|
Generator barostim neo2 2014
|
$72,900.00 |
$72,900.00 |
$72,900.00 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$49,892.00 |
$49,892.00 |
$49,892.00 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$163.00 |
$163.00 |
$163.00 |
$63.08
|
|
Gentamicin peak therapeutic drug level
|
$219.00 |
$219.00 |
$219.00 |
$119.00
|
|
Ghs abscess perianal iandd
|
$1,301.00 |
$1,301.00 |
$1,301.00 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$4,579.00 |
$4,579.00 |
$4,579.00 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$98.00 |
$98.00 |
$98.00 |
$42.21
|
|
Ghs alpha thalasemia, 7 deletions
|
$742.00 |
$742.00 |
$742.00 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$203.00 |
$203.00 |
$203.00 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$374.00 |
$374.00 |
$374.00 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$58.00 |
$58.00 |
$58.00 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$708.00 |
$708.00 |
$708.00 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$11,674.00 |
$11,674.00 |
$11,674.00 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$682.00 |
$682.00 |
$682.00 |
$699.60
|
|
Ghs chemo >8 hrs
|
$945.00 |
$945.00 |
$945.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$380.00 |
$380.00 |
$380.00 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$112.00 |
$112.00 |
$112.00 |
$134.55
|
|
Ghs corneal fb with slit lamp bilat
|
$659.00 |
$659.00 |
$659.00 |
$368.16
|
|
Ghs cricothyroidotomy
|
$638.00 |
$638.00 |
$638.00 |
$1,207.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,619.00 |
$1,619.00 |
$1,619.00 |
$1,313.95
|
|
Ghs excision ingrown nail
|
$559.00 |
$559.00 |
$559.00 |
$457.60
|
|
Ghs febrile agglutinns(mayo)
|
$147.00 |
$147.00 |
$147.00 |
$48.57
|
|
Ghs fish cytogen
|
$556.00 |
$556.00 |
$556.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$517.00 |
$517.00 |
$517.00 |
$229.45
|
|
Ghs flow volume loop
|
$286.00 |
$286.00 |
$286.00 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$553.00 |
$553.00 |
$553.00 |
$403.20
|
|
Ghs hcv amplificaiton
|
$450.00 |
$450.00 |
$450.00 |
$187.00
|
|
Ghs hgb stability-thal
|
$157.00 |
$157.00 |
$157.00 |
$85.28
|
|
Ghs histoplasma antigen
|
$165.00 |
$165.00 |
$165.00 |
$137.80
|
|
Ghs HIV antibody
|
$175.00 |
$175.00 |
$175.00 |
$91.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,214.00 |
$3,214.00 |
$3,214.00 |
$3,034.00
|
|
Ghs inf midline insertion
|
$1,291.00 |
$1,291.00 |
$1,291.00 |
$1,234.20
|
|
Ghs inhibitor screen
|
$360.00 |
$360.00 |
$360.00 |
$143.32
|
|
Ghs inj neurolytic intercostal nerve
|
$1,441.00 |
$1,441.00 |
$1,441.00 |
$2,037.10
|
|
Ghs inj transforaminal cerv ea add bil
|
$850.00 |
$850.00 |
$850.00 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$1,358.00 |
$1,358.00 |
$1,358.00 |
$1,861.60
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$840.00 |
$840.00 |
$840.00 |
$943.80
|
|
Ghs intro needle/intracath vein - 36000
|
$870.00 |
$870.00 |
$870.00 |
$213.75
|
|
Ghs IV thrombolytics - cerebral
|
$1,457.00 |
$1,457.00 |
$1,457.00 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$840.00 |
$840.00 |
$840.00 |
$617.60
|
|
Ghs mbp
|
$221.00 |
$221.00 |
$221.00 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$555.00 |
$555.00 |
$555.00 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$555.00 |
$555.00 |
$555.00 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$555.00 |
$555.00 |
$555.00 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$555.00 |
$555.00 |
$555.00 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$555.00 |
$555.00 |
$555.00 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$485.00 |
$485.00 |
$485.00 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$302.00 |
$302.00 |
$302.00 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$442.00 |
$442.00 |
$442.00 |
$222.60
|
|
Ghs myocardial strain img spckl track
|
$551.00 |
