|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$11.27 |
$11.27 |
$545.00 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$13.18 |
$13.18 |
$13.18 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$70.20 |
$70.20 |
$70.20 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$122.20 |
$122.20 |
$122.20 |
$100.00
|
|
Galactose transferase test
|
$15.60 |
$15.60 |
$204.00 |
$31.35
|
|
Galectin-3
|
$80.60 |
$80.60 |
$80.60 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$2,252.90 |
$2,252.90 |
$3,266.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$3,275.35 |
$3,275.35 |
$8,832.00 |
$1,615.00
|
|
Gallbladder Removal (Laparoscopic)
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$13,208.00
|
|
Gallium ga-68 psma-11, ucla
|
$10,617.75 |
$10,617.75 |
$10,617.75 |
$187.20
|
|
Gallium ga-68 psma-11 ucsf
|
$1,344.20 |
$1,344.20 |
$1,344.20 |
$1,344.20
|
|
Galsulfase injection
|
$1,163.92 |
$1,163.92 |
$1,163.92 |
$4,037.51
|
|
Gamma globulin 1 cc inj
|
$121.72 |
$121.72 |
$121.72 |
$407.60
|
|
Gammaglobulin iga
|
$120.90 |
$120.90 |
$120.90 |
$69.60
|
|
Gammaglobulin ige
|
$72.15 |
$72.15 |
$72.15 |
$83.85
|
|
Gamma glutamyltransferase
|
$93.60 |
$93.60 |
$93.60 |
$57.54
|
|
Gammagraft
|
$1.00 |
$1.00 |
$1.00 |
$1.00
|
|
Gamunex-c/gammaked
|
$253.50 |
$253.50 |
$253.50 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$227.60 |
$227.60 |
$227.60 |
$197.40
|
|
Gastric analy w/ph ea spec
|
$70.00 |
$70.00 |
$70.00 |
$31.50
|
|
Gastric emptying imag study
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,364.00
|
|
Gastric emptying imag study
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$1,665.50
|
|
Gastric motility studies
|
$374.40 |
$374.40 |
$374.40 |
$972.00
|
|
Gastrin test
|
$105.00 |
$105.00 |
$105.00 |
$61.80
|
|
Gastroduodenostomy
|
$4,388.80 |
$4,388.80 |
$4,388.80 |
$2,265.07
|
|
Gastroesophageal reflux study
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$252.20 |
$252.20 |
$252.20 |
$1,352.00
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$5,857.80 |
$5,857.80 |
$5,857.80 |
$2,376.00
|
|
Gastrojejunostomy w/vagotomy
|
$5,657.60 |
$5,657.60 |
$5,657.60 |
$2,919.94
|
|
Gated heart multiple
|
$2,252.90 |
$2,252.90 |
$11,049.00 |
$1,405.04
|
|
Gauze >16<=48 no w/sal without b
|
$1.95 |
$1.95 |
$1.95 |
$5.00
|
|
Gauze <= 16 sq in w/border
|
$13.65 |
$13.65 |
$13.65 |
$13.65
|
|
Gba gene
|
$438.75 |
$438.75 |
$438.75 |
$160.72
|
|
Gc stocking thighlngth 18-30
|
$79.76 |
$79.76 |
$79.76 |
$68.30
|
|
Gc stocking thighlngth 30-40
|
$79.76 |
$79.76 |
$79.76 |
$44.40
|
|
Gefitinib oral
|
$405.03 |
$405.03 |
$405.03 |
$423.82
|
|
Gel-one
|
$2,296.45 |
$2,296.45 |
$2,296.45 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$453.96 |
$453.96 |
$453.96 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$269.75 |
$269.75 |
$269.75 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$32,764.84 |
$32,764.84 |
$32,764.84 |
$19,305.62
|
|
General health panel
|
$51.35 |
$51.35 |
$51.35 |
$262.44
|
|
Generator barostim neo2 2014
|
$33,540.00 |
$33,540.00 |
$33,540.00 |
$52,020.00
|
|
Genetic tstg severe inh cond
|
$3,978.65 |
$3,978.65 |
$3,978.65 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$9.10 |
$9.10 |
$9.10 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$161.20 |
$161.20 |
$161.20 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$2,438.15 |
$2,438.15 |
$19,274.00 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$3,407.95 |
$3,407.95 |
$3,407.95 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$6,976.45 |
$6,976.45 |
$6,976.45 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$14.00 |
$14.00 |
$80.60 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$348.40 |
$348.40 |
$348.40 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$499.85 |
$499.85 |
$499.85 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$722.15 |
$722.15 |
$722.15 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$85.15 |
$85.15 |
$85.15 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$909.35 |
$909.35 |
$909.35 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$585.00 |
$585.00 |
$585.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$909.35 |
$909.35 |
$909.35 |
$594.55
|
|
Ghs chemo >8 hrs
|
$1,859.65 |
$1,859.65 |
$1,859.65 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$1,859.65 |
$1,859.65 |
$1,859.65 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$399.10 |
$399.10 |
$930.00 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$135.20 |
$135.20 |
$135.20 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$896.35 |
$896.35 |
$896.35 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$896.35 |
$896.35 |
$896.35 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$1,554.80 |
$1,554.80 |
$1,554.80 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$995.80 |
$995.80 |
$995.80 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$143.00 |
$143.00 |
$143.00 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$481.65 |
$481.65 |
$481.65 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$481.65 |
$481.65 |
$481.65 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,677.00 |
$1,677.00 |
$1,677.00 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$601.90 |
$601.90 |
$601.90 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$16.25 |
$16.25 |
$24.00 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$1,136.20 |
$1,136.20 |
$1,136.20 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$993.20 |
$993.20 |
$993.20 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$3,882.45 |
$3,882.45 |
$3,882.45 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$877.50 |
$877.50 |
$877.50 |
$586.80
|
|
Ghs electrostagmgraphy
|
$171.60 |
$171.60 |
$171.60 |
$322.00
|
|
Ghs elect torsion swing
|
$585.00 |
$585.00 |
$585.00 |
$266.29
|
|
Ghs elect vertical elct
|
$121.55 |
$121.55 |
$121.55 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$974.35 |
$974.35 |
$974.35 |
$467.00
|
|
Ghs excision ingrown nail
|
$974.35 |
$974.35 |
$974.35 |
$449.25
|
|
Ghs eye exam
|
$481.65 |
$481.65 |
$481.65 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,117.35 |
$1,117.35 |
$1,117.35 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$920.40 |
$920.40 |
$920.40 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$3,949.40 |
$3,949.40 |
$3,949.40 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$41.60 |
$41.60 |
$41.60 |
$48.10
|
|
Ghs fish cytogen
|
$68.00 |
$68.00 |
$1,014.00 |
$175.00
|
