|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$33.33 |
$160.30 |
$180.00 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$270.00 |
$270.00 |
$305.90 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$270.00 |
$270.00 |
$1,085.00 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$524.30 |
$1,790.00 |
$1,790.00 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$270.00 |
$270.00 |
$653.10 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,232.00 |
$1,790.00 |
$1,790.00 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$21,061.10 |
$21,061.10 |
$21,061.10 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$270.00 |
$270.00 |
$677.60 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,197.00 |
$1,790.00 |
$1,790.00 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,790.00 |
$1,790.00 |
$3,980.90 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$270.00 |
$270.00 |
$872.20 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$270.00 |
$270.00 |
$531.30 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$42.90 |
$85.00 |
$157.50 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$385.00 |
$385.00 |
$2,174.90 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$187.50 |
$187.50 |
$8,426.01 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$386.40 |
$417.50 |
$417.50 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$198.80 |
$198.80 |
$265.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$307.50 |
$307.50 |
$1,806.70 |
$1,104.00
|
|
Ghs diphtheria toxoid ab igg
|
$65.80 |
$65.80 |
$65.80 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$270.00 |
$270.00 |
$651.70 |
$602.00
|
|
Ghs ed rmvl or bivalving cast
|
$225.00 |
$225.00 |
$476.00 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,140.00 |
$1,485.00 |
$18,743.96 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$445.00 |
$445.00 |
$555.80 |
$586.80
|
|
Ghs electrostagmgraphy
|
$182.49 |
$182.49 |
$182.49 |
$322.00
|
|
Ghs elect vertical elct
|
$125.00 |
$125.00 |
$125.00 |
$116.00
|
|
Ghs excision ingrown nail
|
$485.00 |
$485.00 |
$1,581.30 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$343.70 |
$343.70 |
$343.70 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$1,790.00 |
$1,790.00 |
$4,672.50 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$1,514.80 |
$1,514.80 |
$1,514.80 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$1,735.00 |
$1,735.00 |
$6,941.90 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$511.00 |
$511.00 |
$511.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$149.80 |
$149.80 |
$149.80 |
$48.10
|
|
Ghs fish cytogen
|
$33.99 |
$1,080.00 |
$2,158.10 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$72.60 |
$225.00 |
$287.00 |
$226.20
|
|
Ghs flow volume loop
|
$192.06 |
$192.06 |
$225.40 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$237.30 |
$340.00 |
$340.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$180.00 |
$180.00 |
$1,010.80 |
$196.20
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$50.40 |
$50.40 |
$50.40 |
$64.28
|
|
Ghs hgb stability-thal
|
$121.80 |
$247.50 |
$247.50 |
$89.91
|
|
Ghs histoplasma antigen
|
$33.66 |
$210.00 |
$242.90 |
$142.00
|
|
Ghs HIV antibody
|
$82.50 |
$82.50 |
$141.40 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$1,869.70 |
$1,869.70 |
$1,869.70 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,135.00 |
$3,890.00 |
$19,394.84 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,330.00 |
$1,330.00 |
$11,166.13 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$800.00 |
$800.00 |
$2,093.00 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$317.80 |
$570.00 |
$570.00 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$470.00 |
$470.00 |
$1,368.50 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$215.00 |
$215.00 |
$1,690.50 |
$350.90
|
|
Ghs inf midline insertion
|
$477.50 |
$725.00 |
$46,292.25 |
$1,238.25
|
|
Ghs inhibitor screen
|
$33.00 |
$132.50 |
$416.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$135.80 |
$295.00 |
$295.00 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$1,135.00 |
$1,135.00 |
$1,850.00 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,030.00 |
$1,245.00 |
$21,409.42 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$412.50 |
$412.50 |
$659.40 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$327.50 |
$500.00 |
$12,049.45 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$735.00 |
$1,030.00 |
$9,043.75 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$350.00 |
$350.00 |
$858.20 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$800.00 |
$800.00 |
$31,909.56 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$865.00 |
$865.00 |
$30,260.23 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$925.00 |
$925.00 |
$51,675.17 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$140.00 |
$140.00 |
$140.00 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$282.50 |
$480.00 |
$543.20 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$90.00 |
$90.00 |
$93.10 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$299.60 |
$410.00 |
$410.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$350.00 |
$350.00 |
$1,344.70 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$620.00 |
$620.00 |
$16,114.92 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$620.00 |
$620.00 |
$20,196.39 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$620.00 |
$620.00 |
$11,322.53 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$675.00 |
$675.00 |
$13,384.88 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$675.00 |
$675.00 |
$16,696.55 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$705.00 |
$705.00 |
$1,839.60 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$740.00 |
$740.00 |
$23,933.56 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$740.00 |
$740.00 |
$19,770.80 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$740.00 |
$740.00 |
$31,705.34 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$800.00 |
$800.00 |
$1,581.30 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$800.00 |
$800.00 |
$977.20 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$865.00 |
$865.00 |
$865.00 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$39,175.74 |
$39,175.74 |
$39,175.74 |
$1,930.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$23.43 |
$23.43 |
$103.60 |
$75.00
|
|
Ghs low level laser therapy
|
$87.50 |
$87.50 |
$87.50 |
$87.50
|
|
Ghs mbp
|
$48.84 |
$48.84 |
$179.20 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$100.32 |
$122.50 |
$277.20 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$109.56 |
$122.50 |
$252.50 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$122.50 |
$141.24 |
$427.50 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$58.41 |
$62.50 |
$160.30 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$79.86 |
$87.50 |
$122.50 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$332.50 |
$332.50 |
$529.90 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$250.00 |
$250.00 |
$469.00 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$125.00 |
$125.00 |
$529.90 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$510.00 |
$510.00 |
$636.30 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$472.50 |
$625.00 |
$625.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$810.00 |
$825.00 |
$4,536.34 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$670.00 |
$670.00 |
$4,192.30 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,440.00 |
$1,610.00 |
$46,560.16 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,305.00 |
$2,160.00 |
$64,809.28 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$735.00 |
$1,255.00 |
$3,745.76 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$800.00 |
$1,245.00 |
$2,934.60 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$790.00 |
$1,230.00 |
$2,052.69 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,455.00 |
$1,890.00 |
$88,563.99 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$895.00 |
$1,220.00 |
$6,481.30 |
$1,198.62
|
