|
Galectin-3
|
$563.47 |
$563.47 |
$563.47 |
$96.99
|
|
Gammaglobulin iga
|
$118.43 |
$118.43 |
$118.43 |
$76.05
|
|
Gammaglobulin ige
|
$57.24 |
$57.24 |
$57.24 |
$84.80
|
|
Gamma glutamyltransferase
|
$136.21 |
$136.21 |
$136.21 |
$55.28
|
|
Gamunex-c/gammaked
|
$52,383.66 |
$52,383.66 |
$52,383.66 |
$7,372.04
|
|
Gemcitabine 1 gram intravenous solution
|
$425.10 |
$425.10 |
$425.10 |
$257.28
|
|
General health panel
|
$1,165.43 |
$1,165.43 |
$1,165.43 |
$280.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$188.85 |
$188.85 |
$188.85 |
$50.70
|
|
Gentamicin peak therapeutic drug level
|
$208.58 |
$208.58 |
$208.58 |
$118.68
|
|
Ghs abscess perianal iandd
|
$13,241.73 |
$13,241.73 |
$13,241.73 |
$1,530.50
|
|
Ghs antibodies (torch) igm
|
$183.24 |
$183.24 |
$183.24 |
$74.50
|
|
Ghs bladder cath - complex-foley
|
$2,445.26 |
$2,445.26 |
$2,445.26 |
$344.48
|
|
Ghs change cysto/gastrost
|
$590.17 |
$590.17 |
$590.17 |
$674.30
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$3,632.11 |
$3,632.11 |
$3,632.11 |
$599.00
|
|
Ghs closed reduction ankle dislocation
|
$3,632.11 |
$3,632.11 |
$3,632.11 |
$731.04
|
|
Ghs cl tx knee disl; wo anesth
|
$2,357.80 |
$2,357.80 |
$2,357.80 |
$716.95
|
|
Ghs conjunctiva foreign body-embed bil
|
$3,942.76 |
$3,942.76 |
$3,942.76 |
$445.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$3,942.76 |
$3,942.76 |
$3,942.76 |
$435.07
|
|
Ghs dislocation elbow closed treatment
|
$3,632.11 |
$3,632.11 |
$3,632.11 |
$687.73
|
|
Ghs excision ingrown nail
|
$1,150.39 |
$1,150.39 |
$1,150.39 |
$460.80
|
|
Ghs fb removal - incisional
|
$9,337.11 |
$9,337.11 |
$9,337.11 |
$2,355.20
|
|
Ghs gastric intub aspiration lavage
|
$4,600.34 |
$4,600.34 |
$4,600.34 |
$395.04
|
|
Ghs histoplasma antigen
|
$168.72 |
$168.72 |
$168.72 |
$138.00
|
|
Ghs i and d perirectal abscess 46040
|
$17,420.81 |
$17,420.81 |
$17,420.81 |
$3,007.55
|
|
Ghs i and d pilonidal cyst complex
|
$7,523.93 |
$7,523.93 |
$7,523.93 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$7,523.93 |
$7,523.93 |
$7,523.93 |
$794.82
|
|
Ghs init tx 1st degree burn
|
$556.37 |
$556.37 |
$556.37 |
$307.20
|
|
Ghs insertion of needle - bone
|
$1,008.91 |
$1,008.91 |
$1,008.91 |
$447.94
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$943.20
|
|
Ghs IV thrombolytics - cerebral
|
$16.45 |
$16.45 |
$16.45 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,070.61 |
$1,070.61 |
$1,070.61 |
$560.80
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$638.09
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$750.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$9,005.68 |
$9,005.68 |
$9,005.68 |
$764.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$741.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$1,597.47 |
$1,597.47 |
$1,597.47 |
$253.71
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$1,452.24 |
$1,452.24 |
$1,452.24 |
$248.80
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$1,597.47 |
$1,597.47 |
$1,597.47 |
$229.60
|
|
Ghs moderate sedation ea addtl 15 min
|
$599.74 |
$599.74 |
$599.74 |
$145.98
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$545.22 |
$545.22 |
$545.22 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$710.64 |
$710.64 |
$710.64 |
$488.80
|
|
Ghs nailbed repair/nail removal
|
$9,005.68 |
$9,005.68 |
$9,005.68 |
$788.15
|
|
Ghs ot sensory integrative tech/15min
|
$187.22 |
$187.22 |
$187.22 |
$101.50
|
|
Ghs pacing - transcutaneous
|
$1,860.18 |
$1,860.18 |
$1,860.18 |
$856.44
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$215.37 |
$215.37 |
$215.37 |
$91.20
|
|
Ghs plngl fx pm cl
|
$3,632.11 |
$3,632.11 |
$3,632.11 |
$654.55
|
|
