |
$121.65 |
$121.65 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$91.80 |
$91.80 |
$91.80 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$75.15 |
$75.15 |
$75.15 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$39.00 |
$39.00 |
$39.00 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$56.85 |
$56.85 |
$56.85 |
$147.75
|
|
Ghs musc test done w/n test comp
|
$42.00 |
$42.00 |
$42.00 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$37.80 |
$37.80 |
$37.80 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$45.00 |
$45.00 |
$45.00 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$513.90 |
$513.90 |
$513.90 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$63.75 |
$63.75 |
$63.75 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$366.75 |
$366.75 |
$366.75 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$298.50 |
$298.50 |
$298.50 |
$1,107.00
|
|
Ghs nerve block interscaline
|
$552.30 |
$552.30 |
$552.30 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$552.30 |
$552.30 |
$552.30 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$298.50 |
$298.50 |
$298.50 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$241.50 |
$241.50 |
$241.50 |
$478.50
|
|
Ghs o2 saturation
|
$15.30 |
$15.30 |
$15.30 |
$70.80
|
|
Ghs o2 uptake rest & indirect
|
$41.10 |
$41.10 |
$41.10 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$19.35 |
$19.35 |
$19.35 |
$75.00
|
|
Ghs opcc repair cvp without subq port
|
$397.80 |
$397.80 |
$397.80 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$5,898.00 |
$5,898.00 |
$5,898.00 |
$2,194.40
|
|
Ghs ot dds rom
|
$16.80 |
$16.80 |
$16.80 |
$62.28
|
|
Ghs ot prosthetic training/15 min
|
$31.95 |
$31.95 |
$31.95 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$28.35 |
$28.35 |
$28.35 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$49.95 |
$49.95 |
$49.95 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$513.90 |
$513.90 |
$513.90 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$746.55 |
$746.55 |
$746.55 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$142.95 |
$142.95 |
$142.95 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$211.95 |
$211.95 |
$211.95 |
$546.36
|
|
Ghs phenylketonurid
|
$9.60 |
$9.60 |
$9.60 |
$53.76
|
|
Ghs picc line insert < 5
|
$514.50 |
$514.50 |
$514.50 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$87.00 |
$87.00 |
$87.00 |
$564.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$933.60 |
$933.60 |
$933.60 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$16.73 |
$16.73 |
$16.73 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$16.80 |
$16.80 |
$16.80 |
$43.55
|
|
Ghs protein, misc fluid
|
$9.00 |
$9.00 |
$9.00 |
$24.60
|
|
Ghs protoporphyrins fract
|
$25.20 |
$25.20 |
$25.20 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$35.85 |
$35.85 |
$35.85 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$21.60 |
$21.60 |
$21.60 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$124.95 |
$124.95 |
$124.95 |
$275.60
|
|
Ghs quinidine
|
$25.65 |
$25.65 |
$25.65 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$59.40 |
$59.40 |
$59.40 |
$287.50
|
|
Ghs reticulocyte count
|
$14.70 |
$14.70 |
$14.70 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$20.10 |
$20.10 |
$20.10 |
$96.60
|
|
Ghs sedimentation rate
|
$6.30 |
$6.30 |
$6.30 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$12.15 |
$12.15 |
$12.15 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$296.55 |
$296.55 |
$296.55 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$247.80 |
$247.80 |
$247.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$181.35 |
$181.35 |
$181.35 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$283.95 |
$283.95 |
$283.95 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$136.20 |
$136.20 |
$136.20 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$124.20 |
$124.20 |
$124.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$176.70 |
$176.70 |
$176.70 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$309.45 |
$309.45 |
$309.45 |
$582.00
|
|
Ghs simple repair over 30 cm - 12018
|
$136.50 |
$136.50 |
$136.50 |
$537.60
|
|
Ghs sleep study unattended
|
$184.80 |
$184.80 |
$184.80 |
$495.00
|
|
Ghs somatosensory testing lower extremit
|
$109.65 |
$109.65 |
$109.65 |
$922.35
|
|
Ghs somatosensory testing upper & lower limbs
|
$272.25 |
$272.25 |
$272.25 |
$1,290.02
|
|
Ghs sp train/fitting sp device - kx
|
$107.10 |
$107.10 |
$107.10 |
$250.50
|
|
Ghs strapping shoulder - 29240
|
$51.60 |
$51.60 |
$51.60 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$70.50 |
$70.50 |
$70.50 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$323.25 |
$323.25 |
$323.25 |
$98.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$77.40 |
$77.40 |
$77.40 |
$351.45
|
