|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$62.79 |
$424.25 |
$3,377.59 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$77.64 |
$521.07 |
$2,768.41 |
|
|
Gallbladder Removal (Laparoscopic)
|
$815.77 |
$815.77 |
$940.86 |
|
|
Gallium illuccix 1 millicure
|
$79.05 |
$84.56 |
$2,046.76 |
|
|
Gamma globulin 1 cc inj
|
$670.03 |
$670.03 |
$670.03 |
|
|
Gammaglobulin iga
|
$9.16 |
$19.91 |
$155.82 |
|
|
Gammaglobulin ige
|
$4.87 |
$9.63 |
$144.50 |
|
|
Gamma glutamyltransferase
|
$5.21 |
$10.29 |
$91.12 |
|
|
Gammaplex injection
|
$2,795.10 |
$2,795.10 |
$2,795.10 |
|
|
Gamunex-c/gammaked
|
$3,544.96 |
$4,850.88 |
$16,197.12 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$148.98 |
$203.45 |
$336.87 |
|
|
Gastric emptying imag study
|
$185.22 |
$185.22 |
$686.93 |
|
|
Gastric emptying imag study
|
$214.62 |
$214.62 |
$885.46 |
|
|
Gastric mucosa imaging
|
$336.87 |
$418.95 |
$494.19 |
|
|
Gastroesophageal reflux study
|
$260.63 |
$476.52 |
$1,938.11 |
|
|
Gastroesophageal reflux test
|
$169.48 |
$283.02 |
$1,245.83 |
|
|
Gated heart multiple
|
$108.34 |
$925.68 |
$1,432.12 |
|
|
Gba gene
|
$25.13 |
$46.50 |
$269.31 |
|
|
Gel-syn injection 0.1 mg
|
$0.23 |
$0.23 |
$0.23 |
|
|
Gemcitabine 1 gram intravenous solution
|
$0.09 |
$112.92 |
$178.08 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$13,479.26 |
$13,479.26 |
$13,479.26 |
|
|
General health panel
|
$155.48 |
$155.48 |
$678.93 |
|
|
Generator barostim neo2 2014
|
$9,618.00 |
$37,187.33 |
$108,692.50 |
|
|
Generator emblem MRI sicd subq
|
$18,396.67 |
$33,181.90 |
$73,932.72 |
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$36,682.85 |
$43,532.35 |
$44,750.03 |
|
|
Genetic tstg severe inh cond
|
$2,000.98 |
$2,453.18 |
$4,974.20 |
|
|
Gen, neuro, clo loop, rechg
|
$21,670.86 |
$21,670.86 |
$38,632.78 |
|
|
Genome sequence analysis
|
$4,904.88 |
$5,014.06 |
$6,641.36 |
|
|
Genome sequence analysis
|
$2,700.70 |
$3,577.20 |
$4,904.88 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$0.07 |
$12.37 |
$93.80 |
|
|
Gentamicin peak therapeutic drug level
|
$4.20 |
$8.30 |
$168.44 |
|
|
G-esoph reflx tst w/electrod
|
$418.05 |
$737.34 |
$1,214.66 |
|
|
Ghs abscess perianal iandd
|
$2,159.22 |
$2,159.22 |
$2,159.22 |
|
|
Ghs abscess postoperative iandd complex
|
$175.87 |
$1,749.60 |
$8,325.24 |
|
|
Ghs acetylcholinesterase, rbc
|
$6.67 |
$9.79 |
$66.78 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$4.37 |
$9.88 |
$143.65 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$55.61 |
$201.69 |
$961.97 |
|
|
Ghs analysis neurostim without reprogramming
|
$28.20 |
$118.32 |
$394.71 |
|
|
Ghs antibodies (torch) igm
|
$5.76 |
$10.78 |
$94.24 |
|
|
Ghs aspiration bladder - needle
|
$32.71 |
$175.13 |
$247.60 |
|
|
Ghs bladder cath - complex-foley
|
$65.93 |
$118.67 |
$601.02 |
|
|
Ghs bleeding time (ivy)
|
$29.28 |
$61.15 |
$100.85 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$102.21 |
$473.35 |
$719.31 |
|
|
Ghs central line insert < age 5, failed
|
$1,081.74 |
$1,346.80 |
$4,852.68 |
|
|
Ghs change cysto/gastrost
|
$227.31 |
$359.85 |
$1,070.71 |
|
|
Ghs chemo >8 hrs
|
$33.13 |
$210.04 |
$853.77 |
|
|
Ghs chemo infusion >8 hrs
|
$329.30 |
$329.30 |
$343.92 |
|
|
Ghs chemo IV push, ea addtl
|
$42.13 |
$116.75 |
$343.55 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$34.53 |
$68.27 |
$183.68 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$887.44 |
$887.44 |
$887.44 |
|
|
