|
_fragile x methylation-sendout
|
$494.92 |
$494.92 |
$494.92 |
$174.00
|
|
Fragmenting of kidney stone
|
$50,739.84 |
$50,739.84 |
$50,739.84 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$961.02 |
$961.02 |
$961.02 |
$168.75
|
|
Fresh frozen plasma thawing ea un
|
$42.00 |
$42.00 |
$42.00 |
$123.90
|
|
Fructosamine glycated protein
|
$4.67 |
$4.67 |
$57.12 |
$60.42
|
|
Ftl cgen abnor four anal
|
$483.53 |
$483.53 |
$483.53 |
$211.83
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$166.21 |
$166.21 |
$166.21 |
$26.40
|
|
Ga-67 gallium 0.1 mci
|
$167.00 |
$167.00 |
$167.00 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$233.48 |
$233.48 |
$233.48 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$386.61 |
$386.61 |
$386.61 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$551.33 |
$551.33 |
$551.33 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$705.38 |
$705.38 |
$705.38 |
$210.50
|
|
Galactose transferase test
|
$206.04 |
$206.04 |
$206.04 |
$22.40
|
|
Gallbladder Removal (Laparoscopic)
|
$68,976.61 |
$68,976.61 |
$68,976.61 |
$6,904.15
|
|
Gammaglobulin iga
|
$105.65 |
$105.65 |
$105.65 |
$75.30
|
|
Gammaglobulin ige
|
$56.17 |
$56.17 |
$56.17 |
$85.00
|
|
Gamma glutamyltransferase
|
$140.36 |
$140.36 |
$751.00 |
$55.28
|
|
Gamunex-c/gammaked
|
$52,383.66 |
$52,383.66 |
$52,383.66 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$561.00 |
$561.00 |
$561.00 |
$209.07
|
|
Gated heart multiple
|
$4,619.51 |
$4,619.51 |
$6,622.00 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$110.67 |
$110.67 |
$425.10 |
$252.84
|
|
General health panel
|
$1,165.43 |
$1,165.43 |
$1,165.43 |
$280.50
|
|
Genetic tstg severe inh cond
|
$26,995.37 |
$26,995.37 |
$26,995.37 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$188.85 |
$188.85 |
$188.85 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$159.44 |
$159.44 |
$159.44 |
$119.00
|
|
Ghs abscess perianal iandd
|
$11,598.02 |
$11,598.02 |
$11,598.02 |
$1,530.50
|
|
Ghs acetylcholinesterase, rbc
|
$5.34 |
$5.34 |
$111.45 |
$42.21
|
|
Ghs analysis neurostim without reprogramming
|
$359.61 |
$359.61 |
$359.61 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$19.19 |
$19.19 |
$158.66 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$2,141.72 |
$2,141.72 |
$2,141.72 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$594.00 |
$594.00 |
$594.00 |
$55.90
|
|
Ghs central line insert < age 5, failed
|
$33,678.01 |
$33,678.01 |
$33,678.01 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$646.14 |
$646.14 |
$646.14 |
$699.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$441.45 |
$441.45 |
$441.45 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$20,501.01 |
$20,501.01 |
$20,501.01 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$534.99
|
|
Ghs clsd red med malleolus fx w manip
|
$4,882.52 |
$4,882.52 |
$4,882.52 |
$2,459.25
|
|
Ghs cl tx knee disl; wo anesth
|
$2,710.47 |
$2,710.47 |
$2,710.47 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$138.17 |
$138.17 |
$138.17 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$1,365.86 |
$1,365.86 |
$1,365.86 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$3,004.01 |
$3,004.01 |
$3,004.01 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$3,639.00 |
$3,639.00 |
$3,639.00 |
$368.16
|
|
Ghs diphtheria toxoid ab igg
|
$44.50 |
$44.50 |
$44.50 |
$72.05
|
|
Ghs dislocation elbow closed treatment
|
$3,181.25 |
$3,181.25 |
$3,181.25 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$3,732.56 |
$3,732.56 |
