|
Ghs chemo >8 hrs
|
$691.80 |
$691.80 |
$691.80 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$189.60 |
$189.60 |
$189.60 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$122.40 |
$122.40 |
$122.40 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$604.80 |
$604.80 |
$604.80 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$672.60 |
$672.60 |
$672.60 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$2,148.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$10,130.22 |
$10,130.22 |
$10,130.22 |
$3,086.00
|
|
Ghs clsd red med malleolus fx w manip
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,746.40 |
$3,746.40 |
$3,746.40 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$604.80 |
$604.80 |
$604.80 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$604.80 |
$604.80 |
$604.80 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$64.80 |
$64.80 |
$64.80 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$631.20 |
$631.20 |
$631.20 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$279.00 |
$279.00 |
$279.00 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$279.00 |
$279.00 |
$279.00 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$631.20 |
$631.20 |
$631.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$435.00 |
$435.00 |
$435.00 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$604.80 |
$604.80 |
$604.80 |
$578.00
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$510.60 |
$510.60 |
$510.60 |
$593.91
|
|
Ghs excision ingrown nail
|
$382.80 |
$382.80 |
$382.80 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$598.80 |
$598.80 |
$598.80 |
$501.04
|
|
Ghs fb removal - incisional
|
$2,980.20 |
$2,980.20 |
$2,980.20 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$12,853.26 |
$12,853.26 |
$12,853.26 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$66.60 |
$66.60 |
$66.60 |
$48.57
|
|
Ghs fish cytogen
|
$186.60 |
$186.60 |
$186.60 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$363.00 |
$363.00 |
$363.00 |
$223.00
|
|
Ghs flow volume loop
|
$253.80 |
$253.80 |
$253.80 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$205.80 |
$205.80 |
$205.80 |
$368.50
|
|
Ghs hcv amplificaiton
|
$273.60 |
$273.60 |
$273.60 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$255.00 |
$255.00 |
$255.00 |
$142.50
|
|
Ghs hgb stability-thal
|
$146.40 |
$146.40 |
$146.40 |
$87.60
|
|
Ghs histoplasma antigen
|
$93.60 |
$93.60 |
$93.60 |
$141.00
|
|
Ghs HIV antibody
|
$129.60 |
$129.60 |
$129.60 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$946.80 |
$946.80 |
$946.80 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,766.00 |
$2,766.00 |
$2,766.00 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$905.40 |
$905.40 |
$905.40 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$457.20 |
$457.20 |
$457.20 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$455.40 |
$455.40 |
$455.40 |
$523.73
|
|
Ghs inf midline insertion
|
$446.40 |
$446.40 |
$446.40 |
$1,219.20
|
|
Ghs inhibitor screen
|
$168.60 |
$168.60 |
$168.60 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$135.00 |
$135.00 |
$135.00 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$5,898.96 |
$5,898.96 |
$5,898.96 |
$1,702.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$4,648.38 |
$4,648.38 |
$4,648.38 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$4,648.38 |
$4,648.38 |
$4,648.38 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$263.40 |
$263.40 |
$263.40 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$669.60 |
$669.60 |
$669.60 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$702.60 |
$702.60 |
$702.60 |
$1,035.60
|
|
Ghs irrigate corpora cavernosa for priapism
|
$428.40 |
$428.40 |
$428.40 |
$544.80
|
|
Ghs IV thrombolytics - cerebral
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$879.00 |
$879.00 |
$879.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$578.40 |
$578.40 |
$578.40 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$578.40 |
$578.40 |
$578.40 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$578.40 |
$578.40 |
$578.40 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$578.40 |
$578.40 |
$578.40 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$578.40 |
$578.40 |
$578.40 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$578.40 |
$578.40 |
$578.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$637.80 |
$637.80 |
$637.80 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$578.40 |
$578.40 |
$578.40 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$578.40 |
$578.40 |
$578.40 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$578.40 |
$578.40 |
$578.40 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$578.40 |
$578.40 |
$578.40 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$643.20 |
$643.20 |
$643.20 |
$907.50
|
|
Ghs mbp
|
$102.00 |
$102.00 |
$102.00 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$427.20 |
$427.20 |
$427.20 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$427.20 |
$427.20 |
$427.20 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$394.20 |
$394.20 |
$394.20 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$175.20 |
$175.20 |
$175.20 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$175.20 |
$175.20 |
$175.20 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$959.40 |
$959.40 |
$959.40 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$578.40 |
$578.40 |
$578.40 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$3,205.80 |
$3,205.80 |
$3,205.80 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,049.40 |
$1,049.40 |
$1,049.40 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$2,442.60 |
$2,442.60 |
$2,442.60 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$1,689.00
|
|
Ghs nerve block interscaline
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,653.80 |
$2,653.80 |
$2,653.80 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$399.60 |
$399.60 |
$399.60 |
$478.50
|
|
Ghs o2 saturation
|
$54.60 |
$54.60 |
$54.60 |
$70.80
|
|
Ghs opcc repair cvp without subq port
|
$893.40 |
$893.40 |
$893.40 |
$1,229.24
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$33.60 |
$33.60 |
$33.60 |
$55.77
|
|
Ghs ot dds rom
|
$301.20 |
$301.20 |
$301.20 |
$62.28
|
|
Ghs ot prosthetic training/15 min
|
$89.40 |
$89.40 |
$89.40 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$89.40 |
$89.40 |
$89.40 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$120.00 |
$120.00 |
$120.00 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$435.60 |
$435.60 |
$435.60 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$723.00 |
$723.00 |
$723.00 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$582.00 |
$582.00 |
$582.00 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$879.00 |
$879.00 |
$879.00 |
$546.36
|
|
Ghs picc line insert < 5
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$604.80 |
$604.80 |
$604.80 |
$564.80
|
|
Ghs plt ct-manual
|
$10.80 |
$10.80 |
$10.80 |
$37.96
|
|
Ghs prostatic acid phosphatase (mayo)
|
$53.40 |
$53.40 |
$53.40 |
$43.55
|
|
Ghs protoporphyrins fract
|
$43.20 |
$43.20 |
$43.20 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$75.60 |
$75.60 |
$75.60 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$238.80 |
$238.80 |
$238.80 |
$275.60
|
|
Ghs quinidine
|
$74.40 |
$74.40 |
$74.40 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$84.00 |
$84.00 |
$84.00 |
$287.50
|
