|
Ghs central line insert < age 5, failed
|
$2,312.80 |
$2,312.80 |
$2,312.80 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$552.00 |
$552.00 |
$552.00 |
$594.55
|
|
Ghs chemo >8 hrs
|
$795.20 |
$795.20 |
$795.20 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$321.60 |
$321.60 |
$321.60 |
$277.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$405.60 |
$405.60 |
$405.60 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$394.40 |
$394.40 |
$394.40 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$476.80 |
$476.80 |
$476.80 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,179.20 |
$2,179.20 |
$2,179.20 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,219.20 |
$3,219.20 |
$3,219.20 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$388.00 |
$388.00 |
$388.00 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,841.60 |
$1,841.60 |
$1,841.60 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,375.20 |
$2,375.20 |
$2,375.20 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$388.00 |
$388.00 |
$388.00 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$376.00 |
$376.00 |
$376.00 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$109.60 |
$109.60 |
$109.60 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$496.80 |
$496.80 |
$496.80 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$239.20 |
$239.20 |
$239.20 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$496.80 |
$496.80 |
$496.80 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$352.00 |
$352.00 |
$352.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$820.80 |
$820.80 |
$820.80 |
$1,104.00
|
|
Ghs cutdown placement under 1 yr
|
$163.20 |
$163.20 |
$163.20 |
$190.30
|
|
Ghs dislocation elbow closed treatment
|
$394.40 |
$394.40 |
$394.40 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,159.20 |
$2,159.20 |
$2,159.20 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$363.20 |
$363.20 |
$363.20 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,910.40 |
$1,910.40 |
$1,910.40 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$586.80
|
|
Ghs electrostagmgraphy
|
$695.20 |
$695.20 |
$695.20 |
$322.00
|
|
Ghs elect vertical elct
|
$28.80 |
$28.80 |
$28.80 |
$116.00
|
|
Ghs excision ingrown nail
|
$505.60 |
$505.60 |
$505.60 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$605.60 |
$605.60 |
$605.60 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$2,640.80 |
$2,640.80 |
$2,640.80 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$4,675.20 |
$4,675.20 |
$4,675.20 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$2,614.40 |
$2,614.40 |
$2,614.40 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$3,908.00 |
$3,908.00 |
$3,908.00 |
$1,706.20
|
|
Ghs gastric intub aspiration lavage
|
$385.60 |
$385.60 |
$385.60 |
$368.50
|
|
Ghs hla-dr/dq, multiple antigens
|
$320.00 |
$320.00 |
$320.00 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,320.80 |
$3,320.80 |
$3,320.80 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,407.20 |
$3,407.20 |
$3,407.20 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,142.40 |
$1,142.40 |
$1,142.40 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$866.40 |
$866.40 |
$866.40 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$484.00 |
$484.00 |
$484.00 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$352.80 |
$352.80 |
$352.80 |
$350.90
|
|
Ghs inf midline insertion
|
$1,706.40 |
$1,706.40 |
$1,706.40 |
$1,238.25
|
|
Ghs init tx 1st degree burn
|
$329.60 |
$329.60 |
$329.60 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$2,785.60 |
$2,785.60 |
$2,785.60 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,977.60 |
$1,977.60 |
$1,977.60 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$504.00 |
$504.00 |
$504.00 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,647.20 |
$1,647.20 |
$1,647.20 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$497.60 |
$497.60 |
$497.60 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$852.00 |
$852.00 |
$852.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$971.20 |
$971.20 |
$971.20 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,093.60 |
$3,093.60 |
$3,093.60 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$166.40 |
$166.40 |
$166.40 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$462.40 |
$462.40 |
$462.40 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$140.80 |
$140.80 |
$140.80 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$585.60 |
$585.60 |
$585.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$517.60 |
$517.60 |
$517.60 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$716.80 |
$716.80 |
$716.80 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$624.00 |
$624.00 |
$624.00 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$592.80 |
$592.80 |
$592.80 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$656.00 |
$656.00 |
$656.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$764.00 |
$764.00 |
$764.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$686.40 |
$686.40 |
$686.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$806.40 |
$806.40 |
$806.40 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$940.00 |
$940.00 |
$940.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$736.80 |
$736.80 |
$736.80 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$940.00 |
$940.00 |
$940.00 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$768.80 |
$768.80 |
$768.80 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$920.80 |
$920.80 |
$920.80 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$824.80 |
$824.80 |
$824.80 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,638.40 |
$2,638.40 |
$2,638.40 |
$1,930.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$156.00 |
$156.00 |
$156.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$156.00 |
$156.00 |
$156.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$156.00 |
$156.00 |
$156.00 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$156.00 |
$156.00 |
$156.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$156.00 |
$156.00 |
$156.00 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$545.60 |
$545.60 |
$545.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$910.40 |
$910.40 |
$910.40 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,476.80 |
$1,476.80 |
$1,476.80 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,379.20 |
$1,379.20 |
$1,379.20 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,725.60 |
$1,725.60 |
$1,725.60 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,941.60 |
$1,941.60 |
$1,941.60 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$1,974.40 |
$1,974.40 |
$1,974.40 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,834.40 |
$1,834.40 |
$1,834.40 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,790.40 |
$1,790.40 |
$1,790.40 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,290.40 |
$1,290.40 |
$1,290.40 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$623.20 |
$623.20 |
$623.20 |
$485.00
|
|
Ghs ob unlisted IV or art inj or infusion
|
$134.40 |
$134.40 |
$134.40 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$1,541.60 |
$1,541.60 |
$1,541.60 |
$1,236.67
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$48.80 |
$48.80 |
$48.80 |
$58.00
|
|
Ghs ot dds rom
|
$102.40 |
$102.40 |
$102.40 |
$69.00
|
|
Ghs ot group caregiver training
|
$49.60 |
$49.60 |
$49.60 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$116.00 |
$116.00 |
$116.00 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$123.20 |
$123.20 |
$123.20 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$940.80 |
$940.80 |
$940.80 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$628.00 |
$628.00 |
$628.00 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$592.00 |
$592.00 |
$592.00 |
$962.00
|
