|
Ghs hcv amplificaiton
|
$141.00 |
$141.00 |
$141.00 |
$187.00
|
|
Ghs histoplasma antigen
|
$142.00 |
$142.00 |
$142.00 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,076.50 |
$2,076.50 |
$2,076.50 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,798.50 |
$2,798.50 |
$2,798.50 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$2,919.50 |
$2,919.50 |
$2,919.50 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$475.00 |
$475.00 |
$475.00 |
$703.15
|
|
Ghs immun0electrophoresis
|
$18.50 |
$18.50 |
$18.50 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$397.00 |
$397.00 |
$397.00 |
$523.73
|
|
Ghs inf midline insertion
|
$2,332.50 |
$2,332.50 |
$2,332.50 |
$1,219.20
|
|
Ghs inhibitor screen
|
$181.50 |
$181.50 |
$181.50 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$243.00 |
$243.00 |
$243.00 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$1,913.00 |
$1,913.00 |
$1,913.00 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$1,121.00 |
$1,121.00 |
$1,121.00 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$313.50 |
$313.50 |
$313.50 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$977.50 |
$977.50 |
$977.50 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$356.50 |
$356.50 |
$356.50 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$625.00 |
$625.00 |
$625.00 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$947.00 |
$947.00 |
$947.00 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,098.00 |
$3,098.00 |
$3,098.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$430.00 |
$430.00 |
$430.00 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,723.50 |
$1,723.50 |
$1,723.50 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$84.00 |
$84.00 |
$84.00 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$291.00 |
$291.00 |
$291.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$225.00 |
$225.00 |
$225.00 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$225.00 |
$225.00 |
$225.00 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$1,347.00 |
$1,347.00 |
$1,347.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$273.00 |
$273.00 |
$273.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$625.00 |
$625.00 |
$625.00 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$259.00 |
$259.00 |
$259.00 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$259.00 |
$259.00 |
$259.00 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$259.00 |
$259.00 |
$259.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$259.00 |
$259.00 |
$259.00 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$259.00 |
$259.00 |
$259.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$625.00 |
$625.00 |
$625.00 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$405.50 |
$405.50 |
$405.50 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$261.50 |
$261.50 |
$261.50 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$405.50 |
$405.50 |
$405.50 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$365.00 |
$365.00 |
$365.00 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$420.00 |
$420.00 |
$420.00 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,297.00 |
$1,297.00 |
$1,297.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$483.50 |
$483.50 |
$483.50 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$144.00 |
$144.00 |
$144.00 |
$76.20
|
|
Ghs mbp
|
$151.00 |
$151.00 |
$151.00 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$323.00 |
$323.00 |
$323.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$323.00 |
$323.00 |
$323.00 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$323.00 |
$323.00 |
$323.00 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$323.00 |
$323.00 |
$323.00 |
$147.75
|
|
Ghs musc test done w/n test comp
|
$246.00 |
$246.00 |
$246.00 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$326.00 |
$326.00 |
$326.00 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$173.00 |
$173.00 |
$173.00 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$425.50 |
$425.50 |
$425.50 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$650.00 |
$650.00 |
$650.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,506.50 |
$1,506.50 |
$1,506.50 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$758.00 |
$758.00 |
$758.00 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$506.00 |
$506.00 |
$506.00 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,402.50 |
$1,402.50 |
$1,402.50 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,402.50 |
$1,402.50 |
$1,402.50 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$733.00 |
$733.00 |
$733.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$871.50 |
$871.50 |
$871.50 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$425.00 |
$425.00 |
$425.00 |
$478.50
|
|
Ghs o2 saturation
|
$65.00 |
$65.00 |
$65.00 |
$70.80
|
|
Ghs o2 uptake rest & indirect
|
$208.00 |
$208.00 |
$208.00 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$949.00 |
$949.00 |
$949.00 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$949.00 |
$949.00 |
$949.00 |
$2,194.40
|
|
Ghs optokenetic
|
$325.00 |
$325.00 |
$325.00 |
$211.20
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$74.00 |
$74.00 |
$74.00 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$74.00 |
$74.00 |
$74.00 |
$57.65
|
|
Ghs ot group caregiver training
|
$15.00 |
$15.00 |
$15.00 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$136.50 |
$136.50 |
$136.50 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$89.00 |
$89.00 |
$89.00 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$95.50 |
$95.50 |
$95.50 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$499.50 |
$499.50 |
$499.50 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,435.50 |
$1,435.50 |
$1,435.50 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$21.50 |
$21.50 |
$21.50 |
$76.56
|
|
Ghs peritonsillar abscess i andd
|
$675.00 |
$675.00 |
$675.00 |
$546.36
|
|
Ghs phenylketonurid
|
$305.00 |
$305.00 |
$305.00 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,161.00 |
$2,161.00 |
$2,161.00 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$308.00 |
$308.00 |
$308.00 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$20.50 |
$20.50 |
$20.50 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$55.00 |
$55.00 |
$55.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$92.00 |
$92.00 |
$92.00 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$105.00 |
$105.00 |
$105.00 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$96.00 |
$96.00 |
$96.00 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$292.50 |
$292.50 |
$292.50 |
$275.60
|
|
Ghs quinidine
|
$114.00 |
$114.00 |
$114.00 |
$85.00
|
|
Ghs refill of implantable pump
|
$194.50 |
$194.50 |
$194.50 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$131.00 |
$131.00 |
$131.00 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$597.00 |
$597.00 |
$597.00 |
$459.90
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,517.00 |
$2,517.00 |
$2,517.00 |
$2,161.50
|
|
Ghs repair tendon ext forearm/wrist ea
|
$5,110.50 |
$5,110.50 |
$5,110.50 |
$4,041.79
|
|
Ghs respiratory syncytical virus igg/m
|
$84.50 |
$84.50 |
$84.50 |
$71.20
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$938.50 |
$938.50 |
$938.50 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$886.50 |
$886.50 |
$886.50 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,019.00 |
$1,019.00 |
$1,019.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$701.50 |
$701.50 |
$701.50 |
$448.80
|
