|
Ghs cl tx knee disl; wo anesth
|
$2,564.80 |
$2,564.80 |
$2,564.80 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$815.20 |
$815.20 |
$815.20 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$119.88 |
$119.88 |
$119.88 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,262.01 |
$1,262.01 |
$1,262.01 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$404.61 |
$404.61 |
$404.61 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$416.41 |
$416.41 |
$416.41 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$415.08 |
$415.08 |
$415.08 |
$339.60
|
|
Ghs cricothyroidotomy
|
$930.28 |
$930.28 |
$930.28 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$420.32 |
$420.32 |
$420.32 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$118.40 |
$118.40 |
$118.40 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$48.57 |
$48.57 |
$48.57 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$1,817.60 |
$1,817.60 |
$1,817.60 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$268.00 |
$268.00 |
$268.00 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$292.00 |
$292.00 |
$292.00 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,363.99 |
$1,363.99 |
$1,363.99 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,104.83 |
$1,104.83 |
$1,104.83 |
$586.80
|
|
Ghs electrostagmgraphy
|
$92.80 |
$92.80 |
$92.80 |
$322.00
|
|
Ghs elect torsion swing
|
$242.40 |
$242.40 |
$242.40 |
$266.29
|
|
Ghs elect vertical elct
|
$18.40 |
$18.40 |
$18.40 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$380.00 |
$380.00 |
$380.00 |
$467.00
|
|
Ghs excision ingrown nail
|
$548.64 |
$548.64 |
$548.64 |
$449.25
|
|
Ghs eye exam
|
$174.40 |
$174.40 |
$174.40 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$510.00
|
|
Ghs fat & muscle
|
$56.44 |
$56.44 |
$56.44 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$2,593.97 |
$2,593.97 |
$2,593.97 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$1,162.40 |
$1,162.40 |
$1,162.40 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$4,030.40 |
$4,030.40 |
$4,030.40 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,116.94 |
$1,116.94 |
$1,116.94 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$48.57 |
$48.57 |
$48.57 |
$48.10
|
|
Ghs fish cytogen
|
$127.86 |
$127.86 |
$127.86 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$127.86 |
$127.86 |
$127.86 |
$226.20
|
|
Ghs flow volume loop
|
$89.60 |
$89.60 |
$89.60 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$477.94 |
$477.94 |
$477.94 |
$368.50
|
|
Ghs hcv amplificaiton
|
$88.80 |
$88.80 |
$88.80 |
$196.20
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$64.28 |
$64.28 |
$64.28 |
$64.28
|
|
Ghs hepatitis c virus (hcv riba)
|
$48.57 |
$48.57 |
$48.57 |
$144.54
|
|
Ghs hgb stability-thal
|
$33.57 |
$33.57 |
$33.57 |
$89.91
|
|
Ghs histoplasma antigen
|
$38.58 |
$38.58 |
$38.58 |
$142.00
|
|
Ghs HIV antibody
|
$48.57 |
$48.57 |
$48.57 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$212.80 |
$212.80 |
$212.80 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,748.30 |
$3,748.30 |
$3,748.30 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$4,918.18 |
$4,918.18 |
$4,918.18 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$3,137.36 |
$3,137.36 |
$3,137.36 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$512.80 |
$512.80 |
$512.80 |
$707.25
|
|
Ghs immun0electrophoresis
|
$110.00 |
$110.00 |
$110.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$942.78 |
$942.78 |
$942.78 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$520.00 |
$520.00 |
$520.00 |
$350.90
|
|
Ghs inf midline insertion
|
$2,556.08 |
$2,556.08 |
$2,556.08 |
$1,238.25
|
|
Ghs inhibitor screen
|
$32.85 |
$32.85 |
$32.85 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$281.53 |
$281.53 |
$281.53 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$520.80 |
$520.80 |
$520.80 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,838.37 |
$1,838.37 |
$1,838.37 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$2,902.97 |
$2,902.97 |
$2,902.97 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$5,447.19 |
$5,447.19 |
$5,447.19 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$5,447.19 |
$5,447.19 |
$5,447.19 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$298.54 |
$298.54 |
$298.54 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$943.20 |
$943.20 |
$943.20 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,376.95 |
$2,376.95 |
$2,376.95 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$435.47 |
$435.47 |
$435.47 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$671.74 |
$671.74 |
$671.74 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$43.20 |
$43.20 |
$43.20 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$681.60 |
$681.60 |
$681.60 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$617.60 |
$617.60 |
$617.60 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$619.20 |
$619.20 |
$619.20 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$667.20 |
$667.20 |
$667.20 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$750.40 |
$750.40 |
$750.40 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$738.40 |
$738.40 |
$738.40 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$875.20 |
$875.20 |
$875.20 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$795.20 |
$795.20 |
$795.20 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$911.20 |
$911.20 |
$911.20 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$920.00 |
$920.00 |
$920.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$995.20 |
$995.20 |
$995.20 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,190.40 |
$1,190.40 |
$1,190.40 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,188.80 |
$1,188.80 |
$1,188.80 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,397.60 |
$1,397.60 |
$1,397.60 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,485.60 |
$1,485.60 |
$1,485.60 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$33.57 |
$33.57 |
$33.57 |
$75.00
|
|
Ghs mbp
|
$64.28 |
$64.28 |
$64.28 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$160.00 |
$160.00 |
$160.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$255.66 |
$255.66 |
$255.66 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$255.66 |
$255.66 |
$255.66 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$154.36 |
$154.36 |
$154.36 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$142.40 |
$142.40 |
$142.40 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$299.40 |
$299.40 |
$299.40 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$264.42 |
$264.42 |
$264.42 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$184.80 |
$184.80 |
$184.80 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$691.16 |
$691.16 |
$691.16 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$515.91 |
$515.91 |
$515.91 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$3,104.64 |
$3,104.64 |
$3,104.64 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$2,902.97 |
$2,902.97 |
$2,902.97 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,902.97 |
$2,902.97 |
$2,902.97 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,755.35 |
$1,755.35 |
$1,755.35 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,534.13 |
$2,534.13 |
$2,534.13 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$3,015.60 |
$3,015.60 |
$3,015.60 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$3,015.60 |
$3,015.60 |
$3,015.60 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,354.39 |
$1,354.39 |
$1,354.39 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,561.70 |
$1,561.70 |
$1,561.70 |
$1,198.62
|
