|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$311.22 |
$311.22 |
$311.22 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$382.24 |
$382.24 |
$382.24 |
$1,615.00
|
|
Gammaglobulin iga
|
$19.40 |
$19.40 |
$19.40 |
$69.60
|
|
Gammaglobulin ige
|
$8.93 |
$8.93 |
$8.93 |
$83.85
|
|
Gamma glutamyltransferase
|
$9.55 |
$9.55 |
$9.55 |
$57.54
|
|
Gastroesophageal reflux study
|
$412.34 |
$412.34 |
$412.34 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$244.86 |
$244.86 |
$244.86 |
$1,352.00
|
|
Gba gene
|
$25.28 |
$25.28 |
$25.28 |
$160.72
|
|
Generator barostim neo2 2014
|
$34,165.04 |
$34,165.04 |
$34,165.04 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$35,588.80 |
$35,588.80 |
$35,588.80 |
$36,467.76
|
|
Gentamicin peak therapeutic drug level
|
$7.70 |
$7.70 |
$7.70 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$603.99 |
$603.99 |
$603.99 |
$1,514.00
|
|
Ghs acetylcholinesterase, rbc
|
$9.09 |
$9.09 |
$9.09 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$8.01 |
$8.01 |
$8.01 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$147.74 |
$147.74 |
$147.74 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$5.76 |
$5.76 |
$5.76 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$175.13 |
$175.13 |
$175.13 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$110.69 |
$110.69 |
$110.69 |
$344.00
|
|
Ghs chemo IV push, ea addtl
|
$100.88 |
$100.88 |
$100.88 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$65.93 |
$65.93 |
$65.93 |
$133.70
|
|
Ghs community re-entry 15 minutes
|
$16.56 |
$16.56 |
$16.56 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$8.25 |
$8.25 |
$8.25 |
$55.29
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$418.21 |
$418.21 |
$418.21 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$454.89 |
$454.89 |
$454.89 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$156.08 |
$156.08 |
$156.08 |
$586.80
|
|
Ghs electrostagmgraphy
|
$706.73 |
$706.73 |
$706.73 |
$322.00
|
|
Ghs elect torsion swing
|
$143.35 |
$143.35 |
$143.35 |
$266.29
|
|
Ghs febrile agglutinns(mayo)
|
$2.75 |
$2.75 |
$2.75 |
$48.10
|
|
Ghs fish cytogen
|
$21.42 |
$21.42 |
$21.42 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$50.88 |
$50.88 |
$50.88 |
$226.20
|
|
Ghs flow volume loop
|
$31.98 |
$31.98 |
$31.98 |
$308.69
|
|
Ghs hcv amplificaiton
|
$21.31 |
$21.31 |
$21.31 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$6.16 |
$6.16 |
$6.16 |
$144.54
|
|
Ghs histoplasma antigen
|
$30.55 |
$30.55 |
$30.55 |
$142.00
|
|
Ghs HIV antibody
|
$5.50 |
$5.50 |
$5.50 |
$89.70
|
|
Ghs immun0electrophoresis
|
$11.79 |
$11.79 |
$11.79 |
$110.00
|
|
Ghs inf midline insertion
|
$425.23 |
$425.23 |
$425.23 |
$1,238.25
|
|
Ghs inhibitor screen
|
$42.98 |
$42.98 |
$42.98 |
$191.88
|
|
Ghs insertion of needle - bone
|
$142.16 |
$142.16 |
$142.16 |
$431.28
|
|
Ghs intro needle/intracath vein - 36000
|
$28.07 |
$28.07 |
$28.07 |
$200.20
|
|
Ghs leukocyte alkaline phos (mayo)
|
$4.97 |
$4.97 |
$4.97 |
$75.00
|
|
Ghs mbp
|
$9.70 |
$9.70 |
$9.70 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$147.46 |
$147.46 |
$147.46 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$147.46 |
$147.46 |
$147.46 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$162.06 |
$162.06 |
$162.06 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$74.46 |
$74.46 |
$74.46 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$74.46 |
$74.46 |
$74.46 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$51.65 |
$51.65 |
$51.65 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$33.60 |
$33.60 |
$33.60 |
$272.48
|
|
Ghs myocardial strain img spckl track
|
$89.45 |
$89.45 |
