|
Fusion of knuckle joint
|
$3,521.60 |
$3,521.60 |
$3,521.60 |
$3,839.54
|
|
Fusion of knuckle joints
|
$4,110.40 |
$4,110.40 |
$4,110.40 |
$4,259.84
|
|
Fusion of knuckle joints
|
$4,164.80 |
$4,164.80 |
$4,164.80 |
$7,907.11
|
|
Fusion of knuckle with graft
|
$1,984.80 |
$1,984.80 |
$1,984.80 |
$7,907.11
|
|
Fusion of spermatic ducts
|
$2,022.40 |
$2,022.40 |
$2,022.40 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$2,672.00 |
$2,672.00 |
$2,672.00 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$3,372.80 |
$3,372.80 |
$3,372.80 |
$3,594.44
|
|
Fusion of tendons at wrist
|
$3,169.60 |
$3,169.60 |
$3,169.60 |
$3,839.54
|
|
Fusion of thumb
|
$3,633.60 |
$3,633.60 |
$3,633.60 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$3,396.80 |
$3,396.80 |
$3,396.80 |
$9,791.00
|
|
Fusion of toes
|
$2,571.20 |
$2,571.20 |
$2,571.20 |
$3,839.54
|
|
Fusion of ureter & kidney
|
$5,988.80 |
$5,988.80 |
$5,988.80 |
$4,503.00
|
|
Fxn gene detc abnor alleles
|
$153.56 |
$153.56 |
$153.56 |
$200.88
|
|
G0180 home health certification
|
$116.00 |
$116.00 |
$116.00 |
$116.00
|
|
G6pc gene
|
$117.60 |
$117.60 |
$117.60 |
$138.40
|
|
G6pd full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$350.40 |
$350.40 |
$350.40 |
$243.00
|
|
G6pd known familial variant
|
$751.20 |
$751.20 |
$751.20 |
$751.20
|
|
Ga-67 gallium 0.1 mci
|
$174.67 |
$174.67 |
$174.67 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$165.11 |
$165.11 |
$165.11 |
$140.35
|
|
Gabapentin non-blood
|
$72.14 |
$72.14 |
$72.14 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$9.01 |
$9.01 |
$9.01 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2.17 |
$2.17 |
$2.17 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$30.78 |
$30.78 |
$30.78 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$64.28 |
$64.28 |
$64.28 |
$100.00
|
|
Galactokinase - sendout
|
$64.28 |
$64.28 |
$64.28 |
$204.97
|
|
Galactose transferase test
|
$64.28 |
$64.28 |
$64.28 |
$31.35
|
|
Galectin-3
|
$88.80 |
$88.80 |
$88.80 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,416.19 |
$1,416.19 |
$1,416.19 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,416.19 |
$1,416.19 |
$1,416.19 |
$1,615.00
|
|
Gallbladder Removal (Laparoscopic)
|
$1,614.40 |
$1,614.40 |
$1,614.40 |
$13,208.00
|
|
Gallium illuccix 1 millicure
|
$1,280.81 |
$1,280.81 |
$1,280.81 |
$1,696.55
|
|
Gamma globulin > 10 cc inj
|
$556.00 |
$556.00 |
$556.00 |
$498.52
|
|
Gamma globulin 1 cc inj
|
$85.70 |
$85.70 |
$85.70 |
$407.60
|
|
Gammaglobulin iga
|
$33.57 |
$33.57 |
$33.57 |
$69.60
|
|
Gammaglobulin ige
|
$64.28 |
$64.28 |
$64.28 |
$83.85
|
|
Gamma glutamyltransferase
|
$33.57 |
$33.57 |
$33.57 |
$57.54
|
|
Gamunex-c/gammaked
|
$124.23 |
$124.23 |
$124.23 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$106.78 |
$106.78 |
$106.78 |
$197.40
|
|
Gardner vag dna amp probe
|
$88.80 |
$88.80 |
$88.80 |
$72.15
|
|
Gardner vag dna quant
|
$104.80 |
$104.80 |
$104.80 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$33.57 |
$33.57 |
$33.57 |
$31.50
|
|
Gastric emptying imag study
|
$1,277.27 |
$1,277.27 |
$1,277.27 |
$1,364.00
|
|
Gastric emptying imag study
|
$744.80 |
$744.80 |
$744.80 |
$1,665.50
|
|
Gastric motility studies
|
$576.00 |
$576.00 |
$576.00 |
$972.00
|
|
Gastric mucosa imaging
|
$555.20 |
$555.20 |
$555.20 |
$565.00
|
|
Gastrin test
|
$44.80 |
$44.80 |
$44.80 |
$61.80
|
|
Gastroduodenostomy
|
$2,492.80 |
$2,492.80 |
$2,492.80 |
$2,265.07
|
|
Gastroesophageal reflux study
|
$1,058.29 |
$1,058.29 |
$1,058.29 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$413.60 |
$413.60 |
$413.60 |
$1,352.00
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$3,295.20 |
