|
Gallbladder Function Scan (HIDA with Medication)
|
$1,502.78 |
$1,502.78 |
$1,502.78 |
$1,615.00
|
|
Gammaglobulin iga
|
$38.81 |
$38.81 |
$38.81 |
$69.60
|
|
Gammaglobulin ige
|
$35.73 |
$35.73 |
$35.73 |
$83.85
|
|
Gamma glutamyltransferase
|
$38.19 |
$38.19 |
$38.19 |
$57.54
|
|
Generator barostim neo2 2014
|
$58,584.64 |
$58,584.64 |
$58,584.64 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$61,251.84 |
$61,251.84 |
$61,251.84 |
$36,467.76
|
|
Gentamicin peak therapeutic drug level
|
$30.80 |
$30.80 |
$30.80 |
$123.84
|
|
Ghs abscess perianal iandd
|
$103.62 |
$103.62 |
$103.62 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$185.61 |
$185.61 |
$185.61 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$36.34 |
$36.34 |
$36.34 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$32.03 |
$32.03 |
$32.03 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$524.56 |
$524.56 |
$524.56 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$32.52 |
$32.52 |
$32.52 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$40.74 |
$40.74 |
$40.74 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$229.72 |
$229.72 |
$229.72 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$224.44 |
$224.44 |
$224.44 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$195.16 |
$195.16 |
$195.16 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$40.24 |
$40.24 |
$40.24 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$165.18 |
$165.18 |
$165.18 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$219.10 |
$219.10 |
$219.10 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$269.10 |
$269.10 |
$269.10 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$590.52 |
$590.52 |
$590.52 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$664.46 |
$664.46 |
$664.46 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$773.11 |
$773.11 |
$773.11 |
$2,227.20
|
|
Ghs clsd red med malleolus fx without manip
|
$479.86 |
$479.86 |
$479.86 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$680.56 |
$680.56 |
$680.56 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$776.13 |
$776.13 |
$776.13 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$760.54 |
$760.54 |
$760.54 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$321.92 |
$321.92 |
$321.92 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$69.50 |
$69.50 |
$69.50 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$56.84 |
$56.84 |
$56.84 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$45.27 |
$45.27 |
$45.27 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$64.89 |
$64.89 |
$64.89 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$79.98 |
$79.98 |
$79.98 |
$339.60
|
|
Ghs cricothyroidotomy
|
$352.60 |
$352.60 |
$352.60 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$42.25 |
$42.25 |
$42.25 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$50.80 |
$50.80 |
$50.80 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$46.56 |
$46.56 |
$46.56 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$529.16 |
$529.16 |
$529.16 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$115.19 |
$115.19 |
$115.19 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$35.21 |
$35.21 |
$35.21 |
$338.40
|
|
Ghs excision ingrown nail
|
$96.07 |
$96.07 |
$96.07 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$179.07 |
$179.07 |
$179.07 |
$510.00
|
|
Ghs fb removal - incisional
|
$193.66 |
$193.66 |
$193.66 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$153.42 |
$153.42 |
$153.42 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$15.52 |
$15.52 |
$15.52 |
$48.10
|
|
Ghs fish cytogen
|
$177.34 |
$177.34 |
$177.34 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$100.41 |
$100.41 |
$100.41 |
$226.20
|
|
Ghs flow volume loop
|
$181.44 |
$181.44 |
$181.44 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$23.64 |
$23.64 |
$23.64 |
$368.50
|
|
Ghs hcv amplificaiton
|
$70.81 |
$70.81 |
$70.81 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$176.62 |
$176.62 |
$176.62 |
$144.54
|
|
Ghs histoplasma antigen
|
$101.54 |
$101.54 |
$101.54 |
$142.00
|
|
Ghs HIV antibody
|
$31.04 |
$31.04 |
$31.04 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$337.01 |
$337.01 |
$337.01 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$441.63 |
$441.63 |
$441.63 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$179.07 |
$179.07 |
$179.07 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$124.82 |
$124.82 |
$124.82 |
$707.25
|
|
Ghs immun0electrophoresis
|
$66.51 |
$66.51 |
$66.51 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$113.68 |
$113.68 |
$113.68 |
$526.50
|
|
Ghs inhibitor screen
|
$140.18 |
$140.18 |
$140.18 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$48.29 |
$48.29 |
$48.29 |
$275.88
|
|
Ghs insertion of needle - bone
|
$239.30 |
$239.30 |
$239.30 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$252.00 |
$252.00 |
$252.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$296.27 |
$296.27 |
$296.27 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$346.06 |
$346.06 |
$346.06 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$9.56 |
$9.56 |
$9.56 |
$200.20
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$160.96 |
$160.96 |
$160.96 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$158.44 |
$158.44 |
$158.44 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$153.42 |
$153.42 |
$153.42 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$176.55 |
$176.55 |
$176.55 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$208.74 |
$208.74 |
$208.74 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$205.22 |
$205.22 |
$205.22 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$225.34 |
$225.34 |
$225.34 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$214.78 |
$214.78 |
$214.78 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$223.84 |
$223.84 |
$223.84 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$230.88 |
$230.88 |
$230.88 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$282.18 |
$282.18 |
$282.18 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$314.88 |
$314.88 |
$314.88 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$329.97 |
$329.97 |
$329.97 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$403.41 |
$403.41 |
$403.41 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$368.20 |
$368.20 |
$368.20 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$446.16 |
$446.16 |
$446.16 |
$1,064.98
|
|
Ghs mbp
|
$38.81 |
$38.81 |
$38.81 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$204.93 |
$204.93 |
$204.93 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$226.20 |
$226.20 |
$226.20 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$291.06 |
$291.06 |
$291.06 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$103.95 |
$103.95 |
$103.95 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$168.77 |
$168.77 |
$168.77 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$363.66 |
$363.66 |
$363.66 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$119.71 |
$119.71 |
$119.71 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,422.96 |
$1,422.96 |
$1,422.96 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,069.88 |
$1,069.88 |
$1,069.88 |
$1,160.00
|
|
Ghs nerve block brachial plexus
|
$170.53 |
$170.53 |
$170.53 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$217.41 |
$217.41 |
$217.41 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$367.26 |
$367.26 |
$367.26 |
$485.00
|
|
Ghs o2 saturation
|
$60.37 |
$60.37 |
$60.37 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$652.03 |
$652.03 |
$652.03 |
$1,236.67
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$25.15 |
$25.15 |
$25.15 |
$58.00
|
|
Ghs ot dds rom
|
$66.72 |
$66.72 |
$66.72 |
$69.00
|