|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,319.00 |
$2,319.00 |
$2,319.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$1,961.40 |
$1,961.40 |
$1,961.40 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$370.80 |
$370.80 |
$370.80 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$81.00 |
$81.00 |
$81.00 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$606.00 |
$606.00 |
$606.00 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$279.00 |
$279.00 |
$279.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$606.00 |
$606.00 |
$606.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$396.00 |
$396.00 |
$396.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$777.60 |
$777.60 |
$777.60 |
$1,104.00
|
|
Ghs diphtheria toxoid ab igg
|
$85.20 |
$85.20 |
$85.20 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$856.20 |
$856.20 |
$856.20 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,660.40 |
$2,660.40 |
$2,660.40 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$370.80 |
$370.80 |
$370.80 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,461.20 |
$2,461.20 |
$2,461.20 |
$1,429.20
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$1,341.60 |
$1,341.60 |
$1,341.60 |
$467.00
|
|
Ghs excision ingrown nail
|
$484.80 |
$484.80 |
$484.80 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,359.60 |
$1,359.60 |
$1,359.60 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$3,737.40 |
$3,737.40 |
$3,737.40 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$2,674.80 |
$2,674.80 |
$2,674.80 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$2,080.80 |
$2,080.80 |
$2,080.80 |
$1,706.20
|
|
Ghs fish cytogen
|
$153.00 |
$153.00 |
$153.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$366.60 |
$366.60 |
$366.60 |
$226.20
|
|
Ghs flow volume loop
|
$129.00 |
$129.00 |
$129.00 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$403.20 |
$403.20 |
$403.20 |
$368.50
|
|
Ghs hcv amplificaiton
|
$195.60 |
$195.60 |
$195.60 |
$196.20
|
|
Ghs histoplasma antigen
|
$74.40 |
$74.40 |
$74.40 |
$142.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$5,452.20 |
$5,452.20 |
$5,452.20 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,564.60 |
$3,564.60 |
$3,564.60 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,341.60 |
$1,341.60 |
$1,341.60 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$924.60 |
$924.60 |
$924.60 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$520.80 |
$520.80 |
$520.80 |
$526.50
|
|
Ghs inf midline insertion
|
$4,321.20 |
$4,321.20 |
$4,321.20 |
$1,238.25
|
|
Ghs inhibitor screen
|
$65.40 |
$65.40 |
$65.40 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$378.60 |
$378.60 |
$378.60 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$1,710.80
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,362.60 |
$1,362.60 |
$1,362.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,647.20 |
$2,647.20 |
$2,647.20 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$550.80 |
$550.80 |
$550.80 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,075.40 |
$2,075.40 |
$2,075.40 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,189.00 |
$3,189.00 |
$3,189.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$745.80 |
$745.80 |
$745.80 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$108.00 |
$108.00 |
$108.00 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$309.60 |
$309.60 |
$309.60 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$309.60 |
$309.60 |
$309.60 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$1,295.40 |
$1,295.40 |
$1,295.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$724.20 |
$724.20 |
$724.20 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$520.80 |
$520.80 |
$520.80 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$520.80 |
$520.80 |
$520.80 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$520.80 |
$520.80 |
$520.80 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$520.80 |
$520.80 |
$520.80 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$819.00 |
$819.00 |
$819.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$819.00 |
$819.00 |
$819.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,200.60 |
$1,200.60 |
$1,200.60 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$993.00 |
$993.00 |
$993.00 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$993.00 |
$993.00 |
$993.00 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,927.80 |
$1,927.80 |
$1,927.80 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$1,064.98
|
|
Ghs mbp
|
$87.00 |
$87.00 |
$87.00 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$759.00 |
$759.00 |
$759.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$468.60 |
$468.60 |
$468.60 |
$228.45
|
|
Ghs moderate sedation ea addtl 15 min
|
$831.60 |
$831.60 |
$831.60 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$235.80 |
$235.80 |
$235.80 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$349.80 |
$349.80 |
$349.80 |
$331.20
|
|
Ghs myocardial strain img spckl track
|
$306.60 |
$306.60 |
$306.60 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,236.60 |
$1,236.60 |
$1,236.60 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,160.00
|
|
Ghs nerve block brachial plexus
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,512.80 |
$2,512.80 |
$2,512.80 |
$1,661.40
|
|
Ghs nerve block sciatic nerve
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,976.40 |
$1,976.40 |
$1,976.40 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$2,304.60 |
$2,304.60 |
$2,304.60 |
$485.00
|
|
Ghs o2 saturation
|
$53.40 |
$53.40 |
$53.40 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$3,535.80 |
$3,535.80 |
$3,535.80 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$97.80 |
$97.80 |
$97.80 |
$58.00
|
|
Ghs ot prosthetic training/15 min
|
$69.60 |
$69.60 |
$69.60 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$96.00 |
$96.00 |
$96.00 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$595.20 |
$595.20 |
$595.20 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$750.00 |
$750.00 |
$750.00 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$1,225.20 |
$1,225.20 |
$1,225.20 |
$555.00
|
|
Ghs picc line insert < 5
|
$2,060.40 |
$2,060.40 |
$2,060.40 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$520.80 |
$520.80 |
$520.80 |
$564.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$5,327.40 |
$5,327.40 |
$5,327.40 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$85.80 |
$85.80 |
$85.80 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$49.20 |
$49.20 |
$49.20 |
$43.55
|
|
Ghs protoporphyrins fract
|
$72.60 |
$72.60 |
$72.60 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$133.20 |
$133.20 |
$133.20 |
$147.00
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$44.40 |
$44.40 |
$44.40 |
$47.55
|
|
Ghs quinidine
|
$103.80 |
$103.80 |
$103.80 |
$85.00
|
|
Ghs refill of implantable pump
|
$774.60 |
$774.60 |
$774.60 |
$539.13
|
