|
Ghs hla-dr/dq, multiple antigens
|
$284.50 |
$284.50 |
$516.50 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$224.00 |
$2,417.00 |
$7,407.50 |
|
|
Ghs i and d perirectal abscess 46040
|
$1,326.50 |
$2,547.00 |
$4,752.00 |
|
|
Ghs i and d pilonidal cyst complex
|
$190.50 |
$1,058.50 |
$6,153.50 |
|
|
Ghs i and d pilonidal cyst simple
|
$234.00 |
$1,091.00 |
$4,807.50 |
|
|
Ghs immun0electrophoresis
|
$51.00 |
$113.00 |
$121.00 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$239.50 |
$470.50 |
$6,480.00 |
|
|
Ghs inf midline insertion
|
$94.00 |
$389.50 |
$6,323.50 |
|
|
Ghs inhibitor screen
|
$72.00 |
$308.00 |
$359.40 |
|
|
Ghs init tx 1st degree burn
|
$48.50 |
$258.00 |
$554.00 |
|
|
Ghs inj neurolytic intercostal nerve
|
$185.00 |
$847.50 |
$5,275.50 |
|
|
Ghs inj neurolytic other perph nerve
|
$124.50 |
$1,342.00 |
$8,676.00 |
|
|
Ghs inj tendon origin/insertion
|
$49.80 |
$430.50 |
$1,897.00 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$61.00 |
$97.60 |
$1,445.50 |
|
|
Ghs inj transforaminal cerv single bil
|
$131.50 |
$1,001.50 |
$3,567.00 |
|
|
Ghs insertion of needle - bone
|
$428.00 |
$522.00 |
$684.80 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$253.50 |
$834.17 |
$8,540.50 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$298.00 |
$309.00 |
$7,759.50 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$346.00 |
$829.80 |
$6,063.50 |
|
|
Ghs intro needle/intracath vein - 36000
|
$10.00 |
$107.00 |
$18,855.00 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$142.00 |
$366.00 |
$455.00 |
|
|
Ghs IV inf sq injection, on-body injector
|
$31.00 |
$86.50 |
$186.50 |
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$616.50 |
$634.50 |
$969.00 |
|
|
Ghs IV infusion casirivimab/imdevimab
|
$419.50 |
$538.00 |
$656.50 |
|
|
Ghs IV infusion sotrovimab
|
$732.00 |
$843.00 |
$1,237.00 |
|
|
Ghs IV thrombolytics - cerebral
|
$53.50 |
$484.50 |
$791.50 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$160.50 |
$507.50 |
$987.00 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$389.50 |
$848.00 |
$3,026.50 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$339.00 |
$838.00 |
$1,839.58 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$304.80 |
$614.00 |
$6,351.00 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$206.40 |
$593.00 |
$9,073.50 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$304.80 |
$593.00 |
$5,640.00 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$210.00 |
$567.50 |
$1,774.17 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$202.00 |
$719.50 |
$6,632.13 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$215.00 |
$974.50 |
$6,056.50 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$358.40 |
$585.00 |
$10,003.50 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$301.00 |
$849.50 |
$6,594.17 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$315.50 |
$553.00 |
$1,036.50 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$357.00 |
$708.00 |
$944.00 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$449.00 |
$467.50 |
$539.00 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$44.50 |
$70.50 |
$188.50 |
|
|
Ghs low level laser therapy
|
$31.20 |
$85.00 |
$94.50 |
|
|
Ghs mbp
|
$56.00 |
$56.00 |
$110.00 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$24.00 |
$38.40 |
$301.20 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$87.50 |
$96.00 |
$236.50 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$77.50 |
$98.00 |
$301.20 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$11.50 |
$104.00 |
$1,467.75 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$57.00 |
