|
Ghs block ilioinguinal/gentitofemoral
|
$1,895.01 |
$1,895.01 |
$4,609.00 |
|
|
Ghs central line insert < age 5, failed
|
$1,788.44 |
$6,195.93 |
$11,968.00 |
|
|
Ghs change cysto/gastrost
|
$253.08 |
$731.64 |
$10,466.00 |
|
|
Ghs chemo >8 hrs
|
$317.32 |
$714.87 |
$2,016.04 |
|
|
Ghs chemo infusion >8 hrs
|
$570.57 |
$570.57 |
$1,296.00 |
|
|
Ghs chemo IV push, ea addtl
|
$90.28 |
$395.46 |
$688.24 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$63.64 |
$232.44 |
$1,880.67 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$515.00 |
$900.51 |
$2,989.50 |
|
|
Ghs closed reduction ankle dislocation
|
$603.00 |
$1,884.98 |
$3,446.82 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,707.42 |
$4,609.00 |
$19,265.30 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$806.13 |
$806.13 |
$858.00 |
|
|
Ghs closed tx tibial fracture w/manip
|
$4,438.00 |
$5,509.53 |
$8,962.32 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,017.06 |
$2,588.04 |
$5,810.00 |
|
|
Ghs clsd red med malleolus fx without manip
|
$620.00 |
$806.13 |
$1,371.94 |
|
|
Ghs clsd red med malleolus fx w manip
|
$4,455.00 |
$5,509.53 |
$5,763.00 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$4,417.00 |
$5,509.53 |
$5,509.53 |
|
|
Ghs cl tx knee disl; wo anesth
|
$603.00 |
$900.51 |
$4,085.62 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$603.00 |
$806.13 |
$1,715.84 |
|
|
Ghs community re-entry 15 minutes
|
$59.28 |
$59.28 |
$204.00 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$365.43 |
$365.43 |
$2,064.00 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$317.85 |
$635.00 |
$3,920.00 |
|
|
Ghs corneal fb without slit lamp bilat
|
$365.43 |
$1,042.00 |
$3,245.18 |
|
|
Ghs corneal fb with slit lamp bilat
|
$365.43 |
$635.00 |
$4,684.00 |
|
|
Ghs cricothyroidotomy
|
$863.00 |
$1,969.50 |
$1,969.50 |
|
|
Ghs diphtheria toxoid ab igg
|
$70.00 |
$211.38 |
$211.38 |
|
|
Ghs dislocation elbow closed treatment
|
$858.00 |
$900.51 |
$2,989.50 |
|
|
Ghs ed rmvl or bivalving cast
|
$549.12 |
$549.12 |
$993.00 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$726.98 |
$1,994.07 |
$6,376.75 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$311.10 |
$441.09 |
$3,786.43 |
|
|
Ghs electrostagmgraphy
|
$515.00 |
$515.00 |
$515.00 |
|
|
Ghs elect torsion swing
|
$473.00 |
$473.00 |
$473.00 |
|
|
Ghs elect vertical elct
|
$196.00 |
$196.00 |
$196.00 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$487.50 |
$487.50 |
$487.50 |
|
|
Ghs excision ingrown nail
|
$391.91 |
$471.12 |
$1,499.00 |
|
|
Ghs eye exam
|
$162.24 |
$162.24 |
$162.24 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$729.69 |
$729.69 |
$6,982.00 |
|
|
Ghs fat & muscle
|
$22.00 |
$22.00 |
$48.55 |
|
|
Ghs fb removal foot - deep - left
|
$5,507.00 |
$7,957.56 |
$7,957.56 |
|
|
Ghs fb removal from muscle - complicated
|
$6,653.00 |
$12,222.99 |
$12,222.99 |
|
|
Ghs fb removal - incisional
|
$5,810.00 |
$7,957.56 |
$19,379.35 |
|
|
Ghs fb removal - non-incisional
|
$2,510.43 |
$4,862.00 |
$9,686.50 |
|
|
Ghs febrile agglutinns(mayo)
|
$39.39 |
$39.39 |
$39.39 |
|
|
Ghs fish cytogen
|
$99.00 |
$296.79 |
$1,148.01 |
|
|
Ghs fish hybrid in situ 100-300
|
$236.00 |
$319.80 |
$639.88 |
|
|
Ghs flow volume loop
|
$467.61 |
$467.61 |
$826.00 |
|
|
Ghs gastric intub aspiration lavage
|
$695.00 |
$762.06 |
$1,125.00 |
|
|
Ghs hcv amplificaiton
|
$42.63 |
$679.38 |
$679.38 |
|
|
Ghs hgb stability-thal
|
$159.12 |
$159.12 |
$159.12 |
|
|
Ghs histoplasma antigen
|
$43.22 |
$371.28 |
$1,873.38 |
|
|
Ghs HIV antibody
|
$19.24 |
$265.59 |
$356.00 |
|
|
Ghs hla-dr/dq, multiple antigens
|
$394.87 |
$711.75 |
$1,815.00 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,523.30 |
$5,820.00 |
$22,162.89 |
|
|
