|
Ghs conjunctiva foreign body-embed bil
|
$601.86 |
$601.86 |
$601.86 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$220.92 |
$220.92 |
$220.92 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$642.60 |
$642.60 |
$642.60 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$642.60 |
$642.60 |
$642.60 |
$368.16
|
|
Ghs cricothyroidotomy
|
$307.86 |
$307.86 |
$307.86 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$502.32 |
$502.32 |
$502.32 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$154.56 |
$154.56 |
$154.56 |
$152.54
|
|
Ghs dislocation elbow closed treatment
|
$364.14 |
$364.14 |
$364.14 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,097.88 |
$1,097.88 |
$1,097.88 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$319.20 |
$319.20 |
$319.20 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$856.80 |
$856.80 |
$856.80 |
$1,439.40
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$94.92 |
$94.92 |
$94.92 |
$470.51
|
|
Ghs excision ingrown nail
|
$618.24 |
$618.24 |
$618.24 |
$457.60
|
|
Ghs eye exam
|
$139.86 |
$139.86 |
$139.86 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$282.24 |
$282.24 |
$282.24 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$1,994.16 |
$1,994.16 |
$1,994.16 |
$1,794.93
|
|
Ghs gastric intub aspiration lavage
|
$372.54 |
$372.54 |
$372.54 |
$403.20
|
|
Ghs HIV antibody
|
$105.00 |
$105.00 |
$105.00 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,467.08 |
$2,467.08 |
$2,467.08 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,942.92 |
$1,942.92 |
$1,942.92 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,081.50 |
$1,081.50 |
$1,081.50 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$261.66 |
$261.66 |
$261.66 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$362.88 |
$362.88 |
$362.88 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$206.64 |
$206.64 |
$206.64 |
$293.58
|
|
Ghs inf midline insertion
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$1,234.20
|
|
Ghs init tx 1st degree burn
|
$244.02 |
$244.02 |
$244.02 |
$300.30
|
|
Ghs inj tendon origin/insertion
|
$361.62 |
$361.62 |
$361.62 |
$431.07
|
|
Ghs insertion of needle - bone
|
$752.22 |
$752.22 |
$752.22 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$599.76 |
$599.76 |
$599.76 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$772.80 |
$772.80 |
$772.80 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,295.30 |
$2,295.30 |
$2,295.30 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$30.24 |
$30.24 |
$30.24 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$454.86 |
$454.86 |
$454.86 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$510.72 |
$510.72 |
$510.72 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$211.26 |
$211.26 |
$211.26 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$316.68 |
$316.68 |
$316.68 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$278.88 |
$278.88 |
$278.88 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$318.36 |
$318.36 |
$318.36 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$341.04 |
$341.04 |
$341.04 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$333.48 |
$333.48 |
$333.48 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$361.62 |
$361.62 |
$361.62 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$527.10 |
$527.10 |
$527.10 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$434.70 |
$434.70 |
$434.70 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$496.02 |
$496.02 |
$496.02 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$434.70 |
$434.70 |
$434.70 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$496.02 |
$496.02 |
$496.02 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$434.70 |
$434.70 |
$434.70 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$496.02 |
$496.02 |
$496.02 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$579.60 |
$579.60 |
$579.60 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$496.02 |
$496.02 |
$496.02 |
$1,064.98
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$152.46 |
$152.46 |
$152.46 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$152.46 |
$152.46 |
$152.46 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$120.12 |
$120.12 |
$120.12 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$76.44 |
$76.44 |
$76.44 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$76.44 |
$76.44 |
$76.44 |
$140.00
|
|
Ghs nailbed repair/nail removal
|
$222.18 |
$222.18 |
$222.18 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,571.22 |
$1,571.22 |
$1,571.22 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,210.02 |
$1,210.02 |
$1,210.02 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$1,133.58 |
$1,133.58 |
$1,133.58 |
$1,541.40
|
|
Ghs nerve block celiac plexus
|
$1,133.58 |
$1,133.58 |
$1,133.58 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$1,133.58 |
$1,133.58 |
$1,133.58 |
$1,607.45
|
|
Ghs nerve block sciatic nerve
|
$856.80 |
$856.80 |
$856.80 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$154.14 |
$154.14 |
$154.14 |
$468.75
|
|
Ghs ob unlisted IV or art inj or infusion
|
$65.10 |
$65.10 |
$65.10 |
$86.19
|
|
Ghs opcc repair cvp without subq port
|
$769.44 |
$769.44 |
$769.44 |
$1,302.54
|
|
Ghs pacing - transcutaneous
|
$1,037.82 |
$1,037.82 |
$1,037.82 |
$868.68
|
|
Ghs peritonsillar abscess i andd
|
$393.96 |
$393.96 |
$393.96 |
$694.20
|
|
Ghs picc line insert < 5
|
$1,395.24 |
$1,395.24 |
$1,395.24 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$334.74 |
$334.74 |
$334.74 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$8.40 |
$8.40 |
$8.40 |
$43.45
|
|
Ghs pr without cont pulse ox
|
$88.20 |
$88.20 |
$88.20 |
$156.70
|
|
Ghs removal intranasal foreign body
|
$460.74 |
$460.74 |
$460.74 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$502.32 |
$502.32 |
$502.32 |
$460.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$1,907.64 |
$1,907.64 |
$1,907.64 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$3,958.50 |
$3,958.50 |
$3,958.50 |
$4,150.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$26.46 |
$26.46 |
$26.46 |
$101.15
|
|
Ghs sedimentation rate
|
$26.04 |
$26.04 |
$26.04 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$45.36 |
$45.36 |
$45.36 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$588.84 |
$588.84 |
$588.84 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$618.24 |
$618.24 |
$618.24 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$745.92 |
$745.92 |
$745.92 |
$670.08
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$673.68 |
$673.68 |
$673.68 |
$585.90
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$588.42 |
$588.42 |
$588.42 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$541.80 |
$541.80 |
$541.80 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$605.64 |
$605.64 |
$605.64 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$774.06 |
$774.06 |
$774.06 |
$660.00
|
|
Ghs simple repair over 30 cm - 12018
|
$676.20 |
$676.20 |
$676.20 |
$589.18
|
|
Ghs sphenopalatine ganglion block
|
$361.62 |
$361.62 |
$361.62 |
$706.56
|
|
Ghs strapping shoulder - 29240
|
$318.36 |
$318.36 |
$318.36 |
$243.07
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$65.10 |
$65.10 |
$65.10 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$315.84 |
$315.84 |
$315.84 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$373.38 |
$373.38 |
$373.38 |
$976.98
|
|
Ghs superficial wnd dehis w packing12021
|
$496.02 |
$496.02 |
$496.02 |
$761.28
|
|
Ghs tracheostomy emergency - transtracheal
|
$471.24 |
$471.24 |
$471.24 |
$2,225.73
|
|
Ghs tx distal phalangeal fx with manipulation
|
$430.92 |
$430.92 |
$430.92 |
$591.00
|
|
Ghs tx sp hip disloc abd splnt/trac wo
|
$275.52 |
$275.52 |
$275.52 |
$540.00
|
|
Ghs vaginal delivery only
|
$3,760.68 |
$3,760.68 |
$3,760.68 |
$3,525.06
|
