|
Ghs acetylcholinesterase, rbc
|
$133.50 |
$133.50 |
$133.50 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$858.00 |
$858.00 |
$858.00 |
$108.60
|
|
Ghs analysis neurostim without reprogramming
|
$829.50 |
$829.50 |
$829.50 |
$315.00
|
|
Ghs antibodies (torch) igm
|
$131.25 |
$131.25 |
$131.25 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$277.50 |
$277.50 |
$277.50 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$1,000.08
|
|
Ghs central line insert < age 5, failed
|
$2,676.75 |
$2,676.75 |
$2,676.75 |
$2,417.60
|
|
Ghs change cysto/gastrost
|
$909.00 |
$909.00 |
$909.00 |
$731.64
|
|
Ghs chemo >8 hrs
|
$862.50 |
$862.50 |
$862.50 |
$832.40
|
|
Ghs chemo IV push, ea addtl
|
$736.50 |
$736.50 |
$736.50 |
$319.15
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$744.75 |
$744.75 |
$744.75 |
$169.49
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$630.00 |
$630.00 |
$630.00 |
$599.00
|
|
Ghs closed reduction ankle dislocation
|
$732.75 |
$732.75 |
$732.75 |
$732.75
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$1,655.78
|
|
Ghs closed tx radiocarpal disloc w manip
|
$273.00 |
$273.00 |
$273.00 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$1,547.25 |
$1,547.25 |
$1,547.25 |
$2,335.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,182.50 |
$2,182.50 |
$2,182.50 |
$3,351.25
|
|
Ghs clsd red med malleolus fx without manip
|
$321.00 |
$321.00 |
$321.00 |
$599.00
|
|
Ghs clsd red med malleolus fx w manip
|
$2,659.50 |
$2,659.50 |
$2,659.50 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,815.75 |
$1,815.75 |
$1,815.75 |
$2,496.00
|
|
Ghs cl tx knee disl; wo anesth
|
$261.75 |
$261.75 |
$261.75 |
$760.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$471.75 |
$471.75 |
$471.75 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$96.75 |
$96.75 |
$96.75 |
$97.36
|
|
Ghs conjunctiva foreign body-embed bil
|
$393.00 |
$393.00 |
$393.00 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$351.75 |
$351.75 |
$351.75 |
$317.85
|
|
Ghs corneal fb without slit lamp bilat
|
$422.25 |
$422.25 |
$422.25 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$372.00 |
$372.00 |
$372.00 |
$365.43
|
|
Ghs cricothyroidotomy
|
$271.50 |
$271.50 |
$271.50 |
$1,254.00
|
|
Ghs dislocation elbow closed treatment
|
$525.75 |
$525.75 |
$525.75 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$3,175.50 |
$3,175.50 |
$3,175.50 |
$1,598.93
|
|
Ghs ed rmvl or bivalving cast
|
$303.75 |
$303.75 |
$303.75 |
$368.00
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$843.75 |
$843.75 |
$843.75 |
$555.00
|
|
Ghs electrostagmgraphy
|
$931.50 |
$931.50 |
$931.50 |
$275.40
|
|
Ghs elect vertical elct
|
$256.50 |
$256.50 |
$256.50 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$377.25 |
$377.25 |
$377.25 |
$442.22
|
|
Ghs excision ingrown nail
|
$311.25 |
$311.25 |
$311.25 |
$460.80
|
|
Ghs eye exam
|
$136.50 |
$136.50 |
$136.50 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$349.50 |
$349.50 |
$349.50 |
$687.50
|
|
Ghs fat & muscle
|
$45.75 |
$45.75 |
$45.75 |
$47.25
|
|
Ghs fb removal foot - deep - left
|
$2,538.75 |
$2,538.75 |
$2,538.75 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$5,736.75 |
$5,736.75 |
$5,736.75 |
$3,285.96
|
|
Ghs fb removal - incisional
|
$1,253.25 |
$1,253.25 |
$1,253.25 |
$2,674.80
|
|
Ghs fb removal - non-incisional
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$76.50 |
$76.50 |
$76.50 |
$48.57
|
|
Ghs fish cytogen
|
$1,133.25 |
$1,133.25 |
$1,133.25 |
$153.60
|
|
Ghs fish hybrid in situ 100-300
|
$566.25 |
$566.25 |
$566.25 |
$250.80
|
|
Ghs flow volume loop
|
$364.50 |
$364.50 |
$364.50 |
$296.91
|
|
Ghs gastric intub aspiration lavage
|
$363.75 |
$363.75 |
$363.75 |
$413.60
|
|
Ghs hcv amplificaiton
|
$442.50 |
$442.50 |
$442.50 |
$195.60
|
|
Ghs hepatitis c virus (hcv riba)
|
$828.00 |
$828.00 |
$828.00 |
$105.00
|
|
Ghs hgb stability-thal
|
$252.75 |
