|
Ghs irrigate corpora cavernosa for priapism
|
$457.80 |
$457.80 |
$643.61 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$149.49 |
$149.49 |
$149.49 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$540.00 |
$540.00 |
$540.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$540.00 |
$540.00 |
$540.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$540.00 |
$540.00 |
$540.00 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$1,019.74 |
$1,019.74 |
$5,052.15 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$438.90 |
$438.90 |
$586.06 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$449.25 |
$449.25 |
$705.58 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$312.90 |
$312.90 |
$641.66 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$312.90 |
$312.90 |
$707.26 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$312.90 |
$312.90 |
$761.08 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$312.90 |
$312.90 |
$754.35 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$312.90 |
$312.90 |
$878.82 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$449.25 |
$449.25 |
$901.84 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$373.50 |
$373.50 |
$719.66 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$312.90 |
$312.90 |
$921.70 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$373.50 |
$373.50 |
$1,025.14 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$312.90 |
$312.90 |
$1,061.92 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$857.02 |
$857.02 |
$857.02 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$276.30 |
$276.30 |
$1,517.03 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,365.90 |
$1,365.90 |
$3,753.41 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$370.14 |
$370.14 |
$1,420.65 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$90.00 |
$147.60 |
$147.60 |
$75.00
|
|
Ghs low level laser therapy
|
$103.50 |
$103.50 |
$103.50 |
$87.50
|
|
Ghs mbp
|
$71.85 |
$71.85 |
$140.57 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$228.45 |
$228.45 |
$240.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$154.86 |
$228.45 |
$228.45 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$170.15 |
$228.45 |
$228.45 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$107.42 |
$228.45 |
$228.45 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$107.42 |
$228.45 |
$228.45 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$333.30 |
$333.30 |
$352.97 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$272.25 |
$272.25 |
$277.25 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$312.74 |
$333.30 |
$333.30 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$457.80 |
$457.80 |
$564.48 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$373.50 |
$373.50 |
$1,010.84 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,382.70 |
$1,382.70 |
$1,445.51 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,045.65 |
$1,045.65 |
$1,232.23 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,125.57 |
$1,125.57 |
$1,125.57 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,382.70 |
$1,382.70 |
$1,789.51 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$1,382.70 |
$1,382.70 |
$2,215.57 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,382.70 |
$1,382.70 |
$1,526.09 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,354.95 |
$1,355.25 |
$2,079.21 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,045.65 |
$1,045.65 |
$1,922.03 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,045.65 |
$1,045.65 |
$1,386.00 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$423.76 |
$423.76 |
$510.45 |
$485.00
|
|
Ghs o2 saturation
|
$96.35 |
$96.35 |
$96.35 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$299.16 |
$299.16 |
$299.16 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$292.70 |
$292.70 |
$292.70 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$1,229.24 |
$1,229.24 |
$1,229.24 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$1,070.85 |
$1,070.85 |
$2,672.42 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$102.06 |
$102.06 |
$102.06 |
$58.00
|
|
Ghs ot dds rom
|
$109.65 |
$109.65 |
$109.65 |
$69.00
|
|
Ghs ot group caregiver training
|
$13.88 |
$13.88 |
$13.88 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$107.70 |
$107.70 |
$109.65 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$114.90 |
$114.90 |
$134.70 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$878.70 |
$878.70 |
$1,102.70 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$741.45 |
$741.45 |
$1,210.58 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$741.45 |
$741.45 |
$843.23 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$92.44 |
$92.44 |
$92.44 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$283.05 |
$283.05 |
$1,453.82 |
$555.00
|
|
Ghs phenylketonurid
|
$86.44 |
$86.44 |
$86.44 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,630.88 |
$2,780.70 |
$2,780.70 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$211.95 |
$211.95 |
$713.14 |
$564.80
|
|
Ghs plt ct-manual
|
$64.46 |
$64.46 |
$64.46 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,902.39 |
$2,902.39 |
$4,830.30 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$20.81 |
$20.81 |
$60.68 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$67.83 |
$67.83 |
$87.00 |
$43.55
|
|
Ghs protein, misc fluid
|
$24.60 |
$24.60 |
$25.65 |
$24.60
|
|
Ghs protoporphyrins fract
|
$88.90 |
$88.90 |
$88.90 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$147.00 |
$147.00 |
$197.83 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$47.55 |
$47.55 |
$61.85 |
$47.55
|
|
Ghs quinidine
|
$475.50 |
$475.50 |
$475.50 |
$85.00
|
|
Ghs refill of implantable pump
|
$566.55 |
$566.55 |
$566.55 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$217.20 |
$217.20 |
$301.22 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$407.10 |
$407.10 |
$460.00 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,923.60 |
$2,923.60 |
$2,923.60 |
$2,517.00
|
|
Ghs respiratory syncytical virus igg/m
|
$525.00 |
$525.00 |
$525.00 |
$74.82
|
|
Ghs reticulocyte count
|
$58.09 |
$58.09 |
$105.00 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$139.81 |
$193.05 |
$193.05 |
$99.00
|
|
Ghs sedimentation rate
|
$80.08 |
$84.00 |
$84.00 |
$45.50
|
|
Ghs semen analysis fert
|
$129.00 |
$129.00 |
$129.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$79.31 |
$97.65 |
$97.65 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$449.25 |
$449.25 |
$744.69 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$607.35 |
$607.35 |
$875.44 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$449.25 |
$449.25 |
$974.17 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$564.61 |
$564.61 |
$607.35 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$312.90 |
$312.90 |
$644.19 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$235.35 |
$235.35 |
$569.06 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$312.90 |
$312.90 |
$593.27 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$235.35 |
$235.35 |
$980.75 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$589.18 |
$589.18 |
$589.18 |
$537.60
|
|
Ghs sleep study unattended
|
$503.38 |
$503.38 |
$503.38 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$812.40 |
$812.40 |
$885.81 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$471.30 |
$471.30 |
$1,765.32 |
$1,416.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$162.65 |
$162.65 |
$286.35 |
$157.50
|
|
Ghs sphenopalatine ganglion block
|
$762.91 |
$762.91 |
$762.91 |
$630.24
|
|
Ghs sp train/fitting sp device - kx
|
$281.16 |
$281.16 |
$288.60 |
$252.75
|
|
Ghs strapping shoulder - 29240
|
$205.20 |
$205.20 |
$262.91 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$407.74 |
$407.74 |
$407.74 |
$309.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$99.98 |
$99.98 |
$99.98 |
$99.98
|
