|
Ghs alcohol, methyl (methanol)-medtox
|
$120.80 |
$120.80 |
$120.80 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$47.20 |
$47.20 |
$47.20 |
$77.60
|
|
Ghs bladder cath - complex-foley
|
$223.20 |
$223.20 |
$223.20 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$59.20 |
$59.20 |
$59.20 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$165.60 |
$165.60 |
$165.60 |
$1,000.08
|
|
Ghs central line insert < age 5, failed
|
$273.60 |
$273.60 |
$273.60 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$348.00 |
$348.00 |
$348.00 |
$652.60
|
|
Ghs chemo >8 hrs
|
$216.00 |
$216.00 |
$216.00 |
$710.00
|
|
Ghs chemo IV push, ea addtl
|
$95.20 |
$95.20 |
$95.20 |
$291.87
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$71.20 |
$71.20 |
$71.20 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$427.20 |
$427.20 |
$427.20 |
$595.20
|
|
Ghs closed reduction ankle dislocation
|
$568.80 |
$568.80 |
$568.80 |
$732.75
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,022.40 |
$2,022.40 |
$2,022.40 |
$1,655.78
|
|
Ghs closed tx tibial fracture w/manip
|
$1,092.80 |
$1,092.80 |
$1,092.80 |
$2,281.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$524.00 |
$524.00 |
$524.00 |
$599.00
|
|
Ghs clsd red med malleolus fx w manip
|
$1,092.80 |
$1,092.80 |
$1,092.80 |
$2,313.60
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$807.20 |
$807.20 |
$807.20 |
$2,240.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$505.60 |
$505.60 |
$505.60 |
$526.35
|
|
Ghs community re-entry 15 minutes
|
$84.80 |
$84.80 |
$84.80 |
$87.60
|
|
Ghs conjunctiva foreign body-embed bil
|
$56.80 |
$56.80 |
$56.80 |
$442.06
|
|
Ghs conjunctiva foreign body-superf bil
|
$52.00 |
$52.00 |
$52.00 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$750.40 |
$750.40 |
$750.40 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$778.40 |
$778.40 |
$778.40 |
$365.43
|
|
Ghs dislocation elbow closed treatment
|
$559.20 |
$559.20 |
$559.20 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$100.00 |
$100.00 |
$100.00 |
$330.85
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$1,381.60
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$226.40 |
$226.40 |
$226.40 |
$442.61
|
|
Ghs excision ingrown nail
|
$245.60 |
$245.60 |
$245.60 |
$460.80
|
|
Ghs fb removal foot - deep - left
|
$675.20 |
$675.20 |
$675.20 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$695.20 |
$695.20 |
$695.20 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$392.00 |
$392.00 |
$392.00 |
$2,355.20
|
|
Ghs fb removal - non-incisional
|
$322.40 |
$322.40 |
$322.40 |
$1,793.38
|
|
Ghs febrile agglutinns(mayo)
|
$30.40 |
$30.40 |
$30.40 |
$48.57
|
|
Ghs fish cytogen
|
$390.40 |
$390.40 |
$390.40 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$390.40 |
$390.40 |
$390.40 |
$229.45
|
|
Ghs flow volume loop
|
$302.40 |
$302.40 |
$302.40 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$200.00 |
$200.00 |
$200.00 |
$375.20
|
|
Ghs hcv amplificaiton
|
$201.60 |
$201.60 |
$201.60 |
$195.60
|
|
Ghs hepatitis c virus (hcv riba)
|
$208.00 |
$208.00 |
$208.00 |
$105.00
|
|
Ghs histoplasma antigen
|
$377.60 |
$377.60 |
$377.60 |
$144.50
|
|
Ghs HIV antibody
|
$91.20 |
$91.20 |
$91.20 |
$93.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,978.40 |
$2,978.40 |
$2,978.40 |
$3,824.84
|
|
Ghs i and d perirectal abscess 46040
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$2,831.40
|
|
Ghs i and d pilonidal cyst complex
|
$504.00 |
$504.00 |
$504.00 |
$1,549.80
|
|
Ghs i and d pilonidal cyst simple
|
$383.20 |
$383.20 |
$383.20 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$316.00 |
$316.00 |
$316.00 |
$540.10
|
|
Ghs inhibitor screen
|
$198.40 |
$198.40 |
$198.40 |
$158.60
|
|
Ghs init tx 1st degree burn
|
$112.00 |
$112.00 |
$112.00 |
$298.10
|
|
Ghs inj neurolytic other perph nerve
|
$369.60 |
$369.60 |
$369.60 |
$1,900.99
|
|
Ghs inj tendon origin/insertion
|
$86.40 |
$86.40 |
$86.40 |
$431.07
|
|
