|
Ghs i and d abscess/hematoma scrotum
|
$226.50 |
$226.50 |
$226.50 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$1,957.00 |
$1,957.00 |
$1,957.00 |
$2,633.28
|
|
Ghs i and d pilonidal cyst complex
|
$190.50 |
$190.50 |
$190.50 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$852.00 |
$852.00 |
$852.00 |
$674.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$470.50 |
$470.50 |
$470.50 |
$526.50
|
|
Ghs inf midline insertion
|
$95.00 |
$95.00 |
$95.00 |
$1,241.85
|
|
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
|
$125.50 |
$125.50 |
$125.50 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$294.00 |
$294.00 |
$294.00 |
$438.38
|
|
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
|
$522.00 |
$522.00 |
$522.00 |
$415.20
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$253.50 |
$253.50 |
$253.50 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$309.00 |
$309.00 |
$309.00 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$354.00 |
$354.00 |
$354.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$107.00 |
$107.00 |
$107.00 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$295.50 |
$295.50 |
$295.50 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$97.00 |
$97.00 |
$97.00 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$333.50 |
$333.50 |
$333.50 |
$663.03
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$184.50 |
$184.50 |
$184.50 |
$505.45
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$389.50 |
$389.50 |
$389.50 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$513.50 |
$513.50 |
$513.50 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$389.50 |
$389.50 |
$389.50 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$389.50 |
$389.50 |
$389.50 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$513.50 |
$513.50 |
$513.50 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$513.50 |
$513.50 |
$513.50 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$202.00 |
$202.00 |
$202.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$215.00 |
$215.00 |
$215.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$389.50 |
$389.50 |
$389.50 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$301.00 |
$301.00 |
$301.00 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$333.50 |
$333.50 |
$333.50 |
$782.46
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$708.00 |
$708.00 |
$708.00 |
$1,025.64
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$24.00 |
$24.00 |
$24.00 |
$249.48
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$96.00 |
$96.00 |
$96.00 |
$232.18
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$83.00 |
$83.00 |
$83.00 |
$243.36
|
|
Ghs moderate sedation ea addtl 15 min
|
$11.50 |
$11.50 |
$11.50 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$65.00 |
$65.00 |
$65.00 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$240.50 |
$240.50 |
$240.50 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$208.50 |
$208.50 |
$208.50 |
$265.80
|
|
Ghs nailbed repair/nail removal
|
$772.50 |
$772.50 |
$772.50 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$25.50 |
$25.50 |
$25.50 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$61.00 |
$61.00 |
$61.00 |
$1,119.68
|
|
Ghs nerve block axillary nerve
|
$847.50 |
$847.50 |
$847.50 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$96.00 |
$96.00 |
$96.00 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$78.00 |
$78.00 |
$78.00 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$847.50 |
$847.50 |
$847.50 |
$1,709.95
|
|
Ghs nerve block sciatic nerve
|
$1,073.00 |
$1,073.00 |
$1,073.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$678.50 |
$678.50 |
$678.50 |
$1,190.15
|
|
Ghs ng placement w fluoro guidance
|
$519.50 |
$519.50 |
$519.50 |
$485.00
|
|
Ghs opcc repair cvp w subq port
|
$196.50 |
$196.50 |
$196.50 |
$2,194.40
|
|
Ghs optokenetic
|
$214.00 |
$214.00 |
$214.00 |
$203.50
|
|
Ghs oscillating trac
|
$430.00 |
$430.00 |
$430.00 |
$325.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$25.00 |
$25.00 |
$25.00 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$34.00 |
$34.00 |
$34.00 |
$60.03
|
|
Ghs ot group caregiver training
|
$20.50 |
$20.50 |
$20.50 |
$36.65
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$62.50 |
$62.50 |
$62.50 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$51.50 |
$51.50 |
$51.50 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$25.50 |
$25.50 |
$25.50 |
$76.56
|
|
Ghs peritonsillar abscess i andd
|
$286.00 |
$286.00 |
$286.00 |
$544.44
|
|
Ghs phenylketonurid
|
$175.00 |
$175.00 |
$175.00 |
$53.76
|
|
Ghs plngl fx pm cl
|
$353.00 |
$353.00 |
$353.00 |
$580.32
|
|
Ghs protoporphyrins fract
|
$8.00 |
$8.00 |
$8.00 |
$64.28
|
|
Ghs quinidine
|
$167.50 |
$167.50 |
$167.50 |
$85.00
|
|
Ghs refill of implantable pump
|
$316.50 |
$316.50 |
$316.50 |
$550.00
|
|
Ghs removal intranasal foreign body
|
$159.50 |
$159.50 |
$159.50 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$131.50 |
$131.50 |
$131.50 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$524.50 |
$524.50 |
$524.50 |
$4,108.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$22.50 |
$22.50 |
$22.50 |
$99.00
|
|
Ghs sedimentation rate
|
$17.00 |
$17.00 |
$17.00 |
$44.85
|
|
Ghs sensitivity (per antimicro)
|
$63.50 |
$63.50 |
$63.50 |
$58.95
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$108.50 |
$108.50 |
$108.50 |
$558.97
|
|
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
|
$341.00 |
$341.00 |
$341.00 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$341.00 |
$341.00 |
$341.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$246.50 |
$246.50 |
$246.50 |
$492.80
|
|
Ghs simple repair over 30 cm - 12007
|
$161.00 |
$161.00 |
$161.00 |
$589.80
|
|
Ghs sleep study unattended
|
$207.00 |
$207.00 |
$207.00 |
$503.38
|
|
Ghs sphenopalatine ganglion block
|
$509.50 |
$509.50 |
$509.50 |
$637.92
|
|
Ghs st - eval for alt comm
|
$40.50 |
$40.50 |
$40.50 |
$94.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$708.00 |
$708.00 |
$708.00 |
$890.40
|
|
Ghs superficial wnd dehis w packing12021
|
$389.50 |
$389.50 |
$389.50 |
$696.68
|
|
Ghs tx distal phalangeal fx with manipulation
|
$377.50 |
$377.50 |
$377.50 |
$526.35
|
|
Ghs vaginal delivery only
|
$876.50 |
$876.50 |
$876.50 |
$3,142.35
|
|
Gi inhouse confirmation
|
$95.50 |
$95.50 |
$95.50 |
$84.60
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$130.00 |
$130.00 |
$130.00 |
$2,096.00
|
|
Glucagon 1 mg solution for injection
|
$205.00 |
$205.00 |
$205.00 |
$601.79
|
|
Glucose 1 hr post dose
|
$21.00 |
$21.00 |
$21.00 |
$50.40
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$19.00 |
$19.00 |
$19.00 |
$24.00
|
|
Glucose blood quantitative
|
$19.00 |
$19.00 |
$19.00 |
$41.40
|
|
Glucose body fluid
|
$81.00 |
$81.00 |
$81.00 |
$51.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$75.50 |
$75.50 |
$75.50 |
$100.16
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$74.00 |
$74.00 |
$74.00 |
$117.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$67.00 |
$67.00 |
$67.00 |
$130.65
|
|
Gonioscopy
|
$18.50 |
$18.50 |
$18.50 |
$135.52
|
|
Goniotomy
|
$778.50 |
$778.50 |
$778.50 |
$4,452.74
|
