|
Ghs cl tx metacarpophal disloc without anes
|
$265.80 |
$609.00 |
$773.40 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$75.60 |
$121.20 |
$183.60 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$543.00 |
$628.20 |
$896.40 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$287.40 |
$361.80 |
$505.20 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$378.60 |
$484.20 |
$609.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$459.60 |
$769.20 |
$2,965.80 |
$339.60
|
|
Ghs cricothyroidotomy
|
$2,097.00 |
$4,669.80 |
$5,469.00 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$87.60 |
$87.60 |
$102.60 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$487.20 |
$487.20 |
$487.20 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$144.60 |
$163.80 |
$288.60 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$1,635.60 |
$2,005.80 |
$3,560.40 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$235.20 |
$283.20 |
$628.80 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,353.60 |
$1,439.40 |
$1,918.80 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$586.80 |
$586.80 |
$783.60 |
$586.80
|
|
Ghs electrostagmgraphy
|
$33.00 |
$1,122.00 |
$1,507.80 |
$322.00
|
|
Ghs elect torsion swing
|
$123.60 |
$282.00 |
$1,413.60 |
$266.29
|
|
Ghs elect vertical elct
|
$94.80 |
$251.40 |
$378.00 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$1,581.00 |
$1,638.60 |
$2,521.80 |
$467.00
|
|
Ghs excision ingrown nail
|
$265.80 |
$266.40 |
$505.20 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,830.00 |
$1,966.80 |
$2,208.60 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$3,771.00 |
$4,115.40 |
$5,289.00 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$451.20 |
$471.00 |
$5,031.60 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$568.20 |
$627.00 |
$865.80 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$78.00 |
$85.20 |
$147.00 |
$48.10
|
|
Ghs fish cytogen
|
$71.40 |
$89.40 |
$235.80 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$236.40 |
$291.00 |
$457.20 |
$226.20
|
|
Ghs flow volume loop
|
$201.00 |
$213.00 |
$223.20 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$186.00 |
$235.20 |
$529.20 |
$368.50
|
|
Ghs hcv amplificaiton
|
$201.60 |
$223.80 |
$269.40 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$102.00 |
$102.00 |
$320.40 |
$144.54
|
|
Ghs hgb stability-thal
|
$18.60 |
$21.60 |
$436.20 |
$89.91
|
|
Ghs histoplasma antigen
|
$119.40 |
$153.00 |
$1,019.40 |
$142.00
|
|
Ghs HIV antibody
|
$93.00 |
$103.20 |
$643.80 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$462.60 |
$490.20 |
$993.60 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,293.80 |
$3,045.00 |
$5,706.60 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,367.60 |
$4,267.80 |
$4,540.80 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,246.80 |
$1,549.80 |
$1,724.40 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$366.60 |
$471.00 |
$852.60 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$342.00 |
$763.20 |
$896.40 |
$526.50
|
|
Ghs inf midline insertion
|
$2,636.40 |
$4,507.20 |
$4,978.20 |
$1,238.25
|
|
Ghs inhibitor screen
|
$55.20 |
$223.80 |
$450.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$236.40 |
$345.60 |
$620.40 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$5,083.20 |
$5,083.20 |
$5,083.20 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$680.40 |
$967.20 |
$1,108.20 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$441.60 |
$478.80 |
$682.20 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,305.00 |
$2,703.60 |
$3,243.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,656.60 |
$1,972.80 |
$2,703.60 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$322.20 |
$615.60 |
$891.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,829.40 |
$3,451.80 |
$4,144.20 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$3,520.20 |
$3,532.20 |
$4,144.20 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,532.20 |
$3,532.20 |
$4,080.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$406.80 |
$406.80 |
$406.80 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$2,707.80 |
$3,222.60 |
$3,560.40 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$125.40 |
$125.40 |
$138.60 |
$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
|
$1,439.40 |
$2,715.60 |
$7,038.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,829.40 |
$2,431.80 |
$5,052.60 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$366.60 |
$499.20 |
$852.60 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$308.40 |
$477.00 |
$852.60 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$308.40 |
$477.00 |
$852.60 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$308.40 |
$741.00 |
$951.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$510.00 |
$753.00 |
$1,341.60 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$510.00 |
$655.80 |
$1,163.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,829.40 |
$2,681.40 |
$4,765.20 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$3,448.20 |
$3,706.20 |
$4,144.20 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,829.40 |
$3,448.20 |
$4,144.20 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$3,331.80 |
$3,734.40 |
$4,545.60 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,829.40 |
$3,770.40 |
$4,144.20 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$4,176.60 |
$4,176.60 |
$4,176.60 |
$913.90
|
|
Ghs leukocyte alkaline phos (mayo)
|
$75.00 |
$154.80 |
$703.20 |
$75.00
|
|
Ghs low level laser therapy
|
$124.20 |
$126.60 |
$138.00 |
$87.50
|
|
Ghs mbp
|
$155.40 |
$213.00 |
$491.40 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$398.40 |
$429.60 |
$484.80 |
$246.33
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$429.60 |
$429.60 |
$429.60 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$190.20 |
$360.60 |
$639.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$216.00 |
$216.00 |
$216.00 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$310.20 |
$322.80 |
$386.40 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$260.40 |
$316.80 |
$357.60 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$243.00 |
$292.80 |
$386.40 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$838.80 |
$838.80 |
$1,183.20 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,366.20 |
$2,716.80 |
$3,560.40 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,541.40 |
$1,686.00 |
$8,413.80 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,461.60 |
$2,639.40 |
$3,420.00 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$1,541.40 |
$1,689.00 |
$3,420.00 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$1,464.00 |
$1,689.00 |
$3,420.00 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,716.80 |
$2,967.00 |
$3,156.00 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,462.20 |
$1,541.40 |
$2,959.80 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,549.80 |
$2,450.40 |
$3,420.00 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,689.00 |
$2,585.40 |
$3,420.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,018.80 |
$1,108.20 |
$1,173.60 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$436.80 |
$464.40 |
$2,034.00 |
$485.00
|
|
Ghs o2 saturation
|
$79.80 |
$108.60 |
$502.20 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$199.20 |
$199.20 |
$997.80 |
$230.01
|
|
Ghs o2 uptake rest & indirect
|
$155.40 |
$155.40 |
$155.40 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$75.00 |
$75.00 |
$75.00 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$3,413.40 |
$4,466.40 |
$5,838.00 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$1,740.00 |
$4,515.00 |
$5,159.40 |
$2,194.40
|
