|
Ghs alcohol, methyl (methanol)-medtox
|
$101.40 |
$101.40 |
$101.40 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$876.60 |
$876.60 |
$876.60 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$171.00 |
$171.00 |
$171.00 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$514.20 |
$514.20 |
$514.20 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$87.60 |
$87.60 |
$87.60 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$953.40 |
$953.40 |
$953.40 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,535.60 |
$2,535.60 |
$2,535.60 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$1,105.20 |
$1,105.20 |
$1,105.20 |
$565.49
|
|
Ghs chemo >8 hrs
|
$629.40 |
$629.40 |
$629.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$470.40 |
$470.40 |
$470.40 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$61.20 |
$61.20 |
$61.20 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$789.00 |
$789.00 |
$789.00 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$439.80 |
$439.80 |
$439.80 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$2,148.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,351.40 |
$2,351.40 |
$2,351.40 |
$3,086.00
|
|
Ghs clsd red med malleolus fx w manip
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,655.60 |
$2,655.60 |
$2,655.60 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$606.60 |
$606.60 |
$606.60 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,175.40 |
$1,175.40 |
$1,175.40 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$340.80 |
$340.80 |
$340.80 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$340.80 |
$340.80 |
$340.80 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$440.40 |
$440.40 |
$440.40 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$484.20 |
$484.20 |
$484.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$435.00 |
$435.00 |
$435.00 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$599.40 |
$599.40 |
$599.40 |
$578.00
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$510.60 |
$510.60 |
$510.60 |
$593.91
|
|
Ghs excision ingrown nail
|
$430.80 |
$430.80 |
$430.80 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$598.80 |
$598.80 |
$598.80 |
$501.04
|
|
Ghs fb removal - incisional
|
$2,980.20 |
$2,980.20 |
$2,980.20 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$1,179.60 |
$1,179.60 |
$1,179.60 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$52.20 |
$52.20 |
$52.20 |
$48.57
|
|
Ghs fish cytogen
|
$139.80 |
$139.80 |
$139.80 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$543.60 |
$543.60 |
$543.60 |
$223.00
|
|
Ghs flow volume loop
|
$227.40 |
$227.40 |
$227.40 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$419.40 |
$419.40 |
$419.40 |
$368.50
|
|
Ghs hcv amplificaiton
|
$101.40 |
$101.40 |
$101.40 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$194.40 |
$194.40 |
$194.40 |
$142.50
|
|
Ghs hgb stability-thal
|
$87.60 |
$87.60 |
$87.60 |
$87.60
|
|
Ghs histoplasma antigen
|
$269.40 |
$269.40 |
$269.40 |
$141.00
|
|
Ghs HIV antibody
|
$212.40 |
$212.40 |
$212.40 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$261.00 |
$261.00 |
$261.00 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,197.60 |
$4,197.60 |
$4,197.60 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$5,106.60 |
$5,106.60 |
$5,106.60 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,402.80 |
$1,402.80 |
$1,402.80 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$603.60 |
$603.60 |
$603.60 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$664.80 |
$664.80 |
$664.80 |
$523.73
|
|
Ghs inf midline insertion
|
$1,446.00 |
$1,446.00 |
$1,446.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$34.20 |
$34.20 |
$34.20 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$363.00 |
$363.00 |
$363.00 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$11,306.81 |
$11,306.81 |
$11,306.81 |
$1,702.20
|
|
Ghs inj transforaminal cerv single bil
|
$1,436.40 |
$1,436.40 |
$1,436.40 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$289.20 |
$289.20 |
$289.20 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,881.20 |
$2,881.20 |
$2,881.20 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$435.60 |
$435.60 |
$435.60 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$741.00 |
$741.00 |
$741.00 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$120.00 |
$120.00 |
$120.00 |
$107.58
|
|
Ghs IV thrombolytics - cerebral
|
$1,024.20 |
$1,024.20 |
$1,024.20 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$438.00 |
$438.00 |
$438.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$910.20 |
$910.20 |
$910.20 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$8,877.18 |
$8,877.18 |
$8,877.18 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$940.20 |
$940.20 |
$940.20 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,131.60 |
$1,131.60 |
$1,131.60 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$2,523.00 |
$2,523.00 |
$2,523.00 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$20.40 |
$20.40 |
$20.40 |
$76.20
|
|
Ghs mbp
|
$202.20 |
$202.20 |
$202.20 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$734.40 |
$734.40 |
$734.40 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$807.00 |
$807.00 |
$807.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$708.00 |
$708.00 |
$708.00 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$293.40 |
$293.40 |
$293.40 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$323.40 |
$323.40 |
$323.40 |
$147.75
|
|
Ghs musc test done w/n test comp
|
$335.40 |
$335.40 |
$335.40 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$259.80 |
$259.80 |
$259.80 |
$266.59
|
|
Ghs myocardial strain img spckl track
|
$959.40 |
$959.40 |
$959.40 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$750.00 |
$750.00 |
$750.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,679.40 |
$1,679.40 |
$1,679.40 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$789.60 |
$789.60 |
$789.60 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$1,669.80 |
$1,669.80 |
$1,669.80 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$1,626.60 |
$1,626.60 |
$1,626.60 |
$1,689.00
|
|
Ghs nerve block interscaline
|
$2,530.80 |
$2,530.80 |
$2,530.80 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$1,988.40 |
$1,988.40 |
$1,988.40 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$953.40 |
$953.40 |
$953.40 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$593.40 |
$593.40 |
$593.40 |
$478.50
|
|
Ghs o2 saturation
|
$24.00 |
$24.00 |
$24.00 |
$70.80
|
|
Ghs ob unlisted IV or art inj or infusion
|
$73.80 |
$73.80 |
$73.80 |
$75.00
|
|
Ghs opcc repair cvp without subq port
|
$1,408.20 |
$1,408.20 |
$1,408.20 |
$1,229.24
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$58.20 |
$58.20 |
$58.20 |
$55.77
|
|
Ghs ot group caregiver training
|
$33.60 |
$33.60 |
$33.60 |
$34.92
|
|
Ghs ot work hardening-additional hours
|
$91.20 |
$91.20 |
$91.20 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$861.60 |
$861.60 |
$861.60 |
$815.20
|
