|
Ghs abscess postoperative iandd complex
|
$3,712.00 |
$3,712.00 |
$3,712.00 |
$3,506.10
|
|
Ghs acetylcholinesterase, rbc
|
$133.60 |
$133.60 |
$133.60 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$185.60 |
$185.60 |
$185.60 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$313.60 |
$313.60 |
$313.60 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$509.60 |
$509.60 |
$509.60 |
$340.00
|
|
Ghs central line insert < age 5, failed
|
$2,668.80 |
$2,668.80 |
$2,668.80 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$1,277.60 |
$1,277.60 |
$1,277.60 |
$576.95
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$563.20 |
$563.20 |
$563.20 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$713.60 |
$713.60 |
$713.60 |
$501.50
|
|
Ghs closed reduction ankle dislocation
|
$797.60 |
$797.60 |
$797.60 |
$675.85
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,568.40
|
|
Ghs closed tx tibial fracture w/manip
|
$2,402.40 |
$2,402.40 |
$2,402.40 |
$2,105.04
|
|
Ghs clsd red med malleolus fx without manip
|
$7,397.60 |
$7,397.60 |
$7,397.60 |
$495.00
|
|
Ghs cl tx knee disl; wo anesth
|
$10,941.60 |
$10,941.60 |
$10,941.60 |
$603.19
|
|
Ghs cl tx metacarpophal disloc without anes
|
$5,695.20 |
$5,695.20 |
$5,695.20 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$87.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,660.80 |
$1,660.80 |
$1,660.80 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$716.80 |
$716.80 |
$716.80 |
$279.00
|
|
Ghs corneal fb without slit lamp bilat
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$417.50
|
|
Ghs corneal fb with slit lamp bilat
|
$1,589.60 |
$1,589.60 |
$1,589.60 |
$339.60
|
|
Ghs cricothyroidotomy
|
$323.20 |
$323.20 |
$323.20 |
$1,066.50
|
|
Ghs diphtheria toxoid ab igg
|
$93.60 |
$93.60 |
$93.60 |
$49.40
|
|
Ghs dislocation elbow closed treatment
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,803.20 |
$1,803.20 |
$1,803.20 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,604.80 |
$1,604.80 |
$1,604.80 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$956.00 |
$956.00 |
$956.00 |
$586.80
|
|
Ghs excision ingrown nail
|
$324.80 |
$324.80 |
$324.80 |
$436.64
|
|
Ghs eyelid foreign body-embedded - bil
|
$718.40 |
$718.40 |
$718.40 |
$491.15
|
|
Ghs fb removal - incisional
|
$4,129.60 |
$4,129.60 |
$4,129.60 |
$2,218.03
|
|
Ghs febrile agglutinns(mayo)
|
$116.80 |
$116.80 |
$116.80 |
$48.57
|
|
Ghs fish cytogen
|
$1,610.40 |
$1,610.40 |
$1,610.40 |
$173.26
|
|
Ghs fish hybrid in situ 100-300
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$221.50
|
|
Ghs gastric intub aspiration lavage
|
$806.40 |
$806.40 |
$806.40 |
$368.50
|
|
Ghs hcv amplificaiton
|
$821.60 |
$821.60 |
$821.60 |
$181.74
|
|
Ghs hepatitis c virus (hcv riba)
|
$355.20 |
$355.20 |
$355.20 |
$142.50
|
|
Ghs hgb stability-thal
|
$639.20 |
$639.20 |
$639.20 |
$87.60
|
|
Ghs histoplasma antigen
|
$662.40 |
$662.40 |
$662.40 |
$137.80
|
|
Ghs HIV antibody
|
$182.40 |
$182.40 |
$182.40 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,946.40 |
$2,946.40 |
$2,946.40 |
$3,085.80
|
|
Ghs i and d perirectal abscess 46040
|
$967.20 |
$967.20 |
$967.20 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$973.60 |
$973.60 |
$973.60 |
$701.60
|
|
Ghs incision thrombosed ext hemorrhoid
|
$3,662.40 |
$3,662.40 |
$3,662.40 |
$520.80
|
|
Ghs inhibitor screen
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$181.50
|
|
Ghs init tx 1st degree burn
|
$1,468.00 |
$1,468.00 |
$1,468.00 |
$275.50
|
|
Ghs inj tendon origin/insertion
|
$243.20 |
$243.20 |
$243.20 |
$431.07
|
|
Ghs insertion of needle - bone
|
$692.80 |
$692.80 |
$692.80 |
$409.24
