|
Ghs closed tx radiocarpal disloc w manip
|
$72.22 |
$72.22 |
$72.22 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$575.92 |
$575.92 |
$575.92 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$72.22 |
$72.22 |
$72.22 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$575.92 |
$575.92 |
$575.92 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$575.92 |
$575.92 |
$575.92 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$72.22 |
$72.22 |
$72.22 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$72.22 |
$72.22 |
$72.22 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$39.79 |
$39.79 |
$39.79 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$195.27 |
$195.27 |
$195.27 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$45.77 |
$45.77 |
$45.77 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$96.83 |
$96.83 |
$96.83 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$45.77 |
$45.77 |
$45.77 |
$339.60
|
|
Ghs cricothyroidotomy
|
$217.81 |
$217.81 |
$217.81 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$72.22 |
$72.22 |
$72.22 |
$578.00
|
|
Ghs ed rmvl or bivalving cast
|
$79.81 |
$79.81 |
$79.81 |
$329.60
|
|
Ghs excision ingrown nail
|
$147.20 |
$147.20 |
$147.20 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$100.51 |
$100.51 |
$100.51 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$508.76 |
$508.76 |
$508.76 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$838.58 |
$838.58 |
$838.58 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$1,088.13 |
$1,088.13 |
$1,088.13 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$454.48 |
$454.48 |
$454.48 |
$1,706.20
|
|
Ghs flow volume loop
|
$109.94 |
$109.94 |
$109.94 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$84.87 |
$84.87 |
$84.87 |
$368.50
|
|
Ghs hcv amplificaiton
|
$85.79 |
$85.79 |
$85.79 |
$187.00
|
|
Ghs histoplasma antigen
|
$96.60 |
$96.60 |
$96.60 |
$141.00
|
|
Ghs HIV antibody
|
$40.94 |
$40.94 |
$40.94 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$557.52 |
$557.52 |
$557.52 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$806.84 |
$806.84 |
$806.84 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$198.03 |
$198.03 |
$198.03 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$198.03 |
$198.03 |
$198.03 |
$703.15
|
|
Ghs immun0electrophoresis
|
$104.42 |
$104.42 |
$104.42 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$132.94 |
$132.94 |
$132.94 |
$523.73
|
|
Ghs inf midline insertion
|
$282.67 |
$282.67 |
$282.67 |
$1,219.20
|
|
Ghs inhibitor screen
|
$310.96 |
$310.96 |
$310.96 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$56.12 |
$56.12 |
$56.12 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$350.98 |
$350.98 |
$350.98 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$371.45 |
$371.45 |
$371.45 |
$1,702.20
|
|
Ghs inj transforaminal cerv single bil
|
$485.07 |
$485.07 |
$485.07 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$96.83 |
$96.83 |
$96.83 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$144.90 |
$144.90 |
$144.90 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$144.90 |
$144.90 |
$144.90 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$885.50 |
$885.50 |
$885.50 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$76.59 |
$76.59 |
$76.59 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$33.35 |
$33.35 |
$33.35 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$363.17 |
$363.17 |
$363.17 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$363.17 |
$363.17 |
$363.17 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$363.17 |
$363.17 |
$363.17 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$102.81 |
$102.81 |
$102.81 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$70.15 |
$70.15 |
$70.15 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$99.13 |
$99.13 |
$99.13 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$107.64 |
$107.64 |
$107.64 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$95.45 |
$95.45 |
$95.45 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$99.13 |
$99.13 |
$99.13 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$99.13 |
$99.13 |
$99.13 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$99.13 |
$99.13 |
$99.13 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$99.13 |
$99.13 |
$99.13 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$166.75 |
$166.75 |
$166.75 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$107.64 |
$107.64 |
$107.64 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$166.75 |
$166.75 |
$166.75 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$99.82 |
$99.82 |
$99.82 |
$790.40
|
|
Ghs leukocyte alkaline phos (mayo)
|
$26.22 |
$26.22 |
$26.22 |
$76.20
|
|
Ghs mbp
|
$50.14 |
$50.14 |
$50.14 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$232.53 |
$232.53 |
$232.53 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$118.91 |
$118.91 |
$118.91 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$118.91 |
$118.91 |
$118.91 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$37.49 |
$37.49 |
$37.49 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$118.91 |
$118.91 |
$118.91 |
$147.75
|
|
Ghs nailbed repair/nail removal
|
$165.60 |
$165.60 |
$165.60 |
$724.37
|
|
Ghs nerve block axillary nerve
|
$572.24 |
$572.24 |
$572.24 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$572.24 |
$572.24 |
$572.24 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$451.03 |
$451.03 |
$451.03 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$536.59 |
$536.59 |
$536.59 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$350.98 |
$350.98 |
$350.98 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$432.63 |
$432.63 |
$432.63 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$462.76 |
$462.76 |
$462.76 |
$1,141.36
|
|
Ghs ot group caregiver training
|
$7.13 |
$7.13 |
$7.13 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$36.57 |
$36.57 |
$36.57 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$47.61 |
$47.61 |
$47.61 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$101.20 |
$101.20 |
$101.20 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$158.93 |
$158.93 |
$158.93 |
$815.20
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$299.00 |
$299.00 |
$299.00 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$122.82 |
$122.82 |
$122.82 |
$546.36
|
|
Ghs phenylketonurid
|
$70.38 |
$70.38 |
$70.38 |
$53.76
|
|
Ghs picc line insert < 5
|
$459.54 |
$459.54 |
$459.54 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$72.22 |
$72.22 |
$72.22 |
$564.80
|
|
Ghs plt ct-manual
|
$23.69 |
$23.69 |
$23.69 |
$37.96
|
|
Ghs ppd (tb intradermal)
|
$13.57 |
$13.57 |
$13.57 |
$37.70
|
|
Ghs protoporphyrins fract
|
$30.13 |
$30.13 |
$30.13 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$30.59 |
$30.59 |
$30.59 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$29.90 |
$29.90 |
$29.90 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$198.95 |
$198.95 |
$198.95 |
$275.60
|
|
Ghs removal intranasal foreign body
|
$44.39 |
$44.39 |
$44.39 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$96.83 |
$96.83 |
$96.83 |
$459.90
|
|
Ghs sedimentation rate
|
$29.90 |
$29.90 |
$29.90 |
$45.50
|
|
Ghs semen analysis fert
|
$21.62 |
$21.62 |
$21.62 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$17.48 |
$17.48 |
$17.48 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$107.64 |
$107.64 |
$107.64 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$109.94 |
$109.94 |
$109.94 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$107.64 |
$107.64 |
$107.64 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$107.64 |
$107.64 |
$107.64 |
$607.35
|