|
Ghs change cysto/gastrost
|
$393.00 |
$393.00 |
$474.60 |
$596.00
|
|
Ghs chemo >8 hrs
|
$372.60 |
$372.60 |
$501.00 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$458.40 |
$458.40 |
$501.00 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$116.40 |
$116.40 |
$127.80 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$357.60 |
$357.60 |
$398.40 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$487.80 |
$487.80 |
$512.40 |
$514.80
|
|
Ghs closed reduction ankle dislocation
|
$660.00 |
$660.00 |
$693.00 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$848.40 |
$848.40 |
$891.00 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$253.80 |
$253.80 |
$306.60 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$966.60 |
$966.60 |
$1,015.20 |
$2,242.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,469.40 |
$1,469.40 |
$1,542.60 |
$3,494.52
|
|
Ghs clsd red med malleolus fx without manip
|
$598.20 |
$598.20 |
$628.20 |
$518.15
|
|
Ghs clsd red med malleolus fx w manip
|
$865.80 |
$865.80 |
$909.00 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$983.40 |
$983.40 |
$1,032.60 |
$2,340.00
|
|
Ghs cl tx knee disl; wo anesth
|
$891.00 |
$891.00 |
$935.40 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$573.00 |
$573.00 |
$601.80 |
$514.50
|
|
Ghs community re-entry 15 minutes
|
$72.00 |
$72.00 |
$80.40 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$369.00 |
$369.00 |
$445.80 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$157.80 |
$157.80 |
$190.80 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$427.80 |
$427.80 |
$474.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$414.00 |
$414.00 |
$500.40 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,033.80 |
$1,033.80 |
$1,248.60 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$417.60 |
$417.60 |
$504.00 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$347.40 |
$347.40 |
$420.00 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$87.00 |
$87.00 |
$91.80 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$652.80 |
$652.80 |
$685.20 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$820.80 |
$820.80 |
$991.20 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$328.80 |
$328.80 |
$397.20 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,062.60 |
$1,062.60 |
$1,283.40 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$447.00 |
$447.00 |
$498.00 |
$586.80
|
|
Ghs electrostagmgraphy
|
$247.20 |
$247.20 |
$275.40 |
$315.28
|
|
Ghs elect torsion swing
|
$247.20 |
$247.20 |
$275.40 |
$266.29
|
|
Ghs elect vertical elct
|
$126.60 |
$126.60 |
$141.60 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$238.80 |
$238.80 |
$250.80 |
$449.50
|
|
Ghs excision ingrown nail
|
$354.00 |
$354.00 |
$427.80 |
$449.25
|
|
Ghs eye exam
|
$82.80 |
$82.80 |
$100.20 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$527.40 |
$527.40 |
$553.80 |
$523.77
|
|
Ghs fat & muscle
|
$76.20 |
$76.20 |
$85.20 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$859.80 |
$859.80 |
$903.00 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$2,854.80 |
$2,854.80 |
$3,447.60 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$2,032.20 |
$2,032.20 |
$2,454.00 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$376.80 |
$376.80 |
$455.40 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$100.80 |
$100.80 |
$112.20 |
$48.10
|
|
Ghs fish cytogen
|
$186.00 |
$186.00 |
$207.60 |
$174.50
|
|
Ghs fish hybrid in situ 100-300
|
$250.80 |
$250.80 |
$279.60 |
$225.00
|
|
Ghs flow volume loop
|
$123.00 |
$123.00 |
$136.80 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$287.40 |
$287.40 |
$347.40 |
$368.50
|
|
Ghs hcv amplificaiton
|
$318.60 |
$318.60 |
$334.80 |
$196.30
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$77.40 |
$77.40 |
$86.40 |
$50.40
|
|
Ghs hepatitis c virus (hcv riba)
|
$251.40 |
$251.40 |
$280.20 |
$144.54
|
|
Ghs hgb stability-thal
|
$31.80 |
$31.80 |
$35.40 |
$87.84
|
|
Ghs histoplasma antigen
|
$186.00 |
$186.00 |
$207.60 |
$142.00
|
|
Ghs HIV antibody
|
$69.00 |
$69.00 |
$77.40 |
$90.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$87.60 |
$87.60 |
$97.80 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,471.80 |
$1,471.80 |
$1,777.80 |
$3,511.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,595.40 |
$1,595.40 |
$1,926.60 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$483.00 |
$483.00 |
$507.00 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$358.80 |
$358.80 |
$433.80 |
$707.25
|
|
Ghs immun0electrophoresis
|
$59.40 |
$59.40 |
$66.60 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$442.20 |
$442.20 |
$534.60 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$393.60 |
$393.60 |
$413.40 |
$350.90
|
|
Ghs inf midline insertion
|
$2,229.60 |
$2,229.60 |
$2,481.60 |
$1,241.85
|
|
Ghs inhibitor screen
|
$201.00 |
$201.00 |
$223.80 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$200.40 |
$200.40 |
$242.40 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$525.60 |
$525.60 |
$607.80 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$916.80 |
$916.80 |
$1,059.60 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$294.60 |
$294.60 |
$356.40 |
$433.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$334.20 |
$334.20 |
$386.40 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$793.20 |
$793.20 |
$916.20 |
$1,836.00
|
|
Ghs insertion of needle - bone
|
$168.00 |
$168.00 |
$202.80 |
$434.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$681.60 |
$681.60 |
$715.80 |
$887.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$756.60 |
$756.60 |
$903.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$849.00 |
$849.00 |
$891.60 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$42.60 |
$42.60 |
$123.60 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$467.40 |
$467.40 |
$564.60 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$58.80 |
$58.80 |
$66.00 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$270.00 |
$270.00 |
$300.60 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$270.00 |
$270.00 |
$300.60 |
$573.86
|
|
Ghs IV infusion sotrovimab
|
$270.00 |
$270.00 |
$300.60 |
$563.40
|
|
Ghs IV thrombolytics - cerebral
|
$1,381.80 |
$1,381.80 |
$1,450.80 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$468.60 |
$468.60 |
$492.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$424.20 |
$424.20 |
$445.20 |
$602.55
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$433.20 |
$433.20 |
$573.60 |
$583.44
|
|
Ghs layer closure 2.5cm or less - 12051
|
$469.20 |
$469.20 |
$492.60 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$538.20 |
$538.20 |
$565.20 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$524.40 |
$524.40 |
$573.60 |
$702.24
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$619.80 |
$619.80 |
$651.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$558.00 |
$558.00 |
$586.20 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$637.20 |
$637.20 |
$902.40 |
$774.90
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$659.40 |
$659.40 |
$692.40 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$706.80 |
$706.80 |
$742.20 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$837.60 |
$837.60 |
$879.60 |
$789.50
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$379.80 |
$379.80 |
$784.80 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$981.60 |
$981.60 |
$1,030.80 |
$922.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$399.00 |
$399.00 |
$482.40 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$433.80 |
$433.80 |
$523.80 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$124.20 |
$124.20 |
$138.00 |
$73.50
|
|
Ghs low level laser therapy
|
$51.00 |
$51.00 |
$57.00 |
$85.00
|
|
Ghs mbp
|
$166.80 |
$166.80 |
$186.00 |
$76.64
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$93.60 |
$93.60 |
$112.80 |
$246.40
|