$3,732.56 |
$351.46
|
|
Ghs excision ingrown nail
|
$1,257.42 |
$1,257.42 |
$1,257.42 |
$457.60
|
|
Ghs fb removal foot - deep - left
|
$12,038.11 |
$12,038.11 |
$12,038.11 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$34,564.07 |
$34,564.07 |
$34,564.07 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$20,622.36 |
$20,622.36 |
$20,622.36 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$17,939.08 |
$17,939.08 |
$17,939.08 |
$1,794.93
|
|
Ghs fish cytogen
|
$175.00 |
$175.00 |
$236.16 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$332.00 |
$332.00 |
$564.38 |
$229.45
|
|
Ghs flow volume loop
|
$664.00 |
$664.00 |
$664.00 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$888.15 |
$888.15 |
$888.15 |
$403.20
|
|
Ghs hcv amplificaiton
|
$233.00 |
$233.00 |
$233.00 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$29.00 |
$29.00 |
$29.00 |
$106.05
|
|
Ghs histoplasma antigen
|
$85.50 |
$85.50 |
$176.67 |
$137.80
|
|
Ghs HIV antibody
|
$115.00 |
$115.00 |
$115.00 |
$91.00
|
|
Ghs i and d perirectal abscess 46040
|
$15,258.34 |
$15,258.34 |
$15,258.34 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$8,237.47 |
$8,237.47 |
$8,237.47 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$8,237.47 |
$8,237.47 |
$8,237.47 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$980.13 |
$980.13 |
$980.13 |
$543.60
|
|
Ghs inf midline insertion
|
$429.14 |
$429.14 |
$429.14 |
$1,234.20
|
|
Ghs inhibitor screen
|
$65.50 |
$65.50 |
$141.90 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$632.68 |
$632.68 |
$632.68 |
$300.30
|
|
Ghs insertion of needle - bone
|
$1,046.36 |
$1,046.36 |
$1,046.36 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$7,887.80 |
$7,887.80 |
$7,887.80 |
$1,160.28
|
|
Ghs irrigate corpora cavernosa for priapism
|
$2,287.72 |
$2,287.72 |
$2,287.72 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$15.67 |
$15.67 |
$15.67 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,230.75 |
$1,230.75 |
$1,230.75 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$7,887.80 |
$7,887.80 |
$7,887.80 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$5,322.06 |
$5,322.06 |
$5,322.06 |
$779.35
|
|
Ghs leukocyte alkaline phos (mayo)
|
$15.00 |
$15.00 |
$94.82 |
$59.40
|
|
Ghs mbp
|
$3.37 |
$3.37 |
$53.17 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$1,597.47 |
$1,597.47 |
$1,597.47 |
$261.80
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$1,597.47 |
$1,597.47 |
$2,862.00 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$599.74 |
$599.74 |
$599.74 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$545.22 |
$545.22 |
$2,862.00 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$676.80 |
$676.80 |
$676.80 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$1,949.82 |
$1,949.82 |
$1,949.82 |
$808.80
|
|
Ghs nerve block axillary nerve
|
$3,253.97 |
$3,253.97 |
$3,253.97 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$3,253.97 |
$3,253.97 |
$3,253.97 |
$1,768.00
|
|
Ghs nerve block sciatic nerve
|
$2,814.28 |
$2,814.28 |
$2,814.28 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$2,814.28 |
$2,814.28 |
$2,814.28 |
$1,223.00
|
|
Ghs o2 saturation
|
$111.00 |
$111.00 |
$422.00 |
$72.45
|
|
Ghs ot group caregiver training
|
$31.41 |
$31.41 |
$31.41 |
$43.20
|
|
Ghs ot prosthetic training/15 min
|
$204.00 |
$204.00 |
$204.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$205.05 |
$205.05 |
$205.05 |
$101.05
|
|
Ghs pacing - transcutaneous
|
$1,948.42 |
$1,948.42 |
$1,948.42 |
$868.68
|
