|
Gastric emptying imag study
|
$1,184.90 |
$1,184.90 |
$1,184.90 |
$1,270.50
|
|
Gastrin test
|
$10.09 |
$10.09 |
$10.09 |
$44.80
|
|
Gated heart multiple
|
$1,928.67 |
$1,928.67 |
$1,928.67 |
$1,370.99
|
|
Gba gene
|
$31.60 |
$31.60 |
$31.60 |
$140.00
|
|
General health panel
|
$92.59 |
$92.59 |
$92.59 |
$280.50
|
|
Generator barostim neo2 2014
|
$121,116.71 |
$121,116.71 |
$121,116.71 |
$54,649.93
|
|
Generator emblem MRI sicd subq
|
$75,206.15 |
$75,206.15 |
$75,206.15 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$2,396.24 |
$2,396.24 |
$2,396.24 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$47.46 |
$47.46 |
$47.46 |
$63.06
|
|
Gentamicin peak therapeutic drug level
|
$143.16 |
$143.16 |
$143.16 |
$119.00
|
|
Ghs acetylcholinesterase, rbc
|
$11.67 |
$11.67 |
$11.67 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$104.26 |
$104.26 |
$104.26 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$12.67 |
$12.67 |
$12.67 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$357.88 |
$357.88 |
$357.88 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,325.72 |
$1,325.72 |
$1,325.72 |
$1,050.00
|
|
Ghs change cysto/gastrost
|
$526.71 |
$526.71 |
$526.71 |
$699.60
|
|
Ghs chemo IV push, ea addtl
|
$700.98 |
$700.98 |
$700.98 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$58.35 |
$58.35 |
$58.35 |
$134.55
|
|
Ghs cricothyroidotomy
|
$511.15 |
$511.15 |
$511.15 |
$1,207.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$683.09 |
$683.09 |
$683.09 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,353.72 |
$1,353.72 |
$1,353.72 |
$1,439.40
|
|
Ghs fish cytogen
|
$91.36 |
$91.36 |
$91.36 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$75.32 |
$75.32 |
$75.32 |
$229.45
|
|
Ghs histoplasma antigen
|
$68.47 |
$68.47 |
$68.47 |
$137.80
|
|
Ghs HIV antibody
|
$128.37 |
$128.37 |
$128.37 |
$91.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,664.65 |
$2,664.65 |
$2,664.65 |
$3,034.00
|
|
Ghs inf midline insertion
|
$631.74 |
$631.74 |
$631.74 |
$1,234.20
|
|
Ghs inhibitor screen
|
$71.98 |
$71.98 |
$71.98 |
$143.32
|
|
Ghs inj neurolytic intercostal nerve
|
$1,425.30 |
$1,425.30 |
$1,425.30 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$4,175.53 |
$4,175.53 |
$4,175.53 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$455.13 |
$455.13 |
$455.13 |
$431.07
|
|
Ghs intro needle/intracath vein - 36000
|
$1,992.46 |
$1,992.46 |
$1,992.46 |
$213.75
|
|
Ghs IV thrombolytics - cerebral
|
$757.00 |
$757.00 |
$757.00 |
$657.60
|
|
Ghs mbp
|
$18.29 |
$18.29 |
$18.29 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$252.08 |
$252.08 |
$252.08 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$400.67 |
$400.67 |
$400.67 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$400.67 |
$400.67 |
$400.67 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$400.67 |
$400.67 |
$400.67 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$400.67 |
$400.67 |
$400.67 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$1,418.30 |
$1,418.30 |
$1,418.30 |
$503.85
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,577.79 |
$1,577.79 |
$1,577.79 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,230.80 |
$1,230.80 |
$1,230.80 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$1,388.73 |
$1,388.73 |
$1,388.73 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$1,493.76 |
$1,493.76 |
$1,493.76 |
$1,768.00
|
|
Ghs nerve block interscaline
|
$1,656.37 |
$1,656.37 |
$1,656.37 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,931.00 |
$1,931.00 |
$1,931.00 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$1,032.41 |
$1,032.41 |
$1,032.41 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$1,087.65 |
$1,087.65 |
$1,087.65 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$494.81 |
$494.81 |
$494.81 |
$468.75
|
|
Ghs opcc repair cvp without subq port
|
$721.99 |
$721.99 |
$721.99 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$1,289.93 |
$1,289.93 |
$1,289.93 |
