|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$398.40 |
$398.40 |
$398.40 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$512.40 |
$512.40 |
$512.40 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$693.00 |
$693.00 |
$693.00 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$891.00 |
$891.00 |
$891.00 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$306.60 |
$306.60 |
$306.60 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,542.60 |
$1,542.60 |
$1,542.60 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$628.20 |
$628.20 |
$628.20 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$909.00 |
$909.00 |
$909.00 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$935.40 |
$935.40 |
$935.40 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$601.80 |
$601.80 |
$601.80 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$80.40 |
$80.40 |
$80.40 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$445.80 |
$445.80 |
$445.80 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$190.80 |
$190.80 |
$190.80 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$474.00 |
$474.00 |
$474.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$500.40 |
$500.40 |
$500.40 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,248.60 |
$1,248.60 |
$1,248.60 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$504.00 |
$504.00 |
$504.00 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$420.00 |
$420.00 |
$420.00 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$91.80 |
$91.80 |
$91.80 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$685.20 |
$685.20 |
$685.20 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$991.20 |
$991.20 |
$991.20 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$397.20 |
$397.20 |
$397.20 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,283.40 |
$1,283.40 |
$1,283.40 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$498.00 |
$498.00 |
$498.00 |
$586.80
|
|
Ghs electrostagmgraphy
|
$275.40 |
$275.40 |
$275.40 |
$322.00
|
|
Ghs elect torsion swing
|
$275.40 |
$275.40 |
$275.40 |
$266.29
|
|
Ghs elect vertical elct
|
$141.60 |
$141.60 |
$141.60 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$250.80 |
$250.80 |
$250.80 |
$467.00
|
|
Ghs excision ingrown nail
|
$427.80 |
$427.80 |
$427.80 |
$449.25
|
|
Ghs eye exam
|
$100.20 |
$100.20 |
$100.20 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$553.80 |
$553.80 |
$553.80 |
$510.00
|
|
Ghs fat & muscle
|
$85.20 |
$85.20 |
$85.20 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$903.00 |
$903.00 |
$903.00 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$3,447.60 |
$3,447.60 |
$3,447.60 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$2,454.00 |
$2,454.00 |
$2,454.00 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$455.40 |
$455.40 |
$455.40 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$78.60 |
$78.60 |
$78.60 |
$48.10
|
|
Ghs fish cytogen
|
$173.40 |
$173.40 |
$173.40 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$100.80 |
$100.80 |
$100.80 |
$226.20
|
|
Ghs flow volume loop
|
$141.00 |
$141.00 |
$141.00 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$347.40 |
$347.40 |
$347.40 |
$368.50
|
|
Ghs hcv amplificaiton
|
$334.80 |
$334.80 |
$334.80 |
$196.20
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$86.40 |
$86.40 |
$86.40 |
$64.28
|
|
Ghs hepatitis c virus (hcv riba)
|
$280.20 |
$280.20 |
$280.20 |
$144.54
|
|
Ghs hgb stability-thal
|
$12.60 |
$12.60 |
$12.60 |
$89.91
|
|
Ghs histoplasma antigen
|
$138.00 |
$138.00 |
$138.00 |
$142.00
|
|
Ghs HIV antibody
|
$58.80 |
$58.80 |
$58.80 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$73.80 |
$73.80 |
$73.80 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,777.80 |
$1,777.80 |
$1,777.80 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,926.60 |
$1,926.60 |
$1,926.60 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$507.00 |
$507.00 |
$507.00 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$433.80 |
$433.80 |
$433.80 |
$707.25
|
|
Ghs immun0electrophoresis
|
$66.60 |
$66.60 |
$66.60 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$534.60 |
$534.60 |
$534.60 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$413.40 |
$413.40 |
$413.40 |
$350.90
|
|
Ghs inf midline insertion
|
$995.40 |
$995.40 |
$995.40 |
$1,238.25
|
|
Ghs inhibitor screen
|
$118.80 |
$118.80 |
$118.80 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$242.40 |
$242.40 |
$242.40 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$607.80 |
$607.80 |
$607.80 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,059.60 |
$1,059.60 |
$1,059.60 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$356.40 |
$356.40 |
$356.40 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$386.40 |
$386.40 |
$386.40 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$916.20 |
$916.20 |
$916.20 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$202.80 |
$202.80 |
$202.80 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$715.80 |
$715.80 |
$715.80 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$794.40 |
$794.40 |
$794.40 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$891.60 |
$891.60 |
$891.60 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$42.60 |
$42.60 |
$42.60 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$564.60 |
$564.60 |
$564.60 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$66.00 |
$66.00 |
$66.00 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$300.60 |
$300.60 |
$300.60 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$300.60 |
$300.60 |
$300.60 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$300.60 |
$300.60 |
$300.60 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$1,450.80 |
$1,450.80 |
$1,450.80 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$492.00 |
$492.00 |
$492.00 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$445.20 |
$445.20 |
$445.20 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$454.80 |
$454.80 |
$454.80 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$492.60 |
$492.60 |
$492.60 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$565.20 |
$565.20 |
$565.20 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$550.80 |
$550.80 |
$550.80 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$651.00 |
$651.00 |
$651.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$586.20 |
$586.20 |
$586.20 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$669.00 |
$669.00 |
$669.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$692.40 |
$692.40 |
$692.40 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$742.20 |
$742.20 |
$742.20 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$879.60 |
$879.60 |
$879.60 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$784.80 |
$784.80 |
$784.80 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$482.40 |
$482.40 |
$482.40 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$523.80 |
$523.80 |
$523.80 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$102.60 |
$102.60 |
$102.60 |
$75.00
|
|
Ghs low level laser therapy
|
$57.00 |
$57.00 |
$57.00 |
$87.50
|
|
Ghs mbp
|
$102.60 |
$102.60 |
$102.60 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$112.80 |
$112.80 |
$112.80 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$145.20 |
$145.20 |
$145.20 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$130.20 |
$130.20 |
$130.20 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$47.40 |
$47.40 |
$47.40 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$90.60 |
$90.60 |
$90.60 |
$142.40
|
