|
Ghs cl tx knee disl; wo anesth
|
$439.14 |
$439.14 |
$439.14 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,924.13 |
$1,924.13 |
$1,924.13 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$260.95 |
$260.95 |
$260.95 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,401.14 |
$1,401.14 |
$1,401.14 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$700.88 |
$700.88 |
$700.88 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$1,171.26 |
$1,171.26 |
$1,171.26 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$1,418.84 |
$1,418.84 |
$1,418.84 |
$368.16
|
|
Ghs dislocation elbow closed treatment
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$687.73
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$4,149.55 |
$4,149.55 |
$4,149.55 |
$1,439.40
|
|
Ghs excision ingrown nail
|
$778.12 |
$778.12 |
$778.12 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$292.77 |
$292.77 |
$292.77 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$12,209.96 |
$12,209.96 |
$12,209.96 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$14,542.76 |
$14,542.76 |
$14,542.76 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$10,862.40 |
$10,862.40 |
$10,862.40 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$850.36 |
$850.36 |
$850.36 |
$48.57
|
|
Ghs fish cytogen
|
$412.49 |
$412.49 |
$412.49 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$902.70 |
$902.70 |
$902.70 |
$229.45
|
|
Ghs hgb stability-thal
|
$124.02 |
$124.02 |
$124.02 |
$85.28
|
|
Ghs histoplasma antigen
|
$522.49 |
$522.49 |
$522.49 |
$137.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$11,956.07 |
$11,956.07 |
$11,956.07 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$7,480.81 |
$7,480.81 |
$7,480.81 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$6,137.17 |
$6,137.17 |
$6,137.17 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$3,789.56 |
$3,789.56 |
$3,789.56 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$1,008.90 |
$1,008.90 |
$1,008.90 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$2,034.51 |
$2,034.51 |
$2,034.51 |
$293.58
|
|
Ghs inf midline insertion
|
$1,060.91 |
$1,060.91 |
$1,060.91 |
$1,234.20
|
|
Ghs init tx 1st degree burn
|
$444.29 |
$444.29 |
$444.29 |
$300.30
|
|
Ghs inj neurolytic other perph nerve
|
$6,274.62 |
$6,274.62 |
$6,274.62 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$1,493.21 |
$1,493.21 |
$1,493.21 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$3,019.37 |
$3,019.37 |
$3,019.37 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$3,374.86 |
$3,374.86 |
$3,374.86 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$1,119.64 |
$1,119.64 |
$1,119.64 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$3,241.38 |
$3,241.38 |
$3,241.38 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$3,792.05 |
$3,792.05 |
$3,792.05 |
$1,160.28
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,504.67 |
$1,504.67 |
$1,504.67 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$492.86 |
$492.86 |
$492.86 |
$117.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$968.59 |
$968.59 |
$968.59 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$2,032.57 |
$2,032.57 |
$2,032.57 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$2,289.95 |
$2,289.95 |
$2,289.95 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$2,412.42 |
$2,412.42 |
$2,412.42 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$2,835.06 |
$2,835.06 |
$2,835.06 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$3,084.85 |
$3,084.85 |
$3,084.85 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$3,058.26 |
$3,058.26 |
$3,058.26 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$2,753.38 |
$2,753.38 |
$2,753.38 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$3,379.64 |
$3,379.64 |
$3,379.64 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$3,129.49 |
$3,129.49 |
$3,129.49 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$4,327.21 |
$4,327.21 |
$4,327.21 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$4,297.72 |
$4,297.72 |
$4,297.72 |
$879.60
|
|
Ghs mbp
|
$350.35 |
$350.35 |
