|
Gated heart multiple
|
$4,233.00 |
$4,233.00 |
$4,233.00 |
$1,405.04
|
|
Gemcitabine 1 gram intravenous solution
|
$94.28 |
$94.28 |
$94.28 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$535.62 |
$535.62 |
$535.62 |
$19,305.62
|
|
General health panel
|
$413.00 |
$413.00 |
$413.00 |
$262.44
|
|
Generator barostim neo2 2014
|
$54,285.00 |
$54,285.00 |
$54,285.00 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$31,955.00 |
$31,955.00 |
$31,955.00 |
$36,467.76
|
|
Genetic counseling 30 min
|
$291.00 |
$291.00 |
$291.00 |
$193.00
|
|
Gen, neuro, clo loop, rechg
|
$31,010.74 |
$31,010.74 |
$31,010.74 |
$38,632.78
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$22.60 |
$22.60 |
$22.60 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$493.00 |
$493.00 |
$493.00 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$5,215.00 |
$5,215.00 |
$5,215.00 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$8,060.00 |
$8,060.00 |
$8,060.00 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$699.00 |
$699.00 |
$699.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$381.00 |
$381.00 |
$381.00 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$386.00 |
$386.00 |
$386.00 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$205.00 |
$205.00 |
$205.00 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$4,943.00 |
$4,943.00 |
$4,943.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$10,466.00 |
$10,466.00 |
$10,466.00 |
$594.55
|
|
Ghs chemo >8 hrs
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$681.00 |
$681.00 |
$681.00 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$161.00 |
$161.00 |
$161.00 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$515.00 |
$515.00 |
$515.00 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$603.00 |
$603.00 |
$603.00 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$4,438.00 |
$4,438.00 |
$4,438.00 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$620.00 |
$620.00 |
$620.00 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$4,455.00 |
$4,455.00 |
$4,455.00 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$4,417.00 |
$4,417.00 |
$4,417.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$603.00 |
$603.00 |
$603.00 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$603.00 |
$603.00 |
$603.00 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$204.00 |
$204.00 |
$204.00 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,687.00 |
$1,687.00 |
$1,687.00 |
$1,104.00
|
|
Ghs dislocation elbow closed treatment
|
$1,117.00 |
$1,117.00 |
$1,117.00 |
$602.00
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,579.00 |
$2,579.00 |
$2,579.00 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,061.00 |
$1,061.00 |
$1,061.00 |
$586.80
|
|
Ghs electrostagmgraphy
|
$515.00 |
$515.00 |
$515.00 |
$322.00
|
|
Ghs elect torsion swing
|
$473.00 |
$473.00 |
$473.00 |
$266.29
|
|
Ghs elect vertical elct
|
$196.00 |
$196.00 |
$196.00 |
$116.00
|
|
Ghs excision ingrown nail
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$6,982.00 |
$6,982.00 |
$6,982.00 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,706.20
|
|
Ghs fish cytogen
|
$546.00 |
$546.00 |
$546.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$270.00 |
$270.00 |
$270.00 |
$226.20
|
|
Ghs flow volume loop
|
$826.00 |
$826.00 |
$826.00 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$695.00 |
$695.00 |
$695.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$167.00 |
$167.00 |
$167.00 |
$196.20
|
|
Ghs histoplasma antigen
|
$377.00 |
$377.00 |
$377.00 |
$142.00
|
|
Ghs HIV antibody
|
$356.00 |
$356.00 |
$356.00 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$5,820.00 |
$5,820.00 |
$5,820.00 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$9,521.00 |
$9,521.00 |
$9,521.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$2,091.00 |
$2,091.00 |
$2,091.00 |
$707.25
|
|
Ghs immun0electrophoresis
|
$415.00 |
$415.00 |
$415.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$987.00 |
$987.00 |
$987.00 |
$526.50
|
|
Ghs inf midline insertion
|
$1,597.00 |
$1,597.00 |
$1,597.00 |
$1,238.25
|
|
Ghs inhibitor screen
|
$222.00 |
$222.00 |
$222.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$524.00 |
$524.00 |
$524.00 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$1,051.20
|
|
Ghs intro needle/intracath vein - 36000
|
$124.00 |
$124.00 |
$124.00 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$987.00 |
$987.00 |
$987.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$836.00 |
$836.00 |
$836.00 |
$110.00
|
|
Ghs IV infusion casirivimab/imdevimab
|
$812.00 |
$812.00 |
$812.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$566.87
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$231.00 |
$231.00 |
$231.00 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$8,661.00 |
$8,661.00 |
$8,661.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$8,209.00 |
$8,209.00 |
$8,209.00 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$8,661.00 |
$8,661.00 |
$8,661.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$8,661.00 |
$8,661.00 |
$8,661.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,615.00 |
$1,615.00 |
$1,615.00 |
$784.80
|
|
Ghs layered repair over 30.0 cm -12047
|
$5,458.00 |
$5,458.00 |
$5,458.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$5,518.00 |
$5,518.00 |
$5,518.00 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$115.00 |
$115.00 |
$115.00 |
$75.00
|
|
Ghs low level laser therapy
|
$124.00 |
$124.00 |
$124.00 |
$87.50
|
|
Ghs mbp
|
$385.00 |
$385.00 |
$385.00 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$678.00 |
$678.00 |
$678.00 |
$246.33
|
