|
Ghs abscess perianal iandd
|
$2,452.50 |
$2,452.50 |
$2,452.50 |
$1,410.90
|
|
Ghs acetylcholinesterase, rbc
|
$50.25 |
$50.25 |
$50.25 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$100.50 |
$100.50 |
$100.50 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$87.75 |
$87.75 |
$87.75 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$373.50 |
$373.50 |
$373.50 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$27.00 |
$27.00 |
$27.00 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,953.75 |
$1,953.75 |
$1,953.75 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$3,534.00 |
$3,534.00 |
$3,534.00 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$657.75 |
$657.75 |
$657.75 |
$565.49
|
|
Ghs chemo IV push, ea addtl
|
$372.00 |
$372.00 |
$372.00 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$213.00 |
$213.00 |
$213.00 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$772.50 |
$772.50 |
$772.50 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$862.50 |
$862.50 |
$862.50 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$862.50 |
$862.50 |
$862.50 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$1,571.25 |
$1,571.25 |
$1,571.25 |
$2,148.00
|
|
Ghs clsd red med malleolus fx w manip
|
$1,530.75 |
$1,530.75 |
$1,530.75 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,571.25 |
$1,571.25 |
$1,571.25 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$862.50 |
$862.50 |
$862.50 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$772.50 |
$772.50 |
$772.50 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$989.25 |
$989.25 |
$989.25 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$378.00 |
$378.00 |
$378.00 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$308.25 |
$308.25 |
$308.25 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$95.25 |
$95.25 |
$95.25 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$823.50 |
$823.50 |
$823.50 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,049.25 |
$1,049.25 |
$1,049.25 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$852.00 |
$852.00 |
$852.00 |
$329.60
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,953.75 |
$1,953.75 |
$1,953.75 |
$1,432.20
|
|
Ghs elect torsion swing
|
$417.00 |
$417.00 |
$417.00 |
$242.40
|
|
Ghs excision ingrown nail
|
$1,118.25 |
$1,118.25 |
$1,118.25 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$773.25 |
$773.25 |
$773.25 |
$501.04
|
|
Ghs fat & muscle
|
$15.75 |
$15.75 |
$15.75 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$4,845.75 |
$4,845.75 |
$4,845.75 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$5,572.50 |
$5,572.50 |
$5,572.50 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$1,076.25 |
$1,076.25 |
$1,076.25 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$4,845.75 |
$4,845.75 |
$4,845.75 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$42.00 |
$42.00 |
$42.00 |
$48.57
|
|
Ghs fish cytogen
|
$57.75 |
$57.75 |
$57.75 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$138.00 |
$138.00 |
$138.00 |
$223.00
|
|
Ghs flow volume loop
|
$287.25 |
$287.25 |
$287.25 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$653.25 |
$653.25 |
$653.25 |
$368.50
|
|
Ghs hcv amplificaiton
|
$213.00 |
$213.00 |
$213.00 |
$187.00
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$114.00 |
$114.00 |
$114.00 |
$64.28
|
|
Ghs hepatitis c virus (hcv riba)
|
$94.50 |
$94.50 |
$94.50 |
$142.50
|
|
Ghs hgb stability-thal
|
$51.75 |
$51.75 |
$51.75 |
$87.60
|
|
Ghs histoplasma antigen
|
$75.00 |
$75.00 |
$75.00 |
$141.00
|
|
Ghs HIV antibody
|
$83.25 |
$83.25 |
$83.25 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$523.50 |
$523.50 |
$523.50 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,365.25 |
$3,365.25 |
$3,365.25 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,117.50 |
$1,117.50 |
$1,117.50 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$1,030.50 |
$1,030.50 |
$1,030.50 |
$703.15
|
|
Ghs immun0electrophoresis
|
$168.00 |
$168.00 |
$168.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$587.25 |
$587.25 |
$587.25 |
$523.73
|
|
Ghs indirect laryngoscopy/w fb removal
|
$564.75 |
$564.75 |
$564.75 |
$350.90
|
|
Ghs inf midline insertion
|
$1,238.25 |
$1,238.25 |
$1,238.25 |
$1,219.20
|
|
Ghs inhibitor screen
|
$78.75 |
$78.75 |
$78.75 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$520.50 |
$520.50 |
$520.50 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$2,506.50 |
$2,506.50 |
$2,506.50 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$1,317.75 |
$1,317.75 |
$1,317.75 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$288.75 |
$288.75 |
$288.75 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$118.50 |
$118.50 |
$118.50 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$1,341.00 |
$1,341.00 |
$1,341.00 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$264.00 |
$264.00 |
$264.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,611.75 |
$1,611.75 |
$1,611.75 |
$1,035.60
|
|
Ghs intro needle/intracath vein - 36000
|
$75.00 |
$75.00 |
$75.00 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$711.75 |
$711.75 |
$711.75 |
$544.80
|
|
Ghs IV thrombolytics - cerebral
|
$1,069.50 |
$1,069.50 |
$1,069.50 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$378.00 |
$378.00 |
$378.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$746.25 |
$746.25 |
$746.25 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,019.25 |
$1,019.25 |
$1,019.25 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$917.25 |
$917.25 |
$917.25 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,407.75 |
$1,407.75 |
$1,407.75 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,053.75 |
$1,053.75 |
$1,053.75 |
$740.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$52.50 |
$52.50 |
$52.50 |
$76.20
|
|
Ghs mbp
|
$108.00 |
$108.00 |
$108.00 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$181.50 |
$181.50 |
$181.50 |
$242.31
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$193.50 |
$193.50 |
$193.50 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$34.50 |
$34.50 |
$34.50 |
$151.50
|
|
Ghs musc test done w/n test comp
|
$237.00 |
$237.00 |
$237.00 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$172.50 |
$172.50 |
$172.50 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$255.00 |
$255.00 |
$255.00 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$119.25 |
$119.25 |
$119.25 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$922.50 |
$922.50 |
$922.50 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,082.25 |
$1,082.25 |
$1,082.25 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$819.00 |
$819.00 |
$819.00 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$605.25 |
$605.25 |
$605.25 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$1,082.25 |
$1,082.25 |
$1,082.25 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$1,150.50 |
$1,150.50 |
$1,150.50 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$2,506.50 |
$2,506.50 |
$2,506.50 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,506.50 |
$2,506.50 |
$2,506.50 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$1,872.75 |
$1,872.75 |
$1,872.75 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$1,141.50 |
$1,141.50 |
$1,141.50 |
$478.50
|
|
Ghs o2 saturation
|
$53.25 |
$53.25 |
$53.25 |
$70.80
|
