|
Gardner vag dna quant
|
$135.00 |
$135.00 |
$135.00 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$49.80 |
$49.80 |
$49.80 |
$25.61
|
|
Gastric emptying imag study
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$1,270.00
|
|
Gastric emptying imag study
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$1,525.80 |
$1,525.80 |
$1,525.80 |
$887.62
|
|
Gastroesophageal reflux test
|
$1,686.00 |
$1,686.00 |
$1,686.00 |
$1,110.80
|
|
Gemcitabine 1 gram intravenous solution
|
$192.16 |
$192.16 |
$200.24 |
$168.02
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$6,032.97 |
$6,032.97 |
$6,032.97 |
$15,276.60
|
|
General health panel
|
$423.60 |
$423.60 |
$423.60 |
$270.40
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$38.83 |
$38.83 |
$63.02 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$359.40 |
$359.40 |
$359.40 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$2,013.00 |
$2,013.00 |
$2,013.00 |
$1,413.78
|
|
Ghs abscess perianal iandd
|
$2,505.60 |
$2,505.60 |
$2,505.60 |
$1,512.80
|
|
Ghs abscess postoperative iandd complex
|
$6,183.60 |
$6,183.60 |
$6,183.60 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$29.40 |
$29.40 |
$29.40 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$220.20 |
$220.20 |
$220.20 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$612.00 |
$612.00 |
$612.00 |
$437.58
|
|
Ghs antibodies (torch) igm
|
$155.40 |
$155.40 |
$155.40 |
$82.50
|
|
Ghs aspiration bladder - needle
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$590.85
|
|
Ghs bladder cath - complex-foley
|
$382.20 |
$382.20 |
$382.20 |
$333.18
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,623.60 |
$1,623.60 |
$1,623.60 |
$1,000.08
|
|
Ghs central line insert < age 5, failed
|
$2,841.00 |
$2,841.00 |
$2,841.00 |
$2,489.25
|
|
Ghs change cysto/gastrost
|
$1,005.60 |
$1,005.60 |
$1,005.60 |
$727.35
|
|
Ghs chemo >8 hrs
|
$1,543.20 |
$1,543.20 |
$1,543.20 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$433.80 |
$433.80 |
$433.80 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$63.00 |
$63.00 |
$63.00 |
$135.85
|
|
Ghs closure surg wound/dehiscence-13160
|
$6,739.20 |
$6,739.20 |
$6,739.20 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$87.60 |
$87.60 |
$87.60 |
$85.00
|
|
Ghs diphtheria toxoid ab igg
|
$177.60 |
$177.60 |
$177.60 |
$91.80
|
|
Ghs ed rmvl or bivalving cast
|
$655.20 |
$655.20 |
$655.20 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,576.20 |
$1,576.20 |
$1,576.20 |
$1,360.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$616.80 |
$616.80 |
$616.80 |
$586.80
|
|
Ghs electrostagmgraphy
|
$208.20 |
$208.20 |
$208.20 |
$247.20
|
|
Ghs elect vertical elct
|
$170.40 |
$170.40 |
$170.40 |
$116.00
|
|
Ghs fb removal - incisional
|
$5,637.00 |
$5,637.00 |
$5,637.00 |
$2,454.00
|
|
Ghs febrile agglutinns(mayo)
|
$154.80 |
$154.80 |
$154.80 |
$51.99
|
|
Ghs fish cytogen
|
$255.00 |
$255.00 |
$255.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$360.00 |
$360.00 |
$360.00 |
$229.45
|
|
Ghs flow volume loop
|
$357.00 |
$357.00 |
$357.00 |
$291.75
|
|
Ghs gastric intub aspiration lavage
|
$437.40 |
$437.40 |
$437.40 |
$385.60
|
|
Ghs hcv amplificaiton
|
$743.40 |
$743.40 |
$743.40 |
$198.90
|
|
Ghs hepatitis c virus (hcv riba)
|
$525.60 |
$525.60 |
$525.60 |
$105.00
|
|
Ghs hgb stability-thal
|
$97.80 |
$97.80 |
$97.80 |
$85.20
|
|
Ghs histoplasma antigen
|
$435.00 |
$435.00 |
$435.00 |
$157.30
|
|
Ghs HIV antibody
|
$223.80 |
$223.80 |
$223.80 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$1,951.20 |
$1,951.20 |
$1,951.20 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$5,920.80 |
$5,920.80 |
$5,920.80 |
$3,686.06
|
|
Ghs i and d perirectal abscess 46040
|
$4,725.60 |
$4,725.60 |
$4,725.60 |
$3,034.00
|
|
Ghs inf midline insertion
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$1,580.00
|
|
Ghs inhibitor screen
|
$308.40 |
$308.40 |
$308.40 |
$138.06
|
|
Ghs inj neurolytic intercostal nerve
