|
Ghs chemo >8 hrs
|
$518.48 |
$518.48 |
$518.48 |
$710.00
|
|
Ghs chemo IV push, ea addtl
|
$117.53 |
$117.53 |
$117.53 |
$291.87
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$33.95 |
$33.95 |
$33.95 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$444.23 |
$444.23 |
$444.23 |
$595.20
|
|
Ghs closed reduction ankle dislocation
|
$370.40 |
$370.40 |
$370.40 |
$732.75
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$674.19 |
$674.19 |
$674.19 |
$1,655.78
|
|
Ghs closed tx tibial fracture w/manip
|
$1,049.68 |
$1,049.68 |
$1,049.68 |
$2,281.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,632.64 |
$1,632.64 |
$1,632.64 |
$2,973.33
|
|
Ghs clsd red med malleolus fx w manip
|
$739.53 |
$739.53 |
$739.53 |
$2,313.60
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,078.10 |
$1,078.10 |
$1,078.10 |
$2,240.00
|
|
Ghs cl tx knee disl; wo anesth
|
$215.54 |
$215.54 |
$215.54 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$555.39 |
$555.39 |
$555.39 |
$526.35
|
|
Ghs community re-entry 15 minutes
|
$28.01 |
$28.01 |
$28.01 |
$87.60
|
|
Ghs conjunctiva foreign body-embed bil
|
$112.02 |
$112.02 |
$112.02 |
$442.06
|
|
Ghs conjunctiva foreign body-superf bil
|
$203.24 |
$203.24 |
$203.24 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$224.03 |
$224.03 |
$224.03 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$276.21 |
$276.21 |
$276.21 |
$365.43
|
|
Ghs cricothyroidotomy
|
$446.77 |
$446.77 |
$446.77 |
$1,199.25
|
|
Ghs diphtheria toxoid ab igg
|
$101.41 |
$101.41 |
$101.41 |
$74.53
|
|
Ghs dislocation elbow closed treatment
|
$257.12 |
$257.12 |
$257.12 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$111.59 |
$111.59 |
$111.59 |
$330.85
|
|
Ghs excision ingrown nail
|
$276.21 |
$276.21 |
$276.21 |
$460.80
|
|
Ghs eyelid foreign body-embedded - bil
|
$363.61 |
$363.61 |
$363.61 |
$539.85
|
|
Ghs fat & muscle
|
$123.47 |
$123.47 |
$123.47 |
$33.00
|
|
Ghs fb removal foot - deep - left
|
$1,330.13 |
$1,330.13 |
$1,330.13 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$2,146.02 |
$2,146.02 |
$2,146.02 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$1,364.07 |
$1,364.07 |
$1,364.07 |
$2,355.20
|
|
Ghs fb removal - non-incisional
|
$492.60 |
$492.60 |
$492.60 |
$1,793.38
|
|
Ghs febrile agglutinns(mayo)
|
$32.67 |
$32.67 |
$32.67 |
$48.57
|
|
Ghs fish cytogen
|
$32.67 |
$32.67 |
$32.67 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$105.23 |
$105.23 |
$105.23 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$510.41 |
$510.41 |
$510.41 |
$375.20
|
|
Ghs hcv amplificaiton
|
$279.61 |
$279.61 |
$279.61 |
$195.60
|
|
Ghs hepatitis c virus (hcv riba)
|
$371.68 |
$371.68 |
$371.68 |
$105.00
|
|
Ghs histoplasma antigen
|
$98.86 |
$98.86 |
$98.86 |
$144.50
|
|
Ghs HIV antibody
|
$58.56 |
$58.56 |
$58.56 |
$93.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$536.30 |
$536.30 |
$536.30 |
$3,824.84
|
|
Ghs i and d perirectal abscess 46040
|
$951.24 |
$951.24 |
$951.24 |
$2,831.40
|
|
Ghs i and d pilonidal cyst complex
|
$414.95 |
$414.95 |
$414.95 |
$1,549.80
|
|
Ghs i and d pilonidal cyst simple
|
$309.31 |
$309.31 |
$309.31 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$160.81 |
$160.81 |
$160.81 |
$540.10
|
|
Ghs init tx 1st degree burn
|
$276.21 |
$276.21 |
$276.21 |
$298.10
|
|
Ghs inj neurolytic intercostal nerve
|
$949.12 |
$949.12 |
$949.12 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$1,228.72 |
$1,228.72 |
$1,228.72 |
$1,900.99
|
|
Ghs inj tendon origin/insertion
|
$311.85 |
$311.85 |
$311.85 |
$431.07
|
|
Ghs insertion of needle - bone
|
$520.17 |
$520.17 |
$520.17 |
$442.06
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$731.47 |
$731.47 |
$731.47 |
$943.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,739.56 |
$1,739.56 |
$1,739.56 |
$1,122.16
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,598.30 |
$2,598.30 |
$2,598.30 |
$2,123.36
|
|
Ghs irrigate corpora cavernosa for priapism
|
$469.68 |
$469.68 |
$469.68 |
$615.58
|
|
