|
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 |
$3,591.33
|
|
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 |
$2,702.04
|
|
Fxn gene detc abnor alleles
|
$153.56 |
$153.56 |
$153.56 |
$195.30
|
|
G0180 home health certification
|
$116.00 |
$116.00 |
$116.00 |
$107.25
|
|
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
|
|
Gabapentin non-blood
|
$72.14 |
$72.14 |
$72.14 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$16.31 |
$16.31 |
$16.31 |
$120.00
|
|
Galac-1-phosphate uridyltran - sendout
|
$64.28 |
$64.28 |
$64.28 |
$100.00
|
|
Galactokinase - sendout
|
$64.28 |
$64.28 |
$64.28 |
$196.38
|
|
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)
|
$1,326.98 |
$1,326.98 |
$1,326.98 |
$1,493.98
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,734.97 |
$1,734.97 |
$1,734.97 |
$1,612.00
|
|
Gallbladder Removal (Laparoscopic)
|
$1,614.40 |
$1,614.40 |
$1,614.40 |
$13,208.00
|
|
Gamma globulin > 10 cc inj
|
$556.00 |
$556.00 |
$556.00 |
$498.52
|
|
Gamma globulin 1 cc inj
|
$56.00 |
$56.00 |
$56.00 |
$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
|
$121.40 |
$121.40 |
$121.40 |
$7,435.88
|
|
Gardner vag dna amp probe
|
$88.80 |
$88.80 |
$88.80 |
$65.30
|
|
Gardner vag dna quant
|
$104.80 |
$104.80 |
$104.80 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$33.57 |
$33.57 |
$33.57 |
$31.34
|
|
Gastric emptying imag study
|
$631.20 |
$631.20 |
$631.20 |
$1,345.40
|
|
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 |
$2,240.04
|
|
Gastroesophageal reflux study
|
$541.60 |
$541.60 |
$541.60 |
$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 |
$2,886.18
|
|
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
|
$671.20 |
$671.20 |
$671.20 |
$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
|
$265.99 |
$265.99 |
$265.99 |
$207.51
|
|
General health panel
|
$70.40 |
$70.40 |
$70.40 |
$261.00
|
|
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 |
$6,839.00
|
|
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
|
$19.34 |
$19.34 |
$19.34 |
$51.02
|
|
Gentamicin peak therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,040.80 |
$1,040.80 |
$1,040.80 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$2,288.65 |
$2,288.65 |
$2,288.65 |
$1,469.60
|
|
Ghs abscess postoperative iandd complex
|
$2,850.96 |
$2,850.96 |
$2,850.96 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$33.57 |
$33.57 |
$33.57 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$64.28 |
$64.28 |
$64.28 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$204.80 |
$204.80 |
$204.80 |
$389.90
|
|
Ghs analysis neurostim without reprogramming
|
$114.40 |
$114.40 |
$114.40 |
$257.50
|
|
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
|
$344.00 |
$344.00 |
$344.00 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$32.85 |
$32.85 |
$32.85 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$552.00 |
$552.00 |
$552.00 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$466.40 |
$466.40 |
$466.40 |
$2,535.44
|
|
Ghs change cysto/gastrost
|
$565.49 |
$565.49 |
$565.49 |
$596.00
|
|
Ghs chemo >8 hrs
|
$624.54 |
$624.54 |
$624.54 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$316.80 |
$316.80 |
$316.80 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$121.98 |
$121.98 |
$121.98 |
$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 |
$514.80
|
|
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 |
$2,242.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,972.00 |
$1,972.00 |
$1,972.00 |
$3,494.52
|
|
Ghs clsd red med malleolus fx without manip
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$518.15
|
|
Ghs clsd red med malleolus fx w manip
|
$3,279.54 |
$3,279.54 |
$3,279.54 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,683.20 |
$2,683.20 |
$2,683.20 |
$2,340.00
|
|
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 |
$514.50
|
|
Ghs community re-entry 15 minutes
|
$108.72 |
$108.72 |
$108.72 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,060.62 |
$1,060.62 |
$1,060.62 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$340.04 |
$340.04 |
$340.04 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$544.16 |
$544.16 |
$544.16 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$453.90 |
$453.90 |
$453.90 |
$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
|