$252.75 |
$252.75 |
$85.28
|
|
Ghs histoplasma antigen
|
$492.00 |
$492.00 |
$492.00 |
$157.30
|
|
Ghs HIV antibody
|
$147.75 |
$147.75 |
$147.75 |
$83.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,134.00 |
$4,134.00 |
$4,134.00 |
$3,768.60
|
|
Ghs i and d perirectal abscess 46040
|
$3,297.75 |
$3,297.75 |
$3,297.75 |
$3,267.70
|
|
Ghs i and d pilonidal cyst complex
|
$2,460.00 |
$2,460.00 |
$2,460.00 |
$1,574.63
|
|
Ghs i and d pilonidal cyst simple
|
$825.00 |
$825.00 |
$825.00 |
$794.82
|
|
Ghs immun0electrophoresis
|
$178.50 |
$178.50 |
$178.50 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$526.50 |
$526.50 |
$526.50 |
$557.40
|
|
Ghs inf midline insertion
|
$2,032.50 |
$2,032.50 |
$2,032.50 |
$1,625.00
|
|
Ghs inhibitor screen
|
$662.25 |
$662.25 |
$662.25 |
$138.06
|
|
Ghs init tx 1st degree burn
|
$485.25 |
$485.25 |
$485.25 |
$325.00
|
|
Ghs inj neurolytic intercostal nerve
|
$3,021.75 |
$3,021.75 |
$3,021.75 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,300.25 |
$2,300.25 |
$2,300.25 |
$1,900.99
|
|
Ghs inj tendon origin/insertion
|
$293.25 |
$293.25 |
$293.25 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$1,727.25 |
$1,727.25 |
$1,727.25 |
$1,854.40
|
|
Ghs insertion of needle - bone
|
$366.75 |
$366.75 |
$366.75 |
$448.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,315.25 |
$2,315.25 |
$2,315.25 |
$943.20
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$735.00 |
$735.00 |
$735.00 |
$1,052.00
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,912.25 |
$2,912.25 |
$2,912.25 |
$2,123.36
|
|
Ghs intro needle/intracath vein - 36000
|
$240.00 |
$240.00 |
$240.00 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$286.50 |
$286.50 |
$286.50 |
$643.61
|
|
Ghs IV inf sq injection, on-body injector
|
$166.50 |
$166.50 |
$166.50 |
$125.50
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$784.50 |
$784.50 |
$784.50 |
$784.50
|
|
Ghs IV infusion casirivimab/imdevimab
|
$784.50 |
$784.50 |
$784.50 |
$784.50
|
|
Ghs IV infusion sotrovimab
|
$784.50 |
$784.50 |
$784.50 |
$784.50
|
|
Ghs IV thrombolytics - cerebral
|
$541.50 |
$541.50 |
$541.50 |
$864.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$478.50 |
$478.50 |
$478.50 |
$586.06
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$396.00 |
$396.00 |
$396.00 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,428.75 |
$1,428.75 |
$1,428.75 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$550.50 |
$550.50 |
$550.50 |
$620.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,967.25 |
$1,967.25 |
$1,967.25 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$2,092.50 |
$2,092.50 |
$2,092.50 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$876.00 |
$876.00 |
$876.00 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$735.00 |
$735.00 |
$735.00 |
$747.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$471.75 |
$471.75 |
$471.75 |
$741.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$979.50 |
$979.50 |
$979.50 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$471.75 |
$471.75 |
$471.75 |
$800.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$471.75 |
$471.75 |
$471.75 |
$981.60
|
|
Ghs layered repair over 3.0 cm -12057
|
$471.75 |
$471.75 |
$471.75 |
$960.80
|
|
Ghs mbp
|
$108.00 |
$108.00 |
$108.00 |
$102.60
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$738.00 |
$738.00 |
$738.00 |
$250.69
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$525.75 |
$525.75 |
$525.75 |
$232.18
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$667.50 |
$667.50 |
$667.50 |
$229.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$69.75 |
$69.75 |
$69.75 |
$125.34
|
|
Ghs musc test done w/n test comp
|
$392.25 |
$392.25 |
$392.25 |
$352.97
|
|
Ghs musc tst done w/nerv tst lim
|
$372.75 |
$372.75 |
$372.75 |
$277.25
|
|
Ghs musc tst done w/n tst non ext
|
$291.75 |
$291.75 |
$291.75 |
$219.05
|