|
Ghs i and d perirectal abscess 46040
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$896.50 |
$896.50 |
$896.50 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$896.50 |
$896.50 |
$896.50 |
$696.80
|
|
Ghs immun0electrophoresis
|
$121.00 |
$121.00 |
$121.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$454.00 |
$454.00 |
$454.00 |
$520.80
|
|
Ghs inhibitor screen
|
$308.00 |
$308.00 |
$308.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$258.00 |
$258.00 |
$258.00 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$4,205.00 |
$4,205.00 |
$4,205.00 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$4,205.00 |
$4,205.00 |
$4,205.00 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$377.00 |
$377.00 |
$377.00 |
$434.12
|
|
Ghs inj transforaminal cerv single bil
|
$1,231.00 |
$1,231.00 |
$1,231.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$508.00 |
$508.00 |
$508.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$499.50 |
$499.50 |
$499.50 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$723.00 |
$723.00 |
$723.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,566.50 |
$2,566.50 |
$2,566.50 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$135.50 |
$135.50 |
$135.50 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$443.00 |
$443.00 |
$443.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$59.50 |
$59.50 |
$59.50 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$969.00 |
$969.00 |
$969.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$656.50 |
$656.50 |
$656.50 |
$569.28
|
|
Ghs IV infusion sotrovimab
|
$1,237.00 |
$1,237.00 |
$1,237.00 |
$553.80
|
|
Ghs IV thrombolytics - cerebral
|
$467.50 |
$467.50 |
$467.50 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$505.50 |
$505.50 |
$505.50 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$431.00 |
$431.00 |
$431.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$431.00 |
$431.00 |
$431.00 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$499.50 |
$499.50 |
$499.50 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$499.50 |
$499.50 |
$499.50 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$499.50 |
$499.50 |
$499.50 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$499.50 |
$499.50 |
$499.50 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$499.50 |
$499.50 |
$499.50 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$777.00 |
$777.00 |
$777.00 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$499.50 |
$499.50 |
$499.50 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$707.00 |
$707.00 |
$707.00 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$499.50 |
$499.50 |
$499.50 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$449.00 |
$449.00 |
$449.00 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$75.50 |
$75.50 |
$75.50 |
$73.50
|
|
Ghs low level laser therapy
|
$85.00 |
$85.00 |
$85.00 |
$85.00
|
|
Ghs mbp
|
$56.00 |
$56.00 |
$56.00 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$140.50 |
$140.50 |
$140.50 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$152.50 |
$152.50 |
$152.50 |
$228.45
|
|
Ghs moderate sedation ea addtl 15 min
|
$153.00 |
$153.00 |
$153.00 |
$150.00
|
|
Ghs musc test done w/n test comp
|
$235.00 |
$235.00 |
$235.00 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$204.00 |
$204.00 |
$204.00 |
$272.25
|
|
Ghs myocardial strain img spckl track
|
$139.00 |
$139.00 |
$139.00 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$751.50 |
$751.50 |
$751.50 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,323.34 |
$2,323.34 |
$2,323.34 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$1,161.67 |
$1,161.67 |
$1,161.67 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$1,159.00 |
$1,159.00 |
$1,159.00 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$1,118.50 |
$1,118.50 |
$1,118.50 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$1,325.00 |
$1,325.00 |
$1,325.00 |
$1,556.40
|
|
Ghs nerve block sciatic nerve
|
$949.50 |
$949.50 |
$949.50 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,044.50 |
$1,044.50 |
$1,044.50 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$505.50 |
$505.50 |
$505.50 |
$478.50
|
|
Ghs o2 uptake rest & indirect
|
$72.00 |
$72.00 |
$72.00 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$732.50 |
$732.50 |
$732.50 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$2,662.00 |
$2,662.00 |
$2,662.00 |
$2,194.40
|
|
Ghs optokenetic
|
$190.50 |
$190.50 |
$190.50 |
$211.20
|
|
Ghs oscillating trac
|
$383.50 |
$383.50 |
$383.50 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$49.00 |
$49.00 |
$49.00 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$56.00 |
$56.00 |
$56.00 |
$64.50
|
|
Ghs ot dds rom
|
$53.50 |
$53.50 |
$53.50 |
$69.00
|
|
Ghs ot group caregiver training
|
$25.00 |
$25.00 |
$25.00 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$72.50 |
$72.50 |
$72.50 |
$92.35
|
|
Ghs ot work hardening-additional hours
|
$30.00 |
$30.00 |
$30.00 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$1,150.50 |
$1,150.50 |
$1,150.50 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,293.00 |
$1,293.00 |
$1,293.00 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$994.50 |
$994.50 |
$994.50 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$278.50 |
$278.50 |
$278.50 |
$545.40
|
|
Ghs phenylketonurid
|
$175.00 |
$175.00 |
$175.00 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,040.50 |
$2,040.50 |
$2,040.50 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$765.50 |
$765.50 |
$765.50 |
$564.50
|
|
Ghs plt ct-manual
|
$36.00 |
$36.00 |
$36.00 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,734.00 |
$1,734.00 |
$1,734.00 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$40.50 |
$40.50 |
$40.50 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$7.00 |
$7.00 |
$7.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$81.00 |
$81.00 |
$81.00 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$94.50 |
$94.50 |
$94.50 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$8.00 |
$8.00 |
$8.00 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$126.50 |
$126.50 |
$126.50 |
$285.60
|
|
Ghs quinidine
|
$167.50 |
$167.50 |
$167.50 |
$83.20
|
|
Ghs refill of implantable pump
|
$381.50 |
$381.50 |
$381.50 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$185.00 |
$185.00 |
$185.00 |
$283.51
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$2,408.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$68.00 |
$68.00 |
$68.00 |
$99.00
|
|
Ghs sensitivity (per antimicro)
|
$51.00 |
$51.00 |
$51.00 |
$56.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$499.50 |
$499.50 |
$499.50 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$434.50 |
$434.50 |
$434.50 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$499.50 |
$499.50 |
$499.50 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$230.00 |
$230.00 |
$230.00 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$431.00 |
$431.00 |
$431.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$241.50 |
$241.50 |
$241.50 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$247.00 |
$247.00 |
$247.00 |
$584.00
|
|
Ghs sleep study unattended
|
$276.50 |
$276.50 |
$276.50 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$143.00 |
$143.00 |
$143.00 |
$161.76
|
|
Ghs sphenopalatine ganglion block
|
$443.00 |
$443.00 |
$443.00 |
$616.00
|
|
Ghs sp train/fitting sp device - kx
|
$147.50 |
$147.50 |
$147.50 |
$249.60
|
|
Ghs st - eval for alt comm
|
$74.50 |
$74.50 |
$74.50 |
$94.60
|
|
Ghs strapping shoulder - 29240
|
$93.00 |
$93.00 |
$93.00 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$214.50 |
$214.50 |
$214.50 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$524.50 |
$524.50 |
$524.50 |
$909.00
|
