|
Ganciclovir long act implant
|
$5,768.70 |
$5,768.70 |
$5,768.70 |
$68,716.05
|
|
Gastroesophageal reflux study
|
$699.48 |
$699.48 |
$699.48 |
$1,031.60
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$738.18 |
$738.18 |
$738.18 |
$2,376.00
|
|
Gastro/jejuno tube, std
|
$247.14 |
$247.14 |
$247.14 |
$337.96
|
|
Gated heart multiple
|
$595.44 |
$595.44 |
$595.44 |
$1,395.35
|
|
Gba gene
|
$8.51 |
$8.51 |
$8.51 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$63.60 |
$63.60 |
$63.60 |
$208.92
|
|
General health panel
|
$207.36 |
$207.36 |
$207.36 |
$262.44
|
|
Generator barostim neo2 2014
|
$16,402.50 |
$16,402.50 |
$16,402.50 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$48,898.98 |
$48,898.98 |
$48,898.98 |
$36,771.84
|
|
Genetic tstg severe inh cond
|
$306.45 |
$306.45 |
$306.45 |
$3,978.65
|
|
Genome sequence analysis
|
$558.00 |
$558.00 |
$558.00 |
$5,031.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$34.20 |
$34.20 |
$34.20 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$147.24 |
$147.24 |
$147.24 |
$123.84
|
|
Ghs abscess perianal iandd
|
$60.84 |
$60.84 |
$60.84 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$987.48 |
$987.48 |
$987.48 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$1.41 |
$1.41 |
$1.41 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$23.76 |
$23.76 |
$23.76 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$140.40 |
$140.40 |
$140.40 |
$403.38
|
|
Ghs antibodies (torch) igm
|
$1.87 |
$1.87 |
$1.87 |
$69.12
|
|
Ghs bleeding time (ivy)
|
$105.30 |
$105.30 |
$105.30 |
$64.08
|
|
Ghs block ilioinguinal/gentitofemoral
|
$35.46 |
$35.46 |
$35.46 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$1,594.80 |
$1,594.80 |
$1,594.80 |
$2,499.90
|
|
Ghs chemo >8 hrs
|
$517.86 |
$517.86 |
$517.86 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$238.86 |
$238.86 |
$238.86 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$5.61 |
$5.61 |
$5.61 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$187.20 |
$187.20 |
$187.20 |
$510.40
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$297.54 |
$297.54 |
$297.54 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$337.32 |
$337.32 |
$337.32 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$528.48 |
$528.48 |
$528.48 |
$3,448.80
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$338.58 |
$338.58 |
$338.58 |
$2,319.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$221.76 |
$221.76 |
$221.76 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$66.06 |
$66.06 |
$66.06 |
$89.00
|
|
Ghs cutdown placement age 1 and over
|
$95.76 |
$95.76 |
$95.76 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$30.96 |
$30.96 |
$30.96 |
$190.30
|
|
Ghs dislocation elbow closed treatment
|
$239.58 |
$239.58 |
$239.58 |
$583.80
|
|
Ghs ed rmvl or bivalving cast
|
$107.46 |
$107.46 |
$107.46 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$777.24 |
$777.24 |
$777.24 |
$1,381.60
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$181.80 |
$181.80 |
$181.80 |
$467.00
|
|
Ghs excision ingrown nail
|
$206.82 |
$206.82 |
$206.82 |
$442.61
|
|
Ghs fb removal from muscle - complicated
|
$166.32 |
$166.32 |
$166.32 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$901.62 |
$901.62 |
$901.62 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$100.80 |
$100.80 |
$100.80 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$95.76 |
$95.76 |
$95.76 |
$48.10
|
|
Ghs fish cytogen
|
$27.00 |
$27.00 |
$27.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$31.34 |
$31.34 |
$31.34 |
$225.00
|
|
Ghs flow volume loop
|
$97.38 |
$97.38 |
$97.38 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$512.28 |
$512.28 |
$512.28 |
$365.40
|
|
Ghs histoplasma antigen
|
$1.82 |
$1.82 |
$1.82 |
$141.00
|
|
Ghs HIV antibody
|
$124.56 |
$124.56 |
$124.56 |
$90.00
|
|
