|
Galac-1-phosphate uridyltran - sendout
|
$94.20 |
$94.20 |
$297.35 |
|
|
Galactokinase - sendout
|
$404.40 |
$556.80 |
$556.80 |
|
|
Galactose transferase test
|
$25.80 |
$61.80 |
$123.56 |
|
|
Galectin-3
|
$1,819.63 |
$1,819.63 |
$1,819.63 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$524.75 |
$1,856.40 |
$4,045.72 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$626.12 |
$2,062.20 |
$4,759.49 |
|
|
Gallium illuccix 1 millicure
|
$1,692.00 |
$1,692.00 |
$9,407.29 |
|
|
Gamma globulin 1 cc inj
|
$490.33 |
$657.42 |
$657.42 |
|
|
Gammaglobulin iga
|
$57.00 |
$124.80 |
$219.00 |
|
|
Gammaglobulin ige
|
$66.60 |
$194.40 |
$365.40 |
|
|
Gamma glutamyltransferase
|
$27.50 |
$90.89 |
$153.00 |
|
|
Gammaplex injection
|
$4,645.05 |
$4,645.05 |
$4,645.05 |
|
|
Gamunex-c/gammaked
|
$1,165.47 |
$6,963.60 |
$11,178.00 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$187.68 |
$308.35 |
$1,089.06 |
|
|
Gardner vag dna quant
|
$78.60 |
$124.80 |
$156.12 |
|
|
Gastric analy w/ph ea spec
|
$31.80 |
$49.80 |
$49.80 |
|
|
Gastric emptying imag study
|
$1,509.60 |
$2,020.20 |
$2,497.80 |
|
|
Gastric emptying imag study
|
$1,509.60 |
$2,020.20 |
$2,497.80 |
|
|
Gastrin test
|
$123.56 |
$123.56 |
$123.56 |
|
|
Gastroesophageal reflux study
|
$1,156.80 |
$1,525.80 |
$1,833.00 |
|
|
Gastroesophageal reflux test
|
$907.80 |
$2,357.00 |
$2,476.00 |
|
|
Gastro/jejuno tube, std
|
$196.20 |
$406.80 |
$1,074.00 |
|
|
Gated heart multiple
|
$2,296.76 |
$2,296.76 |
$3,077.40 |
|
|
Gauze >16<=48 no w/sal without b
|
$10.20 |
$10.20 |
$10.20 |
|
|
Gba gene
|
$1,664.14 |
$1,664.14 |
$1,664.14 |
|
|
Gel cap for trach voice pros
|
$291.08 |
$291.08 |
$291.08 |
|
|
Gel-one
|
$5,138.10 |
$5,274.00 |
$5,274.00 |
|
|
Gel-syn injection 0.1 mg
|
$1,605.26 |
$1,605.26 |
$1,605.26 |
|
|
Gemcitabine 1 gram intravenous solution
|
$88.86 |
$192.16 |
$1,868.30 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$329.89 |
$24,767.40 |
$24,767.40 |
|
|
General health panel
|
$61.00 |
$325.20 |
$781.80 |
|
|
Generator barostim neo2 2014
|
$84,737.50 |
$84,737.50 |
$352,982.09 |
|
|
Generator emblem MRI sicd subq
|
$53,750.00 |
$53,750.00 |
$189,146.25 |
|
|
Genetic tstg severe inh cond
|
$1,104.68 |
$1,104.68 |
$1,104.68 |
|
|
Gen, neuro, clo loop, rechg
|
$226,535.63 |
$226,535.63 |
$226,535.63 |
|
|
Genome sequence analysis
|
$4,329.08 |
$4,329.08 |
$4,329.08 |
|
|
Genome sequence analysis
|
$2,331.77 |
$2,331.77 |
$2,331.77 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$38.83 |
$63.02 |
$223.58 |
|
|
Gentamicin peak therapeutic drug level
|
$129.62 |
$223.80 |
$387.00 |
|
|
G-esoph reflx tst w/electrod
|
$1,283.40 |
$1,543.00 |
$2,013.00 |
|
|
Ghs abscess perianal iandd
|
$188.00 |
$2,505.60 |
$2,505.60 |
|
|
Ghs abscess postoperative iandd complex
|
$4,995.00 |
$5,977.20 |
$6,183.60 |
|
|
Ghs acetylcholinesterase, rbc
|
$15.00 |
$27.00 |
$90.89 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$123.60 |
$220.20 |
$889.98 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$131.40 |
$612.00 |
$2,060.26 |
|
|
Ghs analysis neurostim without reprogramming
|
$416.80 |
$416.80 |
$416.80 |
|
|
Ghs antibodies (torch) igm
|
$113.40 |
$155.40 |
$606.00 |
|
|
Ghs aspiration bladder - needle
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
|
|
Ghs bladder cath - complex-foley
|
$72.45 |
$382.20 |
$596.00 |
|
|
Ghs bleeding time (ivy)
|
$52.47 |
$52.47 |
$52.47 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,623.60 |
