|
Ghs bladder cath - complex-foley
|
$512.64 |
$512.64 |
$512.64 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$3,205.44 |
$3,205.44 |
$3,205.44 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$6,224.40 |
$6,224.40 |
$6,224.40 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$537.84 |
$537.84 |
$537.84 |
$565.49
|
|
Ghs chemo IV push, ea addtl
|
$292.32 |
$292.32 |
$292.32 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$207.36 |
$207.36 |
$207.36 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$442.80 |
$442.80 |
$442.80 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$547.92 |
$547.92 |
$547.92 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,817.36 |
$2,817.36 |
$2,817.36 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$425.52 |
$425.52 |
$425.52 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$2,242.80 |
$2,242.80 |
$2,242.80 |
$2,148.00
|
|
Ghs clsd red med malleolus fx w manip
|
$2,442.24 |
$2,442.24 |
$2,442.24 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,898.00 |
$2,898.00 |
$2,898.00 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$425.52 |
$425.52 |
$425.52 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$447.84 |
$447.84 |
$447.84 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$914.40 |
$914.40 |
$914.40 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$373.68 |
$373.68 |
$373.68 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$406.08 |
$406.08 |
$406.08 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$373.68 |
$373.68 |
$373.68 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$164.16 |
$164.16 |
$164.16 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$569.52 |
$569.52 |
$569.52 |
$578.00
|
|
Ghs excision ingrown nail
|
$820.80 |
$820.80 |
$820.80 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,105.20 |
$1,105.20 |
$1,105.20 |
$501.04
|
|
Ghs febrile agglutinns(mayo)
|
$82.08 |
$82.08 |
$82.08 |
$48.57
|
|
Ghs fish cytogen
|
$161.28 |
$161.28 |
$161.28 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$243.36 |
$243.36 |
$243.36 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$424.08 |
$424.08 |
$424.08 |
$368.50
|
|
Ghs hcv amplificaiton
|
$174.96 |
$174.96 |
$174.96 |
$187.00
|
|
Ghs histoplasma antigen
|
$124.56 |
$124.56 |
$124.56 |
$141.00
|
|
Ghs HIV antibody
|
$231.12 |
$231.12 |
$231.12 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,682.08 |
$3,682.08 |
$3,682.08 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,086.56 |
$2,086.56 |
$2,086.56 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,614.24 |
$1,614.24 |
$1,614.24 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$715.68 |
$715.68 |
$715.68 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$573.12 |
$573.12 |
$573.12 |
$523.73
|
|
Ghs inf midline insertion
|
$1,974.96 |
$1,974.96 |
$1,974.96 |
$1,219.20
|
|
Ghs init tx 1st degree burn
|
$458.64 |
$458.64 |
$458.64 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$2,723.04 |
$2,723.04 |
$2,723.04 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$3,129.84 |
$3,129.84 |
$3,129.84 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$543.60 |
$543.60 |
$543.60 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,311.84 |
$1,311.84 |
$1,311.84 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$4,968.72 |
$4,968.72 |
$4,968.72 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$686.16 |
$686.16 |
$686.16 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,109.52 |
$1,109.52 |
$1,109.52 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,289.52 |
$1,289.52 |
$1,289.52 |
$1,035.60
|
|
Ghs intro needle/intracath vein - 36000
|
$279.36 |
$279.36 |
$279.36 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$512.64 |
$512.64 |
$512.64 |
$544.80
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$707.76 |
$707.76 |
$707.76 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$811.44 |
$811.44 |
$811.44 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$1,025.28 |
$1,025.28 |
$1,025.28 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$718.56 |
$718.56 |
$718.56 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$466.56 |
$466.56 |
$466.56 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$563.76 |
$563.76 |
$563.76 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$599.76 |
$599.76 |
$599.76 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$563.76 |
$563.76 |
$563.76 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$648.00 |
$648.00 |
$648.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$778.32 |
$778.32 |
$778.32 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$563.76 |
$563.76 |
$563.76 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$837.36 |
$837.36 |
$837.36 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$873.36 |
$873.36 |
$873.36 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$563.76 |
$563.76 |
$563.76 |
$740.00
|
|
Ghs mbp
|
$169.20 |
$169.20 |
$169.20 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$771.12 |
$771.12 |
$771.12 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$795.60 |
$795.60 |
$795.60 |
$228.45
|
|
Ghs moderate sedation ea addtl 15 min
|
$435.60 |
$435.60 |
$435.60 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$195.12 |
$195.12 |
$195.12 |
$147.75
|
|
Ghs musc test done w/n test comp
|
$1,308.24 |
$1,308.24 |
$1,308.24 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$265.68 |
$265.68 |
$265.68 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$184.32 |
$184.32 |
$184.32 |
$184.80
|
|
Ghs nailbed repair/nail removal
|
$1,024.56 |
$1,024.56 |
$1,024.56 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$3,312.72 |
$3,312.72 |
$3,312.72 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,451.52 |
$1,451.52 |
$1,451.52 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$1,629.36 |
$1,629.36 |
$1,629.36 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$2,634.48 |
$2,634.48 |
$2,634.48 |
$1,689.00
|
|
Ghs nerve block interscaline
|
$3,312.72 |
$3,312.72 |
$3,312.72 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$3,312.72 |
$3,312.72 |
$3,312.72 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$1,873.44 |
$1,873.44 |
$1,873.44 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$2,634.48 |
$2,634.48 |
$2,634.48 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$466.56 |
$466.56 |
$466.56 |
$478.50
|
|
Ghs o2 saturation
|
$398.16 |
$398.16 |
$398.16 |
$70.80
|
|
Ghs opcc repair cvp without subq port
|
$1,200.24 |
$1,200.24 |
$1,200.24 |
$1,229.24
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$57.60 |
$57.60 |
$57.60 |
$55.77
|
|
Ghs ot sensory integrative tech/15min
|
$109.44 |
$109.44 |
$109.44 |
$94.80
|
|
Ghs pacing - transcutaneous
|
$1,204.56 |
$1,204.56 |
$1,204.56 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,176.48 |
$1,176.48 |
$1,176.48 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$496.08 |
$496.08 |
$496.08 |
$546.36
|
|
Ghs phenylketonurid
|
$258.48 |
$258.48 |
$258.48 |
$53.76
|
|
Ghs plngl fx pm cl
|
$447.84 |
$447.84 |
$447.84 |
$564.80
|
|
Ghs prostatic acid phosphatase (mayo)
|
$74.88 |
$74.88 |
$74.88 |
$43.55
|
|
Ghs protoporphyrins fract
|
$21.60 |
$21.60 |
$21.60 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$125.28 |
$125.28 |
$125.28 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$822.96 |
$822.96 |
$822.96 |
$275.60
|
|
Ghs quinidine
|
$100.80 |
$100.80 |
$100.80 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$387.36 |
$387.36 |
$387.36 |
$287.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$38.16 |
$38.16 |
$38.16 |
$96.60
|
|
Ghs semen analysis fert
|
$594.00 |
$594.00 |
$594.00 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$82.08 |
$82.08 |
$82.08 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$467.28 |
$467.28 |
$467.28 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$467.28 |
$467.28 |
$467.28 |
$607.35
|
