|
Ghs chemo IV push, ea addtl
|
$528.00 |
$528.00 |
$528.00 |
$276.02
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$445.80 |
$445.80 |
$445.80 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$445.80 |
$445.80 |
$445.80 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$12,423.63 |
$12,423.63 |
$12,423.63 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$431.40 |
$431.40 |
$431.40 |
$494.40
|
|
Ghs clsd red med malleolus fx w manip
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$445.80 |
$445.80 |
$445.80 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$445.80 |
$445.80 |
$445.80 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$111.60 |
$111.60 |
$111.60 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$525.60 |
$525.60 |
$525.60 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$162.00 |
$162.00 |
$162.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$315.00 |
$315.00 |
$315.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$315.00 |
$315.00 |
$315.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$289.20 |
$289.20 |
$289.20 |
$1,103.75
|
|
Ghs dislocation elbow closed treatment
|
$445.80 |
$445.80 |
$445.80 |
$583.80
|
|
Ghs excision ingrown nail
|
$518.40 |
$518.40 |
$518.40 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$555.00 |
$555.00 |
$555.00 |
$501.04
|
|
Ghs fat & muscle
|
$15.00 |
$15.00 |
$15.00 |
$38.08
|
|
Ghs fb removal - incisional
|
$2,083.80 |
$2,083.80 |
$2,083.80 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$1,309.80 |
$1,309.80 |
$1,309.80 |
$1,706.20
|
|
Ghs fish cytogen
|
$120.00 |
$120.00 |
$120.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$273.00 |
$273.00 |
$273.00 |
$225.00
|
|
Ghs flow volume loop
|
$201.60 |
$201.60 |
$201.60 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$294.60 |
$294.60 |
$294.60 |
$365.40
|
|
Ghs hcv amplificaiton
|
$223.20 |
$223.20 |
$223.20 |
$203.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$141.60 |
$141.60 |
$141.60 |
$144.60
|
|
Ghs histoplasma antigen
|
$150.60 |
$150.60 |
$150.60 |
$141.00
|
|
Ghs HIV antibody
|
$121.20 |
$121.20 |
$121.20 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,577.60 |
$2,577.60 |
$2,577.60 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$12,396.89 |
$12,396.89 |
$12,396.89 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$901.80 |
$901.80 |
$901.80 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$901.80 |
$901.80 |
$901.80 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$2,093.40 |
$2,093.40 |
$2,093.40 |
$520.80
|
|
Ghs inf midline insertion
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$1,219.20
|
|
Ghs inhibitor screen
|
$74.40 |
$74.40 |
$74.40 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$412.80 |
$412.80 |
$412.80 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,710.80
|
|
Ghs inj transforaminal cerv ea add bil
|
$597.00 |
$597.00 |
$597.00 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$243.60 |
$243.60 |
$243.60 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$1,051.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$335.40 |
$335.40 |
$335.40 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$286.20 |
$286.20 |
$286.20 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$391.20 |
$391.20 |
$391.20 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$525.60 |
$525.60 |
$525.60 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$9,822.95 |
$9,822.95 |
$9,822.95 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$14,273.71 |
$14,273.71 |
$14,273.71 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$55,784.91 |
$55,784.91 |
$55,784.91 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$82.80 |
$82.80 |
$82.80 |
$73.50
|
|
Ghs mbp
|
$118.80 |
$118.80 |
$118.80 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$85.20 |
$85.20 |
$85.20 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$721.20 |
$721.20 |
$721.20 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$374.40 |
$374.40 |
$374.40 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$149.40 |
$149.40 |
$149.40 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$282.00 |
$282.00 |
$282.00 |
$141.00
|
|
Ghs myocardial strain img spckl track
|
$728.40 |
$728.40 |
$728.40 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$2,332.80 |
$2,332.80 |
$2,332.80 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$2,037.00 |
$2,037.00 |
$2,037.00 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$1,336.20 |
$1,336.20 |
$1,336.20 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$496.20 |
$496.20 |
$496.20 |
$478.50
|
|
Ghs o2 saturation
|
$34.20 |
$34.20 |
$34.20 |
$69.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$88.20 |
$88.20 |
$88.20 |
$83.04
|
|
Ghs opcc repair cvp without subq port
|
$804.00 |
$804.00 |
$804.00 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$3,429.00 |
$3,429.00 |
$3,429.00 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$35.40 |
$35.40 |
$35.40 |
$58.00
|
|
Ghs ot prosthetic training/15 min
|
$126.60 |
$126.60 |
$126.60 |
$92.35
|
|
Ghs ot work hardening-additional hours
|
$169.20 |
$169.20 |
$169.20 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$817.80 |
$817.80 |
$817.80 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,239.60 |
$1,239.60 |
$1,239.60 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$922.20 |
$922.20 |
$922.20 |
$545.40
|
|
Ghs phenylketonurid
|
$147.60 |
$147.60 |
$147.60 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$445.80 |
$445.80 |
$445.80 |
$564.50
|
|
Ghs ppd (tb intradermal)
|
$52.20 |
$52.20 |
$52.20 |
$37.44
|
|
Ghs protoporphyrins fract
|
$81.00 |
$81.00 |
$81.00 |
$60.75
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$115.20 |
$115.20 |
$115.20 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$339.00 |
$339.00 |
$339.00 |
$285.60
|
|
Ghs quinidine
|
$46.20 |
$46.20 |
$46.20 |
$83.20
|
|
Ghs refill of implantable pump
|
$693.00 |
$693.00 |
$693.00 |
$539.13
|
