|
Ghs chemo infusion >8 hrs
|
$392.51 |
$392.51 |
$1,180.00 |
|
|
Ghs chemo IV push, ea addtl
|
$61.08 |
$84.22 |
$711.00 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$23.32 |
$35.09 |
$516.60 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$102.00 |
$283.86 |
$1,419.00 |
|
|
Ghs closed reduction ankle dislocation
|
$283.86 |
$388.80 |
$1,828.00 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$388.80 |
$1,893.86 |
$4,908.52 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$283.86 |
$283.86 |
$1,145.00 |
|
|
Ghs closed tx tibial fracture w/manip
|
$1,254.00 |
$1,893.86 |
$10,786.00 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$493.02 |
$2,164.64 |
$3,620.48 |
|
|
Ghs clsd red med malleolus fx without manip
|
$283.86 |
$283.86 |
$939.00 |
|
|
Ghs clsd red med malleolus fx w manip
|
$773.00 |
$1,893.86 |
$10,786.00 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,254.00 |
$1,893.86 |
$10,786.00 |
|
|
Ghs cl tx knee disl; wo anesth
|
$283.86 |
$283.86 |
$3,065.40 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$102.00 |
$283.86 |
$1,327.00 |
|
|
Ghs community re-entry 15 minutes
|
$35.55 |
$36.34 |
$313.00 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$440.81 |
$472.21 |
$1,092.19 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$59.40 |
$152.54 |
$971.00 |
|
|
Ghs corneal fb without slit lamp bilat
|
$59.40 |
$472.21 |
$3,157.00 |
|
|
Ghs corneal fb with slit lamp bilat
|
$59.40 |
$152.54 |
$1,314.00 |
|
|
Ghs cricothyroidotomy
|
$274.80 |
$274.80 |
$5,817.00 |
|
|
Ghs cutdown placement age 1 and over
|
$440.81 |
$472.21 |
$933.66 |
|
|
Ghs cutdown placement under 1 yr
|
$97.20 |
$152.54 |
$301.86 |
|
|
Ghs diphtheria toxoid ab igg
|
$10.12 |
$15.21 |
$272.40 |
|
|
Ghs dislocation elbow closed treatment
|
$102.00 |
$283.86 |
$1,974.00 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,109.47 |
$1,109.47 |
$2,195.76 |
|
|
Ghs ed rmvl or bivalving cast
|
$314.28 |
$314.28 |
$850.82 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$819.50 |
$819.50 |
$1,620.84 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$185.15 |
$220.60 |
$1,127.00 |
|
|
Ghs electrostagmgraphy
|
$18.70 |
$185.15 |
$185.15 |
|
|
Ghs elect torsion swing
|
$9.02 |
$185.15 |
$185.15 |
|
|
Ghs elect vertical elct
|
$308.00 |
$308.00 |
$308.00 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$44.00 |
$472.79 |
$1,188.79 |
|
|
Ghs excision ingrown nail
|
$52.20 |
$472.79 |
$1,188.79 |
|
|
Ghs eye exam
|
$27.72 |
$152.50 |
$715.00 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$137.40 |
$353.74 |
$918.99 |
|
|
Ghs fat & muscle
|
$3.08 |
$4.85 |
$17.49 |
|
|
Ghs fb removal foot - deep - left
|
$1,917.33 |
$1,917.33 |
$4,582.16 |
|
|
Ghs fb removal from muscle - complicated
|
$154.22 |
$3,386.84 |
$3,386.84 |
|
|
Ghs fb removal - incisional
|
$1,129.80 |
$1,917.33 |
$4,919.31 |
|
|
Ghs fb removal - non-incisional
|
$1,917.33 |
$1,917.33 |
$4,919.31 |
|
|
Ghs febrile agglutinns(mayo)
|
$4.40 |
$6.98 |
$168.00 |
|
|
Ghs fish cytogen
|
$14.08 |
$21.42 |
$419.00 |
|
|
Ghs fish hybrid in situ 100-300
|
$33.88 |
$51.19 |
$563.00 |
|
|
Ghs flow volume loop
|
$8.80 |
$368.50 |
$2,270.00 |
|
|
Ghs gastric intub aspiration lavage
|
$306.00 |
$368.50 |
$934.83 |
|
|
Ghs hcv amplificaiton
|
$23.32 |
$35.09 |
$488.00 |
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$14.96 |
$22.97 |
$22.97 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$10.12 |
$15.49 |
$69.00 |
|
|
Ghs hgb stability-thal
|
$6.16 |
$9.47 |
$95.00 |
|
|
Ghs histoplasma antigen
|
$13.25 |
$29.40 |
$261.44 |
|
|
Ghs HIV antibody
|
$13.71 |
$13.71 |
$299.00 |
|
|
Ghs hla-dr/dq, multiple antigens
|
$69.96 |
$106.14 |
