|
Ghs bladder cath - complex-foley
|
$249.20 |
$249.20 |
$249.20 |
$343.68
|
|
Ghs bleeding time (ivy)
|
$35.60 |
$35.60 |
$35.60 |
$64.08
|
|
Ghs block ilioinguinal/gentitofemoral
|
$806.40 |
$806.40 |
$806.40 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$3,635.20 |
$3,635.20 |
$3,635.20 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$382.80 |
$382.80 |
$382.80 |
$594.55
|
|
Ghs chemo >8 hrs
|
$720.80 |
$720.80 |
$720.80 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$1,049.20 |
$1,049.20 |
$1,049.20 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$86.80 |
$86.80 |
$86.80 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$73.20 |
$73.20 |
$73.20 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$274.00 |
$274.00 |
$274.00 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$293.20 |
$293.20 |
$293.20 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,890.40 |
$1,890.40 |
$1,890.40 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$2,187.20
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$270.40 |
$270.40 |
$270.40 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$270.40 |
$270.40 |
$270.40 |
$497.53
|
|
Ghs conjunctiva foreign body-embed bil
|
$418.40 |
$418.40 |
$418.40 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$142.40 |
$142.40 |
$142.40 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$396.00 |
$396.00 |
$396.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$483.20 |
$483.20 |
$483.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$761.60 |
$761.60 |
$761.60 |
$1,103.75
|
|
Ghs diphtheria toxoid ab igg
|
$24.40 |
$24.40 |
$24.40 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$270.40 |
$270.40 |
$270.40 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$806.40 |
$806.40 |
$806.40 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$335.60 |
$335.60 |
$335.60 |
$560.00
|
|
Ghs excision ingrown nail
|
$439.20 |
$439.20 |
$439.20 |
$442.61
|
|
Ghs fb removal foot - deep - left
|
$2,219.60 |
$2,219.60 |
$2,219.60 |
$2,723.00
|
|
Ghs fb removal - incisional
|
$1,916.80 |
$1,916.80 |
$1,916.80 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$1,787.60 |
$1,787.60 |
$1,787.60 |
$1,706.20
|
|
Ghs fish cytogen
|
$108.80 |
$108.80 |
$108.80 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$24.40 |
$24.40 |
$24.40 |
$225.00
|
|
Ghs hcv amplificaiton
|
$73.20 |
$73.20 |
$73.20 |
$203.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$66.00 |
$66.00 |
$66.00 |
$144.60
|
|
Ghs histoplasma antigen
|
$24.80 |
$24.80 |
$24.80 |
$141.00
|
|
Ghs HIV antibody
|
$19.60 |
$19.60 |
$19.60 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$3,174.40 |
$3,174.40 |
$3,174.40 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,240.40 |
$1,240.40 |
$1,240.40 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$790.40 |
$790.40 |
$790.40 |
$696.80
|
|
Ghs immun0electrophoresis
|
$46.80 |
$46.80 |
$46.80 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$338.00 |
$338.00 |
$338.00 |
$520.80
|
|
Ghs inf midline insertion
|
$3,548.00 |
$3,548.00 |
$3,548.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$74.00 |
$74.00 |
$74.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$228.00 |
$228.00 |
$228.00 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$1,044.80 |
$1,044.80 |
$1,044.80 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,044.80 |
$1,044.80 |
$1,044.80 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$331.60 |
$331.60 |
$331.60 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$712.80 |
$712.80 |
$712.80 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,044.80 |
$1,044.80 |
$1,044.80 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$418.40 |
$418.40 |
$418.40 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$774.00 |
$774.00 |
$774.00 |
$865.60
|
|
Ghs intro needle/intracath vein - 36000
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$202.47
|
|
Ghs IV inf sq injection, on-body injector
|
$62.40 |
$62.40 |
$62.40 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$642.40 |
$642.40 |
$642.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$343.20 |
$343.20 |
$343.20 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$490.00 |
$490.00 |
$490.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$439.20 |
$439.20 |
$439.20 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$439.60 |
$439.60 |
$439.60 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$439.60 |
$439.60 |
$439.60 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$439.20 |
$439.20 |
$439.20 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$461.60 |
$461.60 |
$461.60 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$658.80 |
$658.80 |
$658.80 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$665.60 |
$665.60 |
$665.60 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$479.20 |
$479.20 |
$479.20 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$665.60 |
$665.60 |
$665.60 |
$967.20
|
|
Ghs leukocyte alkaline phos (mayo)
|
$65.20 |
$65.20 |
$65.20 |
$73.50
|
|
Ghs mbp
|
$35.60 |
$35.60 |
$35.60 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$146.40 |
$146.40 |
$146.40 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$146.40 |
$146.40 |
$146.40 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$126.00 |
$126.00 |
$126.00 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$63.20 |
$63.20 |
$63.20 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$63.20 |
$63.20 |
$63.20 |
$141.00
|
|
Ghs myocardial strain img spckl track
|
$444.00 |
$444.00 |
$444.00 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$665.60 |
$665.60 |
$665.60 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,066.80 |
$1,066.80 |
$1,066.80 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$885.60 |
$885.60 |
$885.60 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$1,326.80 |
$1,326.80 |
$1,326.80 |
$1,540.00
|
|
Ghs nerve block celiac plexus
|
$1,044.80 |
$1,044.80 |
$1,044.80 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$1,044.80 |
$1,044.80 |
$1,044.80 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,044.80 |
$1,044.80 |
$1,044.80 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$806.40 |
$806.40 |
$806.40 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,102.40 |
$1,102.40 |
$1,102.40 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$644.00 |
$644.00 |
$644.00 |
$478.50
|
|
Ghs o2 saturation
|
$17.60 |
$17.60 |
$17.60 |
$69.50
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$36.00 |
$36.00 |
$36.00 |
$58.00
|
|
Ghs ot group caregiver training
|
$34.40 |
$34.40 |
$34.40 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$40.80 |
$40.80 |
$40.80 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$48.40 |
$48.40 |
$48.40 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$65.20 |
$65.20 |
$65.20 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$713.60 |
$713.60 |
$713.60 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$567.20 |
$567.20 |
$567.20 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$27.60 |
$27.60 |
$27.60 |
$75.00
|
|
Ghs peritonsillar abscess i andd
|
$617.20 |
$617.20 |
$617.20 |
$545.40
|
|
Ghs phenylketonurid
|
$49.60 |
$49.60 |
$49.60 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,803.60 |
$1,803.60 |
$1,803.60 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$334.80 |
$334.80 |
$334.80 |
$564.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$34.80 |
$34.80 |
$34.80 |
$37.44
|