$350.35 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$645.32 |
$645.32 |
$645.32 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$645.32 |
$645.32 |
$645.32 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$645.32 |
$645.32 |
$645.32 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$144.46 |
$144.46 |
$144.46 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$115.97 |
$115.97 |
$115.97 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$897.61 |
$897.61 |
$897.61 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$729.32 |
$729.32 |
$729.32 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,105.24 |
$2,105.24 |
$2,105.24 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$2,326.87 |
$2,326.87 |
$2,326.87 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$2,661.59 |
$2,661.59 |
$2,661.59 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$1,915.96 |
$1,915.96 |
$1,915.96 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$2,908.56 |
$2,908.56 |
$2,908.56 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$1,472.75 |
$1,472.75 |
$1,472.75 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,285.30 |
$2,285.30 |
$2,285.30 |
$2,042.60
|
|
Ghs nerve block suprascapular
|
$1,915.96 |
$1,915.96 |
$1,915.96 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$512.47 |
$512.47 |
$512.47 |
$468.75
|
|
Ghs o2 saturation
|
$159.14 |
$159.14 |
$159.14 |
$72.45
|
|
Ghs ot group caregiver training
|
$71.51 |
$71.51 |
$71.51 |
$43.20
|
|
Ghs ot sensory integrative tech/15min
|
$260.95 |
$260.95 |
$260.95 |
$101.05
|
|
Ghs ot work hardening-additional hours
|
$152.59 |
$152.59 |
$152.59 |
$121.54
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,480.11 |
$1,480.11 |
$1,480.11 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$2,337.95 |
$2,337.95 |
$2,337.95 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$385.44 |
$385.44 |
$385.44 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$1,881.73 |
$1,881.73 |
$1,881.73 |
$694.20
|
|
Ghs picc line insert < 5
|
$8,606.75 |
$8,606.75 |
$8,606.75 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$1,986.42 |
$1,986.42 |
$1,986.42 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$267.71 |
$267.71 |
$267.71 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$203.79 |
$203.79 |
$203.79 |
$40.56
|
|
Ghs protoporphyrins fract
|
$129.82 |
$129.82 |
$129.82 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$73.95 |
$73.95 |
$73.95 |
$156.70
|
|
Ghs pt - work hardening/int 2hrs
|
$395.15 |
$395.15 |
$395.15 |
$255.60
|
|
Ghs removal intranasal foreign body
|
$906.71 |
$906.71 |
$906.71 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$155.24 |
$155.24 |
$155.24 |
$460.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$363.63 |
$363.63 |
$363.63 |
$101.15
|
|
Ghs sensitivity (per antimicro)
|
$306.99 |
$306.99 |
$306.99 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$2,652.25 |
$2,652.25 |
$2,652.25 |
$590.40
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$3,242.68 |
$3,242.68 |
$3,242.68 |
$670.08
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,784.72 |
$1,784.72 |
$1,784.72 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$2,061.82 |
$2,061.82 |
$2,061.82 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$2,238.88 |
$2,238.88 |
$2,238.88 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$4,029.92 |
$4,029.92 |
$4,029.92 |
$660.00
|
|
Ghs sp train/fitting sp device - kx
|
$414.51 |
$414.51 |
$414.51 |
$261.95
|
|
Ghs strapping shoulder - 29240
|
$415.51 |
$415.51 |
$415.51 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$946.32 |
$946.32 |
$946.32 |
$309.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$580.53 |
$580.53 |
$580.53 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$4,475.52 |
$4,475.52 |
$4,475.52 |
$976.98
|
|
Ghs urine, porphyrins quant
|
$174.49 |
$174.49 |
$174.49 |
$70.20
|
|
Ghs vaginal delivery only
|
$7,489.39 |
$7,489.39 |
$7,489.39 |
$3,525.06
|
|
Gi inhouse confirmation
|
$656.80 |
$656.80 |
$656.80 |
$87.00
|
|
Glucagon plasma - sendout
|
$332.22 |
$332.22 |
$332.22 |
$58.56
|
|
Glucose 1 hr post dose
|
$194.02 |
$194.02 |
$194.02 |
$46.28
|