Ghs i and d perirectal abscess 46040
|
$289.26 |
$289.26 |
$289.26 |
$2,766.00
|
|
Ghs inf midline insertion
|
$1,404.36 |
$1,404.36 |
$1,404.36 |
$1,219.20
|
|
Ghs inhibitor screen
|
$2.06 |
$2.06 |
$2.06 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$28.98 |
$28.98 |
$28.98 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$79.74 |
$79.74 |
$79.74 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$157.14 |
$157.14 |
$157.14 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$39.78 |
$39.78 |
$39.78 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$129.24 |
$129.24 |
$129.24 |
$1,814.80
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$160.38 |
$160.38 |
$160.38 |
$865.60
|
|
Ghs intro needle/intracath vein - 36000
|
$72.18 |
$72.18 |
$72.18 |
$202.47
|
|
Ghs IV thrombolytics - cerebral
|
$412.92 |
$412.92 |
$412.92 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$282.78 |
$282.78 |
$282.78 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$97.74 |
$97.74 |
$97.74 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$349.38 |
$349.38 |
$349.38 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$133.92 |
$133.92 |
$133.92 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$467.10 |
$467.10 |
$467.10 |
$690.36
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$137.34 |
$137.34 |
$137.34 |
$770.40
|
|
Ghs leukocyte alkaline phos (mayo)
|
$62.46 |
$62.46 |
$62.46 |
$73.50
|
|
Ghs low level laser therapy
|
$149.76 |
$149.76 |
$149.76 |
$85.00
|
|
Ghs mbp
|
$2.75 |
$2.75 |
$2.75 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$249.66 |
$249.66 |
$249.66 |
$242.64
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$249.66 |
$249.66 |
$249.66 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$166.86 |
$166.86 |
$166.86 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$124.74 |
$124.74 |
$124.74 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$39.42 |
$39.42 |
$39.42 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$15.66 |
$15.66 |
$15.66 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$32.94 |
$32.94 |
$32.94 |
$184.80
|
|
Ghs nailbed repair/nail removal
|
$259.02 |
$259.02 |
$259.02 |
$724.37
|
|
Ghs nerve blk intercostal, single level
|
$38.16 |
$38.16 |
$38.16 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$41.58 |
$41.58 |
$41.58 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$316.80 |
$316.80 |
$316.80 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$62.64 |
$62.64 |
$62.64 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$50.76 |
$50.76 |
$50.76 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$56.52 |
$56.52 |
$56.52 |
$1,671.75
|
|
Ghs nerve block suprascapular
|
$257.58 |
$257.58 |
$257.58 |
$1,183.50
|
|
Ghs opcc repair cvp without subq port
|
$765.00 |
$765.00 |
$765.00 |
$1,229.24
|
|
Ghs ot dds rom
|
$62.28 |
$62.28 |
$62.28 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$49.14 |
$49.14 |
$49.14 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$118.80 |
$118.80 |
$118.80 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$99.72 |
$99.72 |
$99.72 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$176.22 |
$176.22 |
$176.22 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$58.14 |
$58.14 |
$58.14 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$50.04 |
$50.04 |
$50.04 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$51.66 |
$51.66 |
$51.66 |
$75.00
|
|
Ghs phenylketonurid
|
$2.16 |
$2.16 |
$2.16 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,594.80 |
$1,594.80 |
$1,594.80 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$216.72 |
$216.72 |
$216.72 |
$564.50
|
|
Ghs plt ct-manual
|
$36.18 |
$36.18 |
$36.18 |
$37.96
|
|
Ghs polysom <6 yrs 4/> parameters
|
$538.02 |
$538.02 |
$538.02 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$46.80 |
$46.80 |
$46.80 |
$37.44
|
