|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,056.60 |
$1,056.60 |
$1,056.60 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$1,133.75 |
$1,133.75 |
$1,133.75 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$703.15 |
$703.15 |
$703.15 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$159.35 |
$159.35 |
$159.35 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$126.85 |
$126.85 |
$126.85 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$175.50 |
$175.50 |
$175.50 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$175.50 |
$175.50 |
$175.50 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$195.75 |
$195.75 |
$195.75 |
$339.60
|
|
Ghs dislocation elbow closed treatment
|
$792.25 |
$792.25 |
$792.25 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$203.85 |
$203.85 |
$203.85 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$322.60 |
$322.60 |
$322.60 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,434.85 |
$2,434.85 |
$2,434.85 |
$1,429.20
|
|
Ghs electrostagmgraphy
|
$988.00 |
$988.00 |
$988.00 |
$322.00
|
|
Ghs elect vertical elct
|
$247.00 |
$247.00 |
$247.00 |
$116.00
|
|
Ghs excision ingrown nail
|
$363.10 |
$363.10 |
$363.10 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$539.85 |
$539.85 |
$539.85 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$882.70 |
$882.70 |
$882.70 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$886.80 |
$886.80 |
$886.80 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$726.10 |
$726.10 |
$726.10 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$377.95 |
$377.95 |
$377.95 |
$1,706.20
|
|
Ghs fish cytogen
|
$130.90 |
$130.90 |
$130.90 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$214.80 |
$214.80 |
$214.80 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$380.60 |
$380.60 |
$380.60 |
$368.50
|
|
Ghs HIV antibody
|
$95.85 |
$95.85 |
$95.85 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$483.20 |
$483.20 |
$483.20 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,172.85 |
$1,172.85 |
$1,172.85 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$679.80 |
$679.80 |
$679.80 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$388.70 |
$388.70 |
$388.70 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$386.05 |
$386.05 |
$386.05 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$471.05 |
$471.05 |
$471.05 |
$350.90
|
|
Ghs inhibitor screen
|
$260.45 |
$260.45 |
$260.45 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$149.75 |
$149.75 |
$149.75 |
$275.88
|
|
Ghs inj tendon origin/insertion
|
$167.35 |
$167.35 |
$167.35 |
$434.12
|
|
Ghs inj transforaminal cerv single bil
|
$723.50 |
$723.50 |
$723.50 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$228.10 |
$228.10 |
$228.10 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$827.35 |
$827.35 |
$827.35 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$915.15 |
$915.15 |
$915.15 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,047.35 |
$1,047.35 |
$1,047.35 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$357.45 |
$357.45 |
$357.45 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$83.75 |
$83.75 |
$83.75 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$476.40 |
$476.40 |
$476.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$589.85 |
$589.85 |
$589.85 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$515.55 |
$515.55 |
$515.55 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$515.55 |
$515.55 |
$515.55 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$560.15 |
$560.15 |
$560.15 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$638.40 |
$638.40 |
$638.40 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$628.95 |
$628.95 |
$628.95 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$750.40 |
$750.40 |
$750.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$677.55 |
$677.55 |
$677.55 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$780.10 |
$780.10 |
$780.10 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$782.75 |
$782.75 |
$782.75 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$870.60 |
$870.60 |
$870.60 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,013.85 |
$1,013.85 |
$1,013.85 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,033.85 |
$1,033.85 |
$1,033.85 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,064.90 |
$1,064.90 |
$1,064.90 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,191.75 |
$1,191.75 |
$1,191.75 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,180.90 |
$1,180.90 |
$1,180.90 |
$1,064.98
|
|
Ghs mbp
|
$47.55 |
$47.55 |
$47.55 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$171.45 |
$171.45 |
$171.45 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$205.20 |
$205.20 |
$205.20 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$168.75 |
$168.75 |
$168.75 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$24.35 |
$24.35 |
$24.35 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$126.85 |
$126.85 |
$126.85 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$54.05 |
$54.05 |
$54.05 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$409.00 |
$409.00 |
$409.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$857.05 |
$857.05 |
$857.05 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$359.00 |
$359.00 |
$359.00 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$307.70 |
$307.70 |
$307.70 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$236.60 |
$236.60 |
$236.60 |
$1,710.80
|
|
Ghs nerve block interscaline
|
$285.95 |
$285.95 |
$285.95 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$451.60 |
$451.60 |
$451.60 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$325.25 |
$325.25 |
$325.25 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$342.85 |
$342.85 |
$342.85 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$90.40 |
$90.40 |
$90.40 |
$485.00
|
|
Ghs o2 uptake rest & indirect
|
$72.65 |
$72.65 |
$72.65 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$321.05 |
$321.05 |
$321.05 |
$1,236.67
|
|
Ghs optokenetic
|
$247.00 |
$247.00 |
$247.00 |
$214.00
|
|
Ghs oscillating trac
|
$247.00 |
$247.00 |
$247.00 |
$325.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$75.60 |
$75.60 |
$75.60 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$49.90 |
$49.90 |
$49.90 |
$64.50
|
|
Ghs ot group caregiver training
|
$36.05 |
$36.05 |
$36.05 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$159.35 |
$159.35 |
$159.35 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$159.35 |
$159.35 |
$159.35 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$251.05 |
$251.05 |
$251.05 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$230.85 |
$230.85 |
$230.85 |
$853.65
|
|
Ghs peritonsillar abscess i andd
|
$399.85 |
$399.85 |
$399.85 |
$555.00
|
|
Ghs phenylketonurid
|
$206.55 |
$206.55 |
$206.55 |
$53.76
|
|
Ghs picc line insert < 5
|
$939.45 |
$939.45 |
$939.45 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$683.90 |
$683.90 |
$683.90 |
$564.80
|
|
Ghs pos nystagmus
|
$247.00 |
$247.00 |
$247.00 |
$241.80
|
|
Ghs ppd (tb intradermal)
|
$76.81 |
$76.81 |
$76.81 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$110.50 |
$110.50 |
$110.50 |
$43.55
|
|
Ghs protoporphyrins fract
|
$247.85 |
$247.85 |
$247.85 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$172.70 |
$172.70 |
$172.70 |
$147.00
|
|
Ghs quinidine
|
$137.85 |
$137.85 |
$137.85 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$287.50 |
$287.50 |
$287.50 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$452.20 |
$452.20 |
$452.20 |
$441.68
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,217.40 |
$1,217.40 |
$1,217.40 |
$2,517.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$957.90 |
$957.90 |
$957.90 |
$4,150.20
|
|
Ghs respiratory syncytical virus igg/m
|
$40.45 |
$40.45 |
$40.45 |
$74.82
|
