|
Ghs clsd red med malleolus fx without manip
|
$604.50 |
$604.50 |
$604.50 |
|
|
Ghs clsd red med malleolus fx w manip
|
$1,896.05 |
$1,896.05 |
$1,896.05 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$546.00 |
$546.00 |
$546.00 |
|
|
Ghs community re-entry 15 minutes
|
$58.50 |
$59.80 |
$65.65 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$122.85 |
$122.85 |
$122.85 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$105.30 |
$105.30 |
$126.10 |
|
|
Ghs corneal fb without slit lamp bilat
|
$178.10 |
$178.10 |
$204.10 |
|
|
Ghs corneal fb with slit lamp bilat
|
$160.55 |
$160.55 |
$188.50 |
|
|
Ghs cricothyroidotomy
|
$704.60 |
$704.60 |
$704.60 |
|
|
Ghs cutdown placement age 1 and over
|
$163.80 |
$163.80 |
$163.80 |
|
|
Ghs diphtheria toxoid ab igg
|
$102.05 |
$102.05 |
$102.05 |
|
|
Ghs dislocation elbow closed treatment
|
$905.45 |
$1,027.65 |
$1,027.65 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$340.60 |
$340.60 |
$340.60 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$441.35 |
$441.35 |
$441.35 |
|
|
Ghs excision ingrown nail
|
$219.05 |
$221.65 |
$221.65 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$338.65 |
$338.65 |
$338.65 |
|
|
Ghs fat & muscle
|
$31.85 |
$31.85 |
$31.85 |
|
|
Ghs fb removal foot - deep - left
|
$850.20 |
$850.20 |
$933.40 |
|
|
Ghs fb removal from muscle - complicated
|
$811.85 |
$811.85 |
$833.95 |
|
|
Ghs fb removal - incisional
|
$514.80 |
$514.80 |
$514.80 |
|
|
Ghs fb removal - non-incisional
|
$414.05 |
$414.05 |
$414.05 |
|
|
Ghs febrile agglutinns(mayo)
|
$52.65 |
$52.65 |
$74.75 |
|
|
Ghs fish cytogen
|
$228.15 |
$270.40 |
$270.40 |
|
|
Ghs fish hybrid in situ 100-300
|
$98.80 |
$117.65 |
$141.70 |
|
|
Ghs flow volume loop
|
$207.35 |
$207.35 |
$245.05 |
|
|
Ghs gastric intub aspiration lavage
|
$262.60 |
$276.90 |
$2,282.91 |
|
|
Ghs hcv amplificaiton
|
$196.30 |
$203.45 |
$203.45 |
|
|
Ghs hgb stability-thal
|
$79.95 |
$82.55 |
$82.55 |
|
|
Ghs histoplasma antigen
|
$137.80 |
$137.80 |
$163.15 |
|
|
Ghs HIV antibody
|
$111.15 |
$111.15 |
$130.65 |
|
|
Ghs hla-dr/dq, multiple antigens
|
$308.75 |
$308.75 |
$308.75 |
|
|
Ghs i and d perirectal abscess 46040
|
$914.55 |
$914.55 |
$953.55 |
|
|
Ghs i and d pilonidal cyst complex
|
$469.95 |
$480.35 |
$480.35 |
|
|
Ghs i and d pilonidal cyst simple
|
$260.65 |
$342.55 |
$342.55 |
|
|
Ghs immun0electrophoresis
|
$50.70 |
$50.70 |
$116.35 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$315.25 |
$315.25 |
$404.30 |
|
|
Ghs inf midline insertion
|
$16,059.08 |
$16,059.08 |
$16,059.08 |
|
|
Ghs inhibitor screen
|
$193.70 |
$222.95 |
$263.25 |
|
|
Ghs inj transforaminal cerv single bil
|
$1,440.93 |
$1,440.93 |
$1,440.93 |
|
|
Ghs insertion of needle - bone
|
$252.20 |
$252.20 |
$302.25 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$674.05 |
$674.05 |
$3,686.15 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$777.40 |
$777.40 |
$820.30 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$936.65 |
$936.65 |
$957.45 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$438.10 |
$438.10 |
$460.85 |
|
|
Ghs IV inf sq injection, on-body injector
|
$105.30 |
$105.30 |
$105.30 |
|
|
Ghs IV thrombolytics - cerebral
|
$657.15 |
$657.15 |
$657.15 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$349.70 |
$349.70 |
$382.85 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$322.40 |
$322.40 |
$4,347.44 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$358.80 |
$404.95 |
$3,853.13 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$434.20 |
$434.20 |
$505.70 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$486.20 |
