|
G-esoph reflx tst w/electrod
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$1,500.00
|
|
Gfrg autol fat lipo ea addl
|
$5,548.40 |
$5,548.40 |
$5,548.40 |
$5,825.30
|
|
Ghs abscess perianal iandd
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$4,529.20 |
$4,529.20 |
$4,529.20 |
$3,515.40
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$143.00 |
$143.00 |
$143.00 |
$100.30
|
|
Ghs analysis neurostim without reprogramming
|
$329.16 |
$329.16 |
$329.16 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$85.80 |
$85.80 |
$85.80 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$858.00 |
$858.00 |
$858.00 |
$570.00
|
|
Ghs bladder cath - complex-foley
|
$369.20 |
$369.20 |
$369.20 |
$343.68
|
|
Ghs bleeding time (ivy)
|
$47.84 |
$47.84 |
$47.84 |
$64.08
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,173.60 |
$2,173.60 |
$2,173.60 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$535.60 |
$535.60 |
$535.60 |
$594.55
|
|
Ghs chemo >8 hrs
|
$728.00 |
$728.00 |
$728.00 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$728.00 |
$728.00 |
$728.00 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$447.20 |
$447.20 |
$447.20 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$81.12 |
$81.12 |
$81.12 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$452.40 |
$452.40 |
$452.40 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$624.00 |
$624.00 |
$624.00 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,783.60 |
$1,783.60 |
$1,783.60 |
$1,554.70
|
|
Ghs closed tx radiocarpal disloc w manip
|
$728.00 |
$728.00 |
$728.00 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,568.80 |
$2,568.80 |
$2,568.80 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,577.60 |
$3,577.60 |
$3,577.60 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$535.60 |
$535.60 |
$535.60 |
$494.40
|
|
Ghs clsd red med malleolus fx w manip
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,286.40 |
$3,286.40 |
$3,286.40 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$806.00 |
$806.00 |
$806.00 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$535.60 |
$535.60 |
$535.60 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$109.20 |
$109.20 |
$109.20 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$561.60 |
$561.60 |
$561.60 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$296.40 |
$296.40 |
$296.40 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$561.60 |
$561.60 |
$561.60 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$301.60 |
$301.60 |
$301.60 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,103.75
|
|
Ghs cutdown placement age 1 and over
|
$863.20 |
$863.20 |
$863.20 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$202.80 |
$202.80 |
$202.80 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$102.96 |
$102.96 |
$102.96 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$551.20 |
$551.20 |
$551.20 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,773.20 |
$1,773.20 |
$1,773.20 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$499.20 |
$499.20 |
$499.20 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$2,007.20 |
$2,007.20 |
$2,007.20 |
$560.00
|
|
Ghs elect vertical elct
|
$125.32 |
$125.32 |
$125.32 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$488.80 |
$488.80 |
$488.80 |
$467.00
|
|
Ghs excision ingrown nail
|
$587.60 |
$587.60 |
$587.60 |
$442.61
|
|
Ghs eye exam
|
$292.24 |
$292.24 |
$292.24 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$826.80 |
$826.80 |
$826.80 |
$501.04
|
|
Ghs fat & muscle
|
$44.20 |
$44.20 |
$44.20 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$2,723.00
|
|
Ghs fb removal - incisional
|
$3,322.80 |
$3,322.80 |
$3,322.80 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$2,168.40 |
$2,168.40 |
$2,168.40 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$56.68 |
$56.68 |
$56.68 |
$48.10
|
|
Ghs fish cytogen
|
$181.48 |
$181.48 |
$181.48 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$228.80 |
$228.80 |
$228.80 |
$225.00
|
|
Ghs flow volume loop
|
$319.28 |
$319.28 |
$319.28 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$582.40 |
$582.40 |
$582.40 |
$365.40
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$139.36 |
$139.36 |
$139.36 |
$64.28
|
|
Ghs hepatitis c virus (hcv riba)
|
$199.68 |
$199.68 |
$199.68 |
$144.60
|
|
Ghs hgb stability-thal
|
$75.40 |
$75.40 |
$75.40 |
$89.91
|
|
Ghs histoplasma antigen
|
$74.88 |
$74.88 |
$74.88 |
$141.00
|
|
Ghs HIV antibody
|
$110.76 |
$110.76 |
$110.76 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,863.60 |
$3,863.60 |
$3,863.60 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,788.80 |
$1,788.80 |
$1,788.80 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$572.00 |
$572.00 |
$572.00 |
$520.80
|
|
Ghs indirect laryngoscopy/w fb removal
|
$358.80 |
$358.80 |
$358.80 |
$350.90
|
|
Ghs inf midline insertion
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$191.88 |
$191.88 |
$191.88 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$260.00 |
$260.00 |
$260.00 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$2,054.00 |
$2,054.00 |
$2,054.00 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,710.80 |
$1,710.80 |
$1,710.80 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$540.80 |
$540.80 |
$540.80 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,814.80 |
$1,814.80 |
$1,814.80 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$530.40 |
$530.40 |
$530.40 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,190.80 |
$1,190.80 |
$1,190.80 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,414.40 |
$1,414.40 |
$1,414.40 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,442.40 |
$3,442.40 |
$3,442.40 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$306.80 |
$306.80 |
$306.80 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$551.20 |
$551.20 |
$551.20 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$733.20 |
$733.20 |
$733.20 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,081.60 |
$1,081.60 |
$1,081.60 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$790.40 |
$790.40 |
$790.40 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$722.80 |
$722.80 |
$722.80 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$722.80 |
$722.80 |
$722.80 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$878.80 |
$878.80 |
$878.80 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$769.60 |
$769.60 |
$769.60 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,112.80 |
$1,112.80 |
$1,112.80 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,138.80 |
$1,138.80 |
$1,138.80 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$878.80 |
$878.80 |
$878.80 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,138.80 |
$1,138.80 |
$1,138.80 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$920.40 |
$920.40 |
$920.40 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$930.80 |
$930.80 |
$930.80 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$3,302.00 |
$3,302.00 |
$3,302.00 |
$1,897.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,024.40 |
$1,024.40 |
$1,024.40 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$70.72 |
$70.72 |
$70.72 |
$73.50
|
|
Ghs low level laser therapy
|
$117.00 |
$117.00 |
$117.00 |
$85.00
|