$89.45 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$693.82 |
$693.82 |
$693.82 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$554.74 |
$554.74 |
$554.74 |
$1,160.00
|
|
Ghs ng placement w fluoro guidance
|
$286.14 |
$286.14 |
$286.14 |
$485.00
|
|
Ghs opcc repair cvp without subq port
|
$551.23 |
$551.23 |
$551.23 |
$1,236.67
|
|
Ghs optokenetic
|
$99.00 |
$99.00 |
$99.00 |
$214.00
|
|
Ghs oscillating trac
|
$117.22 |
$117.22 |
$117.22 |
$325.00
|
|
Ghs ot prosthetic training/15 min
|
$19.78 |
$19.78 |
$19.78 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$23.10 |
$23.10 |
$23.10 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$264.87 |
$264.87 |
$264.87 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$322.51 |
$322.51 |
$322.51 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$708.82 |
$708.82 |
$708.82 |
$962.00
|
|
Ghs phenylketonurid
|
$2.62 |
$2.62 |
$2.62 |
$53.76
|
|
Ghs picc line insert < 5
|
$676.28 |
$676.28 |
$676.28 |
$2,019.50
|
|
Ghs pos nystagmus
|
$145.99 |
$145.99 |
$145.99 |
$241.80
|
|
Ghs prostatic acid phosphatase (mayo)
|
$9.24 |
$9.24 |
$9.24 |
$43.55
|
|
Ghs protoporphyrins fract
|
$17.09 |
$17.09 |
$17.09 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$59.10 |
$59.10 |
$59.10 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$66.89 |
$66.89 |
$66.89 |
$285.60
|
|
Ghs quinidine
|
$9.24 |
$9.24 |
$9.24 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$9.43 |
$9.43 |
$9.43 |
$74.82
|
|
Ghs reticulocyte count
|
$2.48 |
$2.48 |
$2.48 |
$34.50
|
|
Ghs sensitivity (per antimicro)
|
$4.62 |
$4.62 |
$4.62 |
$57.60
|
|
Ghs somatosensory testing lower extremit
|
$228.10 |
$228.10 |
$228.10 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$502.27 |
$502.27 |
$502.27 |
$1,416.80
|
|
Ghs spont nystagmus
|
$117.74 |
$117.74 |
$117.74 |
$246.50
|
|
Ghs st - re-eval for alt comm
|
$94.02 |
$94.02 |
$94.02 |
$309.60
|
|
Ghs urine, porphyrins quant
|
$9.55 |
$9.55 |
$9.55 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$402.98 |
$402.98 |
$402.98 |
$1,932.00
|
|
Giardia ag if
|
$12.26 |
$12.26 |
$12.26 |
$38.58
|
|
Giardia lamblia antibody
|
$8.78 |
$8.78 |
$8.78 |
$83.44
|
|
Gi inhouse confirmation
|
$12.66 |
$12.66 |
$12.66 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$852.85 |
$852.85 |
$852.85 |
$2,215.20
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$88.52 |
$88.52 |
$88.52 |
$491.67
|
|
Glucagon plasma - sendout
|
$10.32 |
$10.32 |
$10.32 |
$64.35
|
|
Glucose 1 hr post dose
|
$2.31 |
$2.31 |
$2.31 |
$49.00
|
|
Glucose body fluid
|
$9.39 |
$9.39 |
$9.39 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$6.01 |
$6.01 |
$6.01 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$1.85 |
$1.85 |
$1.85 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$8.93 |
$8.93 |
$8.93 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$8.93 |
$8.93 |
$8.93 |
$129.03
|
|
Graft axiofill 1000mg
|
$13.12 |
$13.12 |
$13.12 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$35.49 |
$35.49 |
$35.49 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$18,791.24 |
$18,791.24 |
$18,791.24 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$15,374.84 |
$15,374.84 |
$15,374.84 |
$29,293.39
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$544.31 |
$544.31 |
$544.31 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$23.22 |
$23.22 |
$23.22 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$46,122.44 |
$46,122.44 |
$46,122.44 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,396.98 |
$1,396.98 |
$1,396.98 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$1,604.73 |
$1,604.73 |
$1,604.73 |
$2,698.02
|
|
G-tube reposition
|
$427.78 |
$427.78 |
$427.78 |
$771.36
|
