|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$471.60 |
$471.60 |
$471.60 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$408.60 |
$408.60 |
$408.60 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,344.40 |
$3,344.40 |
$3,344.40 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$408.60 |
$408.60 |
$408.60 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$115.80 |
$115.80 |
$115.80 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$286.20 |
$286.20 |
$286.20 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$408.60 |
$408.60 |
$408.60 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$574.80 |
$574.80 |
$574.80 |
$339.60
|
|
Ghs cricothyroidotomy
|
$3,184.80 |
$3,184.80 |
$3,184.80 |
$1,104.00
|
|
Ghs diphtheria toxoid ab igg
|
$169.20 |
$169.20 |
$169.20 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$5,431.80 |
$5,431.80 |
$5,431.80 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$408.60 |
$408.60 |
$408.60 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,360.20 |
$1,360.20 |
$1,360.20 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$555.00 |
$555.00 |
$555.00 |
$586.80
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$97.80 |
$97.80 |
$97.80 |
$467.00
|
|
Ghs excision ingrown nail
|
$325.80 |
$325.80 |
$325.80 |
$449.25
|
|
Ghs fb removal foot - deep - left
|
$4,707.00 |
$4,707.00 |
$4,707.00 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$3,184.80 |
$3,184.80 |
$3,184.80 |
$2,323.75
|
|
Ghs fish cytogen
|
$56.40 |
$56.40 |
$56.40 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$184.20 |
$184.20 |
$184.20 |
$226.20
|
|
Ghs flow volume loop
|
$163.80 |
$163.80 |
$163.80 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$172.80 |
$172.80 |
$172.80 |
$368.50
|
|
Ghs histoplasma antigen
|
$183.00 |
$183.00 |
$183.00 |
$142.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$617.40 |
$617.40 |
$617.40 |
$513.64
|
|
Ghs i and d perirectal abscess 46040
|
$3,184.80 |
$3,184.80 |
$3,184.80 |
$2,798.50
|
|
Ghs i and d pilonidal cyst simple
|
$499.80 |
$499.80 |
$499.80 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$909.00 |
$909.00 |
$909.00 |
$526.50
|
|
Ghs inf midline insertion
|
$1,882.80 |
$1,882.80 |
$1,882.80 |
$1,238.25
|
|
Ghs inhibitor screen
|
$142.20 |
$142.20 |
$142.20 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$408.60 |
$408.60 |
$408.60 |
$275.88
|
|
Ghs inj tendon origin/insertion
|
$158.40 |
$158.40 |
$158.40 |
$434.12
|
|
Ghs insertion of needle - bone
|
$530.40 |
$530.40 |
$530.40 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$4,695.00 |
$4,695.00 |
$4,695.00 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$2,494.20 |
$2,494.20 |
$2,494.20 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$124.20 |
$124.20 |
$124.20 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$544.20 |
$544.20 |
$544.20 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$3,184.80 |
$3,184.80 |
$3,184.80 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$574.80 |
$574.80 |
$574.80 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$574.80 |
$574.80 |
$574.80 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$574.80 |
$574.80 |
$574.80 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$820.80 |
$820.80 |
$820.80 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$820.80 |
$820.80 |
$820.80 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$909.00 |
$909.00 |
$909.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,287.00 |
$1,287.00 |
$1,287.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$2,781.60 |
$2,781.60 |
$2,781.60 |
$784.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$116.40 |
$116.40 |
$116.40 |
$75.00
|
|
Ghs mbp
|
$234.60 |
$234.60 |
$234.60 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$223.20 |
$223.20 |
$223.20 |
$246.33
|
|
Ghs moderate sedation ea addtl 15 min
|
$223.20 |
$223.20 |
$223.20 |
$150.00
|
|
Ghs musc test done w/n test comp
|
$278.40 |
$278.40 |
$278.40 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$278.40 |
$278.40 |
$278.40 |
$272.48
|
|
Ghs myocardial strain img spckl track
|
$792.60 |
$792.60 |
$792.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$2,425.80 |
$2,425.80 |
$2,425.80 |
$724.37
|
|
Ghs nerve blk intercostal, single level
|
$3,217.20 |
$3,217.20 |
$3,217.20 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$2,285.40 |
$2,285.40 |
$2,285.40 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,085.40 |
$1,085.40 |
$1,085.40 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$394.20 |
$394.20 |
$394.20 |
$485.00
|
|
Ghs o2 saturation
|
$44.40 |
$44.40 |
$44.40 |
$69.50
|
|
Ghs opcc repair cvp w subq port
|
$5,047.80 |
$5,047.80 |
$5,047.80 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$27.60 |
$27.60 |
$27.60 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$27.60 |
$27.60 |
$27.60 |
$64.50
|
|
Ghs ot prosthetic training/15 min
|
$77.40 |
$77.40 |
$77.40 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$81.00 |
$81.00 |
$81.00 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$2,086.20 |
$2,086.20 |
$2,086.20 |
$830.53
|
|
Ghs peritonsillar abscess i andd
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$555.00
|
|
Ghs phenylketonurid
|
$58.80 |
$58.80 |
$58.80 |
$53.76
|
|
Ghs plngl fx pm cl
|
$530.40 |
$530.40 |
$530.40 |
$564.80
|
|
Ghs plt ct-manual
|
$56.40 |
$56.40 |
$56.40 |
$37.96
|
|
Ghs ppd (tb intradermal)
|
$70.20 |
$70.20 |
$70.20 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$96.00 |
$96.00 |
$96.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$100.80 |
$100.80 |
$100.80 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$306.60 |
$306.60 |
$306.60 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$109.80 |
$109.80 |
$109.80 |
$47.55
|
|
Ghs removal intranasal foreign body
|
$408.60 |
$408.60 |
$408.60 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$343.20 |
$343.20 |
$343.20 |
$441.68
|
|
Ghs respiratory syncytical virus igg/m
|
$172.80 |
$172.80 |
$172.80 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$132.60 |
$132.60 |
$132.60 |
$99.00
|
|
Ghs sedimentation rate
|
$58.20 |
$58.20 |
$58.20 |
$45.50
|
|
Ghs semen analysis fert
|
$163.80 |
$163.80 |
$163.80 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$69.60 |
$69.60 |
$69.60 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$518.40 |
$518.40 |
$518.40 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$819.60 |
$819.60 |
$819.60 |
$436.80
|
