|
Gemcitabine 1 gram intravenous solution
|
$39.42 |
$39.42 |
$39.42 |
$207.51
|
|
Generator barostim neo2 2014
|
$27,357.50 |
$27,357.50 |
$27,357.50 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$21,107.64 |
$21,107.64 |
$21,107.64 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$2,755.00 |
$2,755.00 |
$2,755.00 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$110.00 |
$110.00 |
$110.00 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$780.00 |
$780.00 |
$780.00 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,465.00
|
|
Ghs acetylcholinesterase, rbc
|
$67.50 |
$67.50 |
$67.50 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$140.00 |
$140.00 |
$140.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$492.50 |
$492.50 |
$492.50 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$82.50 |
$82.50 |
$82.50 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$282.50 |
$282.50 |
$282.50 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$260.00 |
$260.00 |
$260.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$570.00 |
$570.00 |
$570.00 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$432.50 |
$432.50 |
$432.50 |
$594.55
|
|
Ghs chemo >8 hrs
|
$615.00 |
$615.00 |
$615.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$295.00 |
$295.00 |
$295.00 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$180.00 |
$180.00 |
$180.00 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$270.00 |
$270.00 |
$270.00 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$270.00 |
$270.00 |
$270.00 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$270.00 |
$270.00 |
$270.00 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$3,580.00 |
$3,580.00 |
$3,580.00 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$270.00 |
$270.00 |
$270.00 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$270.00 |
$270.00 |
$270.00 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$85.00 |
$85.00 |
$85.00 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$187.50 |
$187.50 |
$187.50 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$417.50 |
$417.50 |
$417.50 |
$422.25
|
|
Ghs cricothyroidotomy
|
$307.50 |
$307.50 |
$307.50 |
$1,104.00
|
|
Ghs dislocation elbow closed treatment
|
$270.00 |
$270.00 |
$270.00 |
$602.00
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$445.00 |
$445.00 |
$445.00 |
$586.80
|
|
Ghs excision ingrown nail
|
$485.00 |
$485.00 |
$485.00 |
$449.25
|
|
Ghs fb removal - incisional
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$940.00 |
$940.00 |
$940.00 |
$1,706.20
|
|
Ghs fish cytogen
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$225.00 |
$225.00 |
$225.00 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$340.00 |
$340.00 |
$340.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$180.00 |
$180.00 |
$180.00 |
$196.20
|
|
Ghs hgb stability-thal
|
$247.50 |
$247.50 |
$247.50 |
$89.91
|
|
Ghs histoplasma antigen
|
$210.00 |
$210.00 |
$210.00 |
$142.00
|
|
Ghs HIV antibody
|
$82.50 |
$82.50 |
$82.50 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,135.00 |
$2,135.00 |
$2,135.00 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$800.00 |
$800.00 |
$800.00 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$570.00 |
$570.00 |
$570.00 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$470.00 |
$470.00 |
$470.00 |
$526.50
|
|
Ghs inf midline insertion
|
$715.00 |
$715.00 |
$715.00 |
$1,238.25
|
|
Ghs inhibitor screen
|
$132.50 |
$132.50 |
$132.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$295.00 |
$295.00 |
$295.00 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$1,850.00 |
$1,850.00 |
$1,850.00 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$1,710.80
|
|
Ghs inj transforaminal cerv ea add bil
|
$535.00 |
$535.00 |
$535.00 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$350.00 |
$350.00 |
$350.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$800.00 |
$800.00 |
$800.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$865.00 |
$865.00 |
$865.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$925.00 |
$925.00 |
$925.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$140.00 |
$140.00 |
$140.00 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$282.50 |
$282.50 |
$282.50 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$90.00 |
$90.00 |
$90.00 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$410.00 |
$410.00 |
$410.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$350.00 |
$350.00 |
$350.00 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$620.00 |
$620.00 |
$620.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$620.00 |
$620.00 |
$620.00 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$620.00 |
$620.00 |
$620.00 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$675.00 |
$675.00 |
$675.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$675.00 |
$675.00 |
$675.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$705.00 |
$705.00 |
$705.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$740.00 |
$740.00 |
$740.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$740.00 |
$740.00 |
$740.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$740.00 |
$740.00 |
$740.00 |
$740.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$122.50 |
$122.50 |
$122.50 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$122.50 |
$122.50 |
$122.50 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$122.50 |
$122.50 |
$122.50 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$122.50 |
$122.50 |
$122.50 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$122.50 |
$122.50 |
$122.50 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$332.50 |
$332.50 |
$332.50 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$250.00 |
$250.00 |
$250.00 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$125.00 |
$125.00 |
$125.00 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$510.00 |
$510.00 |
$510.00 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$625.00 |
$625.00 |
$625.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$810.00 |
$810.00 |
$810.00 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$670.00 |
$670.00 |
$670.00 |
$1,160.00
|
|
Ghs nerve block brachial plexus
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$735.00 |
$735.00 |
$735.00 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$330.00 |
$330.00 |
$330.00 |
$485.00
|
|
Ghs o2 saturation
|
$50.00 |
$50.00 |
$50.00 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$570.00 |
$570.00 |
$570.00 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$37.50 |
$37.50 |
$37.50 |
$58.00
|
|
Ghs ot prosthetic training/15 min
|
$85.00 |
$85.00 |
$85.00 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$85.00 |
$85.00 |
$85.00 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$960.00 |
$960.00 |
$960.00 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$770.00 |
$770.00 |
$770.00 |
$853.65
|
