|
Ghs block ilioinguinal/gentitofemoral
|
$1,496.16 |
$1,496.16 |
$1,496.16 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$888.48 |
$888.48 |
$888.48 |
$594.55
|
|
Ghs chemo >8 hrs
|
$2,207.52 |
$2,207.52 |
$2,207.52 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$822.96 |
$822.96 |
$822.96 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$268.56 |
$268.56 |
$268.56 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$207.36 |
$207.36 |
$207.36 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$470.16 |
$470.16 |
$470.16 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$595.44 |
$595.44 |
$595.44 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,554.70
|
|
Ghs closed tx radiocarpal disloc w manip
|
$696.24 |
$696.24 |
$696.24 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$5,161.68 |
$5,161.68 |
$5,161.68 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$559.44 |
$559.44 |
$559.44 |
$494.40
|
|
Ghs clsd red med malleolus fx w manip
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$5,014.80 |
$5,014.80 |
$5,014.80 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$610.56 |
$610.56 |
$610.56 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$518.40 |
$518.40 |
$518.40 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$164.88 |
$164.88 |
$164.88 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,104.48 |
$1,104.48 |
$1,104.48 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$432.00 |
$432.00 |
$432.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$861.84 |
$861.84 |
$861.84 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$735.84 |
$735.84 |
$735.84 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,892.88 |
$1,892.88 |
$1,892.88 |
$1,103.75
|
|
Ghs cutdown placement under 1 yr
|
$468.00 |
$468.00 |
$468.00 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$46.80 |
$46.80 |
$46.80 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$569.52 |
$569.52 |
$569.52 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,025.36 |
$2,025.36 |
$2,025.36 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,622.88 |
$1,622.88 |
$1,622.88 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$600.48 |
$600.48 |
$600.48 |
$560.00
|
|
Ghs excision ingrown nail
|
$863.28 |
$863.28 |
$863.28 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$645.84 |
$645.84 |
$645.84 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$6,181.92 |
$6,181.92 |
$6,181.92 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$5,019.12 |
$5,019.12 |
$5,019.12 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$3,043.44 |
$3,043.44 |
$3,043.44 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$143.28 |
$143.28 |
$143.28 |
$48.10
|
|
Ghs fish cytogen
|
$285.84 |
$285.84 |
$285.84 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$324.00 |
$324.00 |
$324.00 |
$225.00
|
|
Ghs flow volume loop
|
$672.48 |
$672.48 |
$672.48 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$1,007.28 |
$1,007.28 |
$1,007.28 |
$365.40
|
|
Ghs hcv amplificaiton
|
$739.44 |
$739.44 |
$739.44 |
$203.45
|
|
Ghs hgb stability-thal
|
$138.24 |
$138.24 |
$138.24 |
$89.91
|
|
Ghs histoplasma antigen
|
$191.52 |
$191.52 |
$191.52 |
$141.00
|
|
Ghs HIV antibody
|
$121.68 |
$121.68 |
$121.68 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$10,443.60 |
$10,443.60 |
$10,443.60 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$3,242.16 |
$3,242.16 |
$3,242.16 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$2,402.64 |
$2,402.64 |
$2,402.64 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$1,321.20 |
$1,321.20 |
$1,321.20 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$840.96 |
$840.96 |
$840.96 |
$520.80
|
|
Ghs inf midline insertion
|
$3,184.56 |
$3,184.56 |
$3,184.56 |
$1,219.20
|
|
Ghs inhibitor screen
|
$211.68 |
$211.68 |
$211.68 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$429.12 |
$429.12 |
$429.12 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$6,054.48 |
$6,054.48 |
$6,054.48 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$649.44 |
$649.44 |
$649.44 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,414.16 |
$2,414.16 |
$2,414.16 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$3,682.08 |
$3,682.08 |
$3,682.08 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$861.84 |
$861.84 |
$861.84 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,951.36 |
$3,951.36 |
$3,951.36 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$272.16 |
$272.16 |
$272.16 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$601.92 |
$601.92 |
$601.92 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$99.36 |
$99.36 |
$99.36 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$973.44 |
$973.44 |
$973.44 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$973.44 |
$973.44 |
$973.44 |
$569.28
|
|
Ghs IV thrombolytics - cerebral
|
$622.80 |
$622.80 |
$622.80 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$749.52 |
$749.52 |
$749.52 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$750.24 |
$750.24 |
$750.24 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$863.28 |
$863.28 |
$863.28 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$750.24 |
$750.24 |
$750.24 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$750.24 |
$750.24 |
$750.24 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$750.24 |
$750.24 |
$750.24 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$863.28 |
$863.28 |
$863.28 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,671.84 |
$1,671.84 |
$1,671.84 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,149.84 |
$1,149.84 |
$1,149.84 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,561.68 |
$1,561.68 |
$1,561.68 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,340.64 |
$1,340.64 |
$1,340.64 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,958.40 |
$1,958.40 |
$1,958.40 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,561.68 |
$1,561.68 |
$1,561.68 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$149.76 |
$149.76 |
$149.76 |
$73.50
|
|
Ghs mbp
|
$99.36 |
$99.36 |
$99.36 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$1,515.60 |
$1,515.60 |
$1,515.60 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$1,560.24 |
$1,560.24 |
$1,560.24 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$1,560.24 |
$1,560.24 |
$1,560.24 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$383.04 |
$383.04 |
$383.04 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$354.24 |
$354.24 |
$354.24 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$188.64 |
$188.64 |
$188.64 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$135.36 |
$135.36 |
$135.36 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$306.00 |
$306.00 |
$306.00 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$723.60 |
$723.60 |
$723.60 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$1,149.84 |
$1,149.84 |
$1,149.84 |
$724.37
|
|
Ghs nerve blk intercostal, single level
|
$1,714.32 |
$1,714.32 |
$1,714.32 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$1,923.12 |
$1,923.12 |
$1,923.12 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$1,671.84 |
$1,671.84 |
$1,671.84 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$3,572.64 |
$3,572.64 |
$3,572.64 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$4,088.88 |
$4,088.88 |
$4,088.88 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,726.64 |
$2,726.64 |
$2,726.64 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$3,299.76 |
$3,299.76 |
$3,299.76 |
$1,450.80
|