|
Fusion/graft of finger joint
|
$517.94 |
$517.94 |
$517.94 |
$3,839.54
|
|
Fusion/graft of hand joint
|
$577.22 |
$577.22 |
$577.22 |
$5,886.74
|
|
Fusion of ankle joint open
|
$663.29 |
$663.29 |
$663.29 |
$10,629.07
|
|
Fusion of big toe joint
|
$383.99 |
$383.99 |
$383.99 |
$5,488.00
|
|
Fusion of big toe joint
|
$227.05 |
$227.05 |
$227.05 |
$6,839.00
|
|
Fusion of finger jnt add-on
|
$64.98 |
$64.98 |
$64.98 |
$192.40
|
|
Fusion of finger joint
|
$417.81 |
$417.81 |
$417.81 |
$4,350.00
|
|
Fusion of finger tendons
|
$448.59 |
$448.59 |
$448.59 |
$3,839.54
|
|
Fusion of finger tendons
|
$441.75 |
$441.75 |
$441.75 |
$1,893.86
|
|
Fusion of foot bones
|
$482.79 |
$482.79 |
$482.79 |
$6,411.60
|
|
Fusion of foot bones
|
$516.61 |
$516.61 |
$516.61 |
$14,061.89
|
|
Fusion of foot bones
|
$410.40 |
$410.40 |
$410.40 |
$5,110.00
|
|
Fusion of knee
|
$965.01 |
$965.01 |
$965.01 |
$5,486.00
|
|
Fusion of knuckle
|
$496.47 |
$496.47 |
$496.47 |
$6,311.00
|
|
Fusion of knuckle joint
|
$502.55 |
$502.55 |
$502.55 |
$3,786.00
|
|
Fusion of knuckle with graft
|
$562.21 |
$562.21 |
$562.21 |
$6,311.00
|
|
Fusion of tendons at wrist
|
$463.79 |
$463.79 |
$463.79 |
$3,545.97
|
|
Fusion of tendons at wrist
|
$433.01 |
$433.01 |
$433.01 |
$3,821.05
|
|
Fusion of thumb
|
$522.12 |
$522.12 |
$522.12 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$458.28 |
$458.28 |
$458.28 |
$8,299.09
|
|
Fusion of toes
|
$229.33 |
$229.33 |
$229.33 |
$3,839.54
|
|
Fusion of ureter & kidney
|
$777.86 |
$777.86 |
$777.86 |
$4,503.00
|
|
G0180 home health certification
|
$25.84 |
$25.84 |
$25.84 |
$116.00
|
|
G6pd full gene sequence
|
$171.00 |
$171.00 |
$171.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$33.21 |
$33.21 |
$33.21 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$216.79 |
$216.79 |
$216.79 |
$121.73
|
|
Gabapentin non-blood
|
$3.04 |
$3.04 |
$3.04 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.36 |
$0.36 |
$0.36 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$1.72 |
$1.72 |
$1.72 |
$121.12
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1.73 |
$1.73 |
$1.73 |
$249.80
|
|
Galectin-3
|
$8.41 |
$8.41 |
$8.41 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$423.89 |
$423.89 |
$423.89 |
$12,906.50
|
|
Gammaglobulin iga
|
$36.10 |
$36.10 |
$36.10 |
$69.42
|
|
Gammaglobulin ige
|
$55.48 |
$55.48 |
$55.48 |
$83.40
|
|
Gamma glutamyltransferase
|
$38.38 |
$38.38 |
$38.38 |
$57.54
|
|
Gastric emptying imag study
|
$515.66 |
$515.66 |
$515.66 |
$1,364.00
|
|
Gastroduodenostomy
|
$644.86 |
$644.86 |
$644.86 |
$2,265.07
|
|
Gastroesophageal reflux study
|
$515.66 |
$515.66 |
$515.66 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$568.10 |
$568.10 |
$568.10 |
$1,352.00
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$852.91 |
$852.91 |
$852.91 |
$2,376.00
|
|
Gastrojejunostomy w/vagotomy
|
$830.87 |
$830.87 |
$830.87 |
$2,919.94
|
|
Gated heart multiple
|
$51.11 |
$51.11 |
$51.11 |
$1,395.35
|
|
General health panel
|
$150.10 |
$150.10 |
$150.10 |
$262.44
|
|
Generator barostim neo2 2014
|
$29,924.62 |
$29,924.62 |
$29,924.62 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$31,530.31 |
$31,530.31 |
$31,530.31 |
$36,771.84
|
|
Genetic tstg severe inh cond
|
$323.48 |
$323.48 |
$323.48 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$19,000.00 |
$19,000.00 |
$19,000.00 |
$40,800.00
|
|
Genome sequence analysis
|
$589.00 |
$589.00 |
$589.00 |
$5,031.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$14.42 |
$14.42 |
$14.42 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$76.00 |
$76.00 |
$76.00 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$37.24 |
$37.24 |
$37.24 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$68.02 |
