|
Ghs abscess perianal iandd
|
$1,087.02 |
$1,087.02 |
$1,087.02 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$6,540.60 |
$6,540.60 |
$6,540.60 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$57.50 |
$57.50 |
$57.50 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$117.50 |
$117.50 |
$117.50 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$337.50 |
$337.50 |
$554.40 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$65.00 |
$65.00 |
$97.68 |
$69.30
|
|
Ghs aspiration bladder - needle
|
$365.64 |
$365.64 |
$365.64 |
$583.80
|
|
Ghs bladder cath - complex-foley
|
$327.50 |
$327.50 |
$335.94 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$114.18 |
$114.18 |
$114.18 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$515.00 |
$515.00 |
$799.92 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$1,085.00 |
$1,085.00 |
$3,635.28 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$365.00 |
$365.00 |
$701.58 |
$565.49
|
|
Ghs chemo >8 hrs
|
$470.00 |
$470.00 |
$470.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$207.50 |
$207.50 |
$287.76 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$142.50 |
$142.50 |
$198.66 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$780.78 |
$780.78 |
$780.78 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$543.84 |
$543.84 |
$543.84 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,607.10 |
$1,607.10 |
$1,607.10 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$593.34 |
$593.34 |
$593.34 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$3,861.00 |
$3,861.00 |
$3,861.00 |
$2,148.00
|
|
Ghs clsd red med malleolus fx w manip
|
$4,391.64 |
$4,391.64 |
$4,391.64 |
$2,184.00
|
|
Ghs cl tx knee disl; wo anesth
|
$549.78 |
$549.78 |
$549.78 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$701.58 |
$701.58 |
$701.58 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$460.68 |
$460.68 |
$460.68 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$137.50 |
$137.50 |
$352.44 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$227.50 |
$227.50 |
$460.68 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$227.50 |
$227.50 |
$372.90 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,020.00 |
$1,020.00 |
$1,202.52 |
$1,067.30
|
|
Ghs diphtheria toxoid ab igg
|
$79.86 |
$79.86 |
$79.86 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$529.32 |
$529.32 |
$529.32 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$892.32 |
$892.32 |
$892.32 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$217.14 |
$217.14 |
$217.14 |
$329.60
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,186.68 |
$1,186.68 |
$1,660.00 |
$1,432.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$2,522.52 |
$2,522.52 |
$2,522.52 |
$593.91
|
|
Ghs excision ingrown nail
|
$247.50 |
$247.50 |
$461.34 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$160.00 |
$160.00 |
$486.42 |
$501.04
|
|
Ghs fb removal - incisional
|
$675.00 |
$675.00 |
$3,562.68 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$392.50 |
$392.50 |
$3,762.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$38.28 |
$38.28 |
$38.28 |
$48.57
|
|
Ghs fish cytogen
|
$462.50 |
$462.50 |
$607.20 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$182.50 |
$182.50 |
$477.84 |
$223.00
|
|
Ghs flow volume loop
|
$237.50 |
$237.50 |
$237.50 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$583.44 |
$583.44 |
$583.44 |
$368.50
|
|
Ghs hcv amplificaiton
|
$220.00 |
$220.00 |
$220.00 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$144.54 |
$144.54 |
$144.54 |
$142.50
|
|
Ghs hgb stability-thal
|
$97.02 |
$97.02 |
$247.50 |
$87.60
|
|
Ghs histoplasma antigen
|
$129.36 |
$129.36 |
$210.00 |
$141.00
|
|
Ghs HIV antibody
|
$75.00 |
$75.00 |
$89.10 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,030.00 |
$2,030.00 |
$2,366.10 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,471.04 |
$2,471.04 |
$2,471.04 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$2,373.36 |
$2,373.36 |
$2,373.36 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$145.00 |
$145.00 |
$706.86 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$195.00 |
$195.00 |
$434.28 |
$523.73
|
|
Ghs inf midline insertion
|
$625.00 |
$625.00 |
$1,344.42 |
$1,219.20
|
|
Ghs inhibitor screen
|
$192.50 |
$192.50 |
$441.54 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$112.50 |
$112.50 |
$229.68 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$1,210.00 |
$1,210.00 |
$2,125.20 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$395.34 |
$395.34 |
$395.34 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$721.38 |
$721.38 |
$721.38 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$1,413.72 |
$1,413.72 |
$1,413.72 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$247.50 |
$247.50 |
$533.94 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$840.18 |
$840.18 |
$840.18 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$898.92 |
$898.92 |
$898.92 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,186.68 |
$1,186.68 |
$1,186.68 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$90.00 |
$90.00 |
$97.02 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$413.82 |
$413.82 |
$455.00 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$110.00 |
$110.00 |
$110.00 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$606.54 |
$606.54 |
$606.54 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$651.42 |
$651.42 |
$651.42 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$904.86 |
$904.86 |
$904.86 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$335.00 |
$335.00 |
$528.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$513.48 |
$513.48 |
$513.48 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$642.18 |
$642.18 |
$642.18 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$583.44 |
$583.44 |
$583.44 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$715.44 |
$715.44 |
$715.44 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$783.42 |
$783.42 |
$783.42 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$642.18 |
$642.18 |
$642.18 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$792.66 |
$792.66 |
$792.66 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$770.22 |
$770.22 |
$770.22 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$711.48 |
$711.48 |
$711.48 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$809.82 |
$809.82 |
$809.82 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$840.18 |
$840.18 |
$840.18 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$865.26 |
$865.26 |
$865.26 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$898.92 |
$898.92 |
$898.92 |
$1,126.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$898.92 |
$898.92 |
$898.92 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$2,112.66 |
$2,112.66 |
$2,112.66 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,186.68 |
$1,186.68 |
$1,186.68 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$123.42 |
$123.42 |
$123.42 |
$76.20
|
|
Ghs low level laser therapy
|
$17.50 |
$17.50 |
$17.50 |
$77.70
|
|
Ghs mbp
|
$89.76 |
$89.76 |
$97.50 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$351.12 |
$351.12 |
$405.00 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$351.12 |
$351.12 |
$351.12 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$351.12 |
$351.12 |
$351.12 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$74.58 |
$74.58 |
$205.00 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$74.58 |
$74.58 |
$74.58 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$235.00 |
$235.00 |
$235.00 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$357.50 |
$357.50 |
$657.36 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$910.00 |
$910.00 |
$910.00 |
$1,546.50
|
