|
Ghs conjunctiva foreign body-superf bil
|
$362.60 |
$362.60 |
$362.60 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$1,121.84 |
$1,121.84 |
$1,121.84 |
$423.85
|
|
Ghs corneal fb with slit lamp bilat
|
$362.60 |
$362.60 |
$362.60 |
$339.60
|
|
Ghs cricothyroidotomy
|
$240.76 |
$240.76 |
$240.76 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$28.60 |
$28.60 |
$28.60 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$34.32 |
$34.32 |
$34.32 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$96.20 |
$96.20 |
$96.20 |
$54.43
|
|
Ghs dislocation elbow closed treatment
|
$674.88 |
$674.88 |
$674.88 |
$604.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,636.62 |
$2,636.62 |
$2,636.62 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$746.66 |
$746.66 |
$746.66 |
$341.50
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,947.68 |
$1,947.68 |
$1,947.68 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$385.54 |
$385.54 |
$385.54 |
$593.91
|
|
Ghs electrostagmgraphy
|
$22.10 |
$22.10 |
$22.10 |
$295.50
|
|
Ghs elect torsion swing
|
$10.66 |
$10.66 |
$10.66 |
$266.29
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$52.00 |
$52.00 |
$52.00 |
$449.50
|
|
Ghs excision ingrown nail
|
$1,123.32 |
$1,123.32 |
$1,123.32 |
$449.25
|
|
Ghs eye exam
|
$32.76 |
$32.76 |
$32.76 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$840.64 |
$840.64 |
$840.64 |
$526.56
|
|
Ghs fat & muscle
|
$3.64 |
$3.64 |
$3.64 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$4,556.18 |
$4,556.18 |
$4,556.18 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$182.26 |
$182.26 |
$182.26 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$4,556.18 |
$4,556.18 |
$4,556.18 |
$2,326.00
|
|
Ghs fb removal - non-incisional
|
$4,556.18 |
$4,556.18 |
$4,556.18 |
$1,768.18
|
|
Ghs febrile agglutinns(mayo)
|
$44.40 |
$44.40 |
$44.40 |
$48.10
|
|
Ghs fish cytogen
|
$60.68 |
$60.68 |
$60.68 |
$174.50
|
|
Ghs fish hybrid in situ 100-300
|
$144.30 |
$144.30 |
$144.30 |
$228.50
|
|
Ghs flow volume loop
|
$10.40 |
$10.40 |
$10.40 |
$309.00
|
|
Ghs gastric intub aspiration lavage
|
$876.16 |
$876.16 |
$876.16 |
$368.50
|
|
Ghs hcv amplificaiton
|
$222.00 |
$222.00 |
$222.00 |
$196.30
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$17.68 |
$17.68 |
$17.68 |
$50.40
|
|
Ghs hepatitis c virus (hcv riba)
|
$97.68 |
$97.68 |
$97.68 |
$144.54
|
|
Ghs hgb stability-thal
|
$59.94 |
$59.94 |
$59.94 |
$87.84
|
|
Ghs histoplasma antigen
|
$83.62 |
$83.62 |
$83.62 |
$141.60
|
|
Ghs HIV antibody
|
$123.58 |
$123.58 |
$123.58 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$671.18 |
$671.18 |
$671.18 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$5,760.16 |
$5,760.16 |
$5,760.16 |
$3,583.25
|
|
Ghs i and d perirectal abscess 46040
|
$3,315.20 |
$3,315.20 |
$3,315.20 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$2,473.08 |
$2,473.08 |
$2,473.08 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$1,978.02 |
$1,978.02 |
$1,978.02 |
$712.80
|
|
Ghs immun0electrophoresis
|
$13.00 |
$13.00 |
$13.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$683.76 |
$683.76 |
$683.76 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$546.12 |
$546.12 |
$546.12 |
$350.90
|
|
Ghs inf midline insertion
|
$3,959.74 |
$3,959.74 |
$3,959.74 |
$1,241.85
|
|
Ghs inhibitor screen
|
$81.40 |
$81.40 |
$81.40 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$558.70 |
$558.70 |
$558.70 |
$276.21
|
|
Ghs inj neurolytic intercostal nerve
|
$130.26 |
$130.26 |
$130.26 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$87.62 |
$87.62 |
$87.62 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$28.08 |
$28.08 |
$28.08 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,877.38 |
$1,877.38 |
$1,877.38 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,503.42 |
$2,503.42 |
$2,503.42 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$1,121.84 |
$1,121.84 |
$1,121.84 |
$434.50
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$908.16
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,721.98 |
$1,721.98 |
$1,721.98 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$5,143.74 |
$5,143.74 |
$5,143.74 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$219.78 |
$219.78 |
$219.78 |
$200.40
|
|
Ghs irrigate corpora cavernosa for priapism
|
$683.76 |
$683.76 |
$683.76 |
$551.20
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$241.54 |
$241.54 |
$241.54 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$241.54 |
$241.54 |
$241.54 |
$573.86
|
|
Ghs IV infusion sotrovimab
|
$351.00 |
$351.00 |
$351.00 |
$563.40
|
|
Ghs IV thrombolytics - cerebral
|
$933.14 |
$933.14 |
$933.14 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,121.84 |
$1,121.84 |
$1,121.84 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,123.32 |
$1,123.32 |
$1,123.32 |
$604.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,123.32 |
$1,123.32 |
$1,123.32 |
$589.00
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,123.32 |
$1,123.32 |
$1,123.32 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$2,151.92 |
$2,151.92 |
$2,151.92 |
$780.10
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$2,151.92 |
$2,151.92 |
$2,151.92 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$789.50
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$2,151.92 |
$2,151.92 |
$2,151.92 |
$1,023.96
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,404.52 |
$1,404.52 |
$1,404.52 |
$930.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$257.40 |
$257.40 |
$257.40 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$306.28 |
$306.28 |
$306.28 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$54.02 |
$54.02 |
$54.02 |
$73.50
|
|
Ghs low level laser therapy
|
$5.72 |
$5.72 |
$5.72 |
$85.00
|
|
Ghs mbp
|
$108.78 |
$108.78 |
$108.78 |
$76.64
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$611.98 |
$611.98 |
$611.98 |
$249.48
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$611.98 |
$611.98 |
$611.98 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$611.98 |
$611.98 |
$611.98 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$322.64 |
$322.64 |
$322.64 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$253.08 |
$253.08 |
$253.08 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$412.92 |
$412.92 |
$412.92 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$412.92 |
$412.92 |
$412.92 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$412.92 |
$412.92 |
$412.92 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$1,156.62 |
$1,156.62 |
$1,156.62 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,721.98 |
$1,721.98 |
$1,721.98 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,503.42 |
$2,503.42 |
$2,503.42 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,947.68 |
$1,947.68 |
$1,947.68 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,503.42 |
$2,503.42 |
$2,503.42 |
$1,601.60
|
|
Ghs nerve block brachial plexus
|
$2,503.42 |
$2,503.42 |
$2,503.42 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,503.42 |
$2,503.42 |
$2,503.42 |
$1,681.24
|
|
Ghs nerve block interscaline
|
$2,503.42 |
$2,503.42 |
$2,503.42 |
$1,549.00
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,503.42 |
$2,503.42 |
$2,503.42 |
$1,709.00
|
|
Ghs nerve block sciatic nerve
|
$1,947.68 |
$1,947.68 |
$1,947.68 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,947.68 |
$1,947.68 |
$1,947.68 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$981.98 |
$981.98 |
$981.98 |
$485.00
|
|
Ghs o2 saturation
|
$7.80 |
$7.80 |
$7.80 |
$69.00
|
