|
Gamunex-c/gammaked
|
$16,197.12 |
$16,197.12 |
$16,197.12 |
$6,963.60
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$336.87 |
$336.87 |
$336.87 |
$197.40
|
|
Gastroesophageal reflux study
|
$1,938.11 |
$1,938.11 |
$1,938.11 |
$957.25
|
|
Gated heart multiple
|
$108.34 |
$108.34 |
$108.34 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$178.08 |
$178.08 |
$178.08 |
$269.06
|
|
General health panel
|
$678.93 |
$678.93 |
$678.93 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$31.17 |
$31.17 |
$31.17 |
$63.08
|
|
Gentamicin peak therapeutic drug level
|
$168.44 |
$168.44 |
$168.44 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$1,214.66 |
$1,214.66 |
$1,214.66 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$2,159.22 |
$2,159.22 |
$2,159.22 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$8,325.24 |
$8,325.24 |
$8,325.24 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$66.78 |
$66.78 |
$66.78 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$123.92 |
$123.92 |
$123.92 |
$103.14
|
|
Ghs analysis neurostim without reprogramming
|
$28.20 |
$28.20 |
$28.20 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$94.24 |
$94.24 |
$94.24 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$601.02 |
$601.02 |
$601.02 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$169.18 |
$169.18 |
$169.18 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$4,852.68 |
$4,852.68 |
$4,852.68 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$1,070.71 |
$1,070.71 |
$1,070.71 |
$699.60
|
|
Ghs chemo IV push, ea addtl
|
$343.55 |
$343.55 |
$343.55 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$68.27 |
$68.27 |
$68.27 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$887.44 |
$887.44 |
$887.44 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$1,296.28 |
$1,296.28 |
$1,296.28 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$3,882.15 |
$3,882.15 |
$3,882.15 |
$1,707.42
|
|
Ghs closed tx tibial fracture w/manip
|
$5,009.25 |
$5,009.25 |
$5,009.25 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$1,272.53 |
$1,272.53 |
$1,272.53 |
$581.60
|
|
Ghs cl tx knee disl; wo anesth
|
$1,267.34 |
$1,267.34 |
$1,267.34 |
$716.95
|
|
Ghs community re-entry 15 minutes
|
$131.34 |
$131.34 |
$131.34 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$960.15 |
$960.15 |
$960.15 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$836.98 |
$836.98 |
$836.98 |
$368.16
|
|
Ghs diphtheria toxoid ab igg
|
$191.44 |
$191.44 |
$191.44 |
$72.05
|
|
Ghs dislocation elbow closed treatment
|
$1,274.76 |
$1,274.76 |
$1,274.76 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$159.53 |
$159.53 |
$159.53 |
$1,313.95
|
|
Ghs electrostagmgraphy
|
$63.07 |
$63.07 |
$63.07 |
$218.00
|
|
Ghs elect torsion swing
|
$195.15 |
$195.15 |
$195.15 |
$242.40
|
|
Ghs elect vertical elct
|
$16.33 |
$16.33 |
$16.33 |
$121.55
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$234.48 |
$234.48 |
$234.48 |
$470.51
|
|
Ghs excision ingrown nail
|
$371.75 |
$371.75 |
$371.75 |
$457.60
|
|
Ghs eye exam
|
$127.63 |
$127.63 |
$127.63 |
$162.24
|
|
Ghs fb removal foot - deep - left
|
$485.27 |
$485.27 |
$485.27 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$2,894.55 |
$2,894.55 |
$2,894.55 |
$2,425.20
|
|
Ghs fish cytogen
|
$439.51 |
$439.51 |
$439.51 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$305.71 |
$305.71 |
$305.71 |
$229.45
|
|
Ghs flow volume loop
|
$267.12 |
$267.12 |
$267.12 |
$309.12
|
|
Ghs histoplasma antigen
|
$137.27 |
$137.27 |
$137.27 |
$137.80
|
|
Ghs HIV antibody
|
$178.83 |
$178.83 |
$178.83 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$304.97 |
$304.97 |
$304.97 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,787.70 |
$2,787.70 |
$2,787.70 |
$3,034.00
|
|
Ghs i and d pilonidal cyst simple
|
$1,107.81 |
$1,107.81 |
$1,107.81 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$288.64 |
$288.64 |
$288.64 |
$543.60
|
|
Ghs inf midline insertion
|
$658.16 |
$658.16 |
$658.16 |
$1,234.20
|
|
Ghs inhibitor screen
|
$421.46 |
$421.46 |
$421.46 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$340.58 |
$340.58 |
$340.58 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$253.03 |
$253.03 |
$253.03 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$779.10 |
$779.10 |
$779.10 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$90.53 |
$90.53 |
$90.53 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$705.65 |
$705.65 |
$705.65 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$1,426.13 |
$1,426.13 |
$1,426.13 |
$1,861.60
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,204.49 |
$2,204.49 |
$2,204.49 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,755.79 |
$2,755.79 |
$2,755.79 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$4,069.87 |
$4,069.87 |
$4,069.87 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$226.31 |
$226.31 |
$226.31 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$5,490.80 |
$5,490.80 |
$5,490.80 |
$637.92
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$570.60 |
$570.60 |
$570.60 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,130.81 |
$1,130.81 |
$1,130.81 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,130.81 |
$1,130.81 |
$1,130.81 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$942.34 |
$942.34 |
$942.34 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,177.56 |
$1,177.56 |
$1,177.56 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,412.77 |
$1,412.77 |
$1,412.77 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,330.41 |
$1,330.41 |
$1,330.41 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,766.71 |
$1,766.71 |
$1,766.71 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$570.60 |
$570.60 |
$570.60 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,472.13 |
$1,472.13 |
$1,472.13 |
$779.35
|
|
Ghs leukocyte alkaline phos (mayo)
|
$133.56 |
$133.56 |
$133.56 |
$59.40
|
|
Ghs mbp
|
$69.75 |
$69.75 |
$69.75 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$437.78 |
$437.78 |
$437.78 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$276.03 |
$276.03 |
$276.03 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$437.78 |
$437.78 |
$437.78 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$192.92 |
$192.92 |
$192.92 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$95.72 |
$95.72 |
$95.72 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$151.37 |
$151.37 |
$151.37 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$98.69 |
$98.69 |
$98.69 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$129.85 |
$129.85 |
$129.85 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$575.05 |
$575.05 |
$575.05 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$1,132.30 |
$1,132.30 |
$1,132.30 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,423.16 |
$1,423.16 |
$1,423.16 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,112.26 |
$1,112.26 |
$1,112.26 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$205.54 |
$205.54 |
$205.54 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$166.21 |
$166.21 |
$166.21 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$1,495.88 |
$1,495.88 |
$1,495.88 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$117.98 |
$117.98 |
$117.98 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$129.85 |
$129.85 |
$129.85 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$191.44 |
$191.44 |
$191.44 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$129.11 |
$129.11 |
$129.11 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$618.09 |
$618.09 |
$618.09 |
$468.75
|
|
Ghs o2 saturation
|
$88.30 |
$88.30 |
$88.30 |
$72.45
|
|
Ghs opcc repair cvp w subq port
|
$1,905.46 |
$1,905.46 |
$1,905.46 |
$2,430.56
|
|
Ghs optokenetic
|
$27.46 |
$27.46 |
$27.46 |
$196.66
|
