|
Ghs closd tx interphalang jt disloc w/ma
|
$749.52 |
$749.52 |
$749.52 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,617.33 |
$1,617.33 |
$1,617.33 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$19,699.78 |
$19,699.78 |
$19,699.78 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,602.77 |
$1,602.77 |
$1,602.77 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$2,030.33 |
$2,030.33 |
$2,030.33 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$245.45 |
$245.45 |
$261.75 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,138.95 |
$1,138.95 |
$1,138.95 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$1,138.95 |
$1,138.95 |
$1,138.95 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$1,138.95 |
$1,138.95 |
$1,138.95 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$1,206.30 |
$1,206.30 |
$1,206.30 |
$368.16
|
|
Ghs cricothyroidotomy
|
$1,700.53 |
$1,700.53 |
$1,700.53 |
$1,207.80
|
|
Ghs diphtheria toxoid ab igg
|
$731.00 |
$731.00 |
$731.00 |
$72.05
|
|
Ghs dislocation elbow closed treatment
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$4,927.90 |
$4,927.90 |
$4,927.90 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$780.71 |
$780.71 |
$780.71 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$3,209.75 |
$3,209.75 |
$3,209.75 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$759.21 |
$951.00 |
$1,290.72 |
$586.80
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$708.00 |
$708.00 |
$708.00 |
$470.51
|
|
Ghs excision ingrown nail
|
$1,118.43 |
$1,118.43 |
$1,118.43 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,138.95 |
$1,138.95 |
$1,138.95 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$7,529.14 |
$7,529.14 |
$7,529.14 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$5,824.98 |
$5,824.98 |
$5,824.98 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$2,364.32 |
$2,364.32 |
$2,364.32 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$113.19 |
$113.19 |
$258.25 |
$48.57
|
|
Ghs fish cytogen
|
$543.17 |
$543.17 |
$1,413.85 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$643.23 |
$643.23 |
$643.23 |
$229.45
|
|
Ghs flow volume loop
|
$885.00 |
$1,190.00 |
$2,402.48 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$816.27 |
$816.27 |
$816.27 |
$403.20
|
|
Ghs hcv amplificaiton
|
$569.18 |
$1,707.86 |
$3,584.50 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$408.67 |
$866.00 |
$2,867.75 |
$106.05
|
|
Ghs hgb stability-thal
|
$211.69 |
$211.69 |
$211.69 |
$85.28
|
|
Ghs histoplasma antigen
|
$336.36 |
$360.94 |
$2,469.00 |
$137.80
|
|
Ghs HIV antibody
|
$283.38 |
$327.62 |
$1,000.50 |
$91.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$1,024.17 |
$1,024.17 |
$3,783.50 |
$462.60
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,922.28 |
$3,922.28 |
$3,922.28 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$12,205.65 |
$12,205.65 |
$12,205.65 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$4,784.29 |
$4,784.29 |
$4,784.29 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$2,954.18 |
$2,954.18 |
$2,954.18 |
$794.82
|
|
Ghs immun0electrophoresis
|
$331.08 |
$357.17 |
$2,919.75 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$7,323.97 |
$7,323.97 |
$7,323.97 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$8,639.24 |
$8,639.24 |
$8,639.24 |
$293.58
|
|
Ghs inf midline insertion
|
$4,288.71 |
$4,288.71 |
$4,288.71 |
$1,234.20
|
|
Ghs inhibitor screen
|
$394.45 |
$394.45 |
$394.45 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$982.04 |
$982.04 |
$982.04 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$1,845.91 |
$1,845.91 |
$1,845.91 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$2,847.15 |
$2,847.15 |
$2,847.15 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$1,845.91 |
$1,845.91 |
$1,845.91 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,548.61 |
$2,548.61 |
$2,548.61 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$3,046.98 |
$3,046.98 |
$3,046.98 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$1,554.21 |
$1,554.21 |
$1,554.21 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,628.04 |
$2,628.04 |
$2,628.04 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$3,074.51 |
$3,074.51 |
$3,074.51 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,571.81 |
$3,571.81 |
$3,571.81 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$794.74 |
$794.74 |
$794.74 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$2,664.86 |
$2,664.86 |
$2,664.86 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$185.61 |
$185.61 |
$185.61 |
$117.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$471.00 |
$471.00 |
$1,143.39 |
$576.40
|
|
Ghs IV infusion casirivimab/imdevimab
|
$459.00 |
$459.00 |
$1,143.39 |
$604.50
|
|
Ghs IV infusion sotrovimab
|
$1,074.13 |
$1,074.13 |
$1,074.13 |
$665.50
|
|
Ghs IV thrombolytics - cerebral
|
$1,502.66 |
$1,502.66 |
$1,502.66 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$3,675.02 |
$3,675.02 |
$3,675.02 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,647.98 |
$1,647.98 |
$1,647.98 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$2,045.57 |
$2,045.57 |
$2,045.57 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$2,045.57 |
$2,045.57 |
$2,045.57 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$2,045.57 |
$2,045.57 |
$2,045.57 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$2,045.57 |
$2,045.57 |
$2,045.57 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$2,162.66 |
$2,162.66 |
$2,162.66 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$2,232.38 |
$2,232.38 |
$2,232.38 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$2,405.63 |
$2,405.63 |
$2,405.63 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$2,213.02 |
$2,213.02 |
$2,213.02 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$2,684.83 |
$2,684.83 |
$2,684.83 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$3,039.13 |
$3,039.13 |
$3,039.13 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$3,189.67 |
$3,189.67 |
$3,189.67 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$3,868.59 |
$3,868.59 |
$3,868.59 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$3,616.75 |
$3,616.75 |
$3,616.75 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$4,221.20 |
$4,221.20 |
$4,221.20 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$163.55 |
$226.71 |
$2,014.00 |
$59.40
|
|
Ghs mbp
|
$278.98 |
$369.85 |
$1,600.00 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$44.07 |
$44.07 |
$44.07 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$44.07 |
$44.07 |
$44.07 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$44.07 |
$44.07 |
$44.07 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$44.07 |
$44.07 |
$44.07 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$44.07 |
$44.07 |
$44.07 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$693.80 |
$693.80 |
$693.80 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$693.80 |
$693.80 |
$693.80 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$734.53 |
$734.53 |
$734.53 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$484.53 |
$484.53 |
$484.53 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$1,262.90 |
$1,262.90 |
$1,262.90 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,662.01 |
$2,662.01 |
$2,662.01 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$951.15 |
$951.15 |
$951.15 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$2,928.19 |
$2,928.19 |
$2,928.19 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$1,564.75 |
$1,564.75 |
$1,564.75 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$1,826.00 |
$1,826.00 |
$1,826.00 |
$1,712.00
|