|
Ghs cricothyroidotomy
|
$1,943.30 |
$1,943.30 |
$1,943.30 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$92.77 |
$92.77 |
$92.77 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$272.23 |
$272.23 |
$272.23 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$116.25 |
$116.25 |
$116.25 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$560.12 |
$560.12 |
$560.12 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,001.03 |
$1,001.03 |
$1,001.03 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$351.46 |
$351.46 |
$351.46 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$809.98 |
$809.98 |
$809.98 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$455.21 |
$455.21 |
$455.21 |
$586.80
|
|
Ghs electrostagmgraphy
|
$484.67 |
$484.67 |
$484.67 |
$322.00
|
|
Ghs elect torsion swing
|
$519.74 |
$519.74 |
$519.74 |
$266.29
|
|
Ghs elect vertical elct
|
$44.64 |
$44.64 |
$44.64 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$438.47 |
$438.47 |
$438.47 |
$467.00
|
|
Ghs excision ingrown nail
|
$376.93 |
$376.93 |
$376.93 |
$449.25
|
|
Ghs eye exam
|
$172.26 |
$172.26 |
$172.26 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$687.50 |
$687.50 |
$687.50 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$4,011.33 |
$4,011.33 |
$4,011.33 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$2,782.37 |
$2,782.37 |
$2,782.37 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$3,520.49 |
$3,520.49 |
$3,520.49 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,305.06 |
$1,305.06 |
$1,305.06 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$51.99 |
$51.99 |
$51.99 |
$48.10
|
|
Ghs fish cytogen
|
$1,521.15 |
$1,521.15 |
$1,521.15 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$492.77 |
$492.77 |
$492.77 |
$226.20
|
|
Ghs flow volume loop
|
$404.04 |
$404.04 |
$404.04 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$227.28 |
$227.28 |
$227.28 |
$368.50
|
|
Ghs hcv amplificaiton
|
$261.94 |
$261.94 |
$261.94 |
$196.20
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$27.56 |
$27.56 |
$27.56 |
$64.28
|
|
Ghs hepatitis c virus (hcv riba)
|
$423.75 |
$423.75 |
$423.75 |
$144.54
|
|
Ghs hgb stability-thal
|
$114.74 |
$114.74 |
$114.74 |
$89.91
|
|
Ghs histoplasma antigen
|
$197.32 |
$197.32 |
$197.32 |
$142.00
|
|
Ghs HIV antibody
|
$148.23 |
$148.23 |
$148.23 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$513.64 |
$513.64 |
$513.64 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,955.71 |
$4,955.71 |
$4,955.71 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$4,078.12 |
$4,078.12 |
$4,078.12 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$2,363.20 |
$2,363.20 |
$2,363.20 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$925.84 |
$925.84 |
$925.84 |
$707.25
|
|
Ghs immun0electrophoresis
|
$137.31 |
$137.31 |
$137.31 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$613.81 |
$613.81 |
$613.81 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$350.90 |
$350.90 |
$350.90 |
$350.90
|
|
Ghs inf midline insertion
|
$824.08 |
$824.08 |
$824.08 |
$1,238.25
|
|
Ghs inhibitor screen
|
$491.25 |
$491.25 |
$491.25 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$354.83 |
$354.83 |
$354.83 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$2,369.98 |
$2,369.98 |
$2,369.98 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,599.83 |
$1,599.83 |
$1,599.83 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$546.24 |
$546.24 |
$546.24 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$717.10 |
$717.10 |
$717.10 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,541.57 |
$1,541.57 |
$1,541.57 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$461.99 |
$461.99 |
$461.99 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,176.86 |
$1,176.86 |
$1,176.86 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,523.57 |
$1,523.57 |
$1,523.57 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,524.85 |
$1,524.85 |
$1,524.85 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$250.13 |
$250.13 |
$250.13 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$933.06 |
$933.06 |
$933.06 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$148.80 |
$148.80 |
$148.80 |
$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
|
$906.44 |
$906.44 |
$906.44 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$489.67 |
$489.67 |
$489.67 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$875.88 |
$875.88 |
$875.88 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$563.75 |
$563.75 |
$563.75 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$762.73 |
$762.73 |
$762.73 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$943.42 |
$943.42 |
$943.42 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$849.23 |
$849.23 |
$849.23 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$902.96 |
$902.96 |
$902.96 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,021.55 |
$1,021.55 |
$1,021.55 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$966.69 |
$966.69 |
$966.69 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$563.75 |
$563.75 |
$563.75 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,165.01 |
$1,165.01 |
$1,165.01 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$766.36 |
$766.36 |
$766.36 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$674.82 |
$674.82 |
$674.82 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$901.76 |
$901.76 |
$901.76 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,245.05 |
$1,245.05 |
$1,245.05 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$870.43 |
$870.43 |
$870.43 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$113.75 |
$113.75 |
$113.75 |
$75.00
|
|
Ghs mbp
|
$172.37 |
$172.37 |
$172.37 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$240.00 |
$240.00 |
$240.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$240.93 |
$240.93 |
$240.93 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$123.30 |
$123.30 |
$123.30 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$119.22 |
$119.22 |
$119.22 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$70.05 |
$70.05 |
$70.05 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$368.12 |
$368.12 |
$368.12 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$243.43 |
$243.43 |
$243.43 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$330.61 |
$330.61 |
$330.61 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$564.48 |
$564.48 |
$564.48 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$840.27 |
$840.27 |
$840.27 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,768.93 |
$1,768.93 |
$1,768.93 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,405.99 |
$1,405.99 |
$1,405.99 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,118.85 |
$2,118.85 |
$2,118.85 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,412.07 |
$2,412.07 |
$2,412.07 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,215.57 |
$2,215.57 |
$2,215.57 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,574.21 |
$1,574.21 |
$1,574.21 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,191.42 |
$2,191.42 |
$2,191.42 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$2,208.49 |
$2,208.49 |
$2,208.49 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,141.36 |
$1,141.36 |
$1,141.36 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$390.24 |
$390.24 |
$390.24 |
$485.00
|
|
Ghs o2 saturation
|
$99.09 |
$99.09 |
$99.09 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$420.98 |
$420.98 |
$420.98 |
$173.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$122.09 |
$122.09 |
$122.09 |
$82.62
|
|
Ghs opcc repair cvp without subq port
|
$1,880.72 |
$1,880.72 |
$1,880.72 |
$1,236.67
|
