|
Ghs change cysto/gastrost
|
$190.00 |
$190.00 |
$190.00 |
$567.20
|
|
Ghs chemo >8 hrs
|
$156.25 |
$156.25 |
$156.25 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$130.25 |
$130.25 |
$130.25 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$27.50 |
$27.50 |
$27.50 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$62.50 |
$62.50 |
$62.50 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$194.50 |
$194.50 |
$194.50 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$478.25 |
$478.25 |
$478.25 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$78.50 |
$78.50 |
$78.50 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$626.00 |
$626.00 |
$626.00 |
$2,158.20
|
|
Ghs clsd red med malleolus fx without manip
|
$78.50 |
$78.50 |
$78.50 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$626.00 |
$626.00 |
$626.00 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$626.00 |
$626.00 |
$626.00 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$78.50 |
$78.50 |
$78.50 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$78.50 |
$78.50 |
$78.50 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$212.25 |
$212.25 |
$212.25 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$49.75 |
$49.75 |
$49.75 |
$283.20
|
|
Ghs corneal fb without slit lamp bilat
|
$108.00 |
$108.00 |
$108.00 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$49.75 |
$49.75 |
$49.75 |
$339.60
|
|
Ghs cricothyroidotomy
|
$236.75 |
$236.75 |
$236.75 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$78.50 |
$78.50 |
$78.50 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$857.00 |
$857.00 |
$857.00 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$90.50 |
$90.50 |
$90.50 |
$329.60
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$503.25 |
$503.25 |
$503.25 |
$1,432.20
|
|
Ghs excision ingrown nail
|
$153.75 |
$153.75 |
$153.75 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$109.25 |
$109.25 |
$109.25 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$507.25 |
$507.25 |
$507.25 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$944.50 |
$944.50 |
$944.50 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$1,182.75 |
$1,182.75 |
$1,182.75 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$504.75 |
$504.75 |
$504.75 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$10.50 |
$10.50 |
$10.50 |
$48.57
|
|
Ghs fish cytogen
|
$188.25 |
$188.25 |
$188.25 |
$172.64
|
|
Ghs fish hybrid in situ 100-300
|
$189.25 |
$189.25 |
$189.25 |
$223.00
|
|
Ghs flow volume loop
|
$120.50 |
$120.50 |
$120.50 |
$308.37
|
|
Ghs gastric intub aspiration lavage
|
$96.25 |
$96.25 |
$96.25 |
$368.50
|
|
Ghs histoplasma antigen
|
$230.50 |
$230.50 |
$230.50 |
$141.00
|
|
Ghs HIV antibody
|
$121.00 |
$121.00 |
$121.00 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$631.50 |
$631.50 |
$631.50 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$877.00 |
$877.00 |
$877.00 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$220.25 |
$220.25 |
$220.25 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$220.25 |
$220.25 |
$220.25 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$144.50 |
$144.50 |
$144.50 |
$525.60
|
|
Ghs inf midline insertion
|
$274.50 |
$274.50 |
$274.50 |
$1,219.20
|
|
Ghs inhibitor screen
|
$277.00 |
$277.00 |
$277.00 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$57.25 |
$57.25 |
$57.25 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$381.50 |
$381.50 |
$381.50 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$381.50 |
$381.50 |
$381.50 |
$1,702.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$381.50 |
$381.50 |
$381.50 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$381.50 |
$381.50 |
$381.50 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$108.00 |
$108.00 |
$108.00 |
$426.60
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$157.50 |
$157.50 |
$157.50 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$157.50 |
$157.50 |
$157.50 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$982.75 |
$982.75 |
$982.75 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$83.25 |
$83.25 |
$83.25 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$36.25 |
$36.25 |
$36.25 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$394.75 |
$394.75 |
$394.75 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$394.75 |
$394.75 |
$394.75 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$394.75 |
$394.75 |
$394.75 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$114.00 |
$114.00 |
$114.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$108.00 |
$108.00 |
$108.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$107.75 |
$107.75 |
$107.75 |
$584.35
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$119.50 |
$119.50 |
$119.50 |
$564.00
|
|
Ghs layer closure 2.5cm or less - 12051
|
$103.75 |
$103.75 |
$103.75 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$107.75 |
$107.75 |
$107.75 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$107.75 |
$107.75 |
$107.75 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$107.75 |
$107.75 |
$107.75 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$107.75 |
$107.75 |
$107.75 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$184.75 |
$184.75 |
$184.75 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$119.50 |
$119.50 |
$119.50 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$184.75 |
$184.75 |
$184.75 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$108.50 |
$108.50 |
$108.50 |
$792.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$75.00 |
$75.00 |
$75.00 |
$76.20
|
|
Ghs mbp
|
$116.25 |
$116.25 |
$116.25 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$243.00 |
$243.00 |
$243.00 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$129.25 |
$129.25 |
$129.25 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$129.25 |
$129.25 |
$129.25 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$40.75 |
$40.75 |
$40.75 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$129.25 |
$129.25 |
$129.25 |
$143.40
|
|
Ghs myocardial strain img spckl track
|
$45.50 |
$45.50 |
$45.50 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$187.50 |
$187.50 |
$187.50 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$408.50 |
$408.50 |
$408.50 |
$1,546.50
|
|
Ghs nerve block axillary nerve
|
$622.00 |
$622.00 |
$622.00 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$622.00 |
$622.00 |
$622.00 |
$1,703.53
|
|
Ghs nerve block celiac plexus
|
$490.25 |
$490.25 |
$490.25 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$381.50 |
$381.50 |
$381.50 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$381.50 |
$381.50 |
$381.50 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$470.25 |
$470.25 |
$470.25 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$503.25 |
$503.25 |
$503.25 |
$1,142.40
|
|
Ghs ng placement w fluoro guidance
|
$212.25 |
$212.25 |
$212.25 |
$478.50
|
|
Ghs opcc repair cvp without subq port
|
$370.50 |
$370.50 |
$370.50 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$773.50 |
$773.50 |
$773.50 |
$2,194.40
|
|
Ghs ot group caregiver training
|
$7.75 |
$7.75 |
$7.75 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$54.50 |
$54.50 |
$54.50 |
$90.30
|
|
Ghs ot sensory integrative tech/15min
|
$75.00 |
$75.00 |
$75.00 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$115.75 |
$115.75 |
$115.75 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$215.00 |
$215.00 |
$215.00 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$443.00 |
$443.00 |
$443.00 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$190.75 |
$190.75 |
$190.75 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$133.50 |
$133.50 |
$133.50 |
$546.36
|
|
Ghs picc line insert < 5
|
$499.50 |
$499.50 |
$499.50 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$78.50 |
$78.50 |
$78.50 |
$564.80
|
