|
Ghs indirect laryngoscopy/w fb removal
|
$86.76 |
$86.76 |
$350.90 |
$350.90
|
|
Ghs inf midline insertion
|
$824.08 |
$824.08 |
$824.08 |
$1,238.25
|
|
Ghs inhibitor screen
|
$491.25 |
$491.25 |
$491.25 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$354.83 |
$354.83 |
$354.83 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$2,369.98 |
$2,369.98 |
$2,369.98 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,548.90 |
$1,548.90 |
$1,599.83 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$265.77 |
$265.77 |
$546.24 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$443.70 |
$443.70 |
$717.10 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$443.70 |
$443.70 |
$1,541.57 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$461.99 |
$461.99 |
$461.99 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$140.94 |
$140.94 |
$1,176.86 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$135.99 |
$135.99 |
$1,523.57 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$314.73 |
$314.73 |
$1,524.85 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$250.13 |
$250.13 |
$250.13 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$112.05 |
$112.05 |
$933.06 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$148.80 |
$148.80 |
$148.80 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$363.51 |
$363.51 |
$540.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$363.51 |
$363.51 |
$540.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$363.51 |
$363.51 |
$540.00 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$906.44 |
$906.44 |
$906.44 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$489.67 |
$489.67 |
$489.67 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$275.49 |
$275.49 |
$875.88 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$186.84 |
$186.84 |
$563.75 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$611.64 |
$611.64 |
$762.73 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$611.64 |
$611.64 |
$943.42 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$611.64 |
$611.64 |
$849.23 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$171.99 |
$171.99 |
$902.96 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$542.79 |
$542.79 |
$1,021.55 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$126.27 |
$126.27 |
$966.69 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$138.42 |
$138.42 |
$563.75 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$123.03 |
$123.03 |
$1,165.01 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$126.27 |
$126.27 |
$766.36 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$112.14 |
$112.14 |
$674.82 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$112.14 |
$112.14 |
$901.76 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,245.05 |
$1,245.05 |
$1,245.05 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$233.19 |
$233.19 |
$870.43 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$113.75 |
$113.75 |
$113.75 |
$75.00
|
|
Ghs mbp
|
$50.76 |
$50.76 |
$172.37 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$240.00 |
$240.00 |
$253.71 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$240.93 |
$240.93 |
$253.71 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$123.30 |
$123.30 |
$253.71 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$119.22 |
$119.22 |
$315.36 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$70.05 |
$70.05 |
$84.96 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$185.76 |
$185.76 |
$368.12 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$163.08 |
$163.08 |
$243.43 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$145.17 |
$145.17 |
$330.61 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$521.91 |
$521.91 |
$564.48 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$275.49 |
$275.49 |
$840.27 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$317.97 |
$317.97 |
$1,768.93 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$137.88 |
$137.88 |
$1,405.99 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,118.85 |
$2,118.85 |
$2,118.85 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,412.07 |
$2,412.07 |
$2,412.07 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$517.14 |
$517.14 |
$2,215.57 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$304.92 |
$304.92 |
$1,574.21 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$316.53 |
$316.53 |
$2,191.42 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$918.81 |
$918.81 |
$2,208.49 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$212.31 |
$212.31 |
$1,141.36 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$256.14 |
$256.14 |
$390.24 |
$485.00
|
|
Ghs o2 saturation
|
$97.56 |
$97.56 |
$99.09 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$420.98 |
$420.98 |
$420.98 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$122.09 |
$122.09 |
$122.09 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$229.50 |
$229.50 |
$1,880.72 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$2,059.49 |
$2,059.49 |
$2,059.49 |
$2,194.40
|
|
Ghs optokenetic
|
$198.98 |
$198.98 |
$198.98 |
$214.00
|
|
Ghs oscillating trac
|
$230.82 |
$230.82 |
$230.82 |
$325.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$33.57 |
$33.57 |
$53.74 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$57.65 |
$57.65 |
$57.65 |
$64.50
|
|
Ghs ot dds rom
|
$134.00 |
$134.00 |
$134.00 |
$69.00
|
|
Ghs ot group caregiver training
|
$12.85 |
$12.85 |
$12.85 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$35.37 |
$35.37 |
$122.52 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$33.03 |
$33.03 |
$114.90 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$723.40 |
$723.40 |
$723.40 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$593.34 |
$593.34 |
$593.34 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$658.97 |
$658.97 |
$658.97 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$92.86 |
$92.86 |
$92.86 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$294.84 |
$294.84 |
$867.02 |
$555.00
|
|
Ghs phenylketonurid
|
$61.20 |
$61.20 |
$86.44 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,630.88 |
$2,630.88 |
$2,630.88 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$611.64 |
$611.64 |
$746.82 |
$564.80
|
|
Ghs plt ct-manual
|
$44.40 |
$44.40 |
$44.40 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,545.11 |
$2,545.11 |
$6,256.60 |
$3,557.58
|
|
Ghs pos nystagmus
|
$257.40 |
$257.40 |
$257.40 |
$241.80
|
|
Ghs ppd (tb intradermal)
|
$60.68 |
$60.68 |
$60.68 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$87.04 |
$87.04 |
$87.04 |
$43.55
|
|
Ghs protein, misc fluid
|
$24.60 |
$24.60 |
$24.60 |
$24.60
|
|
Ghs protoporphyrins fract
|
$112.13 |
$112.13 |
$112.13 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$147.69 |
$147.69 |
$187.61 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$67.13 |
$67.13 |
$67.13 |
$47.55
|
|
Ghs quinidine
|
$475.50 |
$475.50 |
$475.50 |
$85.00
|
|
Ghs refill of implantable pump
|
$552.00 |
$552.00 |
$552.00 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$283.51 |
$283.51 |
$283.51 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$257.73 |
$257.73 |
$257.73 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$732.24 |
$732.24 |
$3,800.29 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$1,377.63 |
$1,377.63 |
$4,801.65 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$96.88 |
$96.88 |
$96.88 |
$74.82
|
|
Ghs reticulocyte count
|
$54.25 |
$54.25 |
$54.25 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$49.14 |
$49.14 |
$153.45 |
$99.00
|
|
Ghs sedimentation rate
|
$48.29 |
$48.29 |
$48.29 |
$45.50
|
|
Ghs semen analysis fert
|
$170.87 |
$170.87 |
$170.87 |
$124.80
|
|
Ghs semen analysis, post-vas
|
$46.20 |
$46.20 |
$46.20 |
$32.37
|