$68.02 |
$68.02 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$2,183.48 |
$2,183.48 |
$2,183.48 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$1.49 |
$1.49 |
$1.49 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$25.08 |
$25.08 |
$25.08 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$19.43 |
$19.43 |
$19.43 |
$403.38
|
|
Ghs antibodies (torch) igm
|
$1.98 |
$1.98 |
$1.98 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$277.40 |
$277.40 |
$277.40 |
$343.68
|
|
Ghs bleeding time (ivy)
|
$111.15 |
$111.15 |
$111.15 |
$64.08
|
|
Ghs block ilioinguinal/gentitofemoral
|
$35.53 |
$35.53 |
$35.53 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$1,899.62 |
$1,899.62 |
$1,899.62 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$228.76 |
$228.76 |
$228.76 |
$594.55
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$36.48 |
$36.48 |
$36.48 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$183.92 |
$183.92 |
$183.92 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$265.05 |
$265.05 |
$265.05 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$292.79 |
$292.79 |
$292.79 |
$1,554.70
|
|
Ghs closed tx radiocarpal disloc w manip
|
$310.84 |
$310.84 |
$310.84 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$332.12 |
$332.12 |
$332.12 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$523.07 |
$523.07 |
$523.07 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$216.98 |
$216.98 |
$216.98 |
$494.40
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$333.64 |
$333.64 |
$333.64 |
$2,319.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$217.93 |
$217.93 |
$217.93 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$30.40 |
$30.40 |
$30.40 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$23.75 |
$23.75 |
$23.75 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$19.00 |
$19.00 |
$19.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$26.60 |
$26.60 |
$26.60 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$32.87 |
$32.87 |
$32.87 |
$339.60
|
|
Ghs cricothyroidotomy
|
$206.53 |
$206.53 |
$206.53 |
$1,103.75
|
|
Ghs cutdown placement age 1 and over
|
$611.23 |
$611.23 |
$611.23 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$31.16 |
$31.16 |
$31.16 |
$190.30
|
|
Ghs dislocation elbow closed treatment
|
$235.79 |
$235.79 |
$235.79 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$66.88 |
$66.88 |
$66.88 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$195.13 |
$195.13 |
$195.13 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$614.27 |
$614.27 |
$614.27 |
$1,381.60
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$46.55 |
$46.55 |
$46.55 |
$467.00
|
|
Ghs excision ingrown nail
|
$137.37 |
$137.37 |
$137.37 |
$442.61
|
|
Ghs eye exam
|
$21.28 |
$21.28 |
$21.28 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$77.52 |
$77.52 |
$77.52 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$209.76 |
$209.76 |
$209.76 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$164.35 |
$164.35 |
$164.35 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$121.41 |
$121.41 |
$121.41 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$99.56 |
$99.56 |
$99.56 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$21.09 |
$21.09 |
$21.09 |
$48.10
|
|
Ghs fish cytogen
|
$20.28 |
$20.28 |
$20.28 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$33.08 |
$33.08 |
$33.08 |
$225.00
|
|
Ghs flow volume loop
|
$6.65 |
$6.65 |
$6.65 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$231.80 |
$231.80 |
$231.80 |
$365.40
|
|
Ghs hcv amplificaiton
|
$69.78 |
$69.78 |
$69.78 |
$203.45
|
|
Ghs histoplasma antigen
|
$1.92 |
$1.92 |
$1.92 |
$141.00
|
|
Ghs HIV antibody
|
$79.04 |
$79.04 |
$79.04 |
$90.00
|
