|
Ghs block ilioinguinal/gentitofemoral
|
$1,305.09 |
$1,305.09 |
$1,305.09 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$6,133.26 |
$6,133.26 |
$6,133.26 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$1,589.67 |
$1,589.67 |
$1,589.67 |
$699.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$158.77 |
$158.77 |
$158.77 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$2,165.46 |
$2,165.46 |
$2,165.46 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$717.57 |
$717.57 |
$717.57 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,060.40 |
$2,060.40 |
$2,060.40 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$419.73 |
$419.73 |
$419.73 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$3,000.84 |
$3,000.84 |
$3,000.84 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,494.52 |
$3,494.52 |
$3,494.52 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$419.73 |
$419.73 |
$419.73 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$2,726.97 |
$2,726.97 |
$2,726.97 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,607.12 |
$2,607.12 |
$2,607.12 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$1,915.56 |
$1,915.56 |
$1,915.56 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$2,165.46 |
$2,165.46 |
$2,165.46 |
$547.94
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,016.94 |
$1,016.94 |
$1,016.94 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$1,016.94 |
$1,016.94 |
$1,016.94 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$1,016.94 |
$1,016.94 |
$1,016.94 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$1,651.89 |
$1,651.89 |
$1,651.89 |
$368.16
|
|
Ghs cricothyroidotomy
|
$782.85 |
$782.85 |
$782.85 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$764.49 |
$764.49 |
$764.49 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$235.11 |
$235.11 |
$235.11 |
$152.54
|
|
Ghs diphtheria toxoid ab igg
|
$46.50 |
$46.50 |
$46.50 |
$72.05
|
|
Ghs dislocation elbow closed treatment
|
$2,165.46 |
$2,165.46 |
$2,165.46 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,660.05 |
$1,660.05 |
$1,660.05 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$486.03 |
$486.03 |
$486.03 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$986.34 |
$986.34 |
$986.34 |
$1,439.40
|
|
Ghs excision ingrown nail
|
$694.11 |
$694.11 |
$694.11 |
$457.60
|
|
Ghs eye exam
|
$320.79 |
$320.79 |
$320.79 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$332.52 |
$332.52 |
$332.52 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$5,230.05 |
$5,230.05 |
$5,230.05 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$1,794.93
|
|
Ghs gastric intub aspiration lavage
|
$567.12 |
$567.12 |
$567.12 |
$403.20
|
|
Ghs hcv amplificaiton
|
$30.09 |
$30.09 |
$30.09 |
$187.00
|
|
Ghs histoplasma antigen
|
$58.97 |
$58.97 |
$58.97 |
$137.80
|
|
Ghs HIV antibody
|
$270.81 |
$270.81 |
$270.81 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,471.17 |
$4,471.17 |
$4,471.17 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$5,102.04 |
$5,102.04 |
$5,102.04 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$2,789.19 |
$2,789.19 |
$2,789.19 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$962.88 |
$962.88 |
$962.88 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$534.99 |
$534.99 |
$534.99 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$415.14 |
$415.14 |
$415.14 |
$293.58
|
|
Ghs inf midline insertion
|
$723.18 |
$723.18 |
$723.18 |
$1,234.20
|
|
Ghs inhibitor screen
|
$103.04 |
$103.04 |
$103.04 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$668.61 |
$668.61 |
$668.61 |
$300.30
|
|
Ghs inj tendon origin/insertion
|
$550.80 |
$550.80 |
$550.80 |
$431.07
|
|
Ghs insertion of needle - bone
|
$393.21 |
$393.21 |
$393.21 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,494.52 |
$3,494.52 |
$3,494.52 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$195.84 |
$195.84 |
$195.84 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$818.04 |
$818.04 |
$818.04 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$780.81 |
$780.81 |
$780.81 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$622.20 |
$622.20 |
$622.20 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$3,494.52 |
$3,494.52 |
$3,494.52 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$2,754.51 |
$2,754.51 |
$2,754.51 |
$1,064.98
|
|
Ghs mbp
|
$60.51 |
$60.51 |
$60.51 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$514.59 |
$514.59 |
$514.59 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$514.59 |
$514.59 |
$514.59 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$514.59 |
$514.59 |
$514.59 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$86.70 |
$86.70 |
$86.70 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$86.70 |
$86.70 |
$86.70 |
$140.00
|
|
Ghs nailbed repair/nail removal
|
$1,727.88 |
$1,727.88 |
$1,727.88 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,725.84 |
$1,725.84 |
$1,725.84 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,360.68 |
$1,360.68 |
$1,360.68 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$1,725.84 |
$1,725.84 |
$1,725.84 |
$1,541.40
|
|
Ghs nerve block celiac plexus
|
$1,725.84 |
$1,725.84 |
$1,725.84 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$1,725.84 |
$1,725.84 |
$1,725.84 |
$1,607.45
|
|
Ghs nerve block sciatic nerve
|
$1,360.68 |
$1,360.68 |
$1,360.68 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$1,069.98 |
$1,069.98 |
$1,069.98 |
$468.75
|
|
Ghs ob unlisted IV or art inj or infusion
|
$86.19 |
$86.19 |
$86.19 |
$86.19
|
|
Ghs opcc repair cvp without subq port
|
$1,171.47 |
$1,171.47 |
$1,171.47 |
$1,302.54
|
|
Ghs ot sensory integrative tech/15min
|
$130.56 |
$130.56 |
$130.56 |
$101.05
|
|
Ghs pacing - transcutaneous
|
$4,208.52 |
$4,208.52 |
$4,208.52 |
$868.68
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$3,615.90 |
$3,615.90 |
$3,615.90 |
$1,003.00
|
|
Ghs peritonsillar abscess i andd
|
$664.02 |
$664.02 |
$664.02 |
$694.20
|
|
Ghs picc line insert < 5
|
$3,012.57 |
$3,012.57 |
$3,012.57 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$840.48 |
$840.48 |
$840.48 |
$662.20
|
|
Ghs pr without cont pulse ox
|
$532.95 |
$532.95 |
$532.95 |
$156.70
|
|
Ghs removal intranasal foreign body
|
$225.93 |
$225.93 |
$225.93 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$621.18 |
$621.18 |
$621.18 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$4,843.47 |
$4,843.47 |
$4,843.47 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$30.09 |
$30.09 |
$30.09 |
$101.15
|
|
Ghs sedimentation rate
|
$87.72 |
$87.72 |
$87.72 |
$45.50
|