|
Ghs fb removal - incisional
|
$3,562.68 |
$3,562.68 |
$3,562.68 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$3,762.00 |
$3,762.00 |
$3,762.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$38.28 |
$38.28 |
$38.28 |
$48.10
|
|
Ghs fish cytogen
|
$357.06 |
$357.06 |
$357.06 |
$173.26
|
|
Ghs fish hybrid in situ 100-300
|
$260.04 |
$260.04 |
$260.04 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$583.44 |
$583.44 |
$583.44 |
$368.50
|
|
Ghs hepatitis c virus (hcv riba)
|
$144.54 |
$144.54 |
$144.54 |
$141.60
|
|
Ghs hgb stability-thal
|
$97.02 |
$97.02 |
$97.02 |
$87.84
|
|
Ghs histoplasma antigen
|
$129.36 |
$129.36 |
$129.36 |
$138.00
|
|
Ghs HIV antibody
|
$89.10 |
$89.10 |
$89.10 |
$90.14
|
|
Ghs i and d perirectal abscess 46040
|
$2,471.04 |
$2,471.04 |
$2,471.04 |
$2,637.00
|
|
Ghs i and d pilonidal cyst simple
|
$706.86 |
$706.86 |
$706.86 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$434.28 |
$434.28 |
$434.28 |
$525.60
|
|
Ghs inhibitor screen
|
$441.54 |
$441.54 |
$441.54 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$229.68 |
$229.68 |
$229.68 |
$275.80
|
|
Ghs inj neurolytic other perph nerve
|
$2,125.20 |
$2,125.20 |
$2,125.20 |
$1,710.80
|
|
Ghs inj transforaminal cerv ea add bil
|
$721.38 |
$721.38 |
$721.38 |
$1,105.65
|
|
Ghs inj transforaminal cerv single bil
|
$1,413.72 |
$1,413.72 |
$1,413.72 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$533.94 |
$533.94 |
$533.94 |
$421.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$840.18 |
$840.18 |
$840.18 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$898.92 |
$898.92 |
$898.92 |
$1,051.20
|
|
Ghs intro needle/intracath vein - 36000
|
$97.02 |
$97.02 |
$97.02 |
$211.20
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$606.54 |
$606.54 |
$606.54 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$651.42 |
$651.42 |
$651.42 |
$573.86
|
|
Ghs IV infusion sotrovimab
|
$904.86 |
$904.86 |
$904.86 |
$563.40
|
|
Ghs IV thrombolytics - cerebral
|
$528.00 |
$528.00 |
$528.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$513.48 |
$513.48 |
$513.48 |
$505.45
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$642.18 |
$642.18 |
$642.18 |
$602.70
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$583.44 |
$583.44 |
$583.44 |
$579.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$715.44 |
$715.44 |
$715.44 |
$614.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$783.42 |
$783.42 |
$783.42 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$642.18 |
$642.18 |
$642.18 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$792.66 |
$792.66 |
$792.66 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$770.22 |
$770.22 |
$770.22 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$711.48 |
$711.48 |
$711.48 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$809.82 |
$809.82 |
$809.82 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$840.18 |
$840.18 |
$840.18 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$865.26 |
$865.26 |
$865.26 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$898.92 |
$898.92 |
$898.92 |
$1,033.85
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$898.92 |
$898.92 |
$898.92 |
$929.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$123.42 |
$123.42 |
$123.42 |
$75.00
|
|
Ghs mbp
|
$89.76 |
$89.76 |
$89.76 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$351.12 |
$351.12 |
$351.12 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$351.12 |
$351.12 |
$351.12 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$351.12 |
$351.12 |
$351.12 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$74.58 |
$74.58 |
$74.58 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$74.58 |
$74.58 |
$74.58 |
$142.40
|
|
Ghs nailbed repair/nail removal
|
$657.36 |
$657.36 |
$657.36 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,028.28 |
$1,028.28 |
