|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$31,504.65 |
$31,504.65 |
$31,504.65 |
$19,305.62
|
|
General health panel
|
$70.40 |
$70.40 |
$70.40 |
$262.44
|
|
Generator barostim neo2 2014
|
$27,469.69 |
$27,469.69 |
$44,831.44 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$22,347.00 |
$22,347.00 |
$22,347.00 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$37,570.90 |
$37,570.90 |
$37,570.90 |
$66,636.36
|
|
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
|
$17.40 |
$17.40 |
$79.88 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$66.43 |
$66.43 |
$198.25 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,040.80 |
$1,040.80 |
$1,040.80 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,264.88 |
$1,264.88 |
$1,264.88 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$2,213.30 |
$2,213.30 |
$2,213.30 |
$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
|
$1,008.45 |
$1,008.45 |
$1,008.45 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$344.00 |
$344.00 |
$344.00 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$32.85 |
$32.85 |
$32.85 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,318.52 |
$1,318.52 |
$1,318.52 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$3,251.76 |
$3,251.76 |
$3,251.76 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$551.20 |
$551.20 |
$551.20 |
$594.55
|
|
Ghs chemo >8 hrs
|
$587.88 |
$587.88 |
$587.88 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$316.80 |
$316.80 |
$316.80 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$122.28 |
$122.28 |
$122.28 |
$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 |
$4,661.15 |
$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
|
$2,842.37 |
$2,842.37 |
$2,842.37 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,683.20 |
$2,683.20 |
$2,683.20 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$2,564.80 |
$2,564.80 |
$2,564.80 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$815.20 |
$815.20 |
$815.20 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$94.57 |
$94.57 |
$94.57 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$243.20 |
$243.20 |
$243.20 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$214.61 |
$214.61 |
$214.61 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$294.40 |
$294.40 |
$294.40 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$339.20 |
$339.20 |
$339.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$827.20 |
$827.20 |
$827.20 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$100.80 |
$100.80 |
$100.80 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$118.40 |
$118.40 |
$118.40 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$48.57 |
$48.57 |
$48.57 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$1,817.60 |
$1,817.60 |
$1,817.60 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$268.00 |
$268.00 |
$268.00 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$494.62 |
$494.62 |
$494.62 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,318.52 |
$1,318.52 |
$1,318.52 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,067.55 |
$1,067.55 |
$1,067.55 |
$586.80
|
|
Ghs electrostagmgraphy
|
$92.80 |
$92.80 |
$92.80 |
$322.00
|
|
Ghs elect torsion swing
|
$242.40 |
$242.40 |
$242.40 |
$266.29
|
|
Ghs elect vertical elct
|
$18.40 |
$18.40 |
$18.40 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$380.00 |
$380.00 |
$380.00 |
$467.00
|
|
Ghs excision ingrown nail
|
$1,013.90 |
$1,013.90 |
$1,013.90 |
$449.25
|
|
Ghs eye exam
|
$174.40 |
$174.40 |
$174.40 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$510.00
|
|
Ghs fat & muscle
|
$56.44 |
$56.44 |
$56.44 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$2,342.40 |
$2,342.40 |
$2,342.40 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$1,162.40 |
$1,162.40 |
$1,162.40 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$2,070.54 |
$2,070.54 |
$2,070.54 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$518.40 |
$518.40 |
$518.40 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$48.57 |
$48.57 |
$48.57 |
$48.10
|
|
Ghs fish cytogen
|
$111.80 |
$111.80 |
$127.86 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$127.86 |
$127.86 |
$127.86 |
$226.20
|
|
Ghs flow volume loop
|
$89.60 |
$89.60 |
$89.60 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$56.00 |
$56.00 |
$56.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$88.80 |
$88.80 |
$88.80 |
$196.20
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$64.28 |
$64.28 |
$64.28 |
$64.28
|
|
Ghs hepatitis c virus (hcv riba)
|
$48.57 |
$48.57 |
$48.57 |
$144.54
|
|
Ghs hgb stability-thal
|
$33.57 |
$33.57 |
$106.60 |
$89.91
|
|
Ghs histoplasma antigen
|
$38.58 |
$38.58 |
$235.95 |
$142.00
|
|
Ghs HIV antibody
|
$48.57 |
$48.57 |
$48.57 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$212.80 |
$212.80 |
$212.80 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,814.36 |
$2,814.36 |
$2,814.36 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,486.76 |
$1,486.76 |
$1,486.76 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$512.80 |
$512.80 |
$512.80 |
$707.25
|
|
Ghs immun0electrophoresis
|
$110.00 |
$110.00 |
$110.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$471.20 |
$471.20 |
$471.20 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$520.00 |
$520.00 |
$520.00 |
$350.90
|
|
Ghs inf midline insertion
|
$445.25 |
$445.25 |
$1,228.50 |
$1,238.25
|
|
Ghs inhibitor screen
|
$32.85 |
$32.85 |
$344.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$180.80 |
$180.80 |
$180.80 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$520.80 |
$520.80 |
$520.80 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,469.73 |
$2,469.73 |
$2,469.73 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$278.40 |
$278.40 |
$278.40 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$625.60 |
$625.60 |
$625.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,284.88 |
$1,284.88 |
$1,284.88 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$148.80 |
$148.80 |
$148.80 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$943.20 |
$943.20 |
$30,271.57 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,192.00 |
$1,192.00 |
$1,192.00 |
$2,164.64
|
