|
Gel-one
|
$1,064.03 |
$1,064.03 |
$1,064.03 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$0.85 |
$0.85 |
$0.85 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$103.55 |
$103.55 |
$103.55 |
$208.92
|
|
General health panel
|
$394.74 |
$394.74 |
$394.74 |
$262.44
|
|
Generator barostim neo2 2014
|
$18,589.50 |
$18,589.50 |
$18,589.50 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$24,594.88 |
$24,594.88 |
$24,594.88 |
$36,771.84
|
|
Genetic tstg severe inh cond
|
$289.43 |
$289.43 |
$289.43 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$23,460.00 |
$23,460.00 |
$23,460.00 |
$40,800.00
|
|
Genome sequence analysis
|
$527.00 |
$527.00 |
$527.00 |
$5,031.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$18.75 |
$18.75 |
$18.75 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$232.39 |
$232.39 |
$232.39 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$603.33 |
$603.33 |
$603.33 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$346.63 |
$346.63 |
$346.63 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$1,126.93 |
$1,126.93 |
$1,126.93 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$1.33 |
$1.33 |
$1.33 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$22.44 |
$22.44 |
$22.44 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$132.60 |
$132.60 |
$132.60 |
$403.38
|
|
Ghs analysis neurostim without reprogramming
|
$15.81 |
$15.81 |
$15.81 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$1.77 |
$1.77 |
$1.77 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$89.25 |
$89.25 |
$89.25 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$448.97 |
$448.97 |
$448.97 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$47.77 |
$47.77 |
$47.77 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$267.92 |
$267.92 |
$267.92 |
$594.55
|
|
Ghs chemo >8 hrs
|
$374.34 |
$374.34 |
$374.34 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$71.23 |
$71.23 |
$71.23 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$123.42 |
$123.42 |
$123.42 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$5.30 |
$5.30 |
$5.30 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$182.07 |
$182.07 |
$182.07 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$237.15 |
$237.15 |
$237.15 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$261.97 |
$261.97 |
$261.97 |
$1,554.70
|
|
Ghs closed tx radiocarpal disloc w manip
|
$278.12 |
$278.12 |
$278.12 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$327.76 |
$327.76 |
$327.76 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$790.33 |
$790.33 |
$790.33 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$211.31 |
$211.31 |
$211.31 |
$494.40
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$334.56 |
$334.56 |
$334.56 |
$2,319.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$213.01 |
$213.01 |
$213.01 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$24.82 |
$24.82 |
$24.82 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$125.97 |
$125.97 |
$125.97 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$63.07 |
$63.07 |
$63.07 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$122.40 |
$122.40 |
$122.40 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$40.80 |
$40.80 |
$40.80 |
$339.60
|
|
Ghs cricothyroidotomy
|
$184.79 |
$184.79 |
$184.79 |
$1,103.75
|
|
Ghs dislocation elbow closed treatment
|
$234.60 |
$234.60 |
$234.60 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$343.57 |
$343.57 |
$343.57 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$82.45 |
$82.45 |
$82.45 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$59.33 |
$59.33 |
$59.33 |
$1,381.60
|
|
Ghs elect vertical elct
|
$13.26 |
$13.26 |
$13.26 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$91.63 |
$91.63 |
$91.63 |
$467.00
|
|
Ghs excision ingrown nail
|
$100.98 |
$100.98 |
$100.98 |
$442.61
|
|
Ghs eye exam
|
$36.55 |
$36.55 |
$36.55 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$158.95 |
$158.95 |
$158.95 |
$501.04
|
|
Ghs fat & muscle
|
$12.77 |
$12.77 |
$12.77 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$276.42 |
$276.42 |
$276.42 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$817.19 |
$817.19 |
$817.19 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$590.58 |
$590.58 |
$590.58 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$498.10 |
$498.10 |
$498.10 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$0.90 |
$0.90 |
$0.90 |
$48.10
|
|
Ghs fish cytogen
|
$18.15 |
$18.15 |
$18.15 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$29.60 |
$29.60 |
$29.60 |
$225.00
|
|
Ghs flow volume loop
|
$88.91 |
$88.91 |
$88.91 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$101.15 |
$101.15 |
$101.15 |
$365.40
|
|
Ghs hcv amplificaiton
|
$55.76 |
$55.76 |
$55.76 |
$203.45
|
|
Ghs histoplasma antigen
|
$1.72 |
$1.72 |
$1.72 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$765.34 |
$765.34 |
$765.34 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$805.63 |
$805.63 |
$805.63 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$455.94 |
$455.94 |
$455.94 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$455.94 |
$455.94 |
$455.94 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$125.29 |
$125.29 |
$125.29 |
$520.80
|
|
Ghs indirect laryngoscopy/w fb removal
|
$125.46 |
$125.46 |
$125.46 |
$350.90
|
|
Ghs inf midline insertion
|
$463.08 |
$463.08 |
$463.08 |
$1,219.20
|
|
Ghs inhibitor screen
|
$1.94 |
$1.94 |
$1.94 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$61.54 |
$61.54 |
$61.54 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$125.97 |
$125.97 |
$125.97 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,265.99 |
$1,265.99 |
$1,265.99 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$144.16 |
$144.16 |
$144.16 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$293.25 |
$293.25 |
$293.25 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$585.99 |
$585.99 |
$585.99 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$33.49 |
$33.49 |
$33.49 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$233.92 |
$233.92 |
$233.92 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$259.76 |
$259.76 |
$259.76 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$425.00 |
$425.00 |
$425.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$481.27 |
$481.27 |
$481.27 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$124.10 |
$124.10 |
$124.10 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$53.55 |
$53.55 |
$53.55 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$468.01 |
$468.01 |
$468.01 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$91.46 |
$91.46 |
$91.46 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$241.91 |
$241.91 |
$241.91 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$159.46 |
$159.46 |
$159.46 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$170.85 |
$170.85 |
$170.85 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$190.23 |
$190.23 |
$190.23 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$187.17 |
$187.17 |
$187.17 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$218.96 |
$218.96 |
$218.96 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$201.62 |
$201.62 |
$201.62 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$231.03 |
$231.03 |
$231.03 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$229.33 |
$229.33 |
$229.33 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$248.03 |
$248.03 |
$248.03 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$212.50 |
$212.50 |
$212.50 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$298.35 |
$298.35 |
$298.35 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$226.78 |
$226.78 |
$226.78 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$425.00 |
$425.00 |
$425.00 |
$1,897.70
|
