|
Ghs alcohol, methyl (methanol)-medtox
|
$48.00 |
$48.00 |
$48.00 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$102.60 |
$102.60 |
$102.60 |
$69.30
|
|
Ghs aspiration bladder - needle
|
$186.20 |
$186.20 |
$186.20 |
$583.80
|
|
Ghs bladder cath - complex-foley
|
$55.80 |
$55.80 |
$55.80 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$26.20 |
$26.20 |
$26.20 |
$64.40
|
|
Ghs central line insert < age 5, failed
|
$417.40 |
$417.40 |
$417.40 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$147.80 |
$147.80 |
$147.80 |
$565.49
|
|
Ghs chemo >8 hrs
|
$99.60 |
$99.60 |
$99.60 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$83.20 |
$83.20 |
$83.20 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$22.00 |
$22.00 |
$22.00 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$48.00 |
$48.00 |
$48.00 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$149.60 |
$149.60 |
$149.60 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$362.40 |
$362.40 |
$362.40 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$60.40 |
$60.40 |
$60.40 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$481.60 |
$481.60 |
$481.60 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$60.40 |
$60.40 |
$60.40 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$481.60 |
$481.60 |
$481.60 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$481.60 |
$481.60 |
$481.60 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$60.40 |
$60.40 |
$60.40 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$60.40 |
$60.40 |
$60.40 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$39.80 |
$39.80 |
$39.80 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$163.20 |
$163.20 |
$163.20 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$38.20 |
$38.20 |
$38.20 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$84.60 |
$84.60 |
$84.60 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$38.20 |
$38.20 |
$38.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$182.20 |
$182.20 |
$182.20 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$60.40 |
$60.40 |
$60.40 |
$578.00
|
|
Ghs ed rmvl or bivalving cast
|
$68.60 |
$68.60 |
$68.60 |
$329.60
|
|
Ghs excision ingrown nail
|
$94.00 |
$94.00 |
$94.00 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$84.00 |
$84.00 |
$84.00 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$425.40 |
$425.40 |
$425.40 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$701.20 |
$701.20 |
$701.20 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$909.80 |
$909.80 |
$909.80 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$397.60 |
$397.60 |
$397.60 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$17.80 |
$17.80 |
$17.80 |
$48.57
|
|
Ghs fish cytogen
|
$144.80 |
$144.80 |
$144.80 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$74.40 |
$74.40 |
$74.40 |
$223.00
|
|
Ghs flow volume loop
|
$95.60 |
$95.60 |
$95.60 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$72.80 |
$72.80 |
$72.80 |
$368.50
|
|
Ghs histoplasma antigen
|
$133.20 |
$133.20 |
$133.20 |
$141.00
|
|
Ghs HIV antibody
|
$51.00 |
$51.00 |
$51.00 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$479.00 |
$479.00 |
$479.00 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$701.60 |
$701.60 |
$701.60 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$173.20 |
$173.20 |
$173.20 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$173.20 |
$173.20 |
$173.20 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$111.20 |
$111.20 |
$111.20 |
$523.73
|
|
Ghs inf midline insertion
|
$245.80 |
$245.80 |
$245.80 |
$1,219.20
|
|
Ghs inhibitor screen
|
$7.60 |
$7.60 |
$7.60 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$38.80 |
$38.80 |
$38.80 |
$275.50
|
|
Ghs inj transforaminal cerv single bil
|
$405.60 |
$405.60 |
$405.60 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$84.60 |
$84.60 |
$84.60 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$121.20 |
$121.20 |
$121.20 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$121.20 |
$121.20 |
$121.20 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$774.40 |
$774.40 |
$774.40 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$64.00 |
$64.00 |
$64.00 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$27.80 |
$27.80 |
$27.80 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$303.60 |
$303.60 |
$303.60 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$303.60 |
$303.60 |
$303.60 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$303.60 |
$303.60 |
$303.60 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$90.00 |
$90.00 |
$90.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$84.60 |
$84.60 |
$84.60 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$82.80 |
$82.80 |
$82.80 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$94.00 |
$94.00 |
$94.00 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$79.80 |
$79.80 |
$79.80 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$82.80 |
$82.80 |
$82.80 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$82.80 |
$82.80 |
$82.80 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$82.80 |
$82.80 |
$82.80 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$82.80 |
$82.80 |
$82.80 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$145.80 |
$145.80 |
$145.80 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$94.00 |
$94.00 |
$94.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$145.80 |
$145.80 |
$145.80 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$83.40 |
$83.40 |
$83.40 |
$790.40
|
|
Ghs leukocyte alkaline phos (mayo)
|
$64.00 |
$64.00 |
$64.00 |
$76.20
|
|
Ghs mbp
|
$46.80 |
$46.80 |
$46.80 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$194.40 |
$194.40 |
$194.40 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$99.40 |
$99.40 |
$99.40 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$99.40 |
$99.40 |
$99.40 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$31.40 |
$31.40 |
$31.40 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$99.40 |
$99.40 |
$99.40 |
$147.75
|
|
Ghs nailbed repair/nail removal
|
$141.60 |
$141.60 |
$141.60 |
$724.37
|
|
Ghs nerve block axillary nerve
|
$497.60 |
$497.60 |
$497.60 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$497.60 |
$497.60 |
$497.60 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$392.20 |
$392.20 |
$392.20 |
$1,661.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$223.00 |
$223.00 |
$223.00 |
$1,710.80
|
|
Ghs nerve block suprascapular
|
$392.80 |
$392.80 |
$392.80 |
$1,141.36
|
|
Ghs o2 saturation
|
$26.20 |
$26.20 |
$26.20 |
$70.80
|
|
Ghs ot group caregiver training
|
$6.20 |
$6.20 |
$6.20 |
$34.92
|
|
Ghs ot sensory integrative tech/15min
|
$39.80 |
$39.80 |
$39.80 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$93.00 |
$93.00 |
$93.00 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$132.80 |
$132.80 |
$132.80 |
$815.20
|
|
Ghs peritonsillar abscess i andd
|
$102.60 |
$102.60 |
$102.60 |
$546.36
|
|
Ghs picc line insert < 5
|
$384.20 |
$384.20 |
$384.20 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$60.40 |
$60.40 |
$60.40 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$9.60 |
$9.60 |
$9.60 |
$37.70
|
|
Ghs protoporphyrins fract
|
$17.40 |
$17.40 |
$17.40 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$25.60 |
$25.60 |
$25.60 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$184.80 |
$184.80 |
$184.80 |
$275.60
|
|
Ghs quinidine
|
$46.80 |
$46.80 |
$46.80 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$37.20 |
$37.20 |
$37.20 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$84.60 |
$84.60 |
$84.60 |
$459.90
|
