|
Ghs closed tx tibial fracture w/manip
|
$718.20 |
$2,055.00 |
$3,560.40 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,417.20 |
$2,785.80 |
$4,530.60 |
|
|
Ghs clsd red med malleolus fx without manip
|
$378.00 |
$831.60 |
$3,560.40 |
|
|
Ghs clsd red med malleolus fx w manip
|
$1,494.60 |
$2,313.60 |
$3,772.80 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,757.40 |
$2,827.20 |
$7,144.80 |
|
|
Ghs cl tx knee disl; wo anesth
|
$308.00 |
$1,961.40 |
$3,415.80 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$265.80 |
$407.40 |
$1,023.60 |
|
|
Ghs community re-entry 15 minutes
|
$70.80 |
$115.80 |
$183.60 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$307.80 |
$606.00 |
$896.40 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$124.20 |
$287.40 |
$505.20 |
|
|
Ghs corneal fb without slit lamp bilat
|
$210.00 |
$478.20 |
$1,024.80 |
|
|
Ghs corneal fb with slit lamp bilat
|
$188.50 |
$484.20 |
$2,965.80 |
|
|
Ghs cricothyroidotomy
|
$777.60 |
$1,138.20 |
$5,469.00 |
|
|
Ghs cutdown placement age 1 and over
|
$87.60 |
$102.60 |
$132.60 |
|
|
Ghs cutdown placement under 1 yr
|
$106.20 |
$187.20 |
$487.20 |
|
|
Ghs diphtheria toxoid ab igg
|
$21.00 |
$147.00 |
$368.00 |
|
|
Ghs dislocation elbow closed treatment
|
$308.00 |
$900.00 |
$3,560.40 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,660.40 |
$2,660.40 |
$5,431.80 |
|
|
Ghs ed rmvl or bivalving cast
|
$226.20 |
$370.80 |
$628.80 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$811.80 |
$1,439.40 |
$2,461.20 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$284.40 |
$586.80 |
$2,904.00 |
|
|
Ghs electrostagmgraphy
|
$21.00 |
$33.00 |
$1,507.80 |
|
|
Ghs elect torsion swing
|
$114.60 |
$123.60 |
$1,413.60 |
|
|
Ghs elect vertical elct
|
$14.40 |
$94.80 |
$378.00 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$97.80 |
$1,341.60 |
$2,521.80 |
|
|
Ghs excision ingrown nail
|
$265.20 |
$484.80 |
$953.00 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$393.00 |
$1,359.60 |
$2,313.60 |
|
|
Ghs fat & muscle
|
$75.60 |
$75.60 |
$75.60 |
|
|
Ghs fb removal foot - deep - left
|
$658.80 |
$2,925.00 |
$7,126.80 |
|
|
Ghs fb removal from muscle - complicated
|
$492.60 |
$3,737.40 |
$3,737.40 |
|
|
Ghs fb removal - incisional
|
$451.20 |
$2,674.80 |
$7,126.80 |
|
|
Ghs fb removal - non-incisional
|
$267.00 |
$2,080.80 |
$3,784.80 |
|
|
Ghs febrile agglutinns(mayo)
|
$71.40 |
$85.20 |
$171.60 |
|
|
Ghs fish cytogen
|
$56.40 |
$153.00 |
$1,030.00 |
|
|
Ghs fish hybrid in situ 100-300
|
$124.20 |
$366.60 |
$1,776.00 |
|
|
Ghs flow volume loop
|
$129.00 |
$223.20 |
$1,039.20 |
|
|
Ghs gastric intub aspiration lavage
|
$172.80 |
$403.20 |
$1,759.80 |
|
|
Ghs hcv amplificaiton
|
$195.60 |
$201.60 |
$507.60 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$102.00 |
$144.60 |
$378.00 |
|
|
Ghs hgb stability-thal
|
$18.60 |
$24.00 |
$436.20 |
|
|
Ghs histoplasma antigen
|
$55.20 |
$136.20 |
$1,019.40 |
|
|
Ghs HIV antibody
|
$47.40 |
$122.40 |
$643.80 |
|
|
Ghs hla-dr/dq, multiple antigens
|
$271.20 |
$462.60 |
$993.60 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,693.20 |
$4,573.20 |
$8,618.40 |
|
|
Ghs i and d perirectal abscess 46040
|
$1,609.00 |
$3,564.60 |
$8,921.20 |
|
|
Ghs i and d pilonidal cyst complex
|
$293.40 |
$1,401.60 |
$6,002.40 |
|
|
Ghs i and d pilonidal cyst simple
|
$333.60 |
$569.60 |
$1,149.60 |
|
|
Ghs immun0electrophoresis
|
$274.20 |
$274.20 |
$274.20 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$342.00 |
$606.60 |
$2,182.40 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
|
|
Ghs inf midline insertion
|
$327.00 |
$3,517.80 |
$5,790.00 |
|
|
Ghs inhibitor screen
|
$28.20 |
$112.80 |
$734.40 |
|
|
Ghs init tx 1st degree burn
|
$175.20 |
