|
Ghs fb removal - incisional
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$1,794.93
|
|
Ghs gastric intub aspiration lavage
|
$372.96 |
$372.96 |
$372.96 |
$403.20
|
|
Ghs HIV antibody
|
$341.46 |
$341.46 |
$341.46 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,612.82 |
$2,612.82 |
$2,612.82 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,705.24 |
$3,705.24 |
$3,705.24 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,082.76 |
$1,082.76 |
$1,082.76 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$767.76 |
$767.76 |
$767.76 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$366.24 |
$366.24 |
$366.24 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$293.58 |
$293.58 |
$293.58 |
$293.58
|
|
Ghs inf midline insertion
|
$1,640.10 |
$1,640.10 |
$1,640.10 |
$1,234.20
|
|
Ghs init tx 1st degree burn
|
$146.58 |
$146.58 |
$146.58 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$1,200.78 |
$1,200.78 |
$1,200.78 |
$2,037.10
|
|
Ghs inj tendon origin/insertion
|
$383.46 |
$383.46 |
$383.46 |
$431.07
|
|
Ghs insertion of needle - bone
|
$917.28 |
$917.28 |
$917.28 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,336.86 |
$1,336.86 |
$1,336.86 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,198.68 |
$1,433.46 |
$1,433.46 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,431.38 |
$2,431.38 |
$2,431.38 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$40.74 |
$40.74 |
$40.74 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,519.14 |
$1,519.14 |
$1,519.14 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$229.74 |
$229.74 |
$229.74 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$380.52 |
$380.52 |
$380.52 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$866.88 |
$866.88 |
$866.88 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,154.16 |
$1,154.16 |
$1,154.16 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$684.18 |
$684.18 |
$684.18 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$803.46 |
$803.46 |
$803.46 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,529.64 |
$1,529.64 |
$1,529.64 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,021.02 |
$1,021.02 |
$1,021.02 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,217.16 |
$1,217.16 |
$1,217.16 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,578.36 |
$1,578.36 |
$1,578.36 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,140.72 |
$1,140.72 |
$1,140.72 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,627.08 |
$1,627.08 |
$1,627.08 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,189.44 |
$1,189.44 |
$1,189.44 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,678.74 |
$1,678.74 |
$1,678.74 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,238.16 |
$1,238.16 |
$1,238.16 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,767.80 |
$2,767.80 |
$2,767.80 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,286.88 |
$1,286.88 |
$1,286.88 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$275.94 |
$275.94 |
$275.94 |
$59.40
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$511.14 |
$511.14 |
$511.14 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$422.10 |
$422.10 |
$422.10 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$303.24 |
$303.24 |
$303.24 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$202.02 |
$202.02 |
$202.02 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$202.02 |
$202.02 |
$202.02 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$338.10 |
$338.10 |
$338.10 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$215.88 |
$215.88 |
$215.88 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$303.24 |
$303.24 |
$303.24 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$1,147.02 |
$1,147.02 |
$1,147.02 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$1,150.38 |
$1,150.38 |
$1,150.38 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,970.64 |
$1,970.64 |
$1,970.64 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,864.38 |
$1,864.38 |
$1,864.38 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$1,200.78 |
$1,200.78 |
$1,200.78 |
$1,541.40
|
|
Ghs nerve block celiac plexus
|
$1,200.78 |
$1,200.78 |
$1,200.78 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$1,200.78 |
$1,200.78 |
$1,200.78 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,012.62 |
$1,012.62 |
$1,012.62 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$819.42 |
$819.42 |
$819.42 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$711.06 |
$711.06 |
$711.06 |
$468.75
|
|
Ghs ob unlisted IV or art inj or infusion
|
$53.76 |
$53.76 |
$53.76 |
$86.19
|
|
Ghs opcc repair cvp without subq port
|
$815.22 |
$815.22 |
$815.22 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$1,922.76 |
$1,922.76 |
$1,922.76 |
$2,430.56
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$29.82 |
$29.82 |
$29.82 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$29.82 |
$29.82 |
$29.82 |
$57.65
|
|
Ghs ot dds rom
|
$184.80 |
$184.80 |
$184.80 |
$56.55
|
|
Ghs ot prosthetic training/15 min
|
$122.64 |
$122.64 |
$122.64 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$152.04 |
$152.04 |
$152.04 |
$101.05
|
|
Ghs pacing - transcutaneous
|
$487.20 |
$487.20 |
$487.20 |
$868.68
|
|
Ghs peritonsillar abscess i andd
|
$422.10 |
$422.10 |
$422.10 |
$694.20
|
|
Ghs picc line insert < 5
|
$2,059.68 |
$2,059.68 |
$2,059.68 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$991.20 |
$991.20 |
$991.20 |
$662.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$8,730.96 |
$8,730.96 |
$8,731.38 |
$3,705.80
|
|
Ghs pr without cont pulse ox
|
$64.26 |
$64.26 |
$64.26 |
$156.70
|
|
Ghs refill of implantable pump
|
$1,273.86 |
$1,273.86 |
$1,273.86 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$545.16 |
$545.16 |
$545.16 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$405.72 |
$405.72 |
$405.72 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,021.04 |
$2,021.04 |
$2,021.04 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$28.98 |
$28.98 |
$28.98 |
$101.15
|
|
Ghs sedimentation rate
|
$163.38 |
$163.38 |
$163.38 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$369.18 |
$369.18 |
$369.18 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,670.34 |
$1,670.34 |
$1,670.34 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$921.06 |
$921.06 |
$921.06 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,938.30 |
$1,938.30 |
$1,938.30 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,040.76 |
$1,040.76 |
$1,040.76 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$812.28 |
$812.28 |
$812.28 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$798.00 |
$798.00 |
$798.00 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$860.58 |
$860.58 |
$860.58 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$2,108.82 |
$2,108.82 |
$2,108.82 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$1,089.48 |
$1,089.48 |
$1,089.48 |
$589.18
|
|
Ghs sleep study unattended
|
$140.00 |
$309.54 |
$309.54 |
$503.38
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,838.36 |
$2,838.36 |
$2,838.36 |
$1,435.00
|
|
Ghs sphenopalatine ganglion block
|
$383.46 |
$383.46 |
$383.46 |
$706.56
|
|
Ghs st - eval for alt comm
|
$49.98 |
$49.98 |
$49.98 |
$99.75
|
|
Ghs strapping shoulder - 29240
|
$336.42 |
$336.42 |
$336.42 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$807.66 |
$807.66 |
$807.66 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$53.76 |
$53.76 |
$53.76 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$262.50 |
$262.50 |
$262.50 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$562.80 |
$562.80 |
$562.80 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$525.42 |
$525.42 |
$525.42 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,011.38 |
$2,011.38 |
$2,011.38 |
$2,225.73
|
|
Ghs tx distal phalangeal fx with manipulation
|
$811.02 |
$811.02 |
$811.02 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$291.90 |
$291.90 |
$291.90 |
$540.00
|