|
Ghs conjunctiva foreign body-superf bil
|
$73.20 |
$73.20 |
$73.20 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$73.20 |
$73.20 |
$73.20 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$72.90 |
$72.90 |
$72.90 |
$339.60
|
|
Ghs cricothyroidotomy
|
$235.35 |
$235.35 |
$235.35 |
$1,103.75
|
|
Ghs diphtheria toxoid ab igg
|
$26.10 |
$26.10 |
$26.10 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$245.85 |
$245.85 |
$245.85 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$221.40 |
$221.40 |
$221.40 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$55.35 |
$55.35 |
$55.35 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$310.05 |
$310.05 |
$310.05 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$263.55 |
$263.55 |
$263.55 |
$560.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$111.15 |
$111.15 |
$111.15 |
$467.00
|
|
Ghs excision ingrown nail
|
$69.15 |
$69.15 |
$69.15 |
$442.61
|
|
Ghs eye exam
|
$58.35 |
$58.35 |
$58.35 |
$162.24
|
|
Ghs fb removal foot - deep - left
|
$418.95 |
$418.95 |
$418.95 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$811.65 |
$811.65 |
$811.65 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$717.30 |
$717.30 |
$717.30 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$211.95 |
$211.95 |
$211.95 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$12.30 |
$12.30 |
$12.30 |
$48.10
|
|
Ghs fish cytogen
|
$36.00 |
$36.00 |
$36.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$70.20 |
$70.20 |
$70.20 |
$225.00
|
|
Ghs flow volume loop
|
$92.25 |
$92.25 |
$92.25 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$64.20 |
$64.20 |
$64.20 |
$365.40
|
|
Ghs hcv amplificaiton
|
$61.50 |
$61.50 |
$61.50 |
$203.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$26.25 |
$26.25 |
$26.25 |
$144.60
|
|
Ghs hgb stability-thal
|
$14.40 |
$14.40 |
$14.40 |
$89.91
|
|
Ghs histoplasma antigen
|
$20.10 |
$20.10 |
$20.10 |
$141.00
|
|
Ghs HIV antibody
|
$24.00 |
$24.00 |
$24.00 |
$90.00
|
|
Ghs i and d perirectal abscess 46040
|
$881.70 |
$881.70 |
$881.70 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$541.35 |
$541.35 |
$541.35 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$122.70 |
$122.70 |
$122.70 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$245.85 |
$245.85 |
$245.85 |
$520.80
|
|
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 |
$191.88
|
|
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 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$56.85 |
$56.85 |
$56.85 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$511.65 |
$511.65 |
$511.65 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$879.75 |
$879.75 |
$879.75 |
$1,814.80
|
|
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 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$322.50 |
$322.50 |
$322.50 |
$1,051.20
|
|
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 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$27.00 |
$27.00 |
$27.00 |
$108.00
|
|
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 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$112.05 |
$112.05 |
$112.05 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$127.95 |
$127.95 |
$127.95 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$174.90 |
$174.90 |
$174.90 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$150.90 |
$150.90 |
$150.90 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$247.80 |
$247.80 |
$247.80 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$296.55 |
$296.55 |
$296.55 |
$770.40
|
|
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 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$309.45 |
$309.45 |
$309.45 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$299.85 |
$299.85 |
$299.85 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$136.50 |
$136.50 |
$136.50 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$329.85 |
$329.85 |
$329.85 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$819.45 |
$819.45 |
$819.45 |
$1,897.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$362.70 |
$362.70 |
$362.70 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$15.15 |
$15.15 |
$15.15 |
$73.50
|
|
Ghs mbp
|
$30.15 |
$30.15 |
$30.15 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$121.65 |
$121.65 |
$121.65 |
$242.64
|
|
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 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$39.00 |
$39.00 |
$39.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$56.85 |
$56.85 |
$56.85 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$42.00 |
$42.00 |
$42.00 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$37.80 |
$37.80 |
$37.80 |
$272.25
|
|
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 |
$444.60
|
|
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 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$298.50 |
$298.50 |
$298.50 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$156.45 |
$156.45 |
$156.45 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$187.95 |
$187.95 |
$187.95 |
$1,695.24
|
|
Ghs nerve block interscaline
|
$828.60 |
$828.60 |
$828.60 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$828.60 |
$828.60 |
$828.60 |
$1,671.75
|
|
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 |
$69.50
|
|
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 |
$83.04
|
|
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 osteopathic manipulative tx, 1-2 regions
|
$5.85 |
$5.85 |
$5.85 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$6.45 |
$6.45 |
$6.45 |
$64.50
|
|
Ghs ot dds rom
|
$16.80 |
$16.80 |
$16.80 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$31.95 |
$31.95 |
$31.95 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$28.35 |
$28.35 |
$28.35 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$49.95 |
$49.95 |
$49.95 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$513.90 |
$513.90 |
$513.90 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$746.55 |
$746.55 |
$746.55 |
$809.67
|
|
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 |
$545.40
|
|
Ghs phenylketonurid
|
$9.60 |
$9.60 |
$9.60 |
$53.76
|
|
Ghs picc line insert < 5
|
$514.50 |
$514.50 |
$514.50 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$87.00 |
$87.00 |
$87.00 |
$564.50
|
|
Ghs plt ct-manual
|
$7.50 |
$7.50 |
$7.50 |
$37.96
|
