|
Ghs chemo IV push, ea addtl
|
$210.00 |
$210.00 |
$210.00 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$412.80 |
$412.80 |
$412.80 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$187.20 |
$187.20 |
$187.20 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$604.80 |
$604.80 |
$604.80 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$2,569.20 |
$2,569.20 |
$2,569.20 |
$2,148.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,152.60 |
$1,152.60 |
$1,152.60 |
$3,086.00
|
|
Ghs clsd red med malleolus fx without manip
|
$290.40 |
$290.40 |
$290.40 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,840.20 |
$1,840.20 |
$1,840.20 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,427.80 |
$3,427.80 |
$3,427.80 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$673.20 |
$673.20 |
$673.20 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$167.40 |
$167.40 |
$167.40 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$298.20 |
$298.20 |
$298.20 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$348.00 |
$348.00 |
$348.00 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$637.20 |
$637.20 |
$637.20 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$516.60 |
$516.60 |
$516.60 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$1,067.30
|
|
Ghs diphtheria toxoid ab igg
|
$201.60 |
$201.60 |
$201.60 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$604.80 |
$604.80 |
$604.80 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$406.20 |
$406.20 |
$406.20 |
$329.60
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$1,432.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$819.00 |
$819.00 |
$819.00 |
$593.91
|
|
Ghs electrostagmgraphy
|
$409.20 |
$409.20 |
$409.20 |
$295.50
|
|
Ghs excision ingrown nail
|
$432.00 |
$432.00 |
$432.00 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$438.60 |
$438.60 |
$438.60 |
$501.04
|
|
Ghs fb removal - incisional
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$2,271.01
|
|
Ghs fish cytogen
|
$1,230.60 |
$1,230.60 |
$1,230.60 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$219.00 |
$219.00 |
$219.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$484.20 |
$484.20 |
$484.20 |
$187.00
|
|
Ghs hgb stability-thal
|
$493.80 |
$493.80 |
$493.80 |
$87.60
|
|
Ghs histoplasma antigen
|
$369.00 |
$369.00 |
$369.00 |
$141.00
|
|
Ghs HIV antibody
|
$66.00 |
$66.00 |
$66.00 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,829.20 |
$3,829.20 |
$3,829.20 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$877.80 |
$877.80 |
$877.80 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$570.00 |
$570.00 |
$570.00 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$205.80 |
$205.80 |
$205.80 |
$523.73
|
|
Ghs inf midline insertion
|
$1,252.20 |
$1,252.20 |
$1,252.20 |
$1,219.20
|
|
Ghs inhibitor screen
|
$973.80 |
$973.80 |
$973.80 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$339.00 |
$339.00 |
$339.00 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$4,350.60 |
$4,350.60 |
$4,350.60 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$3,069.60 |
$3,069.60 |
$3,069.60 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$820.80 |
$820.80 |
$820.80 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$422.40 |
$422.40 |
$422.40 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$517.80 |
$517.80 |
$517.80 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$643.80 |
$643.80 |
$643.80 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,237.80 |
$1,237.80 |
$1,237.80 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$910.80 |
$910.80 |
$910.80 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$649.20 |
$649.20 |
$649.20 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$78.00 |
$78.00 |
$78.00 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$569.40 |
$569.40 |
$569.40 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$569.40 |
$569.40 |
$569.40 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$569.40 |
$569.40 |
$569.40 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$311.40 |
$311.40 |
$311.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$248.40 |
$248.40 |
$248.40 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$252.00 |
$252.00 |
$252.00 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$252.00 |
$252.00 |
$252.00 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$252.00 |
$252.00 |
$252.00 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$313.80 |
$313.80 |
$313.80 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$291.00 |
$291.00 |
$291.00 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$397.80 |
$397.80 |
$397.80 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$343.20 |
$343.20 |
$343.20 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$381.60 |
$381.60 |
$381.60 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$600.00 |
$600.00 |
$600.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$517.80 |
$517.80 |
$517.80 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$745.20 |
$745.20 |
$745.20 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$643.80 |
$643.80 |
$643.80 |
$1,126.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$967.80 |
$967.80 |
$967.80 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,237.80 |
$1,237.80 |
$1,237.80 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,100.40 |
$1,100.40 |
$1,100.40 |
$1,064.98
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$536.40 |
$536.40 |
$536.40 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$536.40 |
$536.40 |
$536.40 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$536.40 |
$536.40 |
$536.40 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$536.40 |
$536.40 |
$536.40 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$536.40 |
$536.40 |
$536.40 |
$147.75
|
|
Ghs musc test done w/n test comp
|
$557.40 |
$557.40 |
$557.40 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$395.40 |
$395.40 |
$395.40 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$210.00 |
$210.00 |
$210.00 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$0.60 |
$0.60 |
$0.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$381.60 |
$381.60 |
$381.60 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$3,069.60 |
$3,069.60 |
$3,069.60 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$1,705.20 |
$1,705.20 |
$1,705.20 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$1,085.40 |
$1,085.40 |
$1,085.40 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$3,215.40 |
$3,215.40 |
$3,215.40 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$820.80 |
$820.80 |
$820.80 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$1,636.20 |
$1,636.20 |
$1,636.20 |
$478.50
|
|
Ghs o2 saturation
|
$83.40 |
$83.40 |
$83.40 |
$70.80
|
|
Ghs opcc repair cvp w subq port
|
$2,569.80 |
$2,569.80 |
$2,569.80 |
$2,194.40
|
|
Ghs optokenetic
|
$328.80 |
$328.80 |
$328.80 |
$211.20
|
|
Ghs oscillating trac
|
$328.80 |
$328.80 |
$328.80 |
$344.68
|
|
Ghs ot group caregiver training
|
$34.80 |
$34.80 |
$34.80 |
$34.92
|
