|
Ghs block ilioinguinal/gentitofemoral
|
$2,356.27 |
$2,356.27 |
$2,356.27 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$15,205.47 |
$15,205.47 |
$15,205.47 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$1,143.26 |
$1,143.26 |
$1,143.26 |
$699.60
|
|
Ghs chemo >8 hrs
|
$520.63 |
$520.63 |
$520.63 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$414.92 |
$414.92 |
$414.92 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$402.31 |
$402.31 |
$402.31 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$1,651.70 |
$1,651.70 |
$1,651.70 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$1,814.51 |
$1,814.51 |
$1,814.51 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$11,013.62 |
$11,013.62 |
$11,013.62 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$756.74 |
$756.74 |
$756.74 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$3,295.91 |
$3,295.91 |
$3,295.91 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,651.70 |
$1,651.70 |
$1,651.70 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$259.80 |
$259.80 |
$259.80 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,519.27 |
$1,519.27 |
$1,519.27 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$759.98 |
$759.98 |
$759.98 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$1,527.93 |
$1,527.93 |
$1,527.93 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$919.47 |
$919.47 |
$919.47 |
$368.16
|
|
Ghs cricothyroidotomy
|
$1,071.31 |
$1,071.31 |
$1,071.31 |
$1,207.80
|
|
Ghs dislocation elbow closed treatment
|
$1,814.51 |
$1,814.51 |
$1,814.51 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$4,516.96 |
$4,516.96 |
$4,516.96 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$338.32 |
$338.32 |
$338.32 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,568.18 |
$2,568.18 |
$2,568.18 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,109.16 |
$1,109.16 |
$1,109.16 |
$586.80
|
|
Ghs electrostagmgraphy
|
$1,759.19 |
$1,759.19 |
$1,759.19 |
$218.00
|
|
Ghs elect vertical elct
|
$1,427.71 |
$1,427.71 |
$1,427.71 |
$121.55
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$1,069.68 |
$1,069.68 |
$1,069.68 |
$470.51
|
|
Ghs excision ingrown nail
|
$661.10 |
$661.10 |
$661.10 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$951.20 |
$951.20 |
$951.20 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$10,481.19 |
$10,481.19 |
$10,481.19 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$15,835.72 |
$15,835.72 |
$15,835.72 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$12,483.70 |
$12,483.70 |
$12,483.70 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$9,324.42 |
$9,324.42 |
$9,324.42 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$80.03 |
$80.03 |
$80.03 |
$48.57
|
|
Ghs fish cytogen
|
$274.11 |
$274.11 |
$274.11 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$615.96 |
$615.96 |
$615.96 |
$229.45
|
|
Ghs flow volume loop
|
$365.82 |
$365.82 |
$365.82 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$1,663.95 |
$1,663.95 |
$1,663.95 |
$403.20
|
|
Ghs hcv amplificaiton
|
$557.91 |
$557.91 |
$557.91 |
$187.00
|
|
Ghs hgb stability-thal
|
$121.67 |
$121.67 |
$121.67 |
$85.28
|
|
Ghs histoplasma antigen
|
$554.28 |
$554.28 |
$554.28 |
$137.80
|
|
Ghs HIV antibody
|
$217.98 |
$217.98 |
$217.98 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$10,263.24 |
$10,263.24 |
$10,263.24 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$6,421.63 |
$6,421.63 |
$6,421.63 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$3,803.02 |
$3,803.02 |
$3,803.02 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$3,816.54 |
$3,816.54 |
$3,816.54 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$687.85 |
$687.85 |
$687.85 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$2,095.75 |
$2,095.75 |
$2,095.75 |
$293.58
|
|
Ghs inf midline insertion
|
$698.72 |
$698.72 |
$698.72 |
$1,234.20
|
|
Ghs inhibitor screen
|
$474.36 |
$474.36 |
$474.36 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$332.34 |
$332.34 |
$332.34 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$7,796.99 |
$7,796.99 |
$7,796.99 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$1,706.83 |
$1,706.83 |
$1,706.83 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$1,281.79 |
$1,281.79 |
$1,281.79 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$3,724.75 |
$3,724.75 |
$3,724.75 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$4,518.81 |
$4,518.81 |
$4,518.81 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$881.07 |
$881.07 |
$881.07 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$3,673.38 |
$3,673.38 |
$3,673.38 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$9,054.07 |
$9,054.07 |
$9,054.07 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$433.70 |
$433.70 |
$433.70 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,291.63 |
$1,291.63 |
$1,291.63 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$507.70 |
$507.70 |
$507.70 |
$117.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$857.73 |
$857.73 |
$857.73 |
$576.40
|
|
Ghs IV infusion casirivimab/imdevimab
|
$674.29 |
$674.29 |
$674.29 |
$604.50
|
|
Ghs IV infusion sotrovimab
|
$674.29 |
$674.29 |
$674.29 |
$665.50
|
|
Ghs IV thrombolytics - cerebral
|
$28.90 |
$28.90 |
$28.90 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,134.49 |
$1,134.49 |
$1,134.49 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$5,804.01 |
$5,804.01 |
$5,804.01 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$2,360.39 |
$2,360.39 |
$2,360.39 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$2,394.57 |
$2,394.57 |
$2,394.57 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$2,194.80 |
$2,194.80 |
$2,194.80 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$3,272.65 |
$3,272.65 |
$3,272.65 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$3,297.53 |
$3,297.53 |
$3,297.53 |
$995.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$2,360.82 |
$2,360.82 |
$2,360.82 |
$879.60
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$3,297.53 |
$3,297.53 |
$3,297.53 |
$1,188.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$1,030.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$7,084.27 |
$7,084.27 |
$7,084.27 |
$2,024.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$601.46 |
$601.46 |
$601.46 |
$59.40
|
|
Ghs mbp
|
$316.74 |
$316.74 |
$316.74 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$1,081.36 |
$1,081.36 |
$1,081.36 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$984.35 |
$984.35 |
$984.35 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$983.20 |
$983.20 |
$983.20 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$983.20 |
$983.20 |
$983.20 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$983.20 |
$983.20 |
$983.20 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$492.03 |
$492.03 |
$492.03 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$379.44 |
$379.44 |
$379.44 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$423.33 |
$423.33 |
$423.33 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$744.76 |
$744.76 |
$744.76 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$726.86 |
$726.86 |
$726.86 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,107.76 |
$2,107.76 |
$2,107.76 |
$1,618.50
|