$551.00 |
$551.00 |
$503.85
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,669.00 |
$1,669.00 |
$1,669.00 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,061.00 |
$1,061.00 |
$1,061.00 |
$1,230.80
|
|
Ghs nerve block celiac plexus
|
$976.00 |
$976.00 |
$976.00 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$2,144.00 |
$2,144.00 |
$2,144.00 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,968.00 |
$1,968.00 |
$1,968.00 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$912.00 |
$912.00 |
$912.00 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$552.00 |
$552.00 |
$552.00 |
$468.75
|
|
Ghs o2 saturation
|
$131.00 |
$131.00 |
$131.00 |
$72.45
|
|
Ghs o2 uptake rest & indirect
|
$1,286.00 |
$1,286.00 |
$1,286.00 |
$195.00
|
|
Ghs ob unlisted IV or art inj or infusion
|
$3,851.00 |
$3,851.00 |
$3,851.00 |
$86.19
|
|
Ghs opcc repair cvp w subq port
|
$1,885.00 |
$1,885.00 |
$1,885.00 |
$2,430.56
|
|
Ghs pacing - transcutaneous
|
$654.00 |
$654.00 |
$654.00 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,213.00 |
$1,213.00 |
$1,213.00 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$612.00 |
$612.00 |
$612.00 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$70.00 |
$70.00 |
$70.00 |
$90.15
|
|
Ghs phenylketonurid
|
$71.00 |
$71.00 |
$71.00 |
$51.58
|
|
Ghs picc line insert < 5
|
$2,086.00 |
$2,086.00 |
$2,086.00 |
$2,060.40
|
|
Ghs ppd (tb intradermal)
|
$109.00 |
$109.00 |
$109.00 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$124.00 |
$124.00 |
$124.00 |
$40.56
|
|
Ghs protoporphyrins fract
|
$172.00 |
$172.00 |
$172.00 |
$64.35
|
|
Ghs quinidine
|
$187.00 |
$187.00 |
$187.00 |
$68.40
|
|
Ghs refill of implantable pump
|
$538.00 |
$538.00 |
$538.00 |
$539.13
|
|
Ghs respiratory syncytical virus igg/m
|
$165.00 |
$165.00 |
$165.00 |
$42.40
|
|
Ghs reticulocyte count
|
$55.00 |
$55.00 |
$55.00 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$146.00 |
$146.00 |
$146.00 |
$101.15
|
|
Ghs sedimentation rate
|
$78.00 |
$78.00 |
$78.00 |
$45.50
|
|
Ghs semen analysis fert
|
$155.00 |
$155.00 |
$155.00 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$99.00 |
$99.00 |
$99.00 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$806.00 |
$806.00 |
$806.00 |
$947.48
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,639.00 |
$1,639.00 |
$1,639.00 |
$1,435.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$563.00 |
$563.00 |
$563.00 |
$976.98
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$2,225.73
|
|
Ghs urine, porphyrins quant
|
$172.00 |
$172.00 |
$172.00 |
$70.20
|
|
Ghs vaginal delivery only
|
$158.00 |
$158.00 |
$158.00 |
$3,525.06
|
|
Gi inhouse confirmation
|
$161.00 |
$161.00 |
$161.00 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,119.00 |
$3,119.00 |
$3,119.00 |
$2,382.90
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,667.75 |
$1,667.75 |
$1,667.75 |
$496.93
|
|
Glucagon plasma - sendout
|
$184.00 |
$184.00 |
$184.00 |
$58.56
|
|
Glucose 1 hr post dose
|
$62.00 |
$62.00 |
$62.00 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$77.00 |
$77.00 |
$77.00 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$42.00 |
$42.00 |
$42.00 |
$22.00
|
|
Glucose blood quantitative
|
$73.00 |
$73.00 |
$73.00 |
$44.76
|
|
Glucose body fluid
|
$72.00 |
$72.00 |
$72.00 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$133.00 |
$133.00 |
$133.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$41.00 |
$41.00 |
$41.00 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$197.50 |
$197.50 |
$197.50 |
$49.20
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$251.00 |
$251.00 |
$251.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$219.00 |
$219.00 |
$219.00 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$77.00 |
$77.00 |
$77.00 |
$672.50
|
|
Graft patch felt ptfe 2x2
|
$15,740.00 |
$15,740.00 |
$15,740.00 |
$25,515.36
|
