|
Ghs closd tx interphalang jt disloc w/ma
|
$165.73 |
$165.73 |
$165.73 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$177.98 |
$177.98 |
$177.98 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$610.58 |
$610.58 |
$610.58 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$101.15 |
$101.15 |
$101.15 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$389.38 |
$389.38 |
$389.38 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$626.50 |
$626.50 |
$626.50 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$84.70 |
$84.70 |
$84.70 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$289.63 |
$289.63 |
$289.63 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$610.58 |
$610.58 |
$610.58 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$78.05 |
$78.05 |
$78.05 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$61.60 |
$61.60 |
$61.60 |
$547.94
|
|
Ghs conjunctiva foreign body-embed bil
|
$141.40 |
$141.40 |
$141.40 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$51.10 |
$51.10 |
$51.10 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$107.45 |
$107.45 |
$107.45 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$131.25 |
$131.25 |
$131.25 |
$368.16
|
|
Ghs cricothyroidotomy
|
$661.68 |
$661.68 |
$661.68 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$121.80 |
$121.80 |
$121.80 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$8.93 |
$8.93 |
$8.93 |
$152.54
|
|
Ghs dislocation elbow closed treatment
|
$61.60 |
$61.60 |
$61.60 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$149.28 |
$149.28 |
$149.28 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$103.95 |
$103.95 |
$103.95 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$241.33 |
$241.33 |
$241.33 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$292.08 |
$292.08 |
$292.08 |
$586.80
|
|
Ghs electrostagmgraphy
|
$10.33 |
$10.33 |
$10.33 |
$218.00
|
|
Ghs elect torsion swing
|
$22.40 |
$22.40 |
$22.40 |
$242.40
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$197.05 |
$197.05 |
$197.05 |
$470.51
|
|
Ghs excision ingrown nail
|
$157.68 |
$157.68 |
$157.68 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$205.28 |
$205.28 |
$205.28 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$515.73 |
$515.73 |
$515.73 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$303.10 |
$303.10 |
$303.10 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$324.98 |
$324.98 |
$324.98 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$280.70 |
$280.70 |
$280.70 |
$1,794.93
|
|
Ghs gastric intub aspiration lavage
|
$106.58 |
$106.58 |
$106.58 |
$403.20
|
|
Ghs hcv amplificaiton
|
$137.03 |
$137.03 |
$137.03 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$61.78 |
$61.78 |
$61.78 |
$106.05
|
|
Ghs histoplasma antigen
|
$49.18 |
$49.18 |
$49.18 |
$137.80
|
|
Ghs HIV antibody
|
$73.15 |
$73.15 |
$73.15 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,389.15 |
$1,389.15 |
$1,389.15 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$703.33 |
$703.33 |
$703.33 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$466.90 |
$466.90 |
$466.90 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$217.18 |
$217.18 |
$217.18 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$125.30 |
$125.30 |
$125.30 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$69.13 |
$69.13 |
$69.13 |
$293.58
|
|
Ghs inf midline insertion
|
$1,086.93 |
$1,086.93 |
$1,086.93 |
$1,234.20
|
|
Ghs init tx 1st degree burn
|
$50.58 |
$50.58 |
$50.58 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$361.20 |
$361.20 |
$361.20 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$385.18 |
$385.18 |
$385.18 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$205.63 |
$205.63 |
$205.63 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$146.13 |
$146.13 |
$146.13 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$361.20 |
$361.20 |
$361.20 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$118.65 |
$118.65 |
$118.65 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$151.38 |
$151.38 |
$151.38 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$176.75 |
$176.75 |
$176.75 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$413.35 |
$413.35 |
$413.35 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$29.40 |
$29.40 |
$29.40 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$89.78 |
$89.78 |
$89.78 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$88.20 |
$88.20 |
$88.20 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$82.78 |
$82.78 |
$82.78 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$96.25 |
$96.25 |
$96.25 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$148.23 |
$148.23 |
$148.23 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$88.38 |
$88.38 |
$88.38 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$103.95 |
$103.95 |
$103.95 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$200.20 |
$200.20 |
$200.20 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$112.35 |
$112.35 |
$112.35 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$129.85 |
$129.85 |
$129.85 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$218.23 |
$218.23 |
$218.23 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$114.45 |
$114.45 |
$114.45 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$280.35 |
$280.35 |
$280.35 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$156.98 |
$156.98 |
$156.98 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$324.45 |
$324.45 |
$324.45 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$199.68 |
$199.68 |
$199.68 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$358.40 |
$358.40 |
$358.40 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$217.35 |
$217.35 |
$217.35 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$26.95 |
$26.95 |
$26.95 |
$59.40
|
|
Ghs mbp
|
$46.73 |
$46.73 |
$46.73 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$515.90 |
$515.90 |
$515.90 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$72.28 |
$72.28 |
$72.28 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$88.73 |
$88.73 |
$88.73 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$15.75 |
$15.75 |
$15.75 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$32.73 |
$32.73 |
$32.73 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$22.05 |
$22.05 |
$22.05 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$14.00 |
$14.00 |
$14.00 |
$269.15
|
|
Ghs nailbed repair/nail removal
|
$156.98 |
$156.98 |
$156.98 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$592.55 |
$592.55 |
$592.55 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$369.43 |
$369.43 |
$369.43 |
$1,230.80
|
|
Ghs nerve block brachial plexus
|
$314.65 |
$314.65 |
$314.65 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$320.25 |
$320.25 |
$320.25 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$330.58 |
$330.58 |
$330.58 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$462.35 |
$462.35 |
$462.35 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$323.05 |
$323.05 |
$323.05 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$226.10 |
$226.10 |
$226.10 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$303.10 |
$303.10 |
$303.10 |
$468.75
|
|
Ghs o2 saturation
|
$23.00 |
$23.00 |
$23.00 |
$72.45
|
|
Ghs o2 uptake rest & indirect
|
$57.75 |
$57.75 |
$57.75 |
$195.00
|
|
Ghs opcc repair cvp without subq port
|
$152.43 |
$152.43 |
$152.43 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$374.15 |
$374.15 |
$374.15 |
$2,430.56
|
|
Ghs optokenetic
|
$3.85 |
$3.85 |
$3.85 |
$196.66
|
|
Ghs oscillating trac
|
$3.50 |
$3.50 |
$3.50 |
$267.15
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$7.18 |
$7.18 |
$7.18 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$9.80 |
$9.80 |
$9.80 |
$57.65
|