$378.60 |
$691.20 |
|
|
Ghs inj neurolytic intercostal nerve
|
$2,128.00 |
$2,128.00 |
$5,083.20 |
|
|
Ghs inj neurolytic other perph nerve
|
$381.60 |
$1,231.20 |
$2,824.00 |
|
|
Ghs inj tendon origin/insertion
|
$64.20 |
$467.40 |
$1,928.00 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$84.60 |
$1,362.60 |
$3,243.60 |
|
|
Ghs inj transforaminal cerv single bil
|
$334.20 |
$2,647.20 |
$3,816.00 |
|
|
Ghs insertion of needle - bone
|
$289.20 |
$550.80 |
$1,173.60 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$682.33 |
$1,440.80 |
$4,144.20 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$764.40 |
$2,649.00 |
$4,739.40 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,693.20 |
$3,189.00 |
$8,088.00 |
|
|
Ghs intro needle/intracath vein - 36000
|
$96.50 |
$406.80 |
$2,304.60 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$320.00 |
$2,619.00 |
$3,562.20 |
|
|
Ghs IV inf sq injection, on-body injector
|
$96.60 |
$124.20 |
$191.40 |
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$309.60 |
$1,020.00 |
$1,360.00 |
|
|
Ghs IV infusion casirivimab/imdevimab
|
$309.60 |
$1,020.00 |
$1,360.00 |
|
|
Ghs IV infusion sotrovimab
|
$924.50 |
$1,020.00 |
$1,360.00 |
|
|
Ghs IV thrombolytics - cerebral
|
$513.60 |
$1,295.40 |
$7,038.60 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$471.00 |
$724.20 |
$5,052.60 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$289.20 |
$541.20 |
$1,152.00 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$289.20 |
$543.60 |
$1,152.00 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$308.40 |
$543.60 |
$2,249.20 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$289.20 |
$543.60 |
$1,160.00 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$363.00 |
$819.00 |
$1,341.60 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$428.40 |
$825.60 |
$2,249.60 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$363.00 |
$1,315.20 |
$4,765.20 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$825.60 |
$1,315.20 |
$4,779.60 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$394.80 |
$1,314.40 |
$4,144.20 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$363.00 |
$1,134.60 |
$4,545.60 |
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$421.80 |
$993.00 |
$4,144.20 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,693.20 |
$1,927.80 |
$4,193.40 |
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$467.00 |
$1,272.60 |
$4,176.60 |
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,720.20 |
$2,925.00 |
$2,925.00 |
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,272.60 |
$1,272.60 |
$1,717.80 |
|
|
Ghs leukocyte alkaline phos (mayo)
|
$75.00 |
$129.60 |
$703.20 |
|
|
Ghs low level laser therapy
|
$42.50 |
$126.60 |
$159.60 |
|
|
Ghs mbp
|
$62.00 |
$112.80 |
$491.40 |
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$35.40 |
$236.00 |
$759.00 |
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$139.00 |
$279.20 |
$468.60 |
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$118.80 |
$188.80 |
$1,703.60 |
|
|
Ghs moderate sedation ea addtl 15 min
|
$18.60 |
$189.00 |
$831.60 |
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$36.00 |
$128.80 |
$235.80 |
|
|
Ghs musc test done w/n test comp
|
$104.40 |
$316.80 |
$548.00 |
|
|
Ghs musc tst done w/nerv tst lim
|
$86.40 |
$308.80 |
$368.80 |
|
|
Ghs musc tst done w/n tst non ext
|
$90.00 |
$292.80 |
$386.40 |
|
|
Ghs myocardial strain img spckl track
|
$120.60 |
$792.60 |
$1,183.20 |
|
|
Ghs nailbed repair/nail removal
|
$413.40 |
$1,236.60 |
$3,560.40 |
|
|
Ghs nerve blk intercostal, ea addtl level
|
$844.20 |
$1,956.60 |
$8,413.80 |
|
|
Ghs nerve blk intercostal, single level
|
$105.00 |
$2,184.60 |
$3,420.00 |
|
