|
Ghs block ilioinguinal/gentitofemoral
|
$1,750.80 |
$1,750.80 |
$1,750.80 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$4,034.40 |
$4,034.40 |
$4,034.40 |
$2,535.44
|
|
Ghs change cysto/gastrost
|
$318.60 |
$318.60 |
$318.60 |
$590.17
|
|
Ghs chemo >8 hrs
|
$1,889.40 |
$1,889.40 |
$1,889.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$350.40 |
$350.40 |
$350.40 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$372.60 |
$372.60 |
$372.60 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$1,321.20 |
$1,321.20 |
$1,321.20 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$539.40 |
$539.40 |
$539.40 |
$675.85
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$2,211.05
|
|
Ghs clsd red med malleolus fx without manip
|
$350.40 |
$350.40 |
$350.40 |
$495.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,912.80 |
$1,912.80 |
$1,912.80 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$407.40 |
$407.40 |
$407.40 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$345.00 |
$345.00 |
$345.00 |
$514.50
|
|
Ghs community re-entry 15 minutes
|
$108.00 |
$108.00 |
$190.80 |
$89.00
|
|
Ghs conjunctiva foreign body-superf bil
|
$431.40 |
$431.40 |
$431.40 |
$288.96
|
|
Ghs corneal fb without slit lamp bilat
|
$447.60 |
$447.60 |
$447.60 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$574.20 |
$574.20 |
$574.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$1,103.75
|
|
Ghs cutdown placement age 1 and over
|
$517.20 |
$517.20 |
$517.20 |
$385.24
|
|
Ghs diphtheria toxoid ab igg
|
$159.60 |
$159.60 |
$159.60 |
$54.43
|
|
Ghs dislocation elbow closed treatment
|
$660.60 |
$660.60 |
$660.60 |
$599.40
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$1,192.32
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$1,388.18
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$692.40 |
$692.40 |
$692.40 |
$555.80
|
|
Ghs electrostagmgraphy
|
$495.00 |
$495.00 |
$495.00 |
$295.50
|
|
Ghs elect torsion swing
|
$598.80 |
$598.80 |
$598.80 |
$253.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$280.20 |
$280.20 |
$280.20 |
$467.50
|
|
Ghs excision ingrown nail
|
$250.80 |
$250.80 |
$250.80 |
$443.00
|
|
Ghs eyelid foreign body-embedded - bil
|
$367.80 |
$367.80 |
$367.80 |
$536.77
|
|
Ghs fb removal from muscle - complicated
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$309.00 |
$309.00 |
$309.00 |
$48.10
|
|
Ghs fish cytogen
|
$135.00 |
$135.00 |
$1,215.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$160.80 |
$160.80 |
$1,053.00 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$502.80 |
$502.80 |
$502.80 |
$368.50
|
|
Ghs hcv amplificaiton
|
$477.00 |
$477.00 |
$477.00 |
$198.90
|
|
Ghs hgb stability-thal
|
$486.60 |
$486.60 |
$486.60 |
$89.67
|
|
Ghs histoplasma antigen
|
$351.00 |
$351.00 |
$351.00 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,302.80 |
$2,302.80 |
$2,302.80 |
$3,506.40
|
|
Ghs i and d perirectal abscess 46040
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$2,657.23
|
|
Ghs i and d pilonidal cyst complex
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$504.60 |
$504.60 |
$504.60 |
$701.60
|
|
Ghs incision thrombosed ext hemorrhoid
|
$503.40 |
$503.40 |
$503.40 |
$525.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$212.40 |
$212.40 |
$212.40 |
$350.90
|
|
Ghs inf midline insertion
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$1,241.85
|
|
Ghs inhibitor screen
|
$960.00 |
$960.00 |
$960.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$257.40 |
$257.40 |
$257.40 |
$275.80
|
|
Ghs inj neurolytic intercostal nerve
|
$6,792.00 |
$6,792.00 |
$6,792.00 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$4,235.40 |
$4,235.40 |
$4,235.40 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$184.20 |
$184.20 |
$184.20 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,344.60 |
$1,344.60 |
$1,344.60 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$2,668.20 |
$2,668.20 |
$2,668.20 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$699.60 |
$699.60 |
$699.60 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$716.40 |
$716.40 |
$716.40 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$718.80 |
$718.80 |
$718.80 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$647.40 |
$647.40 |
$647.40 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$94.20 |
$94.20 |
$94.20 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$392.40 |
$392.40 |
$582.60 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$392.40 |
$392.40 |
$582.60 |
$573.86
|
|
Ghs IV infusion sotrovimab
|
$392.40 |
$392.40 |
$582.60 |
$563.40
|
|
Ghs IV thrombolytics - cerebral
|
$709.80 |
$709.80 |
$709.80 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$573.60 |
$573.60 |
$573.60 |
$505.45
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$452.40 |
$452.40 |
$452.40 |
$602.55
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$451.80 |
$451.80 |
$451.80 |
$579.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$538.80 |
$538.80 |
$538.80 |
$614.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$579.60 |
$579.60 |
$579.60 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$579.60 |
$579.60 |
$579.60 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$654.00 |
$654.00 |
$654.00 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$609.00 |
$609.00 |
$609.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$663.00 |
$663.00 |
$663.00 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$708.00 |
$708.00 |
$708.00 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$780.60 |
$780.60 |
$780.60 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$911.40 |
$911.40 |
$911.40 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$780.60 |
$780.60 |
$780.60 |
$1,033.85
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$977.40 |
$977.40 |
$977.40 |
$929.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$1,064.98
|
|
Ghs mbp
|
$279.60 |
$279.60 |
$279.60 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$485.40 |
$485.40 |
$485.40 |
$246.40
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$729.00 |
$729.00 |
$729.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$729.00 |
$729.00 |
$729.00 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$258.00 |
$258.00 |
$258.00 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$283.20 |
$283.20 |
$283.20 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$270.00 |
$270.00 |
$403.80 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$365.40 |
$365.40 |
$365.40 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$187.80 |
$187.80 |
$193.20 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$0.60 |
$0.60 |
$0.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$456.60 |
$456.60 |
$456.60 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,949.40 |
$1,949.40 |
$3,008.40 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$2,614.80 |
$2,614.80 |
$2,614.80 |
$1,159.20
|
|
Ghs nerve block axillary nerve
|
$1,750.80 |
$1,750.80 |
$1,750.80 |
$1,601.60
|
|
Ghs nerve block brachial plexus
|
$2,406.60 |
$2,406.60 |
$2,406.60 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$3,629.40 |
$3,629.40 |
$3,629.40 |
$1,560.13
|
|
Ghs nerve block interscaline
|
$2,338.20 |
$2,338.20 |
$2,338.20 |
$1,541.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,668.20 |
$2,668.20 |
$2,668.20 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$2,955.00 |
$2,955.00 |
$2,955.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,750.80 |
$1,750.80 |
$1,750.80 |
$1,183.50
|
