|
Ghs chemo >8 hrs
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$282.00 |
$282.00 |
$282.00 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$373.80 |
$373.80 |
$373.80 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$187.20 |
$187.20 |
$187.20 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$565.80 |
$565.80 |
$565.80 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,568.40 |
$1,568.40 |
$1,568.40 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,768.20 |
$1,768.20 |
$1,768.20 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$333.60 |
$333.60 |
$333.60 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,795.40 |
$2,795.40 |
$2,795.40 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,830.60 |
$1,830.60 |
$1,830.60 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$284.40 |
$284.40 |
$284.40 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$164.40 |
$164.40 |
$164.40 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$88.50
|
|
Ghs conjunctiva foreign body-superf bil
|
$354.00 |
$354.00 |
$354.00 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$251.40 |
$251.40 |
$251.40 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$185.40 |
$185.40 |
$185.40 |
$339.60
|
|
Ghs cricothyroidotomy
|
$264.00 |
$264.00 |
$264.00 |
$1,067.30
|
|
Ghs cutdown placement age 1 and over
|
$216.00 |
$216.00 |
$216.00 |
$377.89
|
|
Ghs diphtheria toxoid ab igg
|
$189.00 |
$189.00 |
$189.00 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$715.80 |
$715.80 |
$715.80 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,011.80 |
$2,011.80 |
$2,011.80 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$406.20 |
$406.20 |
$406.20 |
$329.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$640.20 |
$640.20 |
$640.20 |
$593.91
|
|
Ghs excision ingrown nail
|
$445.20 |
$445.20 |
$445.20 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$259.20 |
$259.20 |
$259.20 |
$501.04
|
|
Ghs fat & muscle
|
$93.00 |
$93.00 |
$93.00 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
$2,538.75
|
|
Ghs fb removal - incisional
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$2,271.01
|
|
Ghs febrile agglutinns(mayo)
|
$309.60 |
$309.60 |
$309.60 |
$48.57
|
|
Ghs fish cytogen
|
$1,291.20 |
$1,291.20 |
$1,291.20 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$252.00 |
$252.00 |
$252.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$562.20 |
$562.20 |
$562.20 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$334.80 |
$334.80 |
$334.80 |
$142.50
|
|
Ghs hgb stability-thal
|
$450.00 |
$450.00 |
$450.00 |
$87.60
|
|
Ghs histoplasma antigen
|
$387.00 |
$387.00 |
$387.00 |
$141.00
|
|
Ghs HIV antibody
|
$68.40 |
$68.40 |
$68.40 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$753.00 |
$753.00 |
$753.00 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,846.40 |
$2,846.40 |
$2,846.40 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$829.20 |
$829.20 |
$829.20 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$943.80 |
$943.80 |
$943.80 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$498.00 |
$498.00 |
$498.00 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$211.80 |
$211.80 |
$211.80 |
$523.73
|
|
Ghs indirect laryngoscopy/w fb removal
|
$309.00 |
$309.00 |
$309.00 |
$350.90
|
|
Ghs inf midline insertion
|
$1,036.80 |
$1,036.80 |
$1,036.80 |
$1,219.20
|
|
Ghs inhibitor screen
|
$886.20 |
$886.20 |
$886.20 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$349.80 |
$349.80 |
$349.80 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$2,442.60 |
$2,442.60 |
$2,442.60 |
$1,932.00
|
|
Ghs inj tendon origin/insertion
|
$208.80 |
$208.80 |
$208.80 |
$431.07
|
|
Ghs inj transforaminal cerv single bil
|
$2,373.60 |
$2,373.60 |
$2,373.60 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$622.80 |
$622.80 |
$622.80 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,086.60 |
$1,086.60 |
$1,086.60 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,192.20 |
$1,192.20 |
$1,192.20 |
$1,035.60
|
|
Ghs intro needle/intracath vein - 36000
|
$1,064.40 |
$1,064.40 |
$1,064.40 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$574.20 |
$574.20 |
$574.20 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$69.00 |
$69.00 |
$69.00 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$513.60 |
$513.60 |
$513.60 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$513.60 |
$513.60 |
$513.60 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$513.60 |
$513.60 |
$513.60 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$843.60 |
$843.60 |
$843.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$281.40 |
$281.40 |
$281.40 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$552.00 |
$552.00 |
$552.00 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$771.60 |
$771.60 |
$771.60 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$938.40 |
$938.40 |
$938.40 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$938.40 |
$938.40 |
$938.40 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$980.40 |
$980.40 |
$980.40 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$966.00 |
$966.00 |
$966.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$980.40 |
$980.40 |
$980.40 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$966.00 |
$966.00 |
$966.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,075.80 |
$1,075.80 |
$1,075.80 |
$964.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$973.80 |
$973.80 |
$973.80 |
$907.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$63.60 |
$63.60 |
$63.60 |
$76.20
|
|
Ghs mbp
|
$267.60 |
$267.60 |
$267.60 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$384.60 |
$384.60 |
$384.60 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$384.60 |
$384.60 |
$384.60 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$384.60 |
$384.60 |
$384.60 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$332.40 |
$332.40 |
$332.40 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$332.40 |
$332.40 |
$332.40 |
$147.75
|
|
Ghs musc test done w/n test comp
|
$553.20 |
$553.20 |
$553.20 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$223.80 |
$223.80 |
$223.80 |
$266.59
|
|
Ghs myocardial strain img spckl track
|
$0.60 |
$0.60 |
$0.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$433.20 |
$433.20 |
$433.20 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,692.60 |
$1,692.60 |
$1,692.60 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$2,154.00 |
$2,154.00 |
$2,154.00 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$2,032.20 |
$2,032.20 |
$2,032.20 |
$1,661.40
|
|
Ghs nerve block sciatic nerve
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$478.50
|
|
Ghs o2 saturation
|
$60.00 |
$60.00 |
$60.00 |
$70.80
|
|
Ghs opcc repair cvp without subq port
|
$1,713.00 |
$1,713.00 |
$1,713.00 |
$1,229.24
|
|
Ghs ot group caregiver training
|
$34.80 |
$34.80 |
$34.80 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$123.00 |
$123.00 |
$123.00 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$108.00 |
$108.00 |
$108.00 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$127.80 |
$127.80 |
$127.80 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$815.20
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$2,321.40 |
$2,321.40 |
$2,321.40 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$169.20 |
$169.20 |
$169.20 |
$546.36
|
