|
Ghs alpha thalasemia, 7 deletions
|
$663.50 |
$663.50 |
$663.50 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$30.75 |
$30.75 |
$100.40 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$479.70 |
$479.70 |
$934.66 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$375.00 |
$375.00 |
$408.62 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$87.94 |
$87.94 |
$153.90 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$949.16 |
$949.16 |
$949.16 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,336.22 |
$2,336.22 |
$2,899.95 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$446.55 |
$446.55 |
$825.14 |
$594.55
|
|
Ghs chemo >8 hrs
|
$681.75 |
$681.75 |
$832.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$265.50 |
$265.50 |
$369.86 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$279.11 |
$279.11 |
$454.80 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$211.95 |
$211.95 |
$628.21 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$520.80 |
$520.80 |
$967.96 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,396.80 |
$1,396.80 |
$1,655.78 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$256.95 |
$256.95 |
$534.99 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,650.90 |
$1,650.90 |
$3,061.13 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,105.40 |
$2,105.40 |
$5,197.54 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$256.95 |
$256.95 |
$256.95 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,650.90 |
$1,650.90 |
$3,012.77 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,650.90 |
$1,650.90 |
$2,772.09 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$279.90 |
$279.90 |
$817.05 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$211.95 |
$211.95 |
$547.94 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$103.27 |
$103.27 |
$103.27 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$339.60 |
$339.60 |
$419.22 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$339.60 |
$339.60 |
$383.78 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$339.60 |
$339.60 |
$435.07 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$339.60 |
$339.60 |
$362.21 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,591.05 |
$1,591.05 |
$2,116.57 |
$1,104.00
|
|
Ghs diphtheria toxoid ab igg
|
$116.77 |
$116.77 |
$116.77 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$279.90 |
$279.90 |
$687.73 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$980.10 |
$980.10 |
$1,598.93 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$368.83 |
$368.83 |
$389.40 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,216.22 |
$1,216.22 |
$2,776.65 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$538.06 |
$538.06 |
$554.70 |
$586.80
|
|
Ghs excision ingrown nail
|
$449.25 |
$449.25 |
$5,111.06 |
$449.25
|
|
Ghs eye exam
|
$142.80 |
$142.80 |
$142.80 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$360.45 |
$360.45 |
$536.77 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$1,355.85 |
$1,355.85 |
$2,873.34 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$3,136.84 |
$3,136.84 |
$3,295.35 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$1,896.60 |
$1,896.60 |
$3,210.04 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,706.20 |
$1,706.20 |
$1,896.60 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$77.88 |
$77.88 |
$77.88 |
$48.10
|
|
Ghs fish cytogen
|
$297.15 |
$297.15 |
$1,521.15 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$431.55 |
$431.55 |
$492.77 |
$226.20
|
|
Ghs flow volume loop
|
$352.30 |
$352.30 |
$454.65 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$196.95 |
$196.95 |
$505.63 |
$368.50
|
|
Ghs hcv amplificaiton
|
$237.73 |
$237.73 |
$237.73 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$423.75 |
$423.75 |
$423.75 |
$144.54
|
|
Ghs hgb stability-thal
|
$108.51 |
$108.51 |
$108.51 |
$89.91
|
|
Ghs histoplasma antigen
|
$191.10 |
$191.10 |
$270.60 |
$142.00
|
|
Ghs HIV antibody
|
$140.00 |
$140.00 |
$192.45 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,085.80 |
$3,085.80 |
$4,278.02 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,915.20 |
$1,915.20 |
$3,267.70 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,069.20 |
$1,069.20 |
$2,191.57 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$526.50 |
$526.50 |
$888.10 |
$707.25
|
|
Ghs immun0electrophoresis
|
$137.31 |
$137.31 |
$137.31 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$322.50 |
$322.50 |
$620.02 |
$526.50
|
|
Ghs inf midline insertion
|
$1,241.85 |
$1,241.85 |
$1,934.63 |
$1,238.25
|
|
Ghs inhibitor screen
|
$370.20 |
$370.20 |
$491.25 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$235.35 |
$235.35 |
$331.04 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$2,047.92 |
$2,047.92 |
$2,047.92 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,972.69 |
$1,972.69 |
$1,972.69 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$431.07 |
$431.07 |
$521.70 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,282.59 |
$1,282.59 |
$1,282.59 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,045.34 |
$2,045.34 |
$2,045.34 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$361.95 |
$361.95 |
$461.99 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$449.25 |
$449.25 |
$1,084.85 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$695.40 |
$695.40 |
$1,195.31 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,123.36 |
$2,123.36 |
$3,840.60 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$213.75 |
$213.75 |
$213.75 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$457.80 |
$457.80 |
$643.61 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$149.49 |
$149.49 |
$149.49 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$540.00 |
$540.00 |
$540.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$540.00 |
$540.00 |
$540.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$540.00 |
$540.00 |
$540.00 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$1,019.74 |
$1,019.74 |
$5,052.15 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$438.90 |
$438.90 |
$586.06 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$449.25 |
$449.25 |
$705.58 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$312.90 |
$312.90 |
$641.66 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$312.90 |
$312.90 |
$707.26 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$312.90 |
$312.90 |
$761.08 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$312.90 |
$312.90 |
$754.35 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$312.90 |
$312.90 |
$878.82 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$449.25 |
$449.25 |
$901.84 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$373.50 |
$373.50 |
$719.66 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$312.90 |
$312.90 |
$921.70 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$373.50 |
$373.50 |
$1,025.14 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$312.90 |
$312.90 |
$1,061.92 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$857.02 |
$857.02 |
$857.02 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$276.30 |
$276.30 |
$1,517.03 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,365.90 |
$1,365.90 |
$3,753.41 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$370.14 |
$370.14 |
$1,420.65 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$90.00 |
$90.00 |
$147.60 |
$75.00
|
|
Ghs low level laser therapy
|
$103.50 |
$103.50 |
$103.50 |
$87.50
|
|
Ghs mbp
|
$71.85 |
$71.85 |
$140.57 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$228.45 |
$228.45 |
$240.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$154.86 |
$154.86 |
$228.45 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$170.15 |
$170.15 |
$228.45 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$107.42 |
$107.42 |
$228.45 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$107.42 |
$107.42 |
$228.45 |
$142.40
|
