|
Ghs closed tx bimalleolar fracture w/manip
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$2,148.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,448.80 |
$3,448.80 |
$3,448.80 |
$3,086.00
|
|
Ghs clsd red med malleolus fx w manip
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$172.80 |
$172.80 |
$172.80 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$172.80 |
$172.80 |
$172.80 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$61.20 |
$61.20 |
$61.20 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$315.60 |
$315.60 |
$315.60 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$97.20 |
$97.20 |
$97.20 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$433.80 |
$433.80 |
$433.80 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$97.20 |
$97.20 |
$97.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$174.00 |
$174.00 |
$174.00 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$172.80 |
$172.80 |
$172.80 |
$578.00
|
|
Ghs ed rmvl or bivalving cast
|
$237.00 |
$237.00 |
$237.00 |
$329.60
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,466.00 |
$2,466.00 |
$2,466.00 |
$1,432.20
|
|
Ghs excision ingrown nail
|
$311.40 |
$311.40 |
$311.40 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$221.40 |
$221.40 |
$221.40 |
$501.04
|
|
Ghs fb removal from muscle - complicated
|
$4,731.50 |
$4,731.50 |
$4,731.50 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$1,706.20
|
|
Ghs fish cytogen
|
$164.40 |
$164.40 |
$164.40 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$349.80 |
$349.80 |
$349.80 |
$223.00
|
|
Ghs flow volume loop
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$229.20 |
$229.20 |
$229.20 |
$368.50
|
|
Ghs hcv amplificaiton
|
$359.40 |
$359.40 |
$359.40 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$136.80 |
$136.80 |
$136.80 |
$142.50
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,546.20 |
$1,546.20 |
$1,546.20 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$11,808.53 |
$11,808.53 |
$11,808.53 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,421.40 |
$1,421.40 |
$1,421.40 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$1,351.80 |
$1,351.80 |
$1,351.80 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$850.80 |
$850.80 |
$850.80 |
$523.73
|
|
Ghs inf midline insertion
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$1,219.20
|
|
Ghs inhibitor screen
|
$38.40 |
$38.40 |
$38.40 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$150.60 |
$150.60 |
$150.60 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$567.00 |
$567.00 |
$567.00 |
$431.07
|
|
Ghs inj transforaminal cerv single bil
|
$1,299.60 |
$1,299.60 |
$1,299.60 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$352.20 |
$352.20 |
$352.20 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$1,035.60
|
|
Ghs intro needle/intracath vein - 36000
|
$930.60 |
$930.60 |
$930.60 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$179.40 |
$179.40 |
$179.40 |
$544.80
|
|
Ghs IV thrombolytics - cerebral
|
$482.40 |
$482.40 |
$482.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$315.60 |
$315.60 |
$315.60 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$8,205.61 |
$8,205.61 |
$8,205.61 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$21,518.14 |
$21,518.14 |
$21,518.14 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$20,301.62 |
$20,301.62 |
$20,301.62 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$1,126.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$155.40 |
$155.40 |
$155.40 |
$76.20
|
|
Ghs mbp
|
$186.00 |
$186.00 |
$186.00 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$462.00 |
$462.00 |
$462.00 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$174.00 |
$174.00 |
$174.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$174.00 |
$174.00 |
$174.00 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$197.40 |
$197.40 |
$197.40 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$87.60 |
$87.60 |
$87.60 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$712.80 |
$712.80 |
$712.80 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,217.40 |
$1,217.40 |
$1,217.40 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$952.80 |
$952.80 |
$952.80 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$2,188.80 |
$2,188.80 |
$2,188.80 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$2,104.80 |
$2,104.80 |
$2,104.80 |
$1,689.00
|
|
Ghs nerve block lumbar or thoracic symp
|
$950.40 |
$950.40 |
$950.40 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$2,112.00 |
$2,112.00 |
$2,112.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,066.20 |
$1,066.20 |
$1,066.20 |
$1,141.36
|
|
Ghs o2 saturation
|
$20.40 |
$20.40 |
$20.40 |
$70.80
|
|
Ghs opcc repair cvp without subq port
|
$483.00 |
$483.00 |
$483.00 |
$1,229.24
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$21.60 |
$21.60 |
$21.60 |
$55.77
|
|
Ghs ot group caregiver training
|
$40.80 |
$40.80 |
$40.80 |
$34.92
|
|
Ghs pacing - transcutaneous
|
$490.20 |
$490.20 |
$490.20 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$307.20 |
$307.20 |
$307.20 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,076.40 |
$1,076.40 |
$1,076.40 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$546.36
|
|
Ghs phenylketonurid
|
$19.80 |
$19.80 |
$19.80 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,572.20 |
$2,572.20 |
$2,572.20 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$8,828.72 |
$8,828.72 |
$8,828.72 |
$564.80
|
|
Ghs pos nystagmus
|
$244.20 |
$244.20 |
$244.20 |
$228.00
|
|
Ghs ppd (tb intradermal)
|
$50.40 |
$50.40 |
$50.40 |
$37.70
|
|
Ghs protoporphyrins fract
|
$113.40 |
$113.40 |
$113.40 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$133.20 |
$133.20 |
$133.20 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$55.20 |
$55.20 |
$55.20 |
$50.05
|
|
Ghs quinidine
|
$46.20 |
$46.20 |
$46.20 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$278.40 |
$278.40 |
$278.40 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$427.20 |
$427.20 |
$427.20 |
$459.90
|
|
Ghs repair extensor tendon hand, ea tendon
|
$13,481.78 |
$13,481.78 |
$13,481.78 |
$2,161.50
|
|
Ghs respiratory syncytical virus igg/m
|
$55.20 |
$55.20 |
$55.20 |
$71.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$44.40 |
$44.40 |
$44.40 |
$96.60
|
|
Ghs sensitivity (per antimicro)
|
$108.60 |
$108.60 |
$108.60 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$941.40 |
$941.40 |
$941.40 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$941.40 |
$941.40 |
$941.40 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$941.40 |
$941.40 |
$941.40 |
$575.00
|
