|
Ghs clsd red med malleolus fx w manip
|
$1,352.65 |
$1,352.65 |
$1,352.65 |
$2,347.20
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,657.50 |
$1,657.50 |
$1,657.50 |
$2,418.00
|
|
Ghs cl tx knee disl; wo anesth
|
$819.65 |
$819.65 |
$819.65 |
$750.17
|
|
Ghs cl tx metacarpophal disloc without anes
|
$443.30 |
$443.30 |
$443.30 |
$544.70
|
|
Ghs conjunctiva foreign body-embed bil
|
$173.55 |
$173.55 |
$173.55 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$248.30 |
$248.30 |
$248.30 |
$278.00
|
|
Ghs corneal fb without slit lamp bilat
|
$302.25 |
$302.25 |
$302.25 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$351.00 |
$351.00 |
$351.00 |
$362.21
|
|
Ghs cricothyroidotomy
|
$666.90 |
$666.90 |
$666.90 |
$1,191.70
|
|
Ghs cutdown placement age 1 and over
|
$109.20 |
$109.20 |
$109.20 |
$158.60
|
|
Ghs dislocation elbow closed treatment
|
$796.90 |
$796.90 |
$796.90 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$117.00 |
$117.00 |
$117.00 |
$351.46
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$209.95 |
$209.95 |
$209.95 |
$441.35
|
|
Ghs excision ingrown nail
|
$345.15 |
$345.15 |
$345.15 |
$436.80
|
|
Ghs eyelid foreign body-embedded - bil
|
$453.70 |
$453.70 |
$453.70 |
$585.60
|
|
Ghs fb removal - incisional
|
$4,990.70 |
$4,990.70 |
$4,990.70 |
$2,454.00
|
|
Ghs fb removal - non-incisional
|
$634.40 |
$634.40 |
$634.40 |
$1,706.20
|
|
Ghs fish cytogen
|
$280.15 |
$280.15 |
$280.15 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$252.85 |
$252.85 |
$252.85 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$289.90 |
$289.90 |
$289.90 |
$385.60
|
|
Ghs hcv amplificaiton
|
$309.40 |
$309.40 |
$309.40 |
$198.90
|
|
Ghs hgb stability-thal
|
$107.25 |
$107.25 |
$107.25 |
$85.20
|
|
Ghs histoplasma antigen
|
$165.75 |
$165.75 |
$165.75 |
$157.30
|
|
Ghs HIV antibody
|
$133.25 |
$133.25 |
$133.25 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$870.35 |
$870.35 |
$870.35 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$587.60 |
$587.60 |
$587.60 |
$3,686.06
|
|
Ghs i and d perirectal abscess 46040
|
$2,434.90 |
$2,434.90 |
$2,434.90 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$670.15 |
$670.15 |
$670.15 |
$1,468.35
|
|
Ghs i and d pilonidal cyst simple
|
$508.95 |
$508.95 |
$508.95 |
$762.75
|
|
Ghs immun0electrophoresis
|
$171.60 |
$171.60 |
$171.60 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$452.40 |
$452.40 |
$452.40 |
$534.60
|
|
Ghs inhibitor screen
|
$237.25 |
$237.25 |
$237.25 |
$138.06
|
|
Ghs init tx 1st degree burn
|
$336.05 |
$336.05 |
$336.05 |
$295.00
|
|
Ghs inj neurolytic intercostal nerve
|
$819.65 |
$819.65 |
$819.65 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$672.75 |
$672.75 |
$672.75 |
$1,838.37
|
|
Ghs inj tendon origin/insertion
|
$184.60 |
$184.60 |
$184.60 |
$412.50
|
|
Ghs inj transforaminal cerv single bil
|
$1,379.30 |
$1,379.30 |
$1,379.30 |
$1,706.32
|
|
Ghs insertion of needle - bone
|
$270.40 |
$270.40 |
$270.40 |
$436.10
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$697.45 |
$697.45 |
$697.45 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$785.85 |
$785.85 |
$785.85 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$918.45 |
$918.45 |
$918.45 |
$2,026.46
|
|
Ghs irrigate corpora cavernosa for priapism
|
$556.40 |
$556.40 |
$556.40 |
$615.58
|
|
Ghs IV inf sq injection, on-body injector
|
$109.20 |
$109.20 |
$109.20 |
$117.42
|
|
Ghs IV thrombolytics - cerebral
|
$1,002.95 |
$1,002.95 |
$1,002.95 |
$752.80
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$349.05 |
$349.05 |
$349.05 |
$536.80
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$488.15 |
$488.15 |
$488.15 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$488.15 |
$488.15 |
$488.15 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,049.75 |
$1,049.75 |
$1,049.75 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$515.45 |
$515.45 |
$515.45 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$554.45 |
