|
Ghs clsd red med malleolus fx w manip
|
$3,962.72 |
$3,962.72 |
$3,962.72 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,683.20 |
$2,683.20 |
$2,683.20 |
$2,340.00
|
|
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 |
$514.50
|
|
Ghs community re-entry 15 minutes
|
$65.00 |
$65.00 |
$142.19 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,775.83 |
$1,775.83 |
$1,775.83 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$569.34 |
$569.34 |
$569.34 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$553.80 |
$553.80 |
$553.80 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$463.34 |
$463.34 |
$463.34 |
$339.60
|
|
Ghs cricothyroidotomy
|
$827.20 |
$827.20 |
$827.20 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$294.06 |
$294.06 |
$294.06 |
$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
|
$815.86 |
$815.86 |
$815.86 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$211.43 |
$211.43 |
$211.43 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$332.00 |
$332.00 |
$1,349.48 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$870.00 |
$870.00 |
$1,092.48 |
$586.80
|
|
Ghs electrostagmgraphy
|
$324.84 |
$324.84 |
$324.84 |
$315.28
|
|
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 |
$449.50
|
|
Ghs excision ingrown nail
|
$416.00 |
$416.00 |
$416.00 |
$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 |
$523.77
|
|
Ghs fat & muscle
|
$56.44 |
$56.44 |
$56.44 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$2,342.40 |
$2,342.40 |
$2,342.40 |
$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
|
$606.00 |
$606.00 |
$2,218.03 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,201.15 |
$1,201.15 |
$1,201.15 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$48.57 |
$48.57 |
$48.57 |
$48.10
|
|
Ghs fish cytogen
|
$111.80 |
$111.80 |
$127.86 |
$174.50
|
|
Ghs fish hybrid in situ 100-300
|
$127.86 |
$127.86 |
$439.40 |
$225.00
|
|
Ghs flow volume loop
|
$89.60 |
$89.60 |
$801.45 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$234.68 |
$234.68 |
$534.95 |
$368.50
|
|
Ghs hcv amplificaiton
|
$88.80 |
$88.80 |
$88.80 |
$196.30
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$64.28 |
$64.28 |
$64.28 |
$50.40
|
|
Ghs hepatitis c virus (hcv riba)
|
$48.57 |
$48.57 |
$48.57 |
$144.54
|
|
Ghs hgb stability-thal
|
$33.57 |
$33.57 |
$106.60 |
$87.84
|
|
Ghs histoplasma antigen
|
$38.58 |
$38.58 |
$235.95 |
$142.00
|
|
Ghs HIV antibody
|
$48.57 |
$48.57 |
$48.57 |
$90.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$212.80 |
$212.80 |
$212.80 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,824.84 |
$3,824.84 |
$3,824.84 |
$3,511.80
|
|
Ghs i and d perirectal abscess 46040
|
$2,091.28 |
$2,091.28 |
$20,188.97 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$2,593.93 |
$2,593.93 |
$22,939.70 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$512.80 |
$512.80 |
$17,980.90 |
$707.25
|
|
Ghs immun0electrophoresis
|
$110.00 |
$110.00 |
$110.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$471.20 |
$471.20 |
$656.50 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$520.00 |
$520.00 |
$520.00 |
$350.90
|
|
Ghs inf midline insertion
|
$3,356.27 |
$3,356.27 |
$38,117.57 |
$1,241.85
|
|
Ghs inhibitor screen
|
$32.85 |
$32.85 |
$344.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$450.68 |
$450.68 |
$450.68 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$520.80 |
$520.80 |
$599.50 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$278.40 |
$278.40 |
$573.95 |
$433.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$625.60 |
$625.60 |
$625.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,303.73 |
$1,303.73 |
$2,553.20 |
$1,836.00
|
|
Ghs insertion of needle - bone
|
$198.00 |
$198.00 |
$294.06 |
$434.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$943.20 |
$943.20 |
$943.20 |
$887.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,160.28 |
$1,160.28 |
$1,160.28 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,061.00 |
$1,061.00 |
$3,788.18 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$202.64 |
$202.64 |
$390.65 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$523.20 |
$523.20 |
$523.20 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$98.80 |
$98.80 |
$139.99 |
$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 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$745.88 |
$745.88 |
$17,109.60 |
$602.55
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$479.00 |
$479.00 |
$619.20 |
$583.44
|
|
Ghs layer closure 2.5cm or less - 12051
|
$779.01 |
$779.01 |
$16,380.55 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$779.01 |
$779.01 |
$17,368.75 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$738.40 |
$738.40 |
$16,315.75 |
$702.24
|
|
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 |
$774.90
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$722.00 |
$722.00 |
$1,211.80 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$995.20 |
$995.20 |
$995.20 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,211.80 |
$1,211.80 |
$1,211.80 |
$789.50
|
|
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 |
$922.80
|
|
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 |
$73.50
|
|
Ghs mbp
|
$64.28 |
$64.28 |
$81.90 |
$76.64
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$444.25 |
$444.25 |
$444.25 |
$246.40
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$250.00 |
$250.00 |
$571.11 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$230.00 |
$230.00 |
$461.04 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$32.00 |
$32.00 |
$164.14 |
$151.20
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$142.40 |
$142.40 |
$188.00 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$338.33 |
$338.33 |
$2,391.00 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$255.24 |
$255.24 |
$388.05 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$184.80 |
$184.80 |
$434.20 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$239.20 |
$239.20 |
$825.71 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$478.40 |
$478.40 |
$478.40 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$532.80 |
$532.80 |
$5,521.45 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$496.00 |
$496.00 |
$5,521.45 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$676.80 |
$676.80 |
$676.80 |
$1,601.60
|
|
Ghs nerve block brachial plexus
|
$1,730.45 |
$1,730.45 |
$1,730.45 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$1,295.84 |
$1,295.84 |
$1,901.25 |
$1,668.80
|
|
Ghs nerve block interscaline
|
$1,207.16 |
$1,207.16 |
$1,607.45 |
$1,541.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,584.70 |
$1,584.70 |
$1,753.24 |
$1,706.50
|