Ghs i and d perirectal abscess 46040
|
$4,351.00 |
$9,521.00 |
$14,338.64 |
|
|
Ghs i and d pilonidal cyst complex
|
$2,607.00 |
$5,507.00 |
$6,307.08 |
|
|
Ghs i and d pilonidal cyst simple
|
$794.82 |
$2,091.00 |
$8,444.68 |
|
|
Ghs immun0electrophoresis
|
$119.34 |
$119.34 |
$415.00 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$273.80 |
$1,053.39 |
$2,149.83 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$226.98 |
$226.98 |
$226.98 |
|
|
Ghs inf midline insertion
|
$693.24 |
$803.40 |
$2,285.37 |
|
|
Ghs inhibitor screen
|
$59.00 |
$138.06 |
$222.00 |
|
|
Ghs init tx 1st degree burn
|
$471.12 |
$524.00 |
$848.53 |
|
|
Ghs inj neurolytic intercostal nerve
|
$1,100.58 |
$1,100.58 |
$5,835.31 |
|
|
Ghs inj neurolytic other perph nerve
|
$2,374.32 |
$2,374.32 |
$4,862.00 |
|
|
Ghs inj tendon origin/insertion
|
$888.81 |
$888.81 |
$4,609.00 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$700.64 |
$807.30 |
$4,862.00 |
|
|
Ghs inj transforaminal cerv single bil
|
$1,406.60 |
$2,420.73 |
$9,504.85 |
|
|
Ghs insertion of needle - bone
|
$427.13 |
$806.52 |
$1,833.00 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$966.81 |
$1,499.00 |
$5,507.00 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$375.33 |
$1,578.72 |
$3,816.03 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,727.70 |
$1,727.70 |
$6,944.00 |
|
|
Ghs intro needle/intracath vein - 36000
|
$124.00 |
$124.00 |
$124.00 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$659.88 |
$659.88 |
$1,341.78 |
|
|
Ghs IV inf sq injection, on-body injector
|
$78.78 |
$78.78 |
$836.00 |
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$553.80 |
$553.80 |
$553.80 |
|
|
Ghs IV infusion casirivimab/imdevimab
|
$685.62 |
$685.62 |
$812.00 |
|
|
Ghs IV infusion sotrovimab
|
$553.80 |
$553.80 |
$1,190.00 |
|
|
Ghs IV thrombolytics - cerebral
|
$359.94 |
$663.00 |
$1,212.00 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$231.00 |
$625.95 |
$3,245.18 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$95.91 |
$741.00 |
$8,661.00 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$741.00 |
$1,499.00 |
$5,001.27 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$741.00 |
$1,499.00 |
$8,209.00 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$741.00 |
$1,499.00 |
$8,661.00 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$741.00 |
$1,499.00 |
$8,661.00 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$741.00 |
$1,499.00 |
$5,507.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$246.57 |
$1,499.00 |
$5,810.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$741.00 |
$2,334.00 |
$7,412.36 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$741.00 |
$741.00 |
$5,507.00 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,727.70 |
$1,727.70 |
$3,425.58 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$741.00 |
$741.00 |
$5,001.27 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,727.70 |
$1,727.70 |
$3,425.58 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,499.00 |
$1,727.70 |
$1,727.70 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,930.50 |
$1,930.50 |
$6,944.00 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,499.00 |
$1,930.50 |
$5,518.00 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$31.38 |
$115.00 |
$115.00 |
|
|
Ghs low level laser therapy
|
$124.00 |
$182.13 |
$182.13 |
|
|
Ghs mbp
|
$30.20 |
$212.16 |
$1,036.34 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$249.88 |
$566.67 |
$1,870.43 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$249.84 |
$495.69 |
$1,870.43 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$240.00 |
$566.67 |
$1,870.43 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$8.00 |
$251.94 |
$553.67 |
|
