|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$408.99 |
$408.99 |
$408.99 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$831.16 |
$831.16 |
$831.16 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$624.34 |
$624.34 |
$624.34 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$931.57 |
$931.57 |
$931.57 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$965.85 |
$965.85 |
$965.85 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,043.14 |
$1,043.14 |
$1,043.14 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$902.24 |
$902.24 |
$902.24 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$880.79 |
$880.79 |
$880.79 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$719.66 |
$719.66 |
$719.66 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$522.76 |
$522.76 |
$522.76 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$706.51 |
$706.51 |
$706.51 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$849.30 |
$849.30 |
$849.30 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$624.83 |
$624.83 |
$624.83 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$880.81 |
$880.81 |
$880.81 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,646.85 |
$1,646.85 |
$1,646.85 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$870.43 |
$870.43 |
$870.43 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$102.26 |
$102.26 |
$131.89 |
$75.00
|
|
Ghs low level laser therapy
|
$26.34 |
$26.34 |
$26.34 |
$87.50
|
|
Ghs mbp
|
$148.76 |
$148.76 |
$327.43 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$240.00 |
$240.00 |
$240.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$172.11 |
$172.11 |
$172.11 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$127.39 |
$127.39 |
$127.39 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$119.22 |
$119.22 |
$132.89 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$115.81 |
$115.81 |
$115.81 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$358.42 |
$358.42 |
$358.42 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$300.96 |
$300.96 |
$300.96 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$301.90 |
$301.90 |
$301.90 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$564.48 |
$564.48 |
$564.48 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$847.39 |
$847.39 |
$847.39 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,639.50 |
$1,639.50 |
$1,639.50 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,303.74 |
$1,303.74 |
$1,303.74 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,075.96 |
$1,075.96 |
$1,075.96 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,421.27 |
$2,421.27 |
$2,421.27 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$1,901.86 |
$1,901.86 |
$1,901.86 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,526.09 |
$1,526.09 |
$1,526.09 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,327.15 |
$2,327.15 |
$2,327.15 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$2,206.40 |
$2,206.40 |
$2,206.40 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,058.35 |
$1,058.35 |
$1,058.35 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$404.41 |
$404.41 |
$404.41 |
$485.00
|
|
Ghs o2 saturation
|
$98.05 |
$98.05 |
$166.16 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$469.66 |
$469.66 |
$469.66 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$111.49 |
$111.49 |
$111.49 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$1,344.89 |
$1,344.89 |
$1,344.89 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$2,129.46 |
$2,129.46 |
$2,129.46 |
$2,194.40
|
|
Ghs optokenetic
|
$202.96 |
$202.96 |
$202.96 |
$214.00
|
|
Ghs oscillating trac
|
$267.15 |
$267.15 |
$267.15 |
$325.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$52.96 |
$52.96 |
$52.96 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$57.65 |
$57.65 |
$57.65 |
$64.50
|
|
Ghs ot dds rom
|
$48.71 |
$48.71 |
$106.09 |
$69.00
|
|
Ghs ot group caregiver training
|
$12.85 |
$12.85 |
$12.85 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$88.12 |
$88.12 |
$104.58 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$80.55 |
$80.55 |
$104.80 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$59.89 |
$59.89 |
$59.89 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$594.78 |
$594.78 |
$664.41 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$549.49 |
$549.49 |
$549.49 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$637.37 |
$637.37 |
$637.37 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$14.08 |
$14.08 |
$92.86 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$844.18 |
$844.18 |
$844.18 |
$555.00
|
|
Ghs phenylketonurid
|
$84.44 |
$84.44 |
$86.44 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,057.83 |
$1,057.83 |
$2,436.00 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$841.03 |
$841.03 |
$841.03 |
$564.80
|
|
Ghs plt ct-manual
|
$44.40 |
$44.40 |
$44.40 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$988.63 |
$988.63 |
$4,346.17 |
$3,557.58
|
|
Ghs pos nystagmus
|
$229.10 |
$229.10 |
$229.10 |
$241.80
|
|
Ghs ppd (tb intradermal)
|
$60.68 |
$60.68 |
$60.68 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$71.40 |
$71.40 |
$147.99 |
$43.55
|
|
Ghs protein, misc fluid
|
$24.60 |
$24.60 |
$24.60 |
$24.60
|
|
Ghs protoporphyrins fract
|
$82.35 |
$82.35 |
$82.35 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$100.61 |
$100.61 |
$146.86 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$60.35 |
$60.35 |
$60.35 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$120.47 |
$120.47 |
$120.47 |
$285.60
|
|
Ghs quinidine
|
$223.70 |
$223.70 |
$475.50 |
$85.00
|
|
Ghs refill of implantable pump
|
$197.08 |
$197.08 |
$576.89 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$276.02 |
$276.02 |
$276.02 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$381.72 |
$381.72 |
$381.72 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,993.10 |
$2,993.10 |
$2,993.10 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,041.79 |
$4,041.79 |
$4,041.79 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$96.88 |
$96.88 |
$96.88 |
$74.82
|
|
Ghs reticulocyte count
|
$55.80 |
$55.80 |
$55.80 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$153.45 |
$153.45 |
$228.49 |
$99.00
|
|
Ghs sedimentation rate
|
$53.71 |
$53.71 |
$54.30 |
$45.50
|
|
Ghs semen analysis fert
|
$165.89 |
$165.89 |
$165.89 |
$124.80
|
|
Ghs semen analysis, post-vas
|
$46.20 |
$46.20 |
$46.20 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$95.89 |
$95.89 |
$121.55 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$624.34 |
$624.34 |
$624.34 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$430.77 |
$430.77 |
$430.77 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$522.76 |
$522.76 |
$522.76 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$326.34 |
$326.34 |
$326.34 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$624.34 |
$624.34 |
$624.34 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$545.35 |
$545.35 |
$545.35 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$624.34 |
$624.34 |
$624.34 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$353.59 |
$353.59 |
$353.59 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$624.25 |
$624.25 |
$624.25 |
$537.60
|
|
Ghs sleep study unattended
|
$293.85 |
$293.85 |
$503.38 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,003.86 |
$1,003.86 |
$1,003.86 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,581.91 |
$1,581.91 |
$1,581.91 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$80.70 |
$80.70 |
$165.91 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$718.88 |
$718.88 |
$718.88 |
$630.24
|
|
Ghs spont nystagmus
|
$217.57 |
$217.57 |
$217.57 |
$246.50
|
|
Ghs sp train/fitting sp device - kx
|
$219.37 |
$219.37 |
$302.20 |
$252.75
|