|
Ghs clsd red med malleolus fx without manip
|
$75.36 |
$75.36 |
$75.36 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$600.96 |
$600.96 |
$600.96 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$600.96 |
$600.96 |
$600.96 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$204.96 |
$204.96 |
$204.96 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$75.36 |
$75.36 |
$75.36 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$203.76 |
$203.76 |
$203.76 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$47.76 |
$47.76 |
$47.76 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$113.76 |
$113.76 |
$113.76 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$47.76 |
$47.76 |
$47.76 |
$339.60
|
|
Ghs cricothyroidotomy
|
$227.28 |
$227.28 |
$227.28 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$75.36 |
$75.36 |
$75.36 |
$578.00
|
|
Ghs ed rmvl or bivalving cast
|
$83.28 |
$83.28 |
$83.28 |
$329.60
|
|
Ghs excision ingrown nail
|
$153.60 |
$153.60 |
$153.60 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$104.88 |
$104.88 |
$104.88 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$530.88 |
$530.88 |
$530.88 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$906.72 |
$906.72 |
$906.72 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$1,135.44 |
$1,135.44 |
$1,135.44 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$479.76 |
$479.76 |
$479.76 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$22.56 |
$22.56 |
$22.56 |
$48.57
|
|
Ghs fish cytogen
|
$228.48 |
$228.48 |
$228.48 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$32.16 |
$32.16 |
$32.16 |
$223.00
|
|
Ghs flow volume loop
|
$116.16 |
$116.16 |
$116.16 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$88.56 |
$88.56 |
$88.56 |
$368.50
|
|
Ghs histoplasma antigen
|
$154.80 |
$154.80 |
$154.80 |
$141.00
|
|
Ghs HIV antibody
|
$129.12 |
$129.12 |
$129.12 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$581.52 |
$581.52 |
$581.52 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$841.92 |
$841.92 |
$841.92 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$209.28 |
$209.28 |
$209.28 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$209.28 |
$209.28 |
$209.28 |
$703.15
|
|
Ghs immun0electrophoresis
|
$168.96 |
$168.96 |
$168.96 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$138.72 |
$138.72 |
$138.72 |
$523.73
|
|
Ghs inhibitor screen
|
$270.00 |
$270.00 |
$270.00 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$59.52 |
$59.52 |
$59.52 |
$275.50
|
|
Ghs inj transforaminal cerv single bil
|
$506.16 |
$506.16 |
$506.16 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$102.00 |
$102.00 |
$102.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$151.20 |
$151.20 |
$151.20 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$151.20 |
$151.20 |
$151.20 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$934.32 |
$934.32 |
$934.32 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$79.92 |
$79.92 |
$79.92 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$34.80 |
$34.80 |
$34.80 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$378.96 |
$378.96 |
$378.96 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$378.96 |
$378.96 |
$378.96 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$378.96 |
$378.96 |
$378.96 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$108.24 |
$108.24 |
$108.24 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$73.20 |
$73.20 |
$73.20 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$473.04 |
$473.04 |
$473.04 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$113.76 |
$113.76 |
$113.76 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$473.04 |
$473.04 |
$473.04 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$473.04 |
$473.04 |
$473.04 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$473.04 |
$473.04 |
$473.04 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$473.04 |
$473.04 |
$473.04 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$473.04 |
$473.04 |
$473.04 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$473.04 |
$473.04 |
$473.04 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$161.28 |
$161.28 |
$161.28 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$175.44 |
$175.44 |
$175.44 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$104.16 |
$104.16 |
$104.16 |
$790.40
|
|
Ghs leukocyte alkaline phos (mayo)
|
$72.48 |
$72.48 |
$72.48 |
$76.20
|
|
Ghs mbp
|
$197.76 |
$197.76 |
$197.76 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$242.64 |
$242.64 |
$242.64 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$124.08 |
$124.08 |
$124.08 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$124.08 |
$124.08 |
$124.08 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$39.12 |
$39.12 |
$39.12 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$124.08 |
$124.08 |
$124.08 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$45.36 |
$45.36 |
$45.36 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$172.56 |
$172.56 |
$172.56 |
$724.37
|
|
Ghs nerve blk intercostal, single level
|
$397.20 |
$397.20 |
$397.20 |
$1,107.00
|
|
Ghs nerve block brachial plexus
|
$597.12 |
$597.12 |
$597.12 |
$1,689.00
|
|
Ghs nerve block lumbar or thoracic symp
|
$294.24 |
$294.24 |
$294.24 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$451.44 |
$451.44 |
$451.44 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$479.52 |
$479.52 |
$479.52 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$203.76 |
$203.76 |
$203.76 |
$478.50
|
|
Ghs ot group caregiver training
|
$7.44 |
$7.44 |
$7.44 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$49.68 |
$49.68 |
$49.68 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$38.16 |
$38.16 |
$38.16 |
$94.80
|
|
Ghs pacing - transcutaneous
|
$165.84 |
$165.84 |
$165.84 |
$815.20
|
|
Ghs peritonsillar abscess i andd
|
$128.16 |
$128.16 |
$128.16 |
$546.36
|
|
Ghs picc line insert < 5
|
$479.52 |
$479.52 |
$479.52 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$75.36 |
$75.36 |
$75.36 |
$564.80
|
|
Ghs plt ct-manual
|
$24.72 |
$24.72 |
$24.72 |
$37.96
|
|
Ghs ppd (tb intradermal)
|
$13.68 |
$13.68 |
$13.68 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$52.32 |
$52.32 |
$52.32 |
$43.55
|
|
Ghs protoporphyrins fract
|
$11.52 |
$11.52 |
$11.52 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$56.16 |
$56.16 |
$56.16 |
$146.86
|
|
Ghs quinidine
|
$25.44 |
$25.44 |
$25.44 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$46.32 |
$46.32 |
$46.32 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$102.00 |
$102.00 |
$102.00 |
$459.90
|
|
Ghs reticulocyte count
|
$21.60 |
$21.60 |
$21.60 |
$34.45
|
|
Ghs sedimentation rate
|
$37.44 |
$37.44 |
$37.44 |
$45.50
|
|
Ghs semen analysis fert
|
$56.64 |
$56.64 |
$56.64 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$18.24 |
$18.24 |
$18.24 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$161.28 |
$161.28 |
$161.28 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$161.28 |
$161.28 |
$161.28 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$113.76 |
$113.76 |
$113.76 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$113.76 |
$113.76 |
$113.76 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$161.28 |
$161.28 |
$161.28 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$161.28 |
$161.28 |
$161.28 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$161.28 |
$161.28 |
$161.28 |
$484.80
|
|
Ghs simple repair over 30 cm - 12007
|
$161.28 |
$161.28 |
$161.28 |
$582.00
|
|
Ghs sleep study unattended
|
$122.16 |
$122.16 |
$122.16 |
$495.00
|
|
Ghs strapping shoulder - 29240
|
$90.96 |
$90.96 |
$90.96 |
$213.20
|
