|
G-esoph reflx tst w/electrod
|
$1,040.80 |
$1,040.80 |
$1,040.80 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$1,273.40 |
$1,273.40 |
$1,273.40 |
$1,469.60
|
|
Ghs abscess postoperative iandd complex
|
$3,283.11 |
$3,283.11 |
$3,283.11 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$33.57 |
$33.57 |
$33.57 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$64.28 |
$64.28 |
$64.28 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$204.80 |
$204.80 |
$204.80 |
$389.90
|
|
Ghs analysis neurostim without reprogramming
|
$777.80 |
$777.80 |
$777.80 |
$257.50
|
|
Ghs antibodies (torch) igm
|
$48.57 |
$48.57 |
$48.57 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$798.73 |
$798.73 |
$798.73 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$344.00 |
$344.00 |
$344.00 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$32.85 |
$32.85 |
$32.85 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$931.08 |
$931.08 |
$931.08 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,283.28 |
$2,283.28 |
$2,283.28 |
$2,535.44
|
|
Ghs change cysto/gastrost
|
$551.20 |
$551.20 |
$551.20 |
$596.00
|
|
Ghs chemo >8 hrs
|
$488.88 |
$488.88 |
$488.88 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$316.80 |
$316.80 |
$316.80 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$109.60 |
$109.60 |
$109.60 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$88.80 |
$88.80 |
$88.80 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$689.60 |
$689.60 |
$689.60 |
$514.80
|
|
Ghs closed reduction ankle dislocation
|
$1,849.60 |
$1,849.60 |
$1,849.60 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,299.20 |
$2,299.20 |
$2,299.20 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$2,036.80 |
$2,036.80 |
$2,036.80 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,627.20 |
$2,627.20 |
$2,627.20 |
$2,242.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,938.99 |
$3,938.99 |
$3,938.99 |
$3,494.52
|
|
Ghs clsd red med malleolus fx without manip
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$518.15
|
|
Ghs clsd red med malleolus fx w manip
|
$2,347.20 |
$2,347.20 |
$2,347.20 |
$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
|
$109.80 |
$109.80 |
$109.80 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$466.04 |
$466.04 |
$466.04 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$273.37 |
$273.37 |
$273.37 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$466.04 |
$466.04 |
$466.04 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$339.20 |
$339.20 |
$339.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,418.08 |
$1,418.08 |
$1,418.08 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$640.77 |
$640.77 |
$640.77 |
$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
|
$647.71 |
$647.71 |
$647.71 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$335.08 |
$335.08 |
$335.08 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,255.16 |
$1,255.16 |
$1,255.16 |
$1,439.40
|
|
Ghs electrostagmgraphy
|
$289.36 |
$289.36 |
$289.36 |
$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
|
$438.91 |
$438.91 |
$438.91 |
$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
|
$1,657.43 |
$1,657.43 |
$1,657.43 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,903.66 |
$1,903.66 |
$1,903.66 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$48.57 |
$48.57 |
$48.57 |
$48.10
|
|
Ghs fish cytogen
|
$127.86 |
$127.86 |
$127.86 |
$174.50
|
|
Ghs fish hybrid in situ 100-300
|
$127.86 |
$127.86 |
$127.86 |
$225.00
|
|
Ghs flow volume loop
|
$351.39 |
$351.39 |
$351.39 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$351.39 |
$351.39 |
$351.39 |
$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 |
$33.57 |
$87.84
|
|
Ghs histoplasma antigen
|
$38.58 |
$38.58 |
$38.58 |
$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
|
$2,379.77 |
$2,379.77 |
$2,379.77 |
$3,511.80
|
|
Ghs i and d perirectal abscess 46040
|
$2,417.49 |
$2,417.49 |
$2,417.49 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,313.16 |
$1,313.16 |
$1,313.16 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$808.96 |
$808.96 |
$808.96 |
$707.25
|
|
Ghs immun0electrophoresis
|
$110.00 |
$110.00 |
$110.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$471.20 |
$471.20 |
$471.20 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$520.00 |
$520.00 |
$520.00 |
$350.90
|
|
Ghs inf midline insertion
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$1,241.85
|
|
Ghs inhibitor screen
|
$32.85 |
$32.85 |
$32.85 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$180.80 |
$180.80 |
$180.80 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$1,259.81 |
$1,259.81 |
$1,259.81 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,265.13 |
$1,265.13 |
$1,265.13 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$364.72 |
$364.72 |
$364.72 |
$433.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,946.21 |
$1,946.21 |
$1,946.21 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,645.36 |
$2,645.36 |
$2,645.36 |
$1,836.00
|
|
Ghs insertion of needle - bone
|
$466.04 |
$466.04 |
$466.04 |
$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
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,214.89 |
$2,214.89 |
$2,214.89 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$672.80 |
$672.80 |
$672.80 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$523.20 |
$523.20 |
$523.20 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$68.59 |
$68.59 |
$68.59 |
$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
|
$713.53 |
$713.53 |
$713.53 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$617.60 |
$617.60 |
$617.60 |
$602.55
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$619.20 |
$619.20 |
$619.20 |
$583.44
|
|
Ghs layer closure 2.5cm or less - 12051
|
$667.20 |
$667.20 |
$667.20 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$750.40 |
$750.40 |
$750.40 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$738.40 |
$738.40 |
$738.40 |
$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
|
$920.00 |
$920.00 |
$920.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$995.20 |
$995.20 |
$995.20 |
$972.30
|