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$863.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$4,445.60 |
$4,445.60 |
$4,445.60 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$333.60 |
$333.60 |
$333.60 |
$528.96
|
|
Ghs IV inf sq injection, on-body injector
|
$83.20 |
$83.20 |
$83.20 |
$107.25
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$740.00 |
$740.00 |
$740.00 |
$552.60
|
|
Ghs IV infusion casirivimab/imdevimab
|
$740.00 |
$740.00 |
$740.00 |
$563.07
|
|
Ghs IV infusion sotrovimab
|
$740.00 |
$740.00 |
$740.00 |
$556.40
|
|
Ghs IV thrombolytics - cerebral
|
$3,641.60 |
$3,641.60 |
$3,641.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$583.10
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$592.90
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,607.20 |
$1,607.20 |
$1,607.20 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,666.40 |
$1,666.40 |
$1,666.40 |
$702.10
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,741.60 |
$1,741.60 |
$1,741.60 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,741.60 |
$1,741.60 |
$1,741.60 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,597.60 |
$1,597.60 |
$1,597.60 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$1,090.10
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,972.80 |
$1,972.80 |
$1,972.80 |
$901.76
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,876.80 |
$1,876.80 |
$1,876.80 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$4,673.60 |
$4,673.60 |
$4,673.60 |
$1,035.36
|
|
Ghs leukocyte alkaline phos (mayo)
|
$243.20 |
$243.20 |
$243.20 |
$75.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$246.40 |
$246.40 |
$246.40 |
$240.00
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$624.00 |
$624.00 |
$624.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$624.00 |
$624.00 |
$624.00 |
$228.45
|
|
Ghs moderate sedation ea addtl 15 min
|
$395.20 |
$395.20 |
$395.20 |
$148.20
|
|
Ghs myocardial strain img spckl track
|
$0.80 |
$0.80 |
$0.80 |
$464.95
|
|
Ghs nailbed repair/nail removal
|
$584.80 |
$584.80 |
$584.80 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$1,506.50
|
|
Ghs nerve blk intercostal, single level
|
$1,500.80 |
$1,500.80 |
$1,500.80 |
$1,084.00
|
|
Ghs nerve block axillary nerve
|
$2,151.20 |
$2,151.20 |
$2,151.20 |
$1,491.00
|
|
Ghs nerve block brachial plexus
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$1,657.03
|
|
Ghs nerve block lumbar or thoracic symp
|
$5,616.00 |
$5,616.00 |
$5,616.00 |
$1,706.50
|
|
Ghs nerve block sciatic nerve
|
$2,579.20 |
$2,579.20 |
$2,579.20 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$2,308.00 |
$2,308.00 |
$2,308.00 |
$1,141.36
|
|
Ghs ot group caregiver training
|
$46.40 |
$46.40 |
$46.40 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$164.00 |
$164.00 |
$164.00 |
$88.12
|
|
Ghs ot sensory integrative tech/15min
|
$144.00 |
$144.00 |
$144.00 |
$91.56
|
|
Ghs ot work hardening-additional hours
|
$170.40 |
$170.40 |
$170.40 |
$120.00
|
|
Ghs pacing - transcutaneous
|
$1,616.80 |
$1,616.80 |
$1,616.80 |
$815.00
|
|
Ghs peritonsillar abscess i andd
|
$392.00 |
$392.00 |
$392.00 |
$544.14
|
|
Ghs phenylketonurid
|
$339.20 |
$339.20 |
$339.20 |
$53.30
|
|
Ghs picc line insert < 5
|
$1,332.80 |
$1,332.80 |
$1,332.80 |
$2,035.00
|
|
Ghs plngl fx pm cl
|
$5,725.60 |
$5,725.60 |
$5,725.60 |
$547.20
|
|
Ghs ppd (tb intradermal)
|
$70.40 |
$70.40 |
$70.40 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$150.40 |
$150.40 |
$150.40 |
$43.00
|
|
Ghs protoporphyrins fract
|
$147.20 |
$147.20 |
$147.20 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$387.20 |
$387.20 |
$387.20 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$481.60 |
$481.60 |
$481.60 |
$270.00
|
