|
Ghs cl tx knee disl; wo anesth
|
$559.17 |
$559.17 |
$559.17 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$349.70 |
$349.70 |
$349.70 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$87.43 |
$87.43 |
$87.43 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$115.98 |
$115.98 |
$115.98 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$88.14 |
$88.14 |
$88.14 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$164.15 |
$164.15 |
$164.15 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$164.15 |
$164.15 |
$164.15 |
$368.16
|
|
Ghs cricothyroidotomy
|
$2,103.19 |
$2,103.19 |
$2,103.19 |
$1,207.80
|
|
Ghs diphtheria toxoid ab igg
|
$56.38 |
$56.38 |
$56.38 |
$72.05
|
|
Ghs dislocation elbow closed treatment
|
$432.13 |
$432.13 |
$432.13 |
$687.73
|
|
Ghs excision ingrown nail
|
$282.98 |
$282.98 |
$282.98 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$196.26 |
$196.26 |
$196.26 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$615.19 |
$615.19 |
$615.19 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$670.86 |
$670.86 |
$670.86 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$410.72 |
$410.72 |
$410.72 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$39.97 |
$39.97 |
$39.97 |
$48.57
|
|
Ghs fish cytogen
|
$29.98 |
$29.98 |
$29.98 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$52.82 |
$52.82 |
$52.82 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$149.52 |
$149.52 |
$149.52 |
$403.20
|
|
Ghs hcv amplificaiton
|
$49.25 |
$49.25 |
$49.25 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$51.75 |
$51.75 |
$51.75 |
$106.05
|
|
Ghs hgb stability-thal
|
$34.97 |
$34.97 |
$34.97 |
$85.28
|
|
Ghs histoplasma antigen
|
$71.37 |
$71.37 |
$71.37 |
$137.80
|
|
Ghs HIV antibody
|
$27.12 |
$27.12 |
$27.12 |
$91.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$626.61 |
$626.61 |
$626.61 |
$462.60
|
|
Ghs i and d abscess/hematoma scrotum
|
$552.03 |
$552.03 |
$552.03 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$810.02 |
$810.02 |
$810.02 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$504.57 |
$504.57 |
$504.57 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$142.74 |
$142.74 |
$142.74 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$250.15 |
$250.15 |
$250.15 |
$543.60
|
|
Ghs inhibitor screen
|
$65.31 |
$65.31 |
$65.31 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$141.31 |
$141.31 |
$141.31 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$782.90 |
$782.90 |
$782.90 |
$2,037.10
|
|
Ghs insertion of needle - bone
|
$168.43 |
$168.43 |
$168.43 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$750.79 |
$750.79 |
$750.79 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$807.17 |
$807.17 |
$807.17 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,279.83 |
$2,279.83 |
$2,279.83 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$203.40 |
$203.40 |
$203.40 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$48.18 |
$48.18 |
$48.18 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$168.79 |
$168.79 |
$168.79 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$133.10 |
$133.10 |
$133.10 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$181.99 |
$181.99 |
$181.99 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$178.07 |
$178.07 |
$178.07 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$533.83 |
$533.83 |
$533.83 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$304.03 |
$304.03 |
$304.03 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$273.70 |
$273.70 |
$273.70 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$304.03 |
$304.03 |
$304.03 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$314.02 |
$314.02 |
$314.02 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$391.45 |
$391.45 |
$391.45 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$854.27 |
$854.27 |
$854.27 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$544.54 |
$544.54 |
$544.54 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$854.27 |
$854.27 |
$854.27 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$702.97 |
$702.97 |
$702.97 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$854.27 |
$854.27 |
$854.27 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,794.53 |
$1,794.53 |
$1,794.53 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,446.26 |
$1,446.26 |
$1,446.26 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$86.36 |
$86.36 |
$86.36 |
$59.40
|
|
Ghs mbp
|
$34.97 |
$34.97 |
$34.97 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$78.51 |
$78.51 |
$78.51 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$75.65 |
$75.65 |
$75.65 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$152.02 |
$152.02 |
$152.02 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$54.24 |
$54.24 |
$54.24 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$55.67 |
$55.67 |
$55.67 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$319.02 |
$319.02 |
$319.02 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$425.35 |
$425.35 |
$425.35 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$772.55 |
$772.55 |
$772.55 |
$1,618.50
|
|
Ghs nerve block axillary nerve
|
$316.52 |
$316.52 |
$316.52 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$807.17 |
$807.17 |
$807.17 |
$1,768.00
|
|
Ghs nerve block sciatic nerve
|
$595.92 |
$595.92 |
$595.92 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$302.24 |
$302.24 |
$302.24 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$155.23 |
$155.23 |
$155.23 |
$468.75
|
|
Ghs o2 saturation
|
$31.41 |
$31.41 |
$31.41 |
$72.45
|
|
Ghs ot prosthetic training/15 min
|
$108.13 |
$108.13 |
$108.13 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$52.46 |
$52.46 |
$52.46 |
$101.05
|
|
Ghs ot work hardening-additional hours
|
$91.00 |
$91.00 |
$91.00 |
$121.54
|
|
Ghs pacing - transcutaneous
|
$225.17 |
$225.17 |
$225.17 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$411.79 |
$411.79 |
$411.79 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$43.90 |
$43.90 |
$43.90 |
$1,003.00
|
|
Ghs peritonsillar abscess i andd
|
$272.27 |
$272.27 |
$272.27 |
$694.20
|
|
Ghs phenylketonurid
|
$121.33 |
$121.33 |
$121.33 |
$51.58
|
|
Ghs picc line insert < 5
|
$1,411.29 |
$1,411.29 |
$1,411.29 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$331.15 |
$331.15 |
$331.15 |
$662.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,638.24 |
$1,638.24 |
$1,638.24 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$21.42 |
$21.42 |
$21.42 |
$43.45
|
|
Ghs protoporphyrins fract
|
$56.38 |
$56.38 |
$56.38 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$36.40 |
$36.40 |
$36.40 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$33.19 |
$33.19 |
$33.19 |
$45.05
|
|
Ghs pt - work hardening/int 2hrs
|
$134.18 |
$134.18 |
$134.18 |
$255.60
|
|
Ghs quinidine
|
$47.82 |
$47.82 |
$47.82 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$135.96 |
$135.96 |
$135.96 |
$324.35
|
|
Ghs respiratory syncytical virus igg/m
|
$30.34 |
$30.34 |
$30.34 |
$42.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$76.37 |
$76.37 |
$76.37 |
$101.15
|
|
Ghs sedimentation rate
|
$18.56 |
$18.56 |
$18.56 |
$45.50
|
|
Ghs semen analysis fert
|
$11.07 |
$11.07 |
$11.07 |
$123.20
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$434.27 |
$434.27 |
$434.27 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$644.81 |
$644.81 |
$644.81 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$654.08 |
$654.08 |
$654.08 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$1,685.69 |
$1,685.69 |
$1,685.69 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$368.97 |
$368.97 |
$368.97 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$347.21 |
$347.21 |
$347.21 |
$470.47
|