|
Ghs bladder cath - complex-foley
|
$218.70 |
$218.70 |
$218.70 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$231.33 |
$231.33 |
$231.33 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$234.35 |
$234.35 |
$234.35 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$42.88 |
$42.88 |
$42.88 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$103.77 |
$103.77 |
$103.77 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$206.31 |
$206.31 |
$206.31 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$286.76 |
$286.76 |
$286.76 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$629.26 |
$629.26 |
$629.26 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$708.06 |
$708.06 |
$708.06 |
$1,592.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$827.05 |
$827.05 |
$827.05 |
$2,319.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$343.04 |
$343.04 |
$343.04 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$49.00 |
$49.00 |
$49.00 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$60.57 |
$60.57 |
$60.57 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$48.24 |
$48.24 |
$48.24 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$69.14 |
$69.14 |
$69.14 |
$422.25
|
|
Ghs diphtheria toxoid ab igg
|
$43.85 |
$43.85 |
$43.85 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$563.87 |
$563.87 |
$563.87 |
$602.00
|
|
Ghs ed rmvl or bivalving cast
|
$37.52 |
$37.52 |
$37.52 |
$338.40
|
|
Ghs excision ingrown nail
|
$102.38 |
$102.38 |
$102.38 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$190.82 |
$190.82 |
$190.82 |
$510.00
|
|
Ghs fb removal - non-incisional
|
$163.48 |
$163.48 |
$163.48 |
$1,706.20
|
|
Ghs fish cytogen
|
$173.26 |
$173.26 |
$173.26 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$98.10 |
$98.10 |
$98.10 |
$226.20
|
|
Ghs flow volume loop
|
$187.20 |
$187.20 |
$187.20 |
$308.69
|
|
Ghs hcv amplificaiton
|
$66.67 |
$66.67 |
$66.67 |
$196.20
|
|
Ghs histoplasma antigen
|
$95.61 |
$95.61 |
$95.61 |
$142.00
|
|
Ghs HIV antibody
|
$29.23 |
$29.23 |
$29.23 |
$89.70
|
|
Ghs i and d perirectal abscess 46040
|
$470.61 |
$470.61 |
$470.61 |
$2,798.50
|
|
Ghs i and d pilonidal cyst simple
|
$114.17 |
$114.17 |
$114.17 |
$707.25
|
|
Ghs immun0electrophoresis
|
$62.64 |
$62.64 |
$62.64 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$121.14 |
$121.14 |
$121.14 |
$526.50
|
|
Ghs inhibitor screen
|
$143.10 |
$143.10 |
$143.10 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$51.46 |
$51.46 |
$51.46 |
$275.88
|
|
Ghs inj tendon origin/insertion
|
$300.38 |
$300.38 |
$300.38 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,869.08 |
$1,869.08 |
$1,869.08 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,056.72 |
$2,056.72 |
$2,056.72 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$252.99 |
$252.99 |
$252.99 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$268.54 |
$268.54 |
$268.54 |
$886.07
|
|
Ghs intermed repair over 30 cm - 12037
|
$368.77 |
$368.77 |
$368.77 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$10.18 |
$10.18 |
$10.18 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$149.54 |
$149.54 |
$149.54 |
$551.20
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$171.52 |
$171.52 |
$171.52 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$168.84 |
$168.84 |
$168.84 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$163.48 |
$163.48 |
$163.48 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$188.14 |
$188.14 |
$188.14 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$222.44 |
$222.44 |
$222.44 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$218.69 |
$218.69 |
$218.69 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$240.13 |
$240.13 |
$240.13 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$228.87 |
$228.87 |
$228.87 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$238.52 |
$238.52 |
$238.52 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$246.02 |
$246.02 |
$246.02 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$300.70 |
$300.70 |
$300.70 |
$969.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$351.62 |
$351.62 |
$351.62 |
$1,016.25
|
|
Ghs mbp
|
$38.74 |
$38.74 |
$38.74 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$246.33 |
$246.33 |
$246.33 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$246.33 |
$246.33 |
$246.33 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$349.86 |
$349.86 |
$349.86 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$124.95 |
$124.95 |
$124.95 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$173.95 |
$173.95 |
$173.95 |
$142.40
|
|
Ghs nailbed repair/nail removal
|
$127.57 |
$127.57 |
$127.57 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,354.73 |
$1,354.73 |
$1,354.73 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,018.58 |
$1,018.58 |
$1,018.58 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$251.87 |
$251.87 |
$251.87 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$175.76 |
$175.76 |
$175.76 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$1,050.30 |
$1,050.30 |
$1,050.30 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,186.14 |
$1,186.14 |
$1,186.14 |
$1,540.61
|
|
Ghs nerve block sciatic nerve
|
$224.08 |
$224.08 |
$224.08 |
$1,450.80
|
|
Ghs o2 uptake rest & indirect
|
$288.60 |
$288.60 |
$288.60 |
$173.50
|
|
Ghs ot group caregiver training
|
$45.70 |
$45.70 |
$45.70 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$73.82 |
$73.82 |
$73.82 |
$93.00
|
|
Ghs ot work hardening-additional hours
|
$97.72 |
$97.72 |
$97.72 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$529.03 |
$529.03 |
$529.03 |
$830.53
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,850.18 |
$1,850.18 |
$1,850.18 |
$962.00
|
|
Ghs phenylketonurid
|
$10.46 |
$10.46 |
$10.46 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,303.43 |
$1,303.43 |
$1,303.43 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$338.22 |
$338.22 |
$338.22 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$34.80 |
$34.80 |
$34.80 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$36.90 |
$36.90 |
$36.90 |
$43.55
|
|
Ghs protoporphyrins fract
|
$68.26 |
$68.26 |
$68.26 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$132.65 |
$132.65 |
$132.65 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$194.73 |
$194.73 |
$194.73 |
$285.60
|
|
Ghs quinidine
|
$36.90 |
$36.90 |
$36.90 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$125.42 |
$125.42 |
$125.42 |
$283.24
|
|
Ghs respiratory syncytical virus igg/m
|
$50.11 |
$50.11 |
$50.11 |
$74.82
|
|
Ghs reticulocyte count
|
$8.27 |
$8.27 |
$8.27 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$26.42 |
$26.42 |
$26.42 |
$99.00
|
|
Ghs sedimentation rate
|
$8.27 |
$8.27 |
$8.27 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$14.47 |
$14.47 |
$14.47 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$108.81 |
$108.81 |
$108.81 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$146.33 |
$146.33 |
$146.33 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$132.93 |
$132.93 |
$132.93 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$173.66 |
$173.66 |
$173.66 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$85.22 |
$85.22 |
$85.22 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$83.62 |
$83.62 |
$83.62 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$107.74 |
$107.74 |
$107.74 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$164.02 |
$164.02 |
$164.02 |
$590.88
|
|
Ghs strapping shoulder - 29240
|
$400.71 |
$400.71 |
$400.71 |
$217.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$82.35 |
$82.35 |
$82.35 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$882.22 |
$882.22 |
$882.22 |
$360.80
|
|
Ghs tx distal phalangeal fx with manipulation
|
$304.98 |
$304.98 |
$304.98 |
$529.65
|