$3,295.20 |
$3,295.20 |
$2,376.00
|
|
Gastrojejunostomy w/vagotomy
|
$3,209.60 |
$3,209.60 |
$3,209.60 |
$2,919.94
|
|
Gastro/jejuno tube, std
|
$42.40 |
$42.40 |
$42.40 |
$379.50
|
|
Gastroplasty duodenal switch
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$4,780.80
|
|
Gastrostomy open neonatal
|
$1,474.40 |
$1,474.40 |
$1,474.40 |
$1,474.40
|
|
Gated heart multiple
|
$2,065.44 |
$2,065.44 |
$2,065.44 |
$1,405.04
|
|
Gauze <=16 in no w/sal without b
|
$6.40 |
$6.40 |
$6.40 |
$6.40
|
|
Gba gene
|
$127.86 |
$127.86 |
$127.86 |
$160.72
|
|
Gel-one
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$1.60 |
$1.60 |
$1.60 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$41.81 |
$41.81 |
$41.81 |
$207.51
|
|
General health panel
|
$70.40 |
$70.40 |
$70.40 |
$262.44
|
|
Generator barostim neo2 2014
|
$64,836.29 |
$64,836.29 |
$64,836.29 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$52,550.72 |
$52,550.72 |
$52,550.72 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$4,897.60 |
$4,897.60 |
$4,897.60 |
$3,978.65
|
|
Genioplasty augmentation
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$6,547.81
|
|
Geniop sldg augmentation
|
$2,196.80 |
$2,196.80 |
$2,196.80 |
$3,837.72
|
|
Geniop sldg osteot 1
|
$1,696.80 |
$1,696.80 |
$1,696.80 |
$3,837.72
|
|
Geniop sldg osteot 2/>
|
$1,895.20 |
$1,895.20 |
$1,895.20 |
$6,966.64
|
|
Genome sequence analysis
|
$4,829.96 |
$4,829.96 |
$4,829.96 |
$5,031.20
|
|
Genome sequence analysis
|
$2,601.56 |
$2,601.56 |
$2,601.56 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$76.40 |
$76.40 |
$76.40 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,060.62 |
$1,060.62 |
$1,060.62 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$2,952.74 |
$2,952.74 |
$2,952.74 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$33.57 |
$33.57 |
$33.57 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$64.28 |
$64.28 |
$64.28 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$204.80 |
$204.80 |
$204.80 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$114.40 |
$114.40 |
$114.40 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$48.57 |
$48.57 |
$48.57 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$169.60 |
$169.60 |
$169.60 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$390.21 |
$390.21 |
$390.21 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$32.85 |
$32.85 |
$32.85 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$6,209.27 |
$6,209.27 |
$6,209.27 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,099.76 |
$1,099.76 |
$1,099.76 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$1,114.60 |
$1,114.60 |
$1,114.60 |
$594.55
|
|
Ghs chemo >8 hrs
|
$690.21 |
$690.21 |
$690.21 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$316.80 |
$316.80 |
$316.80 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$143.59 |
$143.59 |
$143.59 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$88.80 |
$88.80 |
$88.80 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$689.60 |
$689.60 |
$689.60 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$1,849.60 |
$1,849.60 |
$1,849.60 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,299.20 |
$2,299.20 |
$2,299.20 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$2,036.80 |
$2,036.80 |
$2,036.80 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,627.20 |
$2,627.20 |
$2,627.20 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,972.00 |
$1,972.00 |
$1,972.00 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,347.20 |
$2,347.20 |
$2,347.20 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,191.64 |
$3,191.64 |
$3,191.64 |
$2,319.00
|
