|
Ghs closd tx interphalang jt disloc w/ma
|
$270.00 |
$270.00 |
$270.00 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$270.00 |
$270.00 |
$270.00 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$270.00 |
$270.00 |
$270.00 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$270.00 |
$270.00 |
$270.00 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$270.00 |
$270.00 |
$270.00 |
$500.40
|
|
Ghs conjunctiva foreign body-embed bil
|
$385.00 |
$385.00 |
$385.00 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$187.50 |
$187.50 |
$187.50 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$417.50 |
$417.50 |
$417.50 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$265.00 |
$265.00 |
$265.00 |
$339.60
|
|
Ghs dislocation elbow closed treatment
|
$270.00 |
$270.00 |
$270.00 |
$602.00
|
|
Ghs ed rmvl or bivalving cast
|
$225.00 |
$225.00 |
$225.00 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$675.00 |
$675.00 |
$675.00 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$445.00 |
$445.00 |
$445.00 |
$586.80
|
|
Ghs excision ingrown nail
|
$485.00 |
$485.00 |
$485.00 |
$449.25
|
|
Ghs fb removal - incisional
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$2,323.75
|
|
Ghs fish cytogen
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$225.00 |
$225.00 |
$225.00 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$340.00 |
$340.00 |
$340.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$180.00 |
$180.00 |
$180.00 |
$196.20
|
|
Ghs hgb stability-thal
|
$247.50 |
$247.50 |
$247.50 |
$89.91
|
|
Ghs histoplasma antigen
|
$210.00 |
$210.00 |
$210.00 |
$142.00
|
|
Ghs HIV antibody
|
$82.50 |
$82.50 |
$82.50 |
$89.70
|
|
Ghs i and d perirectal abscess 46040
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$800.00 |
$800.00 |
$800.00 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$570.00 |
$570.00 |
$570.00 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$470.00 |
$470.00 |
$470.00 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$215.00 |
$215.00 |
$215.00 |
$350.90
|
|
Ghs inf midline insertion
|
$870.00 |
$870.00 |
$870.00 |
$1,238.25
|
|
Ghs inhibitor screen
|
$132.50 |
$132.50 |
$132.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$295.00 |
$295.00 |
$295.00 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$2,047.92
|
|
Ghs inj tendon origin/insertion
|
$412.50 |
$412.50 |
$412.50 |
$434.12
|
|
Ghs inj transforaminal cerv single bil
|
$850.00 |
$850.00 |
$850.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$350.00 |
$350.00 |
$350.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$800.00 |
$800.00 |
$800.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$865.00 |
$865.00 |
$865.00 |
$1,051.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$282.50 |
$282.50 |
$282.50 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$90.00 |
$90.00 |
$90.00 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$410.00 |
$410.00 |
$410.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$350.00 |
$350.00 |
$350.00 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$620.00 |
$620.00 |
$620.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$620.00 |
$620.00 |
$620.00 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$620.00 |
$620.00 |
$620.00 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$675.00 |
$675.00 |
$675.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$675.00 |
$675.00 |
$675.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$705.00 |
$705.00 |
$705.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$740.00 |
$740.00 |
$740.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$740.00 |
$740.00 |
$740.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$740.00 |
$740.00 |
$740.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$800.00 |
$800.00 |
$800.00 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$800.00 |
$800.00 |
$800.00 |
$784.80
|
|
Ghs mbp
|
$60.00 |
$60.00 |
$60.00 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$247.50 |
$247.50 |
$247.50 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$355.00 |
$355.00 |
$355.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$420.00 |
$420.00 |
$420.00 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$215.00 |
$215.00 |
$215.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$215.00 |
$215.00 |
$215.00 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$332.50 |
$332.50 |
$332.50 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$250.00 |
$250.00 |
$250.00 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$125.00 |
$125.00 |
$125.00 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$510.00 |
$510.00 |
$510.00 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$625.00 |
$625.00 |
$625.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$485.00 |
$485.00 |
$485.00 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$570.00 |
$570.00 |
$570.00 |
$1,160.00
|
|
Ghs nerve block brachial plexus
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$605.00 |
$605.00 |
$605.00 |
$1,661.40
|
|
Ghs nerve block suprascapular
|
$895.00 |
$895.00 |
$895.00 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$267.50 |
$267.50 |
$267.50 |
$485.00
|
|
Ghs o2 saturation
|
$37.50 |
$37.50 |
$37.50 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$780.00 |
$780.00 |
$780.00 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$85.00 |
$85.00 |
$85.00 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$85.00 |
$85.00 |
$85.00 |
$96.20
|
|
Ghs peritonsillar abscess i andd
|
$275.00 |
$275.00 |
$275.00 |
$555.00
|
|
Ghs phenylketonurid
|
$40.00 |
$40.00 |
$40.00 |
$53.76
|
|
Ghs plngl fx pm cl
|
$270.00 |
$270.00 |
$270.00 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$25.00 |
$25.00 |
$25.00 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$47.50 |
$47.50 |
$47.50 |
$43.55
|
|
Ghs protoporphyrins fract
|
$77.50 |
$77.50 |
$77.50 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$137.50 |
$137.50 |
$137.50 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$67.50 |
$67.50 |
$67.50 |
$47.55
|
|
Ghs quinidine
|
$85.00 |
$85.00 |
$85.00 |
$85.00
|
|
Ghs refill of implantable pump
|
$427.50 |
$427.50 |
$427.50 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$267.50 |
$267.50 |
$267.50 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$347.50 |
$347.50 |
$347.50 |
$441.68
|
|
Ghs reticulocyte count
|
$30.00 |
$30.00 |
$30.00 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$110.00 |
$110.00 |
$110.00 |
$99.00
|
|
Ghs semen analysis fert
|
$115.00 |
$115.00 |
$115.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$45.00 |
$45.00 |
$45.00 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$535.00 |
$535.00 |
$535.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$535.00 |
$535.00 |
$535.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$575.00 |
$575.00 |
$575.00 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$472.50 |
$472.50 |
$472.50 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$495.00 |
$495.00 |
$495.00 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$495.00 |
$495.00 |
$495.00 |
$489.72
|
|
Ghs sleep study unattended
|
$495.00 |
$495.00 |
$495.00 |
$503.38
|
