|
Ghs chemo >8 hrs
|
$1,657.00 |
$1,657.00 |
$1,657.00 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$317.00 |
$317.00 |
$317.00 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$209.00 |
$209.00 |
$209.00 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$494.00 |
$494.00 |
$494.00 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$4,533.00 |
$4,533.00 |
$4,533.00 |
$1,707.42
|
|
Ghs closed tx tibial fracture w/manip
|
$10,786.00 |
$10,786.00 |
$10,786.00 |
$2,621.64
|
|
Ghs clsd red med malleolus fx without manip
|
$494.00 |
$494.00 |
$494.00 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$10,786.00 |
$10,786.00 |
$10,786.00 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$10,786.00 |
$10,786.00 |
$10,786.00 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$2,704.00 |
$2,704.00 |
$2,704.00 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$949.00 |
$949.00 |
$949.00 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$179.00 |
$179.00 |
$179.00 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$971.00 |
$971.00 |
$971.00 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$3,157.00 |
$3,157.00 |
$3,157.00 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$643.00 |
$643.00 |
$643.00 |
$368.16
|
|
Ghs dislocation elbow closed treatment
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$813.00 |
$813.00 |
$813.00 |
$351.46
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$586.80
|
|
Ghs excision ingrown nail
|
$931.00 |
$931.00 |
$931.00 |
$457.60
|
|
Ghs eye exam
|
$676.00 |
$676.00 |
$676.00 |
$162.24
|
|
Ghs febrile agglutinns(mayo)
|
$168.00 |
$168.00 |
$168.00 |
$48.57
|
|
Ghs fish cytogen
|
$128.00 |
$128.00 |
$128.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$128.00 |
$128.00 |
$128.00 |
$229.45
|
|
Ghs flow volume loop
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$837.00 |
$837.00 |
$837.00 |
$403.20
|
|
Ghs hcv amplificaiton
|
$488.00 |
$488.00 |
$488.00 |
$187.00
|
|
Ghs hgb stability-thal
|
$95.00 |
$95.00 |
$95.00 |
$85.28
|
|
Ghs histoplasma antigen
|
$91.00 |
$91.00 |
$91.00 |
$137.80
|
|
Ghs HIV antibody
|
$131.00 |
$131.00 |
$131.00 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$12,405.00 |
$12,405.00 |
$12,405.00 |
$3,822.00
|
|
Ghs i and d pilonidal cyst complex
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$794.82
|
|
Ghs immun0electrophoresis
|
$119.00 |
$119.00 |
$119.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$543.60
|
|
Ghs inhibitor screen
|
$362.00 |
$362.00 |
$362.00 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$627.00 |
$627.00 |
$627.00 |
$300.30
|
|
Ghs inj neurolytic other perph nerve
|
$3,333.00 |
$3,333.00 |
$3,333.00 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$1,402.00 |
$1,402.00 |
$1,402.00 |
$431.07
|
|
Ghs insertion of needle - bone
|
$837.00 |
$837.00 |
$837.00 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$3,264.00 |
$3,264.00 |
$3,264.00 |
$943.80
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,294.00 |
$1,294.00 |
$1,294.00 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$537.00 |
$537.00 |
$537.00 |
$117.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,437.00 |
$1,437.00 |
$1,437.00 |
$603.65
|
|
Ghs IV infusion sotrovimab
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$603.65
|
|
Ghs IV thrombolytics - cerebral
|
$1,251.00 |
$1,251.00 |
$1,251.00 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$824.00 |
$824.00 |
$824.00 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$2,519.00 |
$2,519.00 |
$2,519.00 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,988.00 |
$1,988.00 |
$1,988.00 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$2,001.00 |
$2,001.00 |
$2,001.00 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$305.00 |
$305.00 |
$305.00 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$305.00 |
$305.00 |
$305.00 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$305.00 |
$305.00 |
$305.00 |
$879.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$252.00 |
$252.00 |
$252.00 |
$59.40
|
|
Ghs mbp
|
$38.00 |
$38.00 |
$38.00 |
$74.19
|
|
Ghs musc test done w/n test comp
|
$658.00 |
$658.00 |
$658.00 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$530.00 |
$530.00 |
$530.00 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$457.00 |
$457.00 |
$457.00 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$98.00 |
$98.00 |
$98.00 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$1,541.00 |
$1,541.00 |
$1,541.00 |
$808.80
|
|
Ghs nerve block suprascapular
|
$641.00 |
$641.00 |
$641.00 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$383.00 |
$383.00 |
$383.00 |
$468.75
|
|
Ghs o2 saturation
|
$58.00 |
$58.00 |
$58.00 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$4,236.00 |
$4,236.00 |
$4,236.00 |
$1,302.54
|
|
Ghs ot group caregiver training
|
$61.00 |
$61.00 |
$61.00 |
$43.20
|
|
Ghs ot prosthetic training/15 min
|
$239.00 |
$239.00 |
$239.00 |
$92.35
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$101.00 |
$101.00 |
$101.00 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$2,311.00 |
$2,311.00 |
$2,311.00 |
$694.20
|
|
Ghs phenylketonurid
|
$176.00 |
$176.00 |
$176.00 |
$51.58
|
|
Ghs picc line insert < 5
|
$4,612.00 |
$4,612.00 |
$4,612.00 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$13,809.00 |
$13,809.00 |
$13,809.00 |
$662.20
|
|
Ghs plt ct-manual
|
$65.00 |
$65.00 |
$65.00 |
$39.20
|
|
Ghs ppd (tb intradermal)
|
$169.00 |
$169.00 |
$169.00 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$17.00 |
$17.00 |
$17.00 |
$40.56
|
|
Ghs protein, misc fluid
|
$54.00 |
$54.00 |
$54.00 |
$24.60
|
|
Ghs protoporphyrins fract
|
$22.00 |
$22.00 |
$22.00 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$228.00 |
$228.00 |
$228.00 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$18.00 |
$18.00 |
$18.00 |
$45.05
|
|
Ghs quinidine
|
$207.00 |
$207.00 |
$207.00 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$837.00 |
$837.00 |
$837.00 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$837.00 |
$837.00 |
$837.00 |
$460.00
|
|
Ghs reticulocyte count
|
$105.00 |
$105.00 |
$105.00 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$66.00 |
$66.00 |
$66.00 |
$101.15
|
|
Ghs sedimentation rate
|
$59.00 |
$59.00 |
$59.00 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$140.00 |
$140.00 |
$140.00 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$941.00 |
$941.00 |
$941.00 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$305.00 |
$305.00 |
$305.00 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$305.00 |
$305.00 |
$305.00 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$749.00 |
$749.00 |
$749.00 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$931.00 |
$931.00 |
$931.00 |
$538.64
|
|
Ghs sleep study unattended
|
$504.00 |
$504.00 |
$504.00 |
$503.38
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$1,435.00
|
