|
G-esoph reflx tst w/electrod
|
$1,517.50 |
$1,517.50 |
$1,517.50 |
$1,466.88
|
|
Ghs abscess perianal iandd
|
$551.50 |
$551.50 |
$551.50 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$1,669.50 |
$1,669.50 |
$1,669.50 |
$3,515.40
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$34.50 |
$34.50 |
$34.50 |
$100.30
|
|
Ghs analysis neurostim without reprogramming
|
$89.70 |
$89.70 |
$94.00 |
$246.98
|
|
Ghs antibodies (torch) igm
|
$30.82 |
$30.82 |
$75.00 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$214.36 |
$214.36 |
$229.50 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$115.50 |
$115.50 |
$115.50 |
$62.40
|
|
Ghs central line insert < age 5, failed
|
$920.92 |
$920.92 |
$2,080.50 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$285.00 |
$285.00 |
$285.00 |
$582.40
|
|
Ghs chemo >8 hrs
|
$796.00 |
$796.00 |
$796.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$101.66 |
$101.66 |
$213.00 |
$287.76
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$27.00 |
$27.00 |
$27.14 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$150.50 |
$150.50 |
$150.50 |
$501.50
|
|
Ghs closed reduction ankle dislocation
|
$254.00 |
$254.00 |
$254.00 |
$672.60
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,167.00 |
$1,167.00 |
$1,167.00 |
$1,568.40
|
|
Ghs closed tx tibial fracture w/manip
|
$1,321.00 |
$1,321.00 |
$1,321.00 |
$2,179.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$347.00 |
$347.00 |
$347.00 |
$3,127.80
|
|
Ghs clsd red med malleolus fx w manip
|
$888.50 |
$888.50 |
$888.50 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,109.50 |
$1,109.50 |
$1,109.50 |
$2,240.00
|
|
Ghs cl tx knee disl; wo anesth
|
$411.50 |
$411.50 |
$411.50 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$217.00 |
$217.00 |
$217.00 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$47.50 |
$47.50 |
$47.50 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$170.50 |
$170.50 |
$170.50 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$264.00 |
$264.00 |
$264.00 |
$288.96
|
|
Ghs corneal fb without slit lamp bilat
|
$280.00 |
$280.00 |
$280.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$291.50 |
$291.50 |
$291.50 |
$339.60
|
|
Ghs cutdown placement age 1 and over
|
$45.50 |
$45.50 |
$45.50 |
$377.89
|
|
Ghs cutdown placement under 1 yr
|
$202.00 |
$202.00 |
$202.00 |
$189.07
|
|
Ghs dislocation elbow closed treatment
|
$437.00 |
$437.00 |
$437.00 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$536.82 |
$536.82 |
$642.00 |
$1,162.40
|
|
Ghs ed rmvl or bivalving cast
|
$182.00 |
$182.00 |
$182.00 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$532.68 |
$532.68 |
$569.50 |
$1,381.60
|
|
Ghs excision ingrown nail
|
$212.50 |
$212.50 |
$212.50 |
$442.22
|
|
Ghs fb removal foot - deep - left
|
$1,414.50 |
$1,414.50 |
$1,414.50 |
$2,593.97
|
|
Ghs fb removal - incisional
|
$1,917.00 |
$1,917.00 |
$2,116.00 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$872.00 |
$872.00 |
$872.00 |
$1,616.45
|
|
Ghs febrile agglutinns(mayo)
|
$61.00 |
$61.00 |
$61.00 |
$48.10
|
|
Ghs fish cytogen
|
$69.50 |
$69.50 |
$74.98 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$91.50 |
$91.50 |
$115.46 |
$228.50
|
|
Ghs flow volume loop
|
$106.26 |
$106.26 |
$203.00 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$297.00 |
$297.00 |
$297.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$437.00 |
$437.00 |
$437.00 |
$201.60
|
|
Ghs histoplasma antigen
|
$91.08 |
$91.08 |
$149.50 |
$141.60
|
|
Ghs HIV antibody
|
$76.82 |
$76.82 |
$85.50 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$290.50 |
$290.50 |
$290.50 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$2,631.20
|
|
Ghs i and d pilonidal cyst complex
|
$764.50 |
$764.50 |
$764.50 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$382.50 |
$382.50 |
$382.50 |
$691.95
|
|
Ghs incision thrombosed ext hemorrhoid
|
$281.98 |
$281.98 |
$337.00 |
$526.50
|
|
Ghs inf midline insertion
|
$289.00 |
