|
Gefitinib oral
|
$405.03 |
$405.03 |
$405.03 |
$423.82
|
|
Gel-one
|
$897.00 |
$897.00 |
$897.00 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$453.96 |
$453.96 |
$453.96 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$158.44 |
$158.44 |
$158.44 |
$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
|
|
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
|
$93.60 |
$93.60 |
$93.60 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,983.15 |
$1,983.15 |
$1,983.15 |
$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 alpha thalasemia, 7 deletions
|
$490.10 |
$490.10 |
$490.10 |
$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
|
$202.80 |
$202.80 |
$202.80 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$585.00 |
$585.00 |
$585.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$286.00 |
$286.00 |
$286.00 |
$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
|
$48.75 |
$48.75 |
$48.75 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$399.10 |
$399.10 |
$399.10 |
$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 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
|
$197.60 |
$197.60 |
$197.60 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$601.90 |
$601.90 |
$601.90 |
$190.30
|
|
Ghs dislocation elbow closed treatment
|
$1,136.20 |
$1,136.20 |
$1,136.20 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$572.00 |
$572.00 |
$572.00 |
$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
|
$83.20 |
$83.20 |
$83.20 |
$266.29
|
|
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 - 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 fish cytogen
|
$682.50 |
$682.50 |
$682.50 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$254.15 |
$254.15 |
$254.15 |
$226.20
|
|
Ghs flow volume loop
|
$80.60 |
$80.60 |
$80.60 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$368.50
|
|
Ghs hcv amplificaiton
|
$107.90 |
$107.90 |
$107.90 |
$196.20
|
|
Ghs histoplasma antigen
|
$219.70 |
$219.70 |
$219.70 |
$142.00
|
|
Ghs HIV antibody
|
$94.25 |
$94.25 |
$94.25 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$7,656.35 |
$7,656.35 |
$7,656.35 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$4,407.00 |
$4,407.00 |
$4,407.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$1,715.35 |
$1,715.35 |
$1,715.35 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$909.35 |
$909.35 |
$909.35 |
$526.50
|
|
Ghs inf midline insertion
|
$2,971.15 |
$2,971.15 |
$2,971.15 |
$1,238.25
|
|
Ghs inhibitor screen
|
$112.45 |
$112.45 |
$112.45 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$484.25 |
$484.25 |
$484.25 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$826.80 |
$826.80 |
$826.80 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$566.15 |
$566.15 |
$566.15 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,105.65 |
$1,105.65 |
$1,105.65 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$4,991.35 |
$4,991.35 |
$4,991.35 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$1,864.20 |
$1,864.20 |
$1,864.20 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$200.20 |
$200.20 |
$200.20 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$909.35 |
$909.35 |
$909.35 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$258.70 |
$258.70 |
$258.70 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$1,549.60 |
$1,549.60 |
$1,549.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$974.35 |
$974.35 |
$974.35 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$974.35 |
$974.35 |
$974.35 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$974.35 |
$974.35 |
$974.35 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$974.35 |
$974.35 |
$974.35 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$974.35 |
$974.35 |
$974.35 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$974.35 |
$974.35 |
$974.35 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$974.35 |
$974.35 |
$974.35 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$969.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,491.75 |
$1,491.75 |
$1,491.75 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,515.80 |
$1,515.80 |
$1,515.80 |
$913.90
|
|
Ghs mbp
|
$23.40 |
$23.40 |
$23.40 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$949.65 |
$949.65 |
$949.65 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$582.40 |
$582.40 |
$582.40 |
$228.45
|
