|
Gc stocking waistlngth 18-30
|
$25.80 |
$25.80 |
$25.80 |
|
|
Gel-one
|
$1,056.00 |
$2,049.30 |
$4,623.00 |
|
|
Gel-syn injection 0.1 mg
|
$1.60 |
$138.20 |
$363.17 |
|
|
Gemcitabine 1 gram intravenous solution
|
$38.83 |
$136.67 |
$1,099.87 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$544.07 |
$18,100.00 |
$63,840.00 |
|
|
General health panel
|
$12.60 |
$325.20 |
$874.20 |
|
|
Generator barostim neo2 2014
|
$10,777.84 |
$52,020.00 |
$236,041.52 |
|
|
Generator emblem MRI sicd subq
|
$11,129.58 |
$34,429.68 |
$154,374.66 |
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$62,771.45 |
$78,750.00 |
$222,812.80 |
|
|
Genetic tstg severe inh cond
|
$2,755.00 |
$6,712.80 |
$10,155.20 |
|
|
Genioplasty augmentation
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
|
|
Geniop sldg augmentation
|
$2,196.80 |
$2,196.80 |
$2,196.80 |
|
|
Geniop sldg osteot 1
|
$1,696.80 |
$1,696.80 |
$1,696.80 |
|
|
Geniop sldg osteot 2/>
|
$1,895.20 |
$1,895.20 |
$1,895.20 |
|
|
Gen, neuro, clo loop, rechg
|
$26,900.00 |
$85,740.89 |
$180,402.55 |
|
|
Genome sequence analysis
|
$4,256.64 |
$11,622.10 |
$11,622.10 |
|
|
Genome sequence analysis
|
$1,944.00 |
$6,260.10 |
$6,260.10 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$11.02 |
$68.11 |
$263.72 |
|
|
Gentamicin peak therapeutic drug level
|
$40.00 |
$163.80 |
$662.40 |
|
|
G-esoph reflx tst w/electrod
|
$524.15 |
$887.60 |
$8,988.70 |
|
|
Ghs abscess perianal iandd
|
$250.00 |
$1,020.00 |
$15,153.34 |
|
|
Ghs abscess postoperative iandd complex
|
$975.00 |
$3,035.00 |
$8,900.50 |
|
|
Ghs acetylcholinesterase, rbc
|
$9.57 |
$67.50 |
$175.20 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$19.47 |
$140.00 |
$459.60 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$109.56 |
$569.10 |
$2,179.10 |
|
|
Ghs analysis neurostim without reprogramming
|
$86.46 |
$315.00 |
$617.76 |
|
|
Ghs antibodies (torch) igm
|
$35.00 |
$102.20 |
$313.60 |
|
|
Ghs aspiration bladder - needle
|
$282.50 |
$307.20 |
$1,510.00 |
|
|
Ghs bladder cath - complex-foley
|
$93.75 |
$337.68 |
$26,427.85 |
|
|
Ghs bleeding time (ivy)
|
$20.13 |
$62.40 |
$103.40 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$435.00 |
$921.00 |
$18,202.17 |
|
|
Ghs central line insert < age 5, failed
|
$567.00 |
$2,571.60 |
$6,798.24 |
|
|
Ghs change cysto/gastrost
|
$131.25 |
$551.40 |
$3,304.11 |
|
|
Ghs chemo >8 hrs
|
$237.50 |
$716.40 |
$2,733.84 |
|
|
Ghs chemo infusion >8 hrs
|
$316.80 |
$501.00 |
$1,025.28 |
|
|
Ghs chemo IV push, ea addtl
|
$49.70 |
$295.00 |
$525.00 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$33.33 |
$180.00 |
$563.20 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$131.25 |
$470.16 |
$1,321.20 |
|
|
Ghs closed reduction ankle dislocation
|
$131.25 |
$539.28 |
$1,849.60 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$524.30 |
$1,531.75 |
$4,017.30 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$131.25 |
$425.52 |
$2,036.80 |
|
|
Ghs closed tx tibial fracture w/manip
|
$1,015.20 |
$1,829.40 |
$4,420.80 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,152.60 |
$5,161.68 |
$28,680.44 |
|
|
Ghs clsd red med malleolus fx without manip
|
$270.00 |
$469.60 |
$7,397.60 |
|
|
Ghs clsd red med malleolus fx w manip
|
$909.00 |
$1,790.00 |
$6,336.40 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,032.60 |
$1,912.80 |
$5,676.80 |
|
|
Ghs cl tx knee disl; wo anesth
|
$259.20 |
$407.40 |
$10,941.60 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$131.25 |
$405.60 |
$5,695.20 |
|
|
Ghs community re-entry 15 minutes
|
$32.50 |
$108.00 |
