|
Gel-syn injection 0.1 mg
|
$1.16 |
$1.16 |
$1.16 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$116.33 |
$116.33 |
$116.33 |
$208.92
|
|
General health panel
|
$163.00 |
$163.00 |
$163.00 |
$261.00
|
|
Generator barostim neo2 2014
|
$16,300.00 |
$16,300.00 |
$16,300.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$22,831.60 |
$22,831.60 |
$22,831.60 |
$36,771.84
|
|
Genetic tstg severe inh cond
|
$340.50 |
$340.50 |
$340.50 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$20,000.00 |
$20,000.00 |
$20,000.00 |
$40,800.00
|
|
Genome sequence analysis
|
$620.00 |
$620.00 |
$620.00 |
$5,031.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$13.11 |
$13.11 |
$13.11 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$59.40 |
$59.40 |
$59.40 |
$121.75
|
|
G-esoph reflx tst w/electrod
|
$1,018.80 |
$1,018.80 |
$1,018.80 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$292.40 |
$292.40 |
$292.40 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$3,151.80 |
$3,151.80 |
$3,151.80 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$1.57 |
$1.57 |
$1.57 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$17.20 |
$17.20 |
$17.20 |
$100.30
|
|
Ghs analysis neurostim without reprogramming
|
$18.60 |
$18.60 |
$18.60 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$2.08 |
$2.08 |
$2.08 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$105.00 |
$105.00 |
$105.00 |
$343.68
|
|
Ghs bleeding time (ivy)
|
$27.40 |
$27.40 |
$27.40 |
$62.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$190.60 |
$190.60 |
$190.60 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$56.20 |
$56.20 |
$56.20 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$159.40 |
$159.40 |
$159.40 |
$594.55
|
|
Ghs chemo >8 hrs
|
$117.40 |
$117.40 |
$117.40 |
$698.65
|
|
Ghs chemo infusion >8 hrs
|
$93.40 |
$93.40 |
$93.40 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$126.40 |
$126.40 |
$126.40 |
$275.51
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$76.00 |
$76.00 |
$76.00 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$214.20 |
$214.20 |
$214.20 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$279.00 |
$279.00 |
$279.00 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$308.20 |
$308.20 |
$308.20 |
$1,554.70
|
|
Ghs closed tx radiocarpal disloc w manip
|
$327.20 |
$327.20 |
$327.20 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$385.60 |
$385.60 |
$385.60 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,073.20 |
$2,073.20 |
$2,073.20 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$248.60 |
$248.60 |
$248.60 |
$494.40
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$393.60 |
$393.60 |
$393.60 |
$2,319.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$250.60 |
$250.60 |
$250.60 |
$497.53
|
|
Ghs conjunctiva foreign body-embed bil
|
$109.80 |
$109.80 |
$109.80 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$49.80 |
$49.80 |
$49.80 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$42.60 |
$42.60 |
$42.60 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$48.00 |
$48.00 |
$48.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$223.60 |
$223.60 |
$223.60 |
$1,103.75
|
|
Ghs dislocation elbow closed treatment
|
$276.00 |
$276.00 |
$276.00 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$70.40 |
$70.40 |
$70.40 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$47.60 |
$47.60 |
$47.60 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$684.20 |
$684.20 |
$684.20 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$146.60 |
$146.60 |
$146.60 |
$555.80
|
|
Ghs elect vertical elct
|
$15.60 |
$15.60 |
$15.60 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$348.80 |
$348.80 |
$348.80 |
$467.00
|
|
Ghs excision ingrown nail
|
$118.80 |
$118.80 |
$118.80 |
$442.61
|
|
Ghs eye exam
|
$43.00 |
$43.00 |
$43.00 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$187.00 |
$187.00 |
$187.00 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$325.20 |
$325.20 |
$325.20 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$856.80 |
$856.80 |
$856.80 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$485.00 |
$485.00 |
$485.00 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$518.60 |
$518.60 |
$518.60 |
$1,706.20
|
|
Ghs fish cytogen
|
$100.18 |
$100.18 |
$100.18 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$34.82 |
$34.82 |
$34.82 |
$225.00
|
|
Ghs flow volume loop
|
$210.00 |
$210.00 |
$210.00 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$263.80 |
$263.80 |
$263.80 |
$365.40
|
|
Ghs histoplasma antigen
|
$2.02 |
$2.02 |
$2.02 |
$138.00
|
|
Ghs HIV antibody
|
$35.80 |
$35.80 |
$35.80 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,223.00 |
$1,223.00 |
$1,223.00 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$394.00 |
$394.00 |
$394.00 |
$2,671.25
|
|
Ghs i and d pilonidal cyst complex
|
$241.00 |
$241.00 |
$241.00 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$655.60 |
$655.60 |
$655.60 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$147.40 |
$147.40 |
$147.40 |
$520.80
|
|
Ghs indirect laryngoscopy/w fb removal
|
$147.60 |
$147.60 |
$147.60 |
$350.90
|
|
Ghs inf midline insertion
|
$56.80 |
$56.80 |
$56.80 |
$1,219.20
|
|
Ghs inhibitor screen
|
$2.29 |
$2.29 |
$2.29 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$56.40 |
$56.40 |
$56.40 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$148.20 |
$148.20 |
$148.20 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$178.20 |
$178.20 |
$178.20 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$40.60 |
$40.60 |
$40.60 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$95.60 |
$95.60 |
$95.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$189.40 |
$189.40 |
$189.40 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$39.40 |
$39.40 |
$39.40 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$275.20 |
$275.20 |
$275.20 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$305.60 |
$305.60 |
$305.60 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$949.60 |
$949.60 |
$949.60 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$32.60 |
$32.60 |
$32.60 |
$202.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$90.60 |
$90.60 |
$90.60 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$18.40 |
$18.40 |
$18.40 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$706.60 |
$706.60 |
$706.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$107.60 |
$107.60 |
$107.60 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,206.20 |
$1,206.20 |
$1,206.20 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$187.60 |
$187.60 |
$187.60 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$201.00 |
$201.00 |
$201.00 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$223.80 |
$223.80 |
$223.80 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$220.20 |
$220.20 |
$220.20 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$257.60 |
$257.60 |
$257.60 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$237.20 |
$237.20 |
$237.20 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$271.80 |
$271.80 |
$271.80 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$269.80 |
$269.80 |
$269.80 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$291.80 |
$291.80 |
$291.80 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$207.00 |
$207.00 |
$207.00 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$351.00 |
$351.00 |
$351.00 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$266.80 |
$266.80 |
$266.80 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$240.20 |
$240.20 |
$240.20 |
$1,897.70
|
|
Ghs layered repair over 3.0 cm -12057
|
$290.20 |
$290.20 |
$290.20 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$1.90 |
$1.90 |
$1.90 |
$72.60
|
|
Ghs low level laser therapy
|
$72.60 |
$72.60 |
$72.60 |
$85.00
|