|
$2,696.40 |
$2,696.40 |
$2,696.40 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,598.00 |
$2,598.00 |
$2,598.00 |
$1,838.37
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,628.40 |
$1,628.40 |
$1,628.40 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$5,077.20 |
$5,077.20 |
$5,077.20 |
$1,706.32
|
|
Ghs intro needle/intracath vein - 36000
|
$587.40 |
$587.40 |
$587.40 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$464.40 |
$464.40 |
$464.40 |
$117.42
|
|
Ghs IV thrombolytics - cerebral
|
$823.20 |
$823.20 |
$823.20 |
$752.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$274.80 |
$274.80 |
$274.80 |
$62.28
|
|
Ghs mbp
|
$274.20 |
$274.20 |
$274.20 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$293.40 |
$293.40 |
$293.40 |
$240.00
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$293.40 |
$293.40 |
$293.40 |
$219.95
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$293.40 |
$293.40 |
$293.40 |
$216.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$292.80 |
$292.80 |
$292.80 |
$125.34
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$125.40 |
$125.40 |
$125.40 |
$123.30
|
|
Ghs musc test done w/n test comp
|
$349.80 |
$349.80 |
$349.80 |
$352.97
|
|
Ghs musc tst done w/nerv tst lim
|
$349.80 |
$349.80 |
$349.80 |
$277.25
|
|
Ghs musc tst done w/n tst non ext
|
$184.80 |
$184.80 |
$184.80 |
$219.05
|
|
Ghs myocardial strain img spckl track
|
$568.80 |
$568.80 |
$568.80 |
$503.85
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,319.60 |
$2,319.60 |
$2,319.60 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$2,319.60 |
$2,319.60 |
$2,319.60 |
$1,232.23
|
|
Ghs nerve block celiac plexus
|
$2,307.60 |
$2,307.60 |
$2,307.60 |
$1,681.24
|
|
Ghs nerve block interscaline
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
$1,574.21
|
|
Ghs ng placement w fluoro guidance
|
$321.00 |
$321.00 |
$321.00 |
$423.76
|
|
Ghs o2 saturation
|
$161.40 |
$161.40 |
$161.40 |
$55.90
|
|
Ghs opcc repair cvp without subq port
|
$2,071.80 |
$2,071.80 |
$2,071.80 |
$1,289.00
|
|
Ghs opcc repair cvp w subq port
|
$4,704.60 |
$4,704.60 |
$4,704.60 |
$2,449.60
|
|
Ghs optokenetic
|
$211.20 |
$211.20 |
$211.20 |
$198.98
|
|
Ghs oscillating trac
|
$233.40 |
$233.40 |
$233.40 |
$256.50
|
|
Ghs ot prosthetic training/15 min
|
$75.60 |
$75.60 |
$75.60 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$79.80 |
$79.80 |
$79.80 |
$89.73
|
|
Ghs ot work hardening-additional hours
|
$181.80 |
$181.80 |
$181.80 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$1,282.80 |
$1,282.80 |
$1,282.80 |
$872.95
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$3,252.60 |
$3,252.60 |
$3,252.60 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$2,124.60 |
$2,124.60 |
$2,124.60 |
$849.47
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$100.20 |
$100.20 |
$100.20 |
$82.80
|
|
Ghs picc line insert < 5
|
$4,980.60 |
$4,980.60 |
$4,980.60 |
$1,990.40
|
|
Ghs plt ct-manual
|
$85.80 |
$85.80 |
$85.80 |
$40.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$5,539.20 |
$5,539.20 |
$5,539.20 |
$3,557.58
|
|
Ghs pos nystagmus
|
$289.20 |
$289.20 |
$289.20 |
$228.00
|
|
Ghs ppd (tb intradermal)
|
$57.00 |
$57.00 |
$57.00 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$118.20 |
$118.20 |
$118.20 |
$49.77
|
|
Ghs protein, misc fluid
|
$39.00 |
$39.00 |
$39.00 |
$24.60
|
|
Ghs protoporphyrins fract
|
$129.60 |
$129.60 |
$129.60 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$289.20 |
$289.20 |
$289.20 |
$165.60
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$90.60 |
$90.60 |
$90.60 |
$55.25
|
|
Ghs pt - work hardening/int 2hrs
|
$315.60 |
$315.60 |
$315.60 |
$230.40
|
|
Ghs reticulocyte count
|
$105.60 |
$105.60 |
$105.60 |
$33.57
|
|
Ghs sensitivity (per antimicro)
|
$148.20 |
$148.20 |
$148.20 |
$55.12
|
|
Ghs somatosensory testing lower extremit
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,959.60 |
$1,959.60 |
$1,959.60 |
$1,506.58
|
