|
Ghs chemo IV push, ea addtl
|
$108.60 |
$108.60 |
$108.60 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$516.60 |
$516.60 |
$516.60 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$102.00 |
$102.00 |
$102.00 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$388.80 |
$388.80 |
$388.80 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$388.80 |
$388.80 |
$388.80 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$3,065.40 |
$3,065.40 |
$3,065.40 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$102.00 |
$102.00 |
$102.00 |
$500.40
|
|
Ghs conjunctiva foreign body-superf bil
|
$59.40 |
$59.40 |
$59.40 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$59.40 |
$59.40 |
$59.40 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$59.40 |
$59.40 |
$59.40 |
$339.60
|
|
Ghs cricothyroidotomy
|
$476.40 |
$476.40 |
$476.40 |
$1,104.00
|
|
Ghs cutdown placement under 1 yr
|
$97.20 |
$97.20 |
$97.20 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$272.40 |
$272.40 |
$272.40 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$102.00 |
$102.00 |
$102.00 |
$602.00
|
|
Ghs ed rmvl or bivalving cast
|
$493.80 |
$493.80 |
$493.80 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$1,429.20
|
|
Ghs excision ingrown nail
|
$52.20 |
$52.20 |
$52.20 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$137.40 |
$137.40 |
$137.40 |
$510.00
|
|
Ghs fb removal - incisional
|
$1,129.80 |
$1,129.80 |
$1,129.80 |
$2,323.75
|
|
Ghs fish cytogen
|
$52.80 |
$52.80 |
$52.80 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$98.40 |
$98.40 |
$98.40 |
$226.20
|
|
Ghs flow volume loop
|
$260.40 |
$260.40 |
$260.40 |
$308.69
|
|
Ghs histoplasma antigen
|
$29.40 |
$29.40 |
$29.40 |
$142.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$457.20 |
$457.20 |
$457.20 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,441.20 |
$1,441.20 |
$1,441.20 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,463.40 |
$1,463.40 |
$1,463.40 |
$2,798.50
|
|
Ghs i and d pilonidal cyst simple
|
$89.40 |
$89.40 |
$89.40 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$118.80 |
$118.80 |
$118.80 |
$526.50
|
|
Ghs init tx 1st degree burn
|
$56.40 |
$56.40 |
$56.40 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$1,122.60 |
$1,122.60 |
$1,122.60 |
$1,710.80
|
|
Ghs insertion of needle - bone
|
$90.60 |
$90.60 |
$90.60 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$83.40 |
$83.40 |
$83.40 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$217.80 |
$217.80 |
$217.80 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,872.40 |
$3,872.40 |
$3,872.40 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$289.20 |
$289.20 |
$289.20 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$91.80 |
$91.80 |
$91.80 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$2,286.00 |
$2,286.00 |
$2,286.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$70.80 |
$70.80 |
$70.80 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$211.20 |
$211.20 |
$211.20 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$83.40 |
$83.40 |
$83.40 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$83.40 |
$83.40 |
$83.40 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$83.40 |
$83.40 |
$83.40 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$83.40 |
$83.40 |
$83.40 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$83.40 |
$83.40 |
$83.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$83.40 |
$83.40 |
$83.40 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$83.40 |
$83.40 |
$83.40 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$83.40 |
$83.40 |
$83.40 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$217.80 |
$217.80 |
$217.80 |
$969.00
|
|
Ghs mbp
|
$42.00 |
$42.00 |
$42.00 |
$76.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$62.40 |
$62.40 |
$62.40 |
$150.00
|
|
Ghs myocardial strain img spckl track
|
$791.40 |
$791.40 |
$791.40 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$217.80 |
$217.80 |
$217.80 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,493.40 |
$1,493.40 |
$1,493.40 |
$1,556.24
|
|
Ghs nerve block brachial plexus
|
$2,406.60 |
$2,406.60 |
$2,406.60 |
$1,710.80
|
|
Ghs nerve block interscaline
|
$463.20 |
$463.20 |
$463.20 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$463.20 |
$463.20 |
$463.20 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$291.00 |
$291.00 |
$291.00 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$75.00 |
$75.00 |
$75.00 |
$485.00
|
|
Ghs o2 uptake rest & indirect
|
$98.40 |
$98.40 |
$98.40 |
$173.50
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$165.60 |
$165.60 |
$165.60 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$165.60 |
$165.60 |
$165.60 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$223.20 |
$223.20 |
$223.20 |
$555.00
|
|
Ghs phenylketonurid
|
$102.60 |
$102.60 |
$102.60 |
$53.76
|
|
Ghs plngl fx pm cl
|
$102.00 |
$102.00 |
$102.00 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$10.20 |
$10.20 |
$10.20 |
$37.44
|
|
Ghs protoporphyrins fract
|
$93.60 |
$93.60 |
$93.60 |
$60.75
|
|
Ghs removal intranasal foreign body
|
$40.80 |
$40.80 |
$40.80 |
$283.24
|
|
Ghs sedimentation rate
|
$8.40 |
$8.40 |
$8.40 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$16.80 |
$16.80 |
$16.80 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$83.40 |
$83.40 |
$83.40 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$83.40 |
$83.40 |
$83.40 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$83.40 |
$83.40 |
$83.40 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$83.40 |
$83.40 |
$83.40 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$83.40 |
$83.40 |
$83.40 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$100.20 |
$100.20 |
$100.20 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$83.40 |
$83.40 |
$83.40 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$83.40 |
$83.40 |
$83.40 |
$590.88
|
|
Ghs sleep study unattended
|
$90.00 |
$90.00 |
$90.00 |
$503.38
|
|
Ghs st - eval for alt comm
|
$58.80 |
$58.80 |
$58.80 |
$96.40
|
|
Ghs strapping shoulder - 29240
|
$490.20 |
$490.20 |
$490.20 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$320.40 |
$320.40 |
$320.40 |
$953.27
|
|
Ghs superficial wnd dehis w packing12021
|
$2,892.00 |
$2,892.00 |
$2,892.00 |
$695.93
|
|
Ghs tx distal phalangeal fx with manipulation
|
$102.00 |
$102.00 |
$102.00 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$81.00 |
$81.00 |
$81.00 |
$73.80
|
|
Gi inhouse confirmation
|
$22.80 |
$22.80 |
$22.80 |
$87.75
|
|
Gi trc img intral esophagus
|
$2,569.80 |
$2,569.80 |
$2,569.80 |
$1,897.82
|
|
Glucagon 1 mg solution for injection
|
$946.40 |
$946.40 |
$946.40 |
$613.79
|
|
Glucose 1 hr post dose
|
$11.40 |
$11.40 |
$11.40 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$24.00 |
$24.00 |
$24.00 |
$23.12
|
|
Glucose blood quantitative
|
$9.60 |
$9.60 |
$9.60 |
$42.25
|
|
Glucose body fluid
|
$9.60 |
$9.60 |
$9.60 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$31.20 |
$31.20 |
$31.20 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$9.60 |
$9.60 |
$9.60 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$8.80 |
$8.80 |
$8.80 |
$37.40
|