|
Ghs chemo >8 hrs
|
$1,262.00 |
$1,262.00 |
$1,262.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$229.50 |
$229.50 |
$229.50 |
$276.02
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$353.00 |
$353.00 |
$353.00 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$353.00 |
$353.00 |
$353.00 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$5,694.00 |
$5,694.00 |
$5,694.00 |
$3,448.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,364.00 |
$2,364.00 |
$2,364.00 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$5,131.50 |
$5,131.50 |
$5,131.50 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$362.50 |
$362.50 |
$362.50 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$419.50 |
$419.50 |
$419.50 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$81.00 |
$81.00 |
$81.00 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$513.50 |
$513.50 |
$513.50 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$153.00 |
$153.00 |
$153.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$944.00 |
$944.00 |
$944.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$172.50 |
$172.50 |
$172.50 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$20.00 |
$20.00 |
$20.00 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$315.00 |
$315.00 |
$315.00 |
$583.80
|
|
Ghs ed rmvl or bivalving cast
|
$321.50 |
$321.50 |
$321.50 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$560.00 |
$560.00 |
$560.00 |
$560.00
|
|
Ghs excision ingrown nail
|
$645.00 |
$645.00 |
$645.00 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$371.00 |
$371.00 |
$371.00 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$3,339.00 |
$3,339.00 |
$3,339.00 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,289.60
|
|
Ghs fish cytogen
|
$700.00 |
$700.00 |
$700.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$225.00
|
|
Ghs hgb stability-thal
|
$12.00 |
$12.00 |
$12.00 |
$89.91
|
|
Ghs histoplasma antigen
|
$55.00 |
$55.00 |
$55.00 |
$141.00
|
|
Ghs HIV antibody
|
$13.00 |
$13.00 |
$13.00 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$5,037.00 |
$5,037.00 |
$5,037.00 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$2,920.00 |
$2,920.00 |
$2,920.00 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$2,701.00 |
$2,701.00 |
$2,701.00 |
$696.80
|
|
Ghs immun0electrophoresis
|
$51.00 |
$51.00 |
$51.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$321.50 |
$321.50 |
$321.50 |
$520.80
|
|
Ghs inf midline insertion
|
$1,951.50 |
$1,951.50 |
$1,951.50 |
$1,219.20
|
|
Ghs inhibitor screen
|
$308.00 |
$308.00 |
$308.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$307.00 |
$307.00 |
$307.00 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$2,217.50 |
$2,217.50 |
$2,217.50 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$1,897.00 |
$1,897.00 |
$1,897.00 |
$434.12
|
|
Ghs inj transforaminal cerv single bil
|
$1,612.50 |
$1,612.50 |
$1,612.50 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$523.00 |
$523.00 |
$523.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$7,392.00 |
$7,392.00 |
$7,392.00 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$924.00 |
$924.00 |
$924.00 |
$1,051.20
|
|
Ghs intro needle/intracath vein - 36000
|
$290.50 |
$290.50 |
$290.50 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$366.00 |
$366.00 |
$366.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$86.50 |
$86.50 |
$86.50 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$730.50 |
$730.50 |
$730.50 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$949.00 |
$949.00 |
$949.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,630.33 |
$1,630.33 |
$1,630.33 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$6,351.00 |
$6,351.00 |
$6,351.00 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$9,073.50 |
$9,073.50 |
$9,073.50 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$876.00 |
$876.00 |
$876.00 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$567.50 |
$567.50 |
$567.50 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,070.67 |
$1,070.67 |
$1,070.67 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$974.50 |
$974.50 |
$974.50 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$567.50 |
$567.50 |
$567.50 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$849.50 |
$849.50 |
$849.50 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$636.00 |
$636.00 |
$636.00 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$467.50 |
$467.50 |
$467.50 |
$907.50
|
|
Ghs low level laser therapy
|
$89.50 |
$89.50 |
$89.50 |
$85.00
|
|
Ghs mbp
|
$56.00 |
$56.00 |
$56.00 |
$75.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$163.50 |
$163.50 |
$163.50 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$98.00 |
$98.00 |
$98.00 |
$150.00
|
|
Ghs musc test done w/n test comp
|
$586.00 |
$586.00 |
$586.00 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$398.00 |
$398.00 |
$398.00 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$365.50 |
$365.50 |
$365.50 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$139.00 |
$139.00 |
$139.00 |
$444.60
|
|
Ghs nailbed repair/nail removal
|
$1,454.00 |
$1,454.00 |
$1,454.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$3,648.00 |
$3,648.00 |
$3,648.00 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$1,262.50 |
$1,262.50 |
$1,262.50 |
$1,121.00
|
|
Ghs nerve block brachial plexus
|
$3,277.00 |
$3,277.00 |
$3,277.00 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$1,778.00 |
$1,778.00 |
$1,778.00 |
$1,556.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,884.34 |
$1,884.34 |
$1,884.34 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$537.00 |
$537.00 |
$537.00 |
$478.50
|
|
Ghs o2 saturation
|
$135.00 |
$135.00 |
$135.00 |
$69.50
|
|
Ghs optokenetic
|
$214.00 |
$214.00 |
$214.00 |
$211.20
|
|
Ghs oscillating trac
|
$430.00 |
$430.00 |
$430.00 |
$291.75
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$49.00 |
$49.00 |
$49.00 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$28.50 |
$28.50 |
$28.50 |
$64.50
|
|
Ghs ot group caregiver training
|
$25.00 |
$25.00 |
$25.00 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$168.00 |
$168.00 |
$168.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$81.50 |
$81.50 |
$81.50 |
$96.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$453.75 |
$453.75 |
$453.75 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$508.50 |
$508.50 |
$508.50 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$3,942.00 |
$3,942.00 |
$3,942.00 |
$545.40
|
|
Ghs phenylketonurid
|
$175.00 |
$175.00 |
$175.00 |
$53.76
|
|
Ghs plngl fx pm cl
|
$315.00 |
$315.00 |
$315.00 |
$564.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,648.00 |
$2,648.00 |
$2,648.00 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$33.00 |
$33.00 |
$33.00 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$7.00 |
$7.00 |
$7.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$74.00 |
$74.00 |
$74.00 |
$60.75
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$8.00 |
$8.00 |
$8.00 |
$47.55
|
|
Ghs quinidine
|
$167.50 |
$167.50 |
$167.50 |
$83.20
|
|
Ghs refill of implantable pump
|
$380.00 |
$380.00 |
$380.00 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$446.38 |
$446.38 |
$446.38 |
$283.51
|
|
Ghs repair extensor tendon hand, ea tendon
|
$2,036.00 |
$2,036.00 |
$2,036.00 |
$2,408.00
|