$65.00 |
$240.00 |
|
|
Ghs musc test done w/n test comp
|
$50.00 |
$248.50 |
$586.00 |
|
|
Ghs musc tst done w/nerv tst lim
|
$20.00 |
$194.50 |
$498.00 |
|
|
Ghs musc tst done w/n tst non ext
|
$201.50 |
$249.00 |
$365.50 |
|
|
Ghs myocardial strain img spckl track
|
$104.50 |
$139.00 |
$161.50 |
|
|
Ghs nailbed repair/nail removal
|
$115.50 |
$946.50 |
$9,998.50 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$25.00 |
$1,353.50 |
$5,350.50 |
|
|
Ghs nerve blk intercostal, single level
|
$59.50 |
$1,121.00 |
$4,555.00 |
|
|
Ghs nerve block axillary nerve
|
$67.50 |
$1,017.00 |
$3,781.00 |
|
|
Ghs nerve block brachial plexus
|
$76.00 |
$1,706.50 |
$11,513.00 |
|
|
Ghs nerve block celiac plexus
|
$96.00 |
$1,001.50 |
$2,652.50 |
|
|
Ghs nerve block interscaline
|
$78.00 |
$124.80 |
$2,629.00 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$85.50 |
$1,001.50 |
$2,768.00 |
|
|
Ghs nerve block sciatic nerve
|
$118.00 |
$1,129.00 |
$9,641.83 |
|
|
Ghs nerve block suprascapular
|
$676.50 |
$977.50 |
$2,752.00 |
|
|
Ghs ng placement w fluoro guidance
|
$40.00 |
$573.50 |
$4,720.50 |
|
|
Ghs o2 saturation
|
$41.00 |
$49.00 |
$135.00 |
|
|
Ghs o2 uptake rest & indirect
|
$72.00 |
$72.00 |
$688.50 |
|
|
Ghs opcc repair cvp without subq port
|
$726.50 |
$732.50 |
$1,149.00 |
|
|
Ghs opcc repair cvp w subq port
|
$191.00 |
$504.00 |
$5,777.00 |
|
|
Ghs optokenetic
|
$123.00 |
$203.50 |
$219.00 |
|
|
Ghs oscillating trac
|
$150.00 |
$409.50 |
$430.00 |
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$22.50 |
$30.00 |
$74.50 |
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$25.50 |
$34.00 |
$92.50 |
|
|
Ghs ot dds rom
|
$47.00 |
$75.00 |
$235.50 |
|
|
Ghs ot group caregiver training
|
$20.50 |
$25.00 |
$32.80 |
|
|
Ghs ot prosthetic training/15 min
|
$61.50 |
$72.50 |
$168.00 |
|
|
Ghs ot sensory integrative tech/15min
|
$50.50 |
$81.50 |
$163.20 |
|
|
Ghs ot work hardening-additional hours
|
$30.00 |
$98.00 |
$125.50 |
|
|
Ghs pacing - transcutaneous
|
$791.50 |
$1,179.00 |
$3,434.50 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$58.50 |
$438.50 |
$5,322.00 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$51.50 |
$438.50 |
$4,437.00 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$24.50 |
$25.50 |
$99.50 |
|
|
Ghs peritonsillar abscess i andd
|
$141.50 |
$330.50 |
$3,942.00 |
|
|
Ghs phenylketonurid
|
$175.00 |
$175.00 |
$280.00 |
|
|
Ghs picc line insert < 5
|
$1,802.50 |
$2,040.50 |
$11,135.50 |
|
|
Ghs plngl fx pm cl
|
$315.00 |
$446.50 |
$5,392.01 |
|
|
Ghs plt ct-manual
|
$11.20 |
$11.20 |
$36.00 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,734.00 |
$2,694.50 |
$3,604.00 |
|
|
Ghs pos nystagmus
|
$19.50 |
$110.00 |
$145.00 |
|
|
Ghs ppd (tb intradermal)
|
$8.00 |
$28.50 |
$40.50 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$7.00 |
$7.00 |
$61.50 |
|
|
Ghs protoporphyrins fract
|
$8.00 |
$8.00 |
$126.50 |
|
|
Ghs pr without cont pulse ox
|
$76.50 |
$110.50 |
$177.00 |
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$8.00 |
$8.00 |
$12.00 |
|
|
Ghs pt - work hardening/int 2hrs
|
$46.50 |
$163.20 |
$219.00 |
|
|
Ghs quinidine
|
$167.50 |
$167.50 |
$268.00 |
|
|
Ghs refill of implantable pump
|
$316.50 |
$350.00 |
$567.00 |
|
|
Ghs removal intranasal foreign body
|
$156.00 |
$197.00 |
$1,901.50 |
|
|
Ghs removal pharyngeal foreign body
|
$131.50 |
$131.50 |
$622.50 |
|
|
Ghs repair extensor tendon hand, ea tendon
|
$638.50 |
$1,764.00 |
$10,682.50 |
|
|
Ghs repair tendon ext forearm/wrist ea
|
$522.50 |
$524.50 |
$9,263.34 |
|
|
Ghs respiratory syncytical virus igg/m
|
$33.50 |
$62.00 |
$85.00 |
|