$1,028.28 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$799.92 |
$799.92 |
$799.92 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$1,028.28 |
$1,028.28 |
$1,028.28 |
$1,554.60
|
|
Ghs nerve block brachial plexus
|
$949.74 |
$949.74 |
$949.74 |
$1,710.80
|
|
Ghs nerve block interscaline
|
$1,314.72 |
$1,314.72 |
$1,314.72 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,196.58 |
$1,196.58 |
$1,196.58 |
$1,709.95
|
|
Ghs nerve block sciatic nerve
|
$1,482.36 |
$1,482.36 |
$1,482.36 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,696.20 |
$1,696.20 |
$1,696.20 |
$1,159.80
|
|
Ghs ng placement w fluoro guidance
|
$460.68 |
$460.68 |
$460.68 |
$485.00
|
|
Ghs o2 saturation
|
$121.44 |
$121.44 |
$121.44 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$1,656.60 |
$1,656.60 |
$1,656.60 |
$1,236.67
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$66.00 |
$66.00 |
$66.00 |
$58.80
|
|
Ghs ot group caregiver training
|
$43.56 |
$43.56 |
$43.56 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$69.96 |
$69.96 |
$69.96 |
$91.50
|
|
Ghs ot sensory integrative tech/15min
|
$67.32 |
$67.32 |
$67.32 |
$96.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$369.60 |
$369.60 |
$369.60 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$395.34 |
$395.34 |
$395.34 |
$930.00
|
|
Ghs peritonsillar abscess i andd
|
$583.44 |
$583.44 |
$583.44 |
$546.36
|
|
Ghs picc line insert < 5
|
$1,794.54 |
$1,794.54 |
$1,794.54 |
$2,005.58
|
|
Ghs plngl fx pm cl
|
$701.58 |
$701.58 |
$701.58 |
$586.00
|
|
Ghs ppd (tb intradermal)
|
$92.40 |
$92.40 |
$92.40 |
$37.70
|
|
Ghs protoporphyrins fract
|
$72.60 |
$72.60 |
$72.60 |
$63.90
|
|
Ghs pr without cont pulse ox
|
$137.94 |
$137.94 |
$137.94 |
$147.69
|
|
Ghs quinidine
|
$88.44 |
$88.44 |
$88.44 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$345.84 |
$345.84 |
$345.84 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$460.68 |
$460.68 |
$460.68 |
$445.45
|
|
Ghs reticulocyte count
|
$129.36 |
$129.36 |
$129.36 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$99.00 |
$99.00 |
$99.00 |
$98.40
|
|
Ghs semen analysis, post-vas
|
$66.66 |
$66.66 |
$66.66 |
$32.37
|
|
Ghs sensitivity (per antimicro)
|
$67.32 |
$67.32 |
$67.32 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$658.68 |
$658.68 |
$658.68 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$731.28 |
$731.28 |
$731.28 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$701.58 |
$701.58 |
$701.58 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$751.08 |
$751.08 |
$751.08 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$701.58 |
$701.58 |
$701.58 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$602.58 |
$602.58 |
$602.58 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$721.38 |
$721.38 |
$721.38 |
$492.00
|
|
Ghs simple repair over 30 cm - 12007
|
$721.38 |
$721.38 |
$721.38 |
$584.00
|
|
Ghs strapping shoulder - 29240
|
$246.18 |
$246.18 |
$246.18 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$251.46 |
$251.46 |
$251.46 |
$297.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,186.68 |
$1,186.68 |
$1,186.68 |
$897.96
|
|
Ghs tx distal phalangeal fx with manipulation
|
$701.58 |
$701.58 |
$701.58 |
$535.60
|
|
Ghs urine, hydroxproline total
|
$144.54 |
$144.54 |
$144.54 |
$107.99
|
|
Ghs urine, porphyrins quant
|
$134.64 |
$134.64 |
$134.64 |
$74.20
|
|
Ghs vaginal delivery only
|
$7,298.28 |
$7,298.28 |
$7,298.28 |
$3,225.60
|
|
Ghs veeg 12-26 hr intmt mont
|
$4,775.10 |
$4,775.10 |
$4,775.10 |
$1,932.00
|
|
Ghs windowing of cast
|
$655.38 |
$655.38 |
$655.38 |
$216.80
|
|
Giardia lamblia antibody
|
$89.10 |
$89.10 |
$89.10 |
$83.44
|
|
Gi inhouse confirmation
|
$106.26 |
$106.26 |
$106.26 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$875.95 |
$875.95 |
$875.95 |
$601.79
|
|
Glucagon plasma - sendout
|
$50.16 |
$50.16 |
$50.16 |
$63.00
|
|
Glucose 1 hr post dose
|
$72.60 |
$72.60 |
$72.60 |
$49.20
|
