|
Gammaglobulin iga
|
$165.94 |
$165.94 |
$165.94 |
$75.30
|
|
Gammaglobulin ige
|
$57.61 |
$57.61 |
$57.61 |
$85.00
|
|
Gamma glutamyltransferase
|
$77.04 |
$77.04 |
$77.04 |
$55.28
|
|
Gamunex-c/gammaked
|
$34,250.34 |
$34,250.34 |
$34,250.34 |
$7,372.04
|
|
Gated heart multiple
|
$4,532.57 |
$4,532.57 |
$4,532.57 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$955.72 |
$955.72 |
$955.72 |
$252.84
|
|
General health panel
|
$518.69 |
$518.69 |
$518.69 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$171.63 |
$171.63 |
$171.63 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$308.81 |
$308.81 |
$308.81 |
$119.00
|
|
Ghs abscess perianal iandd
|
$10,607.49 |
$10,607.49 |
$10,607.49 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$31,612.14 |
$31,612.14 |
$31,612.14 |
$3,776.00
|
|
Ghs antibodies (torch) igm
|
$153.97 |
$153.97 |
$153.97 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$1,958.81 |
$1,958.81 |
$1,958.81 |
$344.48
|
|
Ghs change cysto/gastrost
|
$885.76 |
$885.76 |
$885.76 |
$699.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$5,180.25 |
$5,180.25 |
$5,180.25 |
$2,621.64
|
|
Ghs cl tx knee disl; wo anesth
|
$803.30 |
$803.30 |
$803.30 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$547.94
|
|
Ghs conjunctiva foreign body-superf bil
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$3,158.40 |
$3,158.40 |
$3,158.40 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$368.16
|
|
Ghs dislocation elbow closed treatment
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$3,413.79 |
$3,413.79 |
$3,413.79 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$6,206.22 |
$6,206.22 |
$6,206.22 |
$1,439.40
|
|
Ghs excision ingrown nail
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$969.29 |
$969.29 |
$969.29 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$18,861.13 |
$18,861.13 |
$18,861.13 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$1,794.93
|
|
Ghs histoplasma antigen
|
$189.95 |
$189.95 |
$189.95 |
$137.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$6,024.80 |
$6,024.80 |
$6,024.80 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$13,955.21 |
$13,955.21 |
$13,955.21 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$6,824.43 |
$6,824.43 |
$6,824.43 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$6,824.43 |
$6,824.43 |
$6,824.43 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$800.71 |
$800.71 |
$800.71 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$2,333.54 |
$2,333.54 |
$2,333.54 |
$293.58
|
|
Ghs inf midline insertion
|
$2,491.75 |
$2,491.75 |
$2,491.75 |
$1,234.20
|
|
Ghs inj tendon origin/insertion
|
$1,558.62 |
$1,558.62 |
$1,558.62 |
$431.07
|
|
Ghs insertion of needle - bone
|
$1,177.06 |
$1,177.06 |
$1,177.06 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$7,214.14 |
$7,214.14 |
$7,214.14 |
$1,160.28
|
|
Ghs irrigate corpora cavernosa for priapism
|
$2,092.34 |
$2,092.34 |
$2,092.34 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$17.69 |
$17.69 |
$17.69 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,723.38 |
$1,723.38 |
$1,723.38 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$7,214.14 |
$7,214.14 |
$7,214.14 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$779.35
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$7,214.14 |
$7,214.14 |
$7,214.14 |
$995.20
|
|
Ghs mbp
|
$73.33 |
$73.33 |
$73.33 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$1,148.30 |
$1,148.30 |
$1,148.30 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$879.86 |
$879.86 |
$879.86 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$1,148.30 |
$1,148.30 |
$1,148.30 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$574.17 |
$574.17 |
$574.17 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$245.55 |
$245.55 |
$245.55 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$656.85 |
$656.85 |
$656.85 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$2,025.45 |
$2,025.45 |
$2,025.45 |
$808.80
|
|
Ghs nerve block axillary nerve
|
$2,782.37 |
$2,782.37 |
$2,782.37 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$2,782.37 |
$2,782.37 |
$2,782.37 |
$1,768.00
|
|
Ghs nerve block sciatic nerve
|
$1,547.74 |
$1,547.74 |
$1,547.74 |
$1,636.80
|
|
Ghs nerve block suprascapular
|
$1,547.74 |
$1,547.74 |
$1,547.74 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$1,177.06 |
$1,177.06 |
$1,177.06 |
$468.75
|
|
Ghs o2 saturation
|
$104.54 |
$104.54 |
$104.54 |
$72.45
|
|
Ghs opcc repair cvp w subq port
|
$14,882.87 |
$14,882.87 |
$14,882.87 |
$2,430.56
|
|
Ghs ot group caregiver training
|
$36.65 |
$36.65 |
$36.65 |
$43.20
|
|
Ghs ot sensory integrative tech/15min
|
$286.41 |
$286.41 |
$286.41 |
$101.05
|
|
Ghs pacing - transcutaneous
|
$7,433.23 |
$7,433.23 |
$7,433.23 |
$868.68
|
|
Ghs peritonsillar abscess i andd
|
$2,929.17 |
$2,929.17 |
$2,929.17 |
$694.20
|
|
Ghs plngl fx pm cl
|
$2,909.55 |
$2,909.55 |
$2,909.55 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$215.83 |
$215.83 |
$215.83 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$103.36 |
$103.36 |
$103.36 |
$40.56
|
|
Ghs pr without cont pulse ox
|
$260.23 |
$260.23 |
$260.23 |
$156.70
|
|
Ghs removal intranasal foreign body
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$3,158.40 |
$3,158.40 |
$3,158.40 |
$460.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$299.46 |
$299.46 |
$299.46 |
$101.15
|
|
Ghs sensitivity (per antimicro)
|
$80.04 |
$80.04 |
$80.04 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$705.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$4,867.53 |
$4,867.53 |
$4,867.53 |
$670.08
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$2,443.15 |
$2,443.15 |
$2,443.15 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$2,443.15 |
$2,443.15 |
$2,443.15 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$2,443.15 |
$2,443.15 |
$2,443.15 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$2,443.15 |
$2,443.15 |
$2,443.15 |
$660.00
|
|
Ghs somatosensory testing upper & lower limbs
|
$6,039.28 |
$6,039.28 |
$6,039.28 |
$1,435.00
|
|
Ghs strapping shoulder - 29240
|
$1,436.07 |
$1,436.07 |
$1,436.07 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$543.08 |
$543.08 |
$543.08 |
$309.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$2,277.24 |
$2,277.24 |
$2,277.24 |
$976.98
|
|
Ghs urine, porphyrins quant
|
$157.40 |
$157.40 |
$157.40 |
$70.20
|
|
Ghs vaginal delivery only
|
$34,842.46 |
$34,842.46 |
$34,842.46 |
$3,525.06
|
|
Gi inhouse confirmation
|
$298.66 |
$298.66 |
$298.66 |
$87.00
|
|
Gjb2 gene full sequence
|
$1,081.98 |
$1,081.98 |
$1,081.98 |
$386.10
|
|
Glucagon plasma - sendout
|
$152.90 |
$152.90 |
$152.90 |
$58.56
|