$4,848.00 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,441.20 |
$2,424.12 |
$12,405.00 |
|
|
Ghs i and d perirectal abscess 46040
|
$1,395.28 |
$1,395.28 |
$3,421.48 |
|
|
Ghs i and d pilonidal cyst complex
|
$832.60 |
$832.60 |
$5,507.00 |
|
|
Ghs i and d pilonidal cyst simple
|
$89.40 |
$832.60 |
$2,141.10 |
|
|
Ghs immun0electrophoresis
|
$11.00 |
$29.92 |
$119.00 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$118.80 |
$287.81 |
$1,362.00 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$82.50 |
$229.74 |
$705.00 |
|
|
Ghs inf midline insertion
|
$53.68 |
$1,111.21 |
$1,302.52 |
|
|
Ghs inhibitor screen
|
$8.36 |
$12.87 |
$486.00 |
|
|
Ghs init tx 1st degree burn
|
$56.40 |
$235.13 |
$705.00 |
|
|
Ghs inj neurolytic intercostal nerve
|
$110.22 |
$1,053.53 |
$2,460.94 |
|
|
Ghs inj neurolytic other perph nerve
|
$74.14 |
$1,053.53 |
$3,333.00 |
|
|
Ghs inj tendon origin/insertion
|
$23.76 |
$349.32 |
$1,402.00 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$897.08 |
$964.35 |
$1,562.34 |
|
|
Ghs inj transforaminal cerv single bil
|
$1,053.53 |
$1,053.53 |
$2,349.42 |
|
|
Ghs insertion of needle - bone
|
$90.60 |
$472.21 |
$933.66 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$83.40 |
$472.79 |
$3,264.00 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$217.80 |
$755.08 |
$6,955.00 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$939.85 |
$2,164.64 |
$6,955.00 |
|
|
Ghs intro needle/intracath vein - 36000
|
$5.94 |
$140.94 |
$318.69 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$287.81 |
$289.20 |
$1,294.00 |
|
|
Ghs IV inf sq injection, on-body injector
|
$54.60 |
$54.60 |
$591.00 |
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$204.38 |
$533.10 |
$1,827.00 |
|
|
Ghs IV infusion casirivimab/imdevimab
|
$204.38 |
$533.10 |
$1,581.00 |
|
|
Ghs IV infusion sotrovimab
|
$297.00 |
$533.10 |
$1,827.00 |
|
|
Ghs IV thrombolytics - cerebral
|
$392.51 |
$492.57 |
$2,286.00 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$70.80 |
$472.21 |
$933.66 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$211.20 |
$472.79 |
$2,519.00 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$83.40 |
$472.79 |
$1,680.00 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$83.40 |
$472.79 |
$1,988.00 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$83.40 |
$472.79 |
$1,584.00 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$83.40 |
$472.79 |
$1,737.00 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$83.40 |
$472.79 |
$1,450.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$83.40 |
$472.79 |
$2,001.00 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$83.40 |
$755.08 |
$1,790.88 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$83.40 |
$472.79 |
$1,310.00 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$217.80 |
$755.08 |
$1,790.88 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$305.00 |
$472.79 |
$1,636.00 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$724.37 |
$724.37 |
$1,790.88 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$472.79 |
$472.79 |
$1,169.22 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,164.64 |
$2,164.64 |
$4,280.64 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$472.79 |
$472.79 |
$1,169.22 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$5.72 |
$8.60 |
$252.00 |
|
|
Ghs low level laser therapy
|
$4.84 |
$4.84 |
$4.84 |
|
|
Ghs mbp
|
$11.44 |
$17.20 |
$76.64 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$18.20 |
$202.10 |
$509.34 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$36.41 |
$202.10 |
$509.34 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$39.48 |
$202.10 |
$509.34 |
|
