|
Ghs histoplasma antigen
|
$196.50 |
$196.50 |
$196.50 |
$138.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,712.50 |
$2,712.50 |
$2,712.50 |
$3,320.80
|
|
Ghs i and d perirectal abscess 46040
|
$3,656.50 |
$3,656.50 |
$3,656.50 |
$2,637.00
|
|
Ghs i and d pilonidal cyst complex
|
$3,814.50 |
$3,814.50 |
$3,814.50 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$620.50 |
$620.50 |
$620.50 |
$696.80
|
|
Ghs immun0electrophoresis
|
$18.50 |
$18.50 |
$18.50 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$831.50 |
$831.50 |
$831.50 |
$525.60
|
|
Ghs inf midline insertion
|
$2,799.00 |
$2,799.00 |
$2,799.00 |
$1,241.85
|
|
Ghs inhibitor screen
|
$158.00 |
$158.00 |
$158.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$262.00 |
$262.00 |
$262.00 |
$275.80
|
|
Ghs inj neurolytic intercostal nerve
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,465.50 |
$1,465.50 |
$1,465.50 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$365.00 |
$365.00 |
$365.00 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,276.50 |
$1,276.50 |
$1,276.50 |
$1,105.65
|
|
Ghs insertion of needle - bone
|
$466.50 |
$466.50 |
$466.50 |
$421.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$816.50 |
$816.50 |
$816.50 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,237.50 |
$1,237.50 |
$1,237.50 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$4,048.00 |
$4,048.00 |
$4,048.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$159.50 |
$159.50 |
$159.50 |
$211.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$2,251.50 |
$2,251.50 |
$2,251.50 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$86.50 |
$86.50 |
$86.50 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$266.00 |
$266.00 |
$266.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$225.00 |
$225.00 |
$225.00 |
$573.86
|
|
Ghs IV infusion sotrovimab
|
$225.00 |
$225.00 |
$225.00 |
$563.40
|
|
Ghs IV thrombolytics - cerebral
|
$4,691.00 |
$4,691.00 |
$4,691.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$356.50 |
$356.50 |
$356.50 |
$505.45
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$816.50 |
$816.50 |
$816.50 |
$602.70
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$451.50 |
$451.50 |
$451.50 |
$579.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$451.50 |
$451.50 |
$451.50 |
$614.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$518.00 |
$518.00 |
$518.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$451.50 |
$451.50 |
$451.50 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$596.50 |
$596.50 |
$596.50 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$816.50 |
$816.50 |
$816.50 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$451.50 |
$451.50 |
$451.50 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$686.00 |
$686.00 |
$686.00 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$530.00 |
$530.00 |
$530.00 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$789.50 |
$789.50 |
$789.50 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$907.50 |
$907.50 |
$907.50 |
$929.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,694.50 |
$1,694.50 |
$1,694.50 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$90.50 |
$90.50 |
$90.50 |
$75.00
|
|
Ghs mbp
|
$114.00 |
$114.00 |
$114.00 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$337.00 |
$337.00 |
$337.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$337.00 |
$337.00 |
$337.00 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$337.00 |
$337.00 |
$337.00 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$337.00 |
$337.00 |
$337.00 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$214.50 |
$214.50 |
$214.50 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$246.50 |
$246.50 |
$246.50 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$178.50 |
$178.50 |
$178.50 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$416.00 |
$416.00 |
$416.00 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$451.50 |
$451.50 |
$451.50 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,967.50 |
$1,967.50 |
$1,967.50 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$544.00 |
$544.00 |
$544.00 |
$1,554.60
|
|
Ghs nerve block brachial plexus
|
$633.50 |
$633.50 |
$633.50 |
$1,710.80
|
|
Ghs nerve block interscaline
|
$1,832.50 |
$1,832.50 |
$1,832.50 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,832.50 |
$1,832.50 |
$1,832.50 |
$1,709.95
|
|
Ghs nerve block sciatic nerve
|
$918.50 |
$918.50 |
$918.50 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$487.00 |
$487.00 |
$487.00 |
$1,159.80
|
|
Ghs ng placement w fluoro guidance
|
$555.50 |
$555.50 |
$555.50 |
$485.00
|
|
Ghs o2 saturation
|
$49.50 |
$49.50 |
$49.50 |
$72.45
|
|
Ghs o2 uptake rest & indirect
|
$147.00 |
$147.00 |
$147.00 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$1,241.00 |
$1,241.00 |
$1,241.00 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$1,241.00 |
$1,241.00 |
$1,241.00 |
$2,194.40
|
|
Ghs optokenetic
|
$228.50 |
$228.50 |
$228.50 |
$204.50
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$74.00 |
$74.00 |
$74.00 |
$58.80
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$74.00 |
$74.00 |
$74.00 |
$64.50
|
|
Ghs ot group caregiver training
|
$13.00 |
$13.00 |
$13.00 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$135.50 |
$135.50 |
$135.50 |
$91.50
|
|
Ghs ot sensory integrative tech/15min
|
$88.50 |
$88.50 |
$88.50 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$95.50 |
$95.50 |
$95.50 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$652.50 |
$652.50 |
$652.50 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$2,811.00 |
$2,811.00 |
$2,811.00 |
$930.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$21.50 |
$21.50 |
$21.50 |
$82.80
|
|
Ghs peritonsillar abscess i andd
|
$614.00 |
$614.00 |
$614.00 |
$546.36
|
|
Ghs phenylketonurid
|
$81.00 |
$81.00 |
$81.00 |
$53.30
|
|
Ghs picc line insert < 5
|
$2,823.00 |
$2,823.00 |
$2,823.00 |
$2,005.58
|
|
Ghs plngl fx pm cl
|
$402.50 |
$402.50 |
$402.50 |
$586.00
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,561.00 |
$2,561.00 |
$2,561.00 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$23.00 |
$23.00 |
$23.00 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$41.50 |
$41.50 |
$41.50 |
$43.55
|
|
Ghs protoporphyrins fract
|
$69.50 |
$69.50 |
$69.50 |
$63.90
|
|
Ghs pr without cont pulse ox
|
$66.50 |
$66.50 |
$66.50 |
$147.69
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$73.00 |
$73.00 |
$73.00 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$355.50 |
$355.50 |
$355.50 |
$285.60
|
|
Ghs quinidine
|
$131.00 |
$131.00 |
$131.00 |
$85.00
|
|
Ghs refill of implantable pump
|
$224.00 |
$224.00 |
$224.00 |
$548.60
|
|
Ghs removal intranasal foreign body
|
$158.50 |
$158.50 |
$158.50 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$779.50 |
$779.50 |
$779.50 |
$445.45
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,288.50 |
$3,288.50 |
$3,288.50 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$6,678.00 |
$6,678.00 |
$6,678.00 |
$4,108.00
|
|
Ghs respiratory syncytical virus igg/m
|
$102.00 |
$102.00 |
$102.00 |
$71.20
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$711.50 |
$711.50 |
$711.50 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$451.50 |
$451.50 |
$451.50 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$789.50 |
$789.50 |
$789.50 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,331.50 |
$1,331.50 |
$1,331.50 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$451.50 |
$451.50 |
$451.50 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$596.50 |
$596.50 |
$596.50 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$451.50 |
$451.50 |
$451.50 |
$492.00
|
