|
Ghs chemo >8 hrs
|
$947.20 |
$947.20 |
$947.20 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$327.20 |
$327.20 |
$327.20 |
$277.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$616.00 |
$616.00 |
$616.00 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$720.00 |
$720.00 |
$720.00 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,573.60 |
$1,573.60 |
$1,573.60 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$620.00 |
$620.00 |
$620.00 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,071.20 |
$2,071.20 |
$2,071.20 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$565.60 |
$565.60 |
$565.60 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,053.60 |
$2,053.60 |
$2,053.60 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,304.00 |
$2,304.00 |
$2,304.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$555.20 |
$555.20 |
$555.20 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$616.80 |
$616.80 |
$616.80 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$137.60 |
$137.60 |
$137.60 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$548.80 |
$548.80 |
$548.80 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$532.80 |
$532.80 |
$532.80 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$565.60 |
$565.60 |
$565.60 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$532.80 |
$532.80 |
$532.80 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,562.40 |
$1,562.40 |
$1,562.40 |
$1,104.00
|
|
Ghs dislocation elbow closed treatment
|
$731.20 |
$731.20 |
$731.20 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,154.40 |
$2,154.40 |
$2,154.40 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$368.00 |
$368.00 |
$368.00 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,880.80 |
$1,880.80 |
$1,880.80 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,429.60 |
$1,429.60 |
$1,429.60 |
$586.80
|
|
Ghs excision ingrown nail
|
$532.00 |
$532.00 |
$532.00 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$645.60 |
$645.60 |
$645.60 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$2,316.80 |
$2,316.80 |
$2,316.80 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$3,532.80 |
$3,532.80 |
$3,532.80 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$2,568.80 |
$2,568.80 |
$2,568.80 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,888.80 |
$1,888.80 |
$1,888.80 |
$1,706.20
|
|
Ghs gastric intub aspiration lavage
|
$668.00 |
$668.00 |
$668.00 |
$368.50
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,076.00 |
$3,076.00 |
$3,076.00 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,267.20 |
$3,267.20 |
$3,267.20 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,807.20 |
$1,807.20 |
$1,807.20 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$743.20 |
$743.20 |
$743.20 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$679.20 |
$679.20 |
$679.20 |
$526.50
|
|
Ghs inf midline insertion
|
$2,041.60 |
$2,041.60 |
$2,041.60 |
$1,238.25
|
|
Ghs init tx 1st degree burn
|
$248.00 |
$248.00 |
$248.00 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$2,546.40 |
$2,546.40 |
$2,546.40 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,566.40 |
$1,566.40 |
$1,566.40 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$908.80 |
$908.80 |
$908.80 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,301.60 |
$1,301.60 |
$1,301.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,861.60 |
$1,861.60 |
$1,861.60 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$577.60 |
$577.60 |
$577.60 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$967.20 |
$967.20 |
$967.20 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$967.20 |
$967.20 |
$967.20 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$17.60 |
$17.60 |
$17.60 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$596.00 |
$596.00 |
$596.00 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$864.00 |
$864.00 |
$864.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$526.40 |
$526.40 |
$526.40 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$967.20 |
$967.20 |
$967.20 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$815.20 |
$815.20 |
$815.20 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$863.20 |
$863.20 |
$863.20 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$888.00 |
$888.00 |
$888.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$888.80 |
$888.80 |
$888.80 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$914.40 |
$914.40 |
$914.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$967.20 |
$967.20 |
$967.20 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$967.20 |
$967.20 |
$967.20 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$967.20 |
$967.20 |
$967.20 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$967.20 |
$967.20 |
$967.20 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$967.20 |
$967.20 |
$967.20 |
$784.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,948.00 |
$1,948.00 |
$1,948.00 |
$1,930.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$265.60 |
$265.60 |
$265.60 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$248.80 |
$248.80 |
$248.80 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$248.80 |
$248.80 |
$248.80 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$166.40 |
$166.40 |
$166.40 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$137.60 |
$137.60 |
$137.60 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$561.60 |
$561.60 |
$561.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$712.80 |
$712.80 |
$712.80 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,548.80 |
$1,548.80 |
$1,548.80 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,501.60 |
$1,501.60 |
$1,501.60 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,453.60 |
$1,453.60 |
$1,453.60 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$1,668.80 |
$1,668.80 |
$1,668.80 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,876.00 |
$1,876.00 |
$1,876.00 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,812.00 |
$1,812.00 |
$1,812.00 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,366.40 |
$1,366.40 |
$1,366.40 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$649.60 |
$649.60 |
$649.60 |
$485.00
|
|
Ghs o2 uptake rest & indirect
|
$267.20 |
$267.20 |
$267.20 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$142.40 |
$142.40 |
$142.40 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$1,316.80 |
$1,316.80 |
$1,316.80 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$2,130.40 |
$2,130.40 |
$2,130.40 |
$2,194.40
|
|
Ghs ot dds rom
|
$115.20 |
$115.20 |
$115.20 |
$69.00
|
|
Ghs ot group caregiver training
|
$55.20 |
$55.20 |
$55.20 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$128.00 |
$128.00 |
$128.00 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$124.80 |
$124.80 |
$124.80 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$144.80 |
$144.80 |
$144.80 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$948.80 |
$948.80 |
$948.80 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,317.60 |
$1,317.60 |
$1,317.60 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,195.20 |
$1,195.20 |
$1,195.20 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$752.80 |
$752.80 |
$752.80 |
$555.00
|
|
Ghs picc line insert < 5
|
$2,072.00 |
$2,072.00 |
$2,072.00 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$564.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$5,041.60 |
$5,041.60 |
$5,041.60 |
$3,557.58
|
|
Ghs pr without cont pulse ox
|
$254.40 |
$254.40 |
$254.40 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$269.60 |
$269.60 |
$269.60 |
$285.60
|
|
Ghs refill of implantable pump
|
$517.60 |
$517.60 |
$517.60 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$507.20 |
$507.20 |
$507.20 |
$283.24
|