Ghs insertion of needle - bone
|
$437.60 |
$437.60 |
$437.60 |
$442.06
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$578.40 |
$578.40 |
$578.40 |
$943.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$644.80 |
$644.80 |
$644.80 |
$1,122.16
|
|
Ghs IV thrombolytics - cerebral
|
$574.40 |
$574.40 |
$574.40 |
$663.03
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$423.20 |
$423.20 |
$423.20 |
$542.40
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$392.80 |
$392.80 |
$392.80 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$524.80 |
$524.80 |
$524.80 |
$599.55
|
|
Ghs layer closure 2.5cm or less - 12051
|
$421.60 |
$421.60 |
$421.60 |
$629.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$468.00 |
$468.00 |
$468.00 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$524.80 |
$524.80 |
$524.80 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$540.80 |
$540.80 |
$540.80 |
$742.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$496.00 |
$496.00 |
$496.00 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$826.40 |
$826.40 |
$826.40 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$573.60 |
$573.60 |
$573.60 |
$741.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$826.40 |
$826.40 |
$826.40 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$385.60 |
$385.60 |
$385.60 |
$837.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$828.00 |
$828.00 |
$828.00 |
$1,033.85
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$385.60 |
$385.60 |
$385.60 |
$929.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$900.00 |
$900.00 |
$900.00 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$153.60 |
$153.60 |
$153.60 |
$59.40
|
|
Ghs mbp
|
$120.80 |
$120.80 |
$120.80 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$298.40 |
$298.40 |
$298.40 |
$253.55
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$298.40 |
$298.40 |
$298.40 |
$246.33
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$298.40 |
$298.40 |
$298.40 |
$228.90
|
|
Ghs moderate sedation ea addtl 15 min
|
$148.80 |
$148.80 |
$148.80 |
$144.46
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$148.80 |
$148.80 |
$148.80 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$139.20 |
$139.20 |
$139.20 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$88.80 |
$88.80 |
$88.80 |
$276.60
|
|
Ghs musc tst done w/n tst non ext
|
$121.60 |
$121.60 |
$121.60 |
$219.50
|
|
Ghs myocardial strain img spckl track
|
$54.40 |
$54.40 |
$54.40 |
$500.00
|
|
Ghs nailbed repair/nail removal
|
$280.00 |
$280.00 |
$280.00 |
$788.15
|
|
Ghs nerve blk intercostal, ea addtl level
|
$444.00 |
$444.00 |
$444.00 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$144.00 |
$144.00 |
$144.00 |
$1,109.38
|
|
Ghs nerve block axillary nerve
|
$112.00 |
$112.00 |
$112.00 |
$1,501.60
|
|
Ghs nerve block brachial plexus
|
$542.40 |
$542.40 |
$542.40 |
$1,789.51
|
|
Ghs nerve block sciatic nerve
|
$114.40 |
$114.40 |
$114.40 |
$1,709.77
|
|
Ghs nerve block suprascapular
|
$128.00 |
$128.00 |
$128.00 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$1,287.20 |
$1,287.20 |
$1,287.20 |
$456.33
|
|
Ghs o2 saturation
|
$260.00 |
$260.00 |
$260.00 |
$72.45
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$47.20 |
$47.20 |
$47.20 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$68.00 |
$68.00 |
$68.00 |
$57.65
|
|
Ghs ot sensory integrative tech/15min
|
$38.40 |
$38.40 |
$38.40 |
$101.50
|
|
Ghs pacing - transcutaneous
|
$468.00 |
$468.00 |
$468.00 |
$842.40
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$305.60 |
$305.60 |
$305.60 |
$804.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$208.00 |
$208.00 |
$208.00 |
$971.33
|
|
Ghs peritonsillar abscess i andd
|
$286.40 |
$286.40 |
$286.40 |
$694.20
|
|
Ghs phenylketonurid
|
$46.40 |
$46.40 |
$46.40 |
$55.53
|
|
Ghs plngl fx pm cl
|
$511.20 |
$511.20 |
$511.20 |
$642.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$890.40 |
$890.40 |
$890.40 |
$3,705.80
|