Ghs IV inf sq injection, on-body injector
|
$68.74 |
$68.74 |
$68.74 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$346.22 |
$346.22 |
$346.22 |
$663.03
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$386.10 |
$386.10 |
$386.10 |
$542.40
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$554.12 |
$554.12 |
$554.12 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$440.41 |
$440.41 |
$440.41 |
$599.55
|
|
Ghs layer closure 2.5cm or less - 12051
|
$668.67 |
$668.67 |
$668.67 |
$629.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$307.61 |
$307.61 |
$307.61 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$352.16 |
$352.16 |
$352.16 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$294.03 |
$294.03 |
$294.03 |
$742.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$476.47 |
$476.47 |
$476.47 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$402.22 |
$402.22 |
$402.22 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$327.55 |
$327.55 |
$327.55 |
$741.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$412.83 |
$412.83 |
$412.83 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$802.32 |
$802.32 |
$802.32 |
$837.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,255.88 |
$1,255.88 |
$1,255.88 |
$1,033.85
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$802.32 |
$802.32 |
$802.32 |
$929.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,065.40 |
$2,065.40 |
$2,065.40 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,691.61 |
$1,691.61 |
$1,691.61 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$61.10 |
$61.10 |
$61.10 |
$59.40
|
|
Ghs mbp
|
$88.26 |
$88.26 |
$88.26 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$151.05 |
$151.05 |
$151.05 |
$253.55
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$124.74 |
$124.74 |
$124.74 |
$228.90
|
|
Ghs moderate sedation ea addtl 15 min
|
$128.14 |
$128.14 |
$128.14 |
$144.46
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$79.77 |
$79.77 |
$79.77 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$376.34 |
$376.34 |
$376.34 |
$500.00
|
|
Ghs nailbed repair/nail removal
|
$299.97 |
$299.97 |
$299.97 |
$788.15
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,217.27 |
$1,217.27 |
$1,217.27 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$425.98 |
$425.98 |
$425.98 |
$1,109.38
|
|
Ghs nerve block axillary nerve
|
$494.72 |
$494.72 |
$494.72 |
$1,501.60
|
|
Ghs nerve block brachial plexus
|
$872.33 |
$872.33 |
$872.33 |
$1,789.51
|
|
Ghs nerve block interscaline
|
$638.97 |
$638.97 |
$638.97 |
$1,574.21
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,126.47 |
$1,126.47 |
$1,126.47 |
$2,033.90
|
|
Ghs nerve block sciatic nerve
|
$722.13 |
$722.13 |
$722.13 |
$1,709.77
|
|
Ghs nerve block suprascapular
|
$383.55 |
$383.55 |
$383.55 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$120.50 |
$120.50 |
$120.50 |
$456.33
|
|
Ghs o2 saturation
|
$37.77 |
$37.77 |
$37.77 |
$72.45
|
|
Ghs ot prosthetic training/15 min
|
$45.40 |
$45.40 |
$45.40 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$60.68 |
$60.68 |
$60.68 |
$101.50
|
|
Ghs ot work hardening-additional hours
|
$110.32 |
$110.32 |
$110.32 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$638.97 |
$638.97 |
$638.97 |
$842.40
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$485.38 |
$485.38 |
$485.38 |
$804.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$54.74 |
$54.74 |
$54.74 |
$971.33
|
|
Ghs peritonsillar abscess i andd
|
$358.52 |
$358.52 |
$358.52 |
$694.20
|
|
Ghs phenylketonurid
|
$201.96 |
$201.96 |
$201.96 |
$55.53
|
|
Ghs picc line insert < 5
|
$2,005.58 |
$2,005.58 |
$2,005.58 |
$2,035.00
|
|
Ghs plngl fx pm cl
|
$606.30 |
$606.30 |
$606.30 |
$642.20
|
|
Ghs ppd (tb intradermal)
|
$16.13 |
$16.13 |
$16.13 |
$43.45
|
|
Ghs protoporphyrins fract
|
$78.92 |
$78.92 |
$78.92 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$63.22 |
$63.22 |
$63.22 |
$149.60
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$14.85 |
$14.85 |
$14.85 |
$45.05
|