Ghs closed reduction ankle dislocation
|
$1,296.28 |
$1,296.28 |
$1,296.28 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$3,882.15 |
$3,882.15 |
$3,882.15 |
|
|
Ghs closed tx tibial fracture w/manip
|
$5,009.25 |
$5,009.25 |
$5,009.25 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,230.98 |
$2,331.52 |
$2,748.88 |
|
|
Ghs clsd red med malleolus fx without manip
|
$1,272.53 |
$1,272.53 |
$1,272.53 |
|
|
Ghs cl tx knee disl; wo anesth
|
$1,267.34 |
$1,267.34 |
$1,267.34 |
|
|
Ghs community re-entry 15 minutes
|
$10.23 |
$18.40 |
$131.34 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$21.41 |
$23.32 |
$960.15 |
|
|
Ghs corneal fb without slit lamp bilat
|
$16.24 |
$17.69 |
$1,187.20 |
|
|
Ghs corneal fb with slit lamp bilat
|
$836.98 |
$836.98 |
$836.98 |
|
|
Ghs cricothyroidotomy
|
$2,323.71 |
$2,323.71 |
$2,323.71 |
|
|
Ghs cutdown placement age 1 and over
|
$225.38 |
$372.73 |
$419.69 |
|
|
Ghs cutdown placement under 1 yr
|
$139.47 |
$225.38 |
$419.69 |
|
|
Ghs diphtheria toxoid ab igg
|
$8.25 |
$11.97 |
$191.44 |
|
|
Ghs dislocation elbow closed treatment
|
$1,274.76 |
$1,274.76 |
$1,274.76 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$159.53 |
$418.21 |
$1,382.08 |
|
|
Ghs ed rmvl or bivalving cast
|
$144.84 |
$144.84 |
$182.60 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$270.94 |
$469.36 |
$1,346.94 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$38.27 |
$180.89 |
$584.85 |
|
|
Ghs electrostagmgraphy
|
$63.07 |
$468.65 |
$706.73 |
|
|
Ghs elect torsion swing
|
$143.35 |
$143.35 |
$195.15 |
|
|
Ghs elect vertical elct
|
$16.33 |
$16.33 |
$108.85 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$234.48 |
$234.48 |
$234.48 |
|
|
Ghs excision ingrown nail
|
$196.84 |
$196.84 |
$371.75 |
|
|
Ghs eye exam
|
$127.63 |
$127.63 |
$127.63 |
|
|
Ghs fat & muscle
|
$31.77 |
$31.77 |
$31.77 |
|
|
Ghs fb removal foot - deep - left
|
$485.27 |
$485.27 |
$1,340.58 |
|
|
Ghs fb removal - incisional
|
$226.55 |
$638.98 |
$2,894.55 |
|
|
Ghs fb removal - non-incisional
|
$563.01 |
$803.42 |
$817.38 |
|
|
Ghs febrile agglutinns(mayo)
|
$2.75 |
$3.99 |
$11.13 |
|
|
Ghs fish cytogen
|
$5.62 |
$29.12 |
$876.69 |
|
|
Ghs fish hybrid in situ 100-300
|
$13.34 |
$54.83 |
$644.06 |
|
|
Ghs flow volume loop
|
$14.35 |
$75.85 |
$284.13 |
|
|
Ghs hcv amplificaiton
|
$17.28 |
$23.64 |
$161.28 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$6.16 |
$8.93 |
$24.91 |
|
|
Ghs hgb stability-thal
|
$18.90 |
$19.91 |
$166.17 |
|
|
Ghs histoplasma antigen
|
$13.04 |
$35.57 |
$137.27 |
|
|
Ghs HIV antibody
|
$5.50 |
$10.29 |
$178.83 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$304.97 |
$304.97 |
$304.97 |
|
|
Ghs i and d perirectal abscess 46040
|
$517.16 |
$1,812.59 |
$2,787.70 |
|
|
Ghs i and d pilonidal cyst simple
|
$40.84 |
$125.76 |
$1,107.81 |
|
|
Ghs immun0electrophoresis
|
$11.79 |
$17.10 |
$47.70 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$133.29 |
$133.29 |
$288.64 |
|
|
Ghs inf midline insertion
|
$309.64 |
$449.53 |
$658.16 |
|
|
Ghs inhibitor screen
|
$14.40 |
$47.70 |
$421.46 |
|
|
Ghs init tx 1st degree burn
|
$144.45 |
$144.45 |
$340.58 |
|
|
Ghs inj neurolytic intercostal nerve
|
$253.03 |
$422.90 |
$656.35 |
|
|
Ghs inj neurolytic other perph nerve
|
$623.39 |
$779.10 |
$1,222.79 |
|
|
Ghs inj tendon origin/insertion
|
$90.53 |
$127.16 |
$299.86 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$569.18 |
$705.65 |
$886.62 |
|