$242.64 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$199.20 |
$445.80 |
$2,174.90 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$156.00 |
$336.00 |
$8,426.01 |
|
|
Ghs corneal fb without slit lamp bilat
|
$235.00 |
$417.50 |
$6,299.65 |
|
|
Ghs corneal fb with slit lamp bilat
|
$185.40 |
$373.68 |
$1,589.60 |
|
|
Ghs cricothyroidotomy
|
$264.00 |
$1,191.70 |
$2,654.40 |
|
|
Ghs cutdown placement age 1 and over
|
$100.80 |
$350.00 |
$517.20 |
|
|
Ghs cutdown placement under 1 yr
|
$118.40 |
$420.00 |
$468.00 |
|
|
Ghs diphtheria toxoid ab igg
|
$46.80 |
$144.60 |
$350.00 |
|
|
Ghs dislocation elbow closed treatment
|
$131.25 |
$602.00 |
$2,442.24 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$661.20 |
$1,803.20 |
$10,855.89 |
|
|
Ghs ed rmvl or bivalving cast
|
$185.36 |
$397.20 |
$774.00 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$675.00 |
$1,520.00 |
$18,743.96 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$372.90 |
$555.80 |
$1,948.20 |
|
|
Ghs electrostagmgraphy
|
$92.80 |
$409.20 |
$910.80 |
|
|
Ghs elect torsion swing
|
$242.40 |
$317.35 |
$598.80 |
|
|
Ghs elect vertical elct
|
$18.40 |
$125.00 |
$211.68 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$232.20 |
$250.80 |
$380.00 |
|
|
Ghs excision ingrown nail
|
$112.50 |
$445.20 |
$1,581.30 |
|
|
Ghs eye exam
|
$100.20 |
$100.20 |
$174.40 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$259.20 |
$529.80 |
$2,858.80 |
|
|
Ghs fat & muscle
|
$27.50 |
$56.44 |
$93.00 |
|
|
Ghs fb removal foot - deep - left
|
$903.00 |
$2,398.92 |
$5,743.44 |
|
|
Ghs fb removal from muscle - complicated
|
$986.40 |
$1,514.80 |
$6,181.92 |
|
|
Ghs fb removal - incisional
|
$597.50 |
$1,844.15 |
$6,941.90 |
|
|
Ghs fb removal - non-incisional
|
$450.00 |
$1,020.60 |
$4,456.20 |
|
|
Ghs febrile agglutinns(mayo)
|
$20.16 |
$116.80 |
$309.60 |
|
|
Ghs fish cytogen
|
$31.25 |
$754.60 |
$2,158.10 |
|
|
Ghs fish hybrid in situ 100-300
|
$43.75 |
$243.36 |
$1,372.00 |
|
|
Ghs flow volume loop
|
$112.50 |
$192.06 |
$672.48 |
|
|
Ghs gastric intub aspiration lavage
|
$196.20 |
$347.40 |
$32,545.20 |
|
|
Ghs hcv amplificaiton
|
$88.80 |
$322.00 |
$1,010.80 |
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$50.40 |
$50.40 |
$86.40 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$48.57 |
$280.20 |
$355.20 |
|
|
Ghs hgb stability-thal
|
$12.60 |
$247.50 |
$639.20 |
|
|
Ghs histoplasma antigen
|
$33.66 |
$210.00 |
$662.40 |
|
|
Ghs HIV antibody
|
$12.00 |
$121.80 |
$337.68 |
|
|
Ghs hla-dr/dq, multiple antigens
|
$73.80 |
$751.20 |
$1,869.70 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,150.00 |
$3,402.40 |
$44,884.69 |
|
|
Ghs i and d perirectal abscess 46040
|
$300.00 |
$1,926.60 |
$33,699.32 |
|
|
Ghs i and d pilonidal cyst complex
|
$200.00 |
$972.00 |
$3,035.90 |
|
|
Ghs i and d pilonidal cyst simple
|
$112.50 |
$570.00 |
$1,806.70 |
|
|
Ghs immun0electrophoresis
|
$66.60 |
$66.60 |
$110.00 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$205.80 |
$503.40 |
$3,662.40 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$164.40 |
$408.80 |
$1,690.50 |
|
|
Ghs inf midline insertion
|
$200.00 |
$1,070.00 |
$46,292.25 |
|
|
Ghs inhibitor screen
|
$32.85 |
$416.50 |
$1,248.80 |
|
|
Ghs init tx 1st degree burn
|
$105.00 |
$295.00 |
$1,468.00 |
|
|
Ghs inj neurolytic intercostal nerve
|
$446.25 |
$1,850.00 |
$77,977.71 |
|
|
Ghs inj neurolytic other perph nerve
|
$446.25 |
$2,391.12 |
$21,409.42 |
|
|
Ghs inj tendon origin/insertion
|
$117.60 |
$412.50 |
$1,080.00 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$200.00 |
$1,035.00 |
$12,049.45 |
|
