|
Ghs change cysto/gastrost
|
$741.00 |
$741.00 |
$741.00 |
$594.55
|
|
Ghs chemo >8 hrs
|
$846.95 |
$846.95 |
$846.95 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$267.80 |
$267.80 |
$267.80 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$200.85 |
$200.85 |
$200.85 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$724.75 |
$724.75 |
$724.75 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$760.50 |
$760.50 |
$760.50 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$4,438.20 |
$4,438.20 |
$4,438.20 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$4,226.95 |
$4,226.95 |
$4,226.95 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$4,226.95 |
$4,226.95 |
$4,226.95 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$4,438.20 |
$4,438.20 |
$4,438.20 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$760.50 |
$760.50 |
$760.50 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$724.75 |
$724.75 |
$724.75 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$136.50 |
$136.50 |
$136.50 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$342.55 |
$342.55 |
$342.55 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$1,177.15 |
$1,177.15 |
$1,177.15 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$360.10 |
$360.10 |
$360.10 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$41.60 |
$41.60 |
$41.60 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$760.50 |
$760.50 |
$760.50 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,469.65 |
$1,469.65 |
$1,469.65 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$689.00 |
$689.00 |
$689.00 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,829.10 |
$1,829.10 |
$1,829.10 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$739.70 |
$739.70 |
$739.70 |
$586.80
|
|
Ghs excision ingrown nail
|
$533.65 |
$533.65 |
$533.65 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$720.20 |
$720.20 |
$720.20 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$4,024.80 |
$4,024.80 |
$4,024.80 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$29.25 |
$29.25 |
$29.25 |
$48.10
|
|
Ghs fish cytogen
|
$989.30 |
$989.30 |
$989.30 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$391.95 |
$391.95 |
$391.95 |
$226.20
|
|
Ghs flow volume loop
|
$512.85 |
$512.85 |
$512.85 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$525.20 |
$525.20 |
$525.20 |
$368.50
|
|
Ghs hcv amplificaiton
|
$417.30 |
$417.30 |
$417.30 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$183.95 |
$183.95 |
$183.95 |
$144.54
|
|
Ghs hgb stability-thal
|
$313.30 |
$313.30 |
$313.30 |
$89.91
|
|
Ghs histoplasma antigen
|
$161.85 |
$161.85 |
$161.85 |
$142.00
|
|
Ghs HIV antibody
|
$62.40 |
$62.40 |
$62.40 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$1,134.25 |
$1,134.25 |
$1,134.25 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,373.85 |
$4,373.85 |
$4,373.85 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,831.40 |
$2,831.40 |
$2,831.40 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$2,090.40 |
$2,090.40 |
$2,090.40 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$1,864.85 |
$1,864.85 |
$1,864.85 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$1,056.25 |
$1,056.25 |
$1,056.25 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$528.45 |
$528.45 |
$528.45 |
$350.90
|
|
Ghs inf midline insertion
|
$3,996.20 |
$3,996.20 |
$3,996.20 |
$1,238.25
|
|
Ghs inhibitor screen
|
$546.00 |
$546.00 |
$546.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$622.70 |
$622.70 |
$622.70 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$15,718.95 |
$15,718.95 |
$15,718.95 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$776.75 |
$776.75 |
$776.75 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,237.95 |
$2,237.95 |
$2,237.95 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,237.95 |
$2,237.95 |
$2,237.95 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$1,120.60 |
$1,120.60 |
$1,120.60 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$943.80 |
$943.80 |
$943.80 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,413.75 |
$1,413.75 |
$1,413.75 |
$1,051.20
|
|
Ghs intro needle/intracath vein - 36000
|
$856.70 |
$856.70 |
$856.70 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$677.30 |
$677.30 |
$677.30 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$135.20 |
$135.20 |
$135.20 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$905.45 |
$905.45 |
$905.45 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$905.45 |
$905.45 |
$905.45 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$905.45 |
$905.45 |
$905.45 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$986.05 |
$986.05 |
$986.05 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$342.55 |
$342.55 |
$342.55 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$919.10 |
$919.10 |
$919.10 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$919.10 |
$919.10 |
$919.10 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$919.10 |
$919.10 |
$919.10 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$919.10 |
$919.10 |
$919.10 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$919.10 |
$919.10 |
$919.10 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,012.05 |
$1,012.05 |
$1,012.05 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$919.10 |
$919.10 |
$919.10 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,413.75 |
$1,413.75 |
$1,413.75 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$919.10 |
$919.10 |
$919.10 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,413.75 |
$1,413.75 |
$1,413.75 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$919.10 |
$919.10 |
$919.10 |
$784.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$131.95 |
$131.95 |
$131.95 |
$75.00
|
|
Ghs mbp
|
$58.50 |
$58.50 |
$58.50 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$459.55 |
$459.55 |
$459.55 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$426.40 |
$426.40 |
$426.40 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$426.40 |
$426.40 |
$426.40 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$410.80 |
$410.80 |
$410.80 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$184.60 |
$184.60 |
$184.60 |
$142.40
|
|
Ghs nailbed repair/nail removal
|
$1,526.85 |
$1,526.85 |
$1,526.85 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,833.65 |
$1,833.65 |
$1,833.65 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,833.65 |
$1,833.65 |
$1,833.65 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,302.60 |
$1,302.60 |
$1,302.60 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,237.95 |
$2,237.95 |
$2,237.95 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$1,779.05 |
$1,779.05 |
$1,779.05 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$2,590.90 |
$2,590.90 |
$2,590.90 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$3,803.15 |
$3,803.15 |
$3,803.15 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,330.55 |
$1,330.55 |
$1,330.55 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$490.10 |
$490.10 |
$490.10 |
$485.00
|
|
Ghs o2 uptake rest & indirect
|
$440.70 |
$440.70 |
$440.70 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$1,145.95 |
$1,145.95 |
$1,145.95 |
$1,236.67
|
|
Ghs ot prosthetic training/15 min
|
$163.15 |
$163.15 |
$163.15 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$78.65 |
$78.65 |
$78.65 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$919.75 |
$919.75 |
$919.75 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$919.75 |
$919.75 |
$919.75 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$16.25 |
$16.25 |
$16.25 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$921.05 |
$921.05 |
$921.05 |
$555.00
|