$518.70 |
$3,832.50 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$449.15 |
$449.15 |
$4,150.89 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$587.60 |
$587.60 |
$707.20 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$570.70 |
$570.70 |
$6,135.22 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$623.35 |
$623.35 |
$638.95 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$813.80 |
$813.80 |
$813.80 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$677.95 |
$677.95 |
$677.95 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$873.60 |
$873.60 |
$904.15 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$702.65 |
$702.65 |
$702.65 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$709.80 |
$709.80 |
$913.90 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$808.60 |
$808.60 |
$808.60 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$975.65 |
$975.65 |
$975.65 |
|
|
Ghs mbp
|
$61.75 |
$84.50 |
$84.50 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$104.65 |
$124.15 |
$156.65 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$256.10 |
$256.10 |
$256.10 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$202.80 |
$202.80 |
$202.80 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$139.75 |
$139.75 |
$174.20 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$117.65 |
$117.65 |
$117.65 |
|
|
Ghs musc test done w/n test comp
|
$98.80 |
$98.80 |
$98.80 |
|
|
Ghs musc tst done w/nerv tst lim
|
$87.75 |
$87.75 |
$87.75 |
|
|
Ghs nailbed repair/nail removal
|
$378.30 |
$444.60 |
$585.65 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,465.78 |
$1,465.78 |
$1,465.78 |
|
|
Ghs nerve blk intercostal, single level
|
$501.15 |
$501.15 |
$1,461.18 |
|
|
Ghs nerve block axillary nerve
|
$4,065.20 |
$4,065.20 |
$4,065.20 |
|
|
Ghs nerve block brachial plexus
|
$7,863.07 |
$7,863.07 |
$7,863.07 |
|
|
Ghs nerve block celiac plexus
|
$1,532.77 |
$1,532.77 |
$1,532.77 |
|
|
Ghs nerve block interscaline
|
$2,107.48 |
$2,107.48 |
$2,107.48 |
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,123.86 |
$2,123.86 |
$2,123.86 |
|
|
Ghs nerve block sciatic nerve
|
$6,840.03 |
$6,840.03 |
$10,210.30 |
|
|
Ghs o2 saturation
|
$59.15 |
$59.15 |
$63.70 |
|
|
Ghs ot dds rom
|
$49.40 |
$51.35 |
$51.35 |
|
|
Ghs ot prosthetic training/15 min
|
$60.45 |
$60.45 |
$94.25 |
|
|
Ghs ot sensory integrative tech/15min
|
$52.65 |
$62.40 |
$79.95 |
|
|
Ghs ot work hardening-additional hours
|
$100.10 |
$100.10 |
$102.70 |
|
|
Ghs pacing - transcutaneous
|
$306.15 |
$306.15 |
$761.15 |
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,175.32 |
$1,175.32 |
$1,175.32 |
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,197.24 |
$1,197.24 |
$1,197.24 |
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$53.95 |
$53.95 |
$53.95 |
|
|
Ghs peritonsillar abscess i andd
|
$324.35 |
$324.35 |
$6,089.90 |
|
|
Ghs phenylketonurid
|
$51.35 |
$53.30 |
$63.05 |
|
|
Ghs picc line insert < 5
|
$1,065.35 |
$1,065.35 |
$1,257.75 |
|
|
Ghs plngl fx pm cl
|
$654.55 |
$654.55 |
$731.25 |
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,480.40 |
$2,546.70 |
$3,495.70 |
|
|
Ghs ppd (tb intradermal)
|
$26.00 |
$32.50 |
$38.35 |
|
|
Ghs prostatic acid phosphatase (mayo)
|
$37.05 |
$37.05 |
$51.35 |
|
|
Ghs protein, misc fluid
|
$31.20 |
$31.20 |
$31.20 |
|
|
Ghs protoporphyrins fract
|
$70.20 |
$70.85 |
$83.20 |
|
|
Ghs pr without cont pulse ox
|
$252.85 |
$252.85 |
$261.30 |
|
|
Ghs pt - work hardening/int 2hrs
|
$213.85 |
$213.85 |
$219.70 |
|
|
Ghs quinidine
|
$65.65 |
$65.65 |
$68.25 |
|