$2,430.56
|
|
Ghs pacing - transcutaneous
|
$4,979.98 |
$4,979.98 |
$4,979.98 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$348.55 |
$348.55 |
$348.55 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$2,237.53 |
$2,237.53 |
$2,237.53 |
$1,003.00
|
|
Ghs picc line insert < 5
|
$3,660.49 |
$3,660.49 |
$3,660.49 |
$2,060.40
|
|
Ghs plt ct-manual
|
$59.13 |
$59.13 |
$59.13 |
$39.20
|
|
Ghs prostatic acid phosphatase (mayo)
|
$9.15 |
$9.15 |
$9.15 |
$40.56
|
|
Ghs protoporphyrins fract
|
$41.17 |
$41.17 |
$41.17 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$118.26 |
$118.26 |
$118.26 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$9.40 |
$9.40 |
$9.40 |
$45.05
|
|
Ghs rsv eia (respir synctial vrs)
|
$32.68 |
$32.68 |
$32.68 |
$101.15
|
|
Ghs sensitivity (per antimicro)
|
$45.91 |
$45.91 |
$45.91 |
$59.90
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,899.10 |
$1,899.10 |
$1,899.10 |
$1,435.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$136.93 |
$136.93 |
$136.93 |
$93.75
|
|
Ghs tracheostomy emergency - transtracheal
|
$3,415.42 |
$3,415.42 |
$3,415.42 |
$2,225.73
|
|
Ghs urine, porphyrins quant
|
$20.23 |
$20.23 |
$20.23 |
$70.20
|
|
Gi inhouse confirmation
|
$117.48 |
$117.48 |
$117.48 |
$87.00
|
|
Glucagon 1 mg solution for injection
|
$1,829.08 |
$1,829.08 |
$1,829.08 |
$640.92
|
|
Glucagon plasma - sendout
|
$15.55 |
$15.55 |
$15.55 |
$58.56
|
|
Glucose 1 hr post dose
|
$88.70 |
$88.70 |
$88.70 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$38.90 |
$38.90 |
$38.90 |
$22.00
|
|
Glucose blood quantitative
|
$82.47 |
$82.47 |
$82.47 |
$44.76
|
|
Glucose body fluid
|
$39.68 |
$39.68 |
$39.68 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$339.21 |
$339.21 |
$339.21 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$97.25 |
$97.25 |
$97.25 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$375.00 |
$375.00 |
$375.00 |
$49.20
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$7.78 |
$7.78 |
$7.78 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$6.42 |
$6.42 |
$6.42 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,704.57 |
$4,704.57 |
$4,704.57 |
$2,052.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$38,593.47 |
$38,593.47 |
$38,593.47 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$42,452.35 |
$42,452.35 |
$42,452.35 |
$22,428.49
|
|
Graft patch felt ptfe 2x2
|
$29,558.56 |
$29,558.56 |
$29,558.56 |
$27,317.20
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$2,139.50 |
$2,139.50 |
$2,139.50 |
$1,315.71
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$10,345.85 |
$10,345.85 |
$10,345.85 |
$1,126.25
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$2,139.50 |
$2,139.50 |
$2,139.50 |
$3,431.03
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$46,697.90 |
$46,697.90 |
$46,697.90 |
$34,428.00
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,704.57 |
$4,704.57 |
$4,704.57 |
$975.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$75,206.15 |
$75,206.15 |
$75,206.15 |
$36,542.81
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,139.50 |
$2,139.50 |
$2,139.50 |
$2,677.50
|
|
Granulocyte pheresis ea unit
|
$3,073.10 |
$3,073.10 |
$3,073.10 |
$2,920.32
|
|
Growth hormone antibody
|
$92.66 |
$92.66 |
$92.66 |
$40.00
|
|
G-tube reposition
|
$982.62 |
$982.62 |
$982.62 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$388.23 |
$388.23 |
$388.23 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$3,617.70 |
$3,617.70 |
$3,617.70 |
$3,028.48
|
|
Guide worley csg 9fx50cm std
|
$2,782.13 |
$2,782.13 |
$2,782.13 |
$945.75
|
|
Gw stiffened micro access kit
|
$6,118.20 |
$6,118.20 |
$6,118.20 |
$5,485.50
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$112.04 |
$112.04 |
$112.04 |
$36.04
|
|
Haptoglobin quantitative
|
$36.80 |
$36.80 |
$36.80 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$363.72 |
$363.72 |
$363.72 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$272.30 |
$272.30 |
$272.30 |
$406.25
|