Ghs ppd (tb intradermal)
|
$225.77 |
$225.77 |
$225.77 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$123.01 |
$123.01 |
$123.01 |
$40.56
|
|
Ghs removal intranasal foreign body
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$320.00
|
|
Ghs sensitivity (per antimicro)
|
$95.25 |
$95.25 |
$95.25 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$563.75
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$680.80
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$6,076.32 |
$6,076.32 |
$6,076.32 |
$632.78
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$3,049.88 |
$3,049.88 |
$3,049.88 |
$472.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$3,049.88 |
$3,049.88 |
$3,049.88 |
$454.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$3,049.88 |
$3,049.88 |
$3,049.88 |
$529.75
|
|
Ghs simple repair over 30 cm - 12007
|
$3,049.88 |
$3,049.88 |
$3,049.88 |
$620.00
|
|
Ghs sp train/fitting sp device - kx
|
$463.79 |
$463.79 |
$463.79 |
$254.28
|
|
Ghs strapping shoulder - 29240
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$240.35
|
|
Ghs tx distal phalangeal fx with manipulation
|
$3,632.11 |
$3,632.11 |
$3,632.11 |
$575.05
|
|
Ghs vaginal delivery only
|
$8,583.60 |
$8,583.60 |
$8,583.60 |
$3,474.84
|
|
Gi inhouse confirmation
|
$120.20 |
$120.20 |
$120.20 |
$86.25
|
|
Glucose 1 hr post dose
|
$60.48 |
$60.48 |
$60.48 |
$46.28
|
|
Glucose blood quantitative
|
$136.89 |
$136.89 |
$136.89 |
$45.00
|
|
Glucose body fluid
|
$50.04 |
$50.04 |
$50.04 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$163.88 |
$163.88 |
$163.88 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$49.92 |
$49.92 |
$49.92 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$116.89 |
$116.89 |
$116.89 |
$54.00
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$5,303.20 |
$5,303.20 |
$5,303.20 |
$4,554.67
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$64.53 |
$64.53 |
$64.53 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$64.32 |
$64.32 |
$64.32 |
$124.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$201.99 |
$201.99 |
$201.99 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$31.60 |
$31.60 |
$31.60 |
$31.60
|
|
Hand X-ray
|
$1,438.38 |
$1,438.38 |
$1,438.38 |
$334.40
|
|
Haptoglobin quantitative
|
$160.20 |
$160.20 |
$160.20 |
$88.40
|
|
Hcg qualitative
|
$272.41 |
$272.41 |
$272.41 |
$77.50
|
|
Hcg quantitative
|
$328.14 |
$328.14 |
$328.14 |
$125.40
|
|
Head CT scan (with and without contrast)
|
$7,445.40 |
$7,445.40 |
$7,445.40 |
$1,881.36
|
|
Head CT scan (without contrast)
|
$5,898.12 |
$5,898.12 |
$5,898.12 |
$1,268.90
|
|
Hematocrit
|
$105.07 |
$105.07 |
$105.07 |
$33.57
|
|
Hemoglobin
|
$95.51 |
$95.51 |
$95.51 |
$32.50
|
|
Hemoglobin methemoglobin quantitative
|
$104.42 |
$104.42 |
$104.42 |
$47.49
|
|
Heparin assay
|
$137.10 |
$137.10 |
$137.10 |
$130.20
|
|
Heparin bolus from bag
|
$383.59 |
$383.59 |
$383.59 |
$72.61
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$45.95 |
$45.95 |
$45.95 |
$28.84
|
|
Hepatitis a antibody igm
|
$272.41 |
$272.41 |
$272.41 |
$84.00
|
|
Hepatitis b core antibody igm
|
$228.56 |
$228.56 |
$228.56 |
$86.40
|
|
Hepatitis b core antibody total
|
$153.45 |
$153.45 |
$153.45 |
$83.20
|
|
Hepatitis b surface antibody
|
$52.24 |
$52.24 |
$52.24 |
$82.55
|
|
Hepatitis c antibody
|
$181.71 |
$181.71 |
$181.71 |
$108.00
|
|
Herpes simplex type 1 antibody igg
|
$167.96 |
$167.96 |
$167.96 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$60.95 |
$60.95 |
$60.95 |
$86.25
|
|
Herpes simplex virus isolation
|
$111.99 |
$111.99 |
$111.99 |
$93.32
|
|
Heterophile antibodies screening
|
$359.85 |
$359.85 |
$359.85 |
$74.10
|