|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,513.50 |
$1,513.50 |
$1,513.50 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$218.25 |
$218.25 |
$218.25 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$281.25 |
$281.25 |
$281.25 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$101.25 |
$101.25 |
$101.25 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$740.25 |
$740.25 |
$740.25 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$131.25 |
$131.25 |
$131.25 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$422.25 |
$422.25 |
$422.25 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$180.75 |
$180.75 |
$180.75 |
$339.60
|
|
Ghs cricothyroidotomy
|
$226.50 |
$226.50 |
$226.50 |
$1,104.00
|
|
Ghs dislocation elbow closed treatment
|
$525.75 |
$525.75 |
$525.75 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,061.75 |
$2,061.75 |
$2,061.75 |
$1,109.47
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$843.75 |
$843.75 |
$843.75 |
$586.80
|
|
Ghs excision ingrown nail
|
$1,468.50 |
$1,468.50 |
$1,468.50 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$291.75 |
$291.75 |
$291.75 |
$510.00
|
|
Ghs fat & muscle
|
$33.00 |
$33.00 |
$33.00 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$2,347.50 |
$2,347.50 |
$2,347.50 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$76.50 |
$76.50 |
$76.50 |
$48.10
|
|
Ghs fish cytogen
|
$1,133.25 |
$1,133.25 |
$1,133.25 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$566.25 |
$566.25 |
$566.25 |
$226.20
|
|
Ghs flow volume loop
|
$303.75 |
$303.75 |
$303.75 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$209.25 |
$209.25 |
$209.25 |
$368.50
|
|
Ghs hcv amplificaiton
|
$254.25 |
$254.25 |
$254.25 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$596.25 |
$596.25 |
$596.25 |
$144.54
|
|
Ghs hgb stability-thal
|
$252.75 |
$252.75 |
$252.75 |
$89.91
|
|
Ghs histoplasma antigen
|
$354.00 |
$354.00 |
$354.00 |
$142.00
|
|
Ghs HIV antibody
|
$99.75 |
$99.75 |
$99.75 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,134.00 |
$4,134.00 |
$4,134.00 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$873.00 |
$873.00 |
$873.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$2,337.75 |
$2,337.75 |
$2,337.75 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$825.00 |
$825.00 |
$825.00 |
$707.25
|
|
Ghs immun0electrophoresis
|
$178.50 |
$178.50 |
$178.50 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$526.50 |
$526.50 |
$526.50 |
$526.50
|
|
Ghs inf midline insertion
|
$1,638.00 |
$1,638.00 |
$1,638.00 |
$1,238.25
|
|
Ghs inhibitor screen
|
$405.75 |
$405.75 |
$405.75 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$485.25 |
$485.25 |
$485.25 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$3,021.75 |
$3,021.75 |
$3,021.75 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,224.50 |
$2,224.50 |
$2,224.50 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$291.00 |
$291.00 |
$291.00 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,319.25 |
$1,319.25 |
$1,319.25 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,636.50 |
$1,636.50 |
$1,636.50 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$780.75 |
$780.75 |
$780.75 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$876.00 |
$876.00 |
$876.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$876.00 |
$876.00 |
$876.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$5,194.50 |
$5,194.50 |
$5,194.50 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$186.00 |
$186.00 |
$186.00 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$238.50 |
$238.50 |
$238.50 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$151.50 |
$151.50 |
$151.50 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$784.50 |
$784.50 |
$784.50 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$784.50 |
$784.50 |
$784.50 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$784.50 |
$784.50 |
$784.50 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$333.75 |
$333.75 |
$333.75 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$397.50 |
$397.50 |
$397.50 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$368.25 |
$368.25 |
$368.25 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,428.75 |
$1,428.75 |
$1,428.75 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$288.00 |
$288.00 |
$288.00 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,967.25 |
$1,967.25 |
$1,967.25 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$2,092.50 |
$2,092.50 |
$2,092.50 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$876.00 |
$876.00 |
$876.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$393.00 |
$393.00 |
$393.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$2,315.25 |
$2,315.25 |
$2,315.25 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$2,315.25 |
$2,315.25 |
$2,315.25 |
$913.90
|
|
Ghs layered repair over 3.0 cm -12057
|
$471.75 |
$471.75 |
$471.75 |
$1,064.98
|
|
Ghs mbp
|
$96.75 |
$96.75 |
$96.75 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$816.00 |
$816.00 |
$816.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$654.00 |
$654.00 |
$654.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$640.50 |
$640.50 |
$640.50 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$67.50 |
$67.50 |
$67.50 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$435.00 |
$435.00 |
$435.00 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$340.50 |
$340.50 |
$340.50 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$305.25 |
$305.25 |
$305.25 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$81.75 |
$81.75 |
$81.75 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$2,355.75 |
$2,355.75 |
$2,355.75 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,741.50 |
$1,741.50 |
$1,741.50 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,470.75 |
$1,470.75 |
$1,470.75 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,271.25 |
$1,271.25 |
$1,271.25 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,299.50 |
$2,299.50 |
$2,299.50 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,926.00 |
$1,926.00 |
$1,926.00 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,299.50 |
$2,299.50 |
$2,299.50 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,214.25 |
$1,214.25 |
$1,214.25 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$507.00 |
$507.00 |
$507.00 |
$485.00
|
|
Ghs o2 saturation
|
$106.50 |
$106.50 |
$106.50 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$433.50 |
$433.50 |
$433.50 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$106.50 |
$106.50 |
$106.50 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$119.25 |
$119.25 |
$119.25 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$940.50 |
$940.50 |
$940.50 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,525.50 |
$1,525.50 |
$1,525.50 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$1,080.75 |
$1,080.75 |
$1,080.75 |
$555.00
|
|
Ghs phenylketonurid
|
$128.25 |
$128.25 |
$128.25 |
$53.76
|
|
Ghs picc line insert < 5
|
$4,977.75 |
$4,977.75 |
$4,977.75 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$308.25 |
$308.25 |
$308.25 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$57.75 |
$57.75 |
$57.75 |
$37.44
|
