|
Ghs block ilioinguinal/gentitofemoral
|
$310.45 |
$1,280.80 |
$1,280.80 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$1,606.86 |
$1,939.20 |
$1,939.20 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$418.26 |
$616.00 |
$616.00 |
$594.55
|
|
Ghs chemo >8 hrs
|
$608.80 |
$816.40 |
$816.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$188.44 |
$196.00 |
$196.00 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$88.40 |
$88.40 |
$188.34 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$391.53 |
$391.53 |
$391.53 |
$510.40
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,782.40 |
$3,782.40 |
$3,782.40 |
$3,448.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$257.36 |
$257.36 |
$257.36 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$41.20 |
$41.20 |
$41.20 |
$89.00
|
|
Ghs cricothyroidotomy
|
$976.26 |
$1,788.40 |
$1,788.40 |
$1,103.75
|
|
Ghs cutdown placement age 1 and over
|
$308.49 |
$308.49 |
$308.49 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$308.49 |
$308.49 |
$308.49 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$33.60 |
$33.60 |
$33.60 |
$55.02
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$736.42 |
$1,310.00 |
$1,310.00 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$178.91 |
$243.60 |
$243.60 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$812.20 |
$2,027.60 |
$2,027.60 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$297.60 |
$297.60 |
$685.06 |
$560.00
|
|
Ghs excision ingrown nail
|
$181.26 |
$181.26 |
$181.26 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$147.32 |
$147.32 |
$147.32 |
$501.04
|
|
Ghs fb removal from muscle - complicated
|
$1,202.00 |
$5,534.40 |
$5,534.40 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$1,150.08 |
$1,150.08 |
$1,150.08 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$3,050.00 |
$3,050.00 |
$3,050.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$18.40 |
$18.40 |
$18.40 |
$48.10
|
|
Ghs fish cytogen
|
$51.60 |
$51.60 |
$189.26 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$104.00 |
$104.00 |
$177.16 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$193.54 |
$208.40 |
$208.40 |
$365.40
|
|
Ghs hcv amplificaiton
|
$81.60 |
$81.60 |
$103.05 |
$203.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$38.40 |
$38.40 |
$38.40 |
$144.60
|
|
Ghs hgb stability-thal
|
$11.20 |
$11.20 |
$158.10 |
$89.91
|
|
Ghs histoplasma antigen
|
$32.40 |
$32.40 |
$136.53 |
$141.00
|
|
Ghs HIV antibody
|
$34.00 |
$34.00 |
$64.50 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,427.60 |
$1,427.60 |
$1,427.60 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$1,185.09 |
$3,174.40 |
$3,174.40 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,074.34 |
$1,074.34 |
$1,074.34 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$463.08 |
$629.20 |
$629.20 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$357.98 |
$357.98 |
$357.98 |
$520.80
|
|
Ghs inf midline insertion
|
$917.60 |
$917.60 |
$917.60 |
$1,219.20
|
|
Ghs inhibitor screen
|
$32.40 |
$32.40 |
$192.14 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$212.26 |
$212.26 |
$212.26 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$694.53 |
$2,754.40 |
$2,754.40 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,091.20 |
$2,091.20 |
$2,091.20 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$196.79 |
$489.20 |
$489.20 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,105.60 |
$1,105.60 |
$1,105.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,038.00 |
$2,038.00 |
$2,038.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$220.33 |
$220.33 |
$220.33 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$575.32 |
$575.32 |
$575.32 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$760.06 |
$760.06 |
$760.06 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,905.42 |
$1,905.42 |
$1,905.42 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$57.65 |
$95.60 |
$95.60 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$254.29 |
$254.29 |
$254.29 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$1,621.20 |
$1,621.20 |
$1,621.20 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$554.55 |
$641.20 |
$641.20 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$207.80 |
$1,042.80 |
$1,042.80 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$522.54 |
$541.20 |
$541.20 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$498.80 |
$498.80 |
$498.80 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$417.56 |
$417.56 |
$417.56 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$421.78 |
$421.78 |
$421.78 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$503.83 |
$503.83 |
$503.83 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$430.21 |
$430.21 |
$430.21 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$543.66 |
$543.66 |
$543.66 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$518.95 |
$518.95 |
$518.95 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$434.43 |
$434.43 |
$434.43 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$549.18 |
$549.18 |
$549.18 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$463.96 |
$463.96 |
$463.96 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$725.52 |
$725.52 |
$725.52 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$611.58 |
$611.58 |
$611.58 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,083.23 |
$1,083.23 |
$1,083.23 |
$1,897.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$700.15 |
$700.15 |
$700.15 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$21.60 |
$21.60 |
$49.45 |
$73.50
|
|
Ghs mbp
|
$43.20 |
$43.20 |
$78.69 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$138.66 |
$414.80 |
$414.80 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$138.66 |
$414.80 |
$414.80 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$138.66 |
$336.40 |
$336.40 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$138.66 |
$171.20 |
$171.20 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$138.66 |
$171.20 |
$171.20 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$212.40 |
$212.40 |
$212.40 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$222.00 |
$222.00 |
$222.00 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$159.60 |
$159.60 |
$159.60 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$351.84 |
$480.40 |
$480.40 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$303.34 |
$303.34 |
$303.34 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$475.08 |
$2,119.60 |
$2,119.60 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$475.08 |
$1,280.80 |
$1,280.80 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$884.92 |
$884.92 |
$884.92 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$958.33 |
$2,089.60 |
$2,089.60 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$590.74 |
$1,778.40 |
$1,778.40 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$556.19 |
$2,119.60 |
$2,119.60 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$668.42 |
$2,119.60 |
$2,119.60 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$804.79 |
$1,616.00 |
$1,616.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,280.80 |
$1,280.80 |
$1,280.80 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$274.29 |
$460.80 |
$460.80 |
$478.50
|
|
Ghs o2 saturation
|
$48.82 |
$48.82 |
$48.82 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$203.71 |
$203.71 |
$203.71 |
$173.50
|
|
Ghs opcc repair cvp without subq port
|
$353.82 |
$1,899.20 |
$1,899.20 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$756.31 |
$2,899.60 |
$2,899.60 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$48.15 |
$70.80 |
$70.80 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$45.86 |
$70.80 |
$70.80 |
$64.50
|
|
Ghs ot group caregiver training
|
$29.20 |
$29.20 |
$43.96 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$60.80 |
$60.80 |
$60.80 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$48.80 |
$48.80 |
$48.80 |
$96.00
|