$554.45 |
$554.45 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$605.15 |
$605.15 |
$605.15 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$8,599.49 |
$8,599.49 |
$8,599.49 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$597.35 |
$597.35 |
$597.35 |
$740.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$657.80 |
$657.80 |
$657.80 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$617.50 |
$617.50 |
$617.50 |
$993.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$762.45 |
$762.45 |
$762.45 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$596.05 |
$596.05 |
$596.05 |
$880.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$913.90 |
$913.90 |
$913.90 |
$901.76
|
|
Ghs layered repair over 30.0 cm -12047
|
$924.30 |
$924.30 |
$924.30 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$939.90 |
$939.90 |
$939.90 |
$943.20
|
|
Ghs mbp
|
$189.15 |
$189.15 |
$189.15 |
$97.20
|
|
Ghs musc test done w/n test comp
|
$441.35 |
$441.35 |
$441.35 |
$352.97
|
|
Ghs musc tst done w/nerv tst lim
|
$332.80 |
$332.80 |
$332.80 |
$277.25
|
|
Ghs musc tst done w/n tst non ext
|
$224.25 |
$224.25 |
$224.25 |
$219.05
|
|
Ghs nailbed repair/nail removal
|
$692.90 |
$692.90 |
$692.90 |
$818.00
|
|
Ghs nerve blk intercostal, ea addtl level
|
$921.05 |
$921.05 |
$921.05 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$588.90 |
$588.90 |
$588.90 |
$1,232.23
|
|
Ghs nerve block axillary nerve
|
$631.15 |
$631.15 |
$631.15 |
$1,271.25
|
|
Ghs nerve block brachial plexus
|
$14,405.22 |
$14,405.22 |
$14,405.22 |
$1,789.51
|
|
Ghs nerve block interscaline
|
$1,188.20 |
$1,188.20 |
$1,188.20 |
$1,574.21
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,135.55 |
$1,135.55 |
$1,135.55 |
$2,079.21
|
|
Ghs nerve block sciatic nerve
|
$17,333.10 |
$17,333.10 |
$17,333.10 |
$1,745.25
|
|
Ghs nerve block suprascapular
|
$425.75 |
$425.75 |
$425.75 |
$1,220.00
|
|
Ghs ng placement w fluoro guidance
|
$234.65 |
$234.65 |
$234.65 |
$423.76
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$61.10 |
$61.10 |
$61.10 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$52.65 |
$52.65 |
$52.65 |
$56.55
|
|
Ghs ot dds rom
|
$104.65 |
$104.65 |
$104.65 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$91.65 |
$91.65 |
$91.65 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$75.40 |
$75.40 |
$75.40 |
$89.73
|
|
Ghs pacing - transcutaneous
|
$416.65 |
$416.65 |
$416.65 |
$872.95
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$64.35 |
$64.35 |
$64.35 |
$82.80
|
|
Ghs peritonsillar abscess i andd
|
$410.80 |
$410.80 |
$410.80 |
$694.20
|
|
Ghs phenylketonurid
|
$75.40 |
$75.40 |
$75.40 |
$61.20
|
|
Ghs picc line insert < 5
|
$536.90 |
$536.90 |
$536.90 |
$1,990.40
|
|
Ghs plngl fx pm cl
|
$593.45 |
$593.45 |
$593.45 |
$611.64
|
|
Ghs polysom <6 yrs 4/> parameters
|
$6,115.85 |
$6,115.85 |
$6,115.85 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$32.50 |
$32.50 |
$32.50 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$87.75 |
$87.75 |
$87.75 |
$49.77
|
|
Ghs protoporphyrins fract
|
$104.65 |
$104.65 |
$104.65 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$223.60 |
$223.60 |
$223.60 |
$165.60
|
|
Ghs quinidine
|
$70.85 |
$70.85 |
$70.85 |
$70.85
|
|
Ghs removal intranasal foreign body
|
$282.75 |
$282.75 |
$282.75 |
$320.00
|
|
Ghs removal pharyngeal foreign body
|
$362.05 |
$362.05 |
$362.05 |
$456.10
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,648.75 |
$2,648.75 |
$2,648.75 |
$2,055.00
|
|
Ghs repair tendon ext forearm/wrist ea
|
$2,368.60 |
$2,368.60 |
$2,368.60 |
$4,041.79
|
|
Ghs reticulocyte count
|
$63.05 |
$63.05 |
$63.05 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$131.30 |
$131.30 |
$131.30 |
$117.60
|
|
Ghs sedimentation rate
|
$60.45 |
$60.45 |
$60.45 |
$36.57
|
|
Ghs semen analysis fert
|
$133.90 |
$133.90 |
$133.90 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$91.65 |
$91.65 |
$91.65 |
$55.12
|