$289.00 |
$351.90 |
$1,241.85
|
|
Ghs inhibitor screen
|
$106.50 |
$106.50 |
$106.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$121.90 |
$121.90 |
$132.50 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$3,907.00 |
$3,907.00 |
$3,907.00 |
$2,047.92
|
|
Ghs inj tendon origin/insertion
|
$247.50 |
$247.50 |
$247.50 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$400.50 |
$400.50 |
$400.50 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,201.00 |
$1,201.00 |
$1,201.00 |
$1,808.40
|
|
Ghs insertion of needle - bone
|
$442.50 |
$442.50 |
$442.50 |
$415.20
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$584.00 |
$584.00 |
$584.00 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$903.50 |
$903.50 |
$903.50 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$933.50 |
$933.50 |
$933.50 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$442.98 |
$442.98 |
$481.50 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$165.00 |
$165.00 |
$165.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$95.00 |
$95.00 |
$95.00 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$345.00 |
$345.00 |
$345.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$317.40 |
$317.40 |
$345.00 |
$569.40
|
|
Ghs IV infusion sotrovimab
|
$345.00 |
$345.00 |
$345.00 |
$556.40
|
|
Ghs IV thrombolytics - cerebral
|
$309.50 |
$309.50 |
$309.50 |
$680.40
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$136.50 |
$136.50 |
$136.50 |
$503.48
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$334.50 |
$334.50 |
$334.50 |
$602.70
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$293.00 |
$293.00 |
$293.00 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$356.50 |
$356.50 |
$356.50 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$488.00 |
$488.00 |
$488.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$316.50 |
$316.50 |
$316.50 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$527.00 |
$527.00 |
$527.00 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$524.50 |
$524.50 |
$524.50 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$331.50 |
$331.50 |
$331.50 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$541.50 |
$541.50 |
$541.50 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$378.00 |
$378.00 |
$378.00 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$561.00 |
$561.00 |
$561.00 |
$782.46
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$445.50 |
$445.50 |
$445.50 |
$1,025.64
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$595.50 |
$595.50 |
$595.50 |
$929.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$513.00 |
$513.00 |
$513.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$639.50 |
$639.50 |
$639.50 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$117.00 |
$117.00 |
$117.00 |
$76.20
|
|
Ghs mbp
|
$108.00 |
$108.00 |
$108.00 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$161.50 |
$161.50 |
$175.26 |
$246.40
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$152.00 |
$152.00 |
$152.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$164.68 |
$164.68 |
$191.50 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$22.00 |
$22.00 |
$23.92 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$87.86 |
$87.86 |
$132.00 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$303.50 |
$303.50 |
$596.16 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$194.00 |
$194.00 |
$194.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$793.50 |
$793.50 |
$793.50 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$797.50 |
$797.50 |
$797.50 |
$1,109.38
|
|
Ghs nerve block celiac plexus
|
$1,399.50 |
$1,399.50 |
$1,399.50 |
$1,556.40
|
|
Ghs nerve block sciatic nerve
|
$1,086.50 |
$1,086.50 |
$1,086.50 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$257.00 |
$257.00 |
$257.00 |
$485.00
|
|
Ghs o2 saturation
|
$66.00 |
$66.00 |
$66.70 |
$72.45
|
|
Ghs o2 uptake rest & indirect
|
$406.00 |
$406.00 |
$406.00 |
$173.50
|