$1,623.60 |
$1,623.60 |
|
|
Ghs central line insert < age 5, failed
|
$876.00 |
$3,300.60 |
$4,831.80 |
|
|
Ghs change cysto/gastrost
|
$109.72 |
$664.20 |
$1,005.60 |
|
|
Ghs chemo >8 hrs
|
$259.20 |
$949.50 |
$1,931.93 |
|
|
Ghs chemo infusion >8 hrs
|
$1,006.72 |
$1,006.72 |
$1,006.72 |
|
|
Ghs chemo IV push, ea addtl
|
$184.88 |
$417.50 |
$1,289.96 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$63.00 |
$63.00 |
$441.65 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$615.00 |
$615.00 |
$615.00 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,357.00 |
$1,357.00 |
$1,357.00 |
|
|
Ghs closed tx tibial fracture w/manip
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,477.20 |
$6,739.20 |
$8,275.12 |
|
|
Ghs community re-entry 15 minutes
|
$58.20 |
$87.60 |
$266.78 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$131.00 |
$131.00 |
$131.00 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$57.00 |
$57.00 |
$57.00 |
|
|
Ghs corneal fb without slit lamp bilat
|
$76.00 |
$265.20 |
$376.20 |
|
|
Ghs corneal fb with slit lamp bilat
|
$153.50 |
$376.20 |
$475.80 |
|
|
Ghs cricothyroidotomy
|
$1,103.75 |
$1,103.75 |
$1,103.75 |
|
|
Ghs diphtheria toxoid ab igg
|
$42.00 |
$165.00 |
$186.00 |
|
|
Ghs dislocation elbow closed treatment
|
$868.00 |
$868.00 |
$868.00 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,346.40 |
$1,568.40 |
$1,591.20 |
|
|
Ghs ed rmvl or bivalving cast
|
$260.40 |
$592.80 |
$655.20 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,432.20 |
$1,576.20 |
$2,182.80 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$369.50 |
$616.80 |
$5,908.59 |
|
|
Ghs electrostagmgraphy
|
$167.40 |
$208.20 |
$208.20 |
|
|
Ghs elect vertical elct
|
$170.40 |
$170.40 |
$170.40 |
|
|
Ghs fat & muscle
|
$46.61 |
$46.61 |
$117.00 |
|
|
Ghs fb removal foot - deep - left
|
$527.00 |
$527.00 |
$527.00 |
|
|
Ghs fb removal from muscle - complicated
|
$863.40 |
$863.40 |
$1,335.60 |
|
|
Ghs fb removal - incisional
|
$309.50 |
$4,547.40 |
$5,637.00 |
|
|
Ghs fb removal - non-incisional
|
$452.00 |
$452.00 |
$452.00 |
|
|
Ghs febrile agglutinns(mayo)
|
$102.00 |
$154.80 |
$199.80 |
|
|
Ghs fish cytogen
|
$101.00 |
$255.00 |
$1,865.70 |
|
|
Ghs fish hybrid in situ 100-300
|
$190.38 |
$360.00 |
$1,865.70 |
|
|
Ghs flow volume loop
|
$314.40 |
$357.00 |
$435.00 |
|
|
Ghs gastric intub aspiration lavage
|
$193.80 |
$435.60 |
$443.40 |
|
|
Ghs hcv amplificaiton
|
$441.65 |
$743.40 |
$844.20 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$180.59 |
$466.80 |
$525.60 |
|
|
Ghs hgb stability-thal
|
$70.20 |
$97.80 |
$504.56 |
|
|
Ghs histoplasma antigen
|
$120.25 |
$336.00 |
$501.60 |
|
|
Ghs HIV antibody
|
$119.40 |
$223.80 |
$772.63 |
|
|
Ghs hla-dr/dq, multiple antigens
|
$595.80 |
$1,951.20 |
$2,520.60 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$312.00 |
$5,920.80 |
$5,920.80 |
|
|
Ghs i and d perirectal abscess 46040
|
$4,725.60 |
$4,725.60 |
$4,725.60 |
|
|
Ghs i and d pilonidal cyst simple
|
$204.50 |
$204.50 |
$204.50 |
|
|
Ghs immun0electrophoresis
|
$206.40 |
$206.40 |
$318.00 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$214.00 |
$214.00 |
$214.00 |
|
|
Ghs inf midline insertion
|
$714.00 |
$1,030.80 |
$3,296.39 |
|
|
Ghs inhibitor screen
|
$85.00 |
$276.60 |
$891.52 |
|
|
Ghs init tx 1st degree burn
|
$89.50 |
$89.50 |
$89.50 |
|
|
Ghs inj neurolytic intercostal nerve
|
$2,460.00 |
$2,696.40 |
$2,696.40 |
|
