|
Ghs hepatitis c virus (hcv riba)
|
$251.50 |
$251.50 |
$251.50 |
$144.60
|
|
Ghs hgb stability-thal
|
$12.00 |
$12.00 |
$12.00 |
$89.91
|
|
Ghs histoplasma antigen
|
$55.00 |
$55.00 |
$55.00 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$233.00 |
$233.00 |
$233.00 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$4,752.00 |
$4,752.00 |
$4,752.00 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$4,312.00 |
$4,312.00 |
$4,312.00 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$3,685.50 |
$3,685.50 |
$3,685.50 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$968.00 |
$968.00 |
$968.00 |
$520.80
|
|
Ghs inf midline insertion
|
$95.00 |
$95.00 |
$95.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$72.00 |
$72.00 |
$72.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$49.50 |
$49.50 |
$49.50 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$188.50 |
$188.50 |
$188.50 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,197.00 |
$2,197.00 |
$2,197.00 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$294.00 |
$294.00 |
$294.00 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$61.00 |
$61.00 |
$61.00 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$131.50 |
$131.50 |
$131.50 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$510.00 |
$510.00 |
$510.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$501.50 |
$501.50 |
$501.50 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$309.00 |
$309.00 |
$309.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$354.00 |
$354.00 |
$354.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$154.50 |
$154.50 |
$154.50 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$349.00 |
$349.00 |
$349.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$64.00 |
$64.00 |
$64.00 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$54.50 |
$54.50 |
$54.50 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$507.50 |
$507.50 |
$507.50 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,422.67 |
$1,422.67 |
$1,422.67 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$501.50 |
$501.50 |
$501.50 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$614.00 |
$614.00 |
$614.00 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$501.50 |
$501.50 |
$501.50 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$501.50 |
$501.50 |
$501.50 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$501.50 |
$501.50 |
$501.50 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$501.50 |
$501.50 |
$501.50 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$215.00 |
$215.00 |
$215.00 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$7,749.00 |
$7,749.00 |
$7,749.00 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$301.00 |
$301.00 |
$301.00 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$333.50 |
$333.50 |
$333.50 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$603.00 |
$603.00 |
$603.00 |
$1,016.25
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$26.00 |
$26.00 |
$26.00 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$96.00 |
$96.00 |
$96.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$83.00 |
$83.00 |
$83.00 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$84.00 |
$84.00 |
$84.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$65.00 |
$65.00 |
$65.00 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$104.50 |
$104.50 |
$104.50 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$66.00 |
$66.00 |
$66.00 |
$272.25
|
|
Ghs myocardial strain img spckl track
|
$129.00 |
$129.00 |
$129.00 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$929.50 |
$929.50 |
$929.50 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$471.00 |
$471.00 |
$471.00 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$392.50 |
$392.50 |
$392.50 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$70.50 |
$70.50 |
$70.50 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$76.00 |
$76.00 |
$76.00 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$96.00 |
$96.00 |
$96.00 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$1,549.00 |
$1,549.00 |
$1,549.00 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$85.50 |
$85.50 |
$85.50 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$2,214.33 |
$2,214.33 |
$2,214.33 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$697.50 |
$697.50 |
$697.50 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$40.00 |
$40.00 |
$40.00 |
$478.50
|
|
Ghs opcc repair cvp w subq port
|
$196.50 |
$196.50 |
$196.50 |
$2,194.40
|
|
Ghs optokenetic
|
$200.00 |
$200.00 |
$200.00 |
$211.20
|
|
Ghs oscillating trac
|
$402.00 |
$402.00 |
$402.00 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$50.00 |
$50.00 |
$50.00 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$57.00 |
$57.00 |
$57.00 |
$64.50
|
|
Ghs ot group caregiver training
|
$21.50 |
$21.50 |
$21.50 |
$34.80
|
|
Ghs ot sensory integrative tech/15min
|
$58.50 |
$58.50 |
$58.50 |
$96.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$62.50 |
$62.50 |
$62.50 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$316.88 |
$316.88 |
$316.88 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$25.50 |
$25.50 |
$25.50 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$141.50 |
$141.50 |
$141.50 |
$545.40
|
|
Ghs phenylketonurid
|
$175.00 |
$175.00 |
$175.00 |
$53.76
|
|
Ghs plngl fx pm cl
|
$353.00 |
$353.00 |
$353.00 |
$564.50
|
|
Ghs ppd (tb intradermal)
|
$22.00 |
$22.00 |
$22.00 |
$37.44
|
|
Ghs protoporphyrins fract
|
$8.00 |
$8.00 |
$8.00 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$76.50 |
$76.50 |
$76.50 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$8.00 |
$8.00 |
$8.00 |
$47.55
|
|
Ghs quinidine
|
$167.50 |
$167.50 |
$167.50 |
$83.20
|
|
Ghs refill of implantable pump
|
$317.50 |
$317.50 |
$317.50 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$156.00 |
$156.00 |
$156.00 |
$283.51
|
|
Ghs removal pharyngeal foreign body
|
$131.50 |
$131.50 |
$131.50 |
$436.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,476.50 |
$1,476.50 |
$1,476.50 |
$2,408.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$524.50 |
$524.50 |
$524.50 |
$4,108.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$30.50 |
$30.50 |
$30.50 |
$99.00
|
|
Ghs sedimentation rate
|
$33.00 |
$33.00 |
$33.00 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$151.00 |
$151.00 |
$151.00 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$501.50 |
$501.50 |
$501.50 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$148.00 |
$148.00 |
$148.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$131.50 |
$131.50 |
$131.50 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$186.00 |
$186.00 |
$186.00 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$293.00 |
$293.00 |
$293.00 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$293.00 |
$293.00 |
$293.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$109.00 |
$109.00 |
$109.00 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$161.00 |
$161.00 |
$161.00 |
$584.00
|
|
Ghs sleep study unattended
|
$146.00 |
$146.00 |
$146.00 |
$503.38
|
|
Ghs sphenopalatine ganglion block
|
$112.00 |
$112.00 |
$112.00 |
$616.00
|
|
Ghs st - eval for alt comm
|
$43.50 |
$43.50 |
$43.50 |
$94.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$829.50 |
$829.50 |
$829.50 |
$909.00
|
|
Ghs superficial wnd dehis w packing12021
|
$490.00 |
$490.00 |
$490.00 |
$692.80
|
|
Ghs tx distal phalangeal fx with manipulation
|
$328.50 |
$328.50 |
$328.50 |
$525.60
|
|
Ghs urine, porphyrins quant
|
$13.50 |
$13.50 |
$13.50 |
$73.80
|
|
Ghs vaginal delivery only
|
$876.50 |
$876.50 |
$876.50 |
$3,338.40
|
|
Ghs veeg 12-26 hr intmt mont
|
$943.50 |
$943.50 |
$943.50 |
$1,932.00
|
|
Gi inhouse confirmation
|
$94.50 |
$94.50 |
$94.50 |
$86.40
|
