|
Gallbladder Function Scan (HIDA with Medication)
|
$1,922.97 |
$1,922.97 |
$1,922.97 |
$1,612.00
|
|
Gallbladder Removal (Laparoscopic)
|
$1,614.40 |
$1,614.40 |
$1,614.40 |
$13,208.00
|
|
Gallium ga-68 psma-11, ucla
|
$1,537.26 |
$1,537.26 |
$1,537.26 |
$187.20
|
|
Gallium illuccix 1 millicure
|
$1,280.30 |
$1,280.30 |
$1,280.30 |
$1,696.55
|
|
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
|
$120.31 |
$120.31 |
$120.31 |
$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
|
$797.24 |
$797.24 |
$797.24 |
$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
|
$1,190.41 |
$1,190.41 |
$1,190.41 |
$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
|
$16.00 |
$16.00 |
$16.00 |
$207.51
|
|
General health panel
|
$70.40 |
$70.40 |
$70.40 |
$261.00
|
|
Generator barostim neo2 2014
|
$32,576.32 |
$32,576.32 |
$32,576.32 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$24,200.80 |
$24,200.80 |
$24,200.80 |
$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 |
$6,839.00
|
|
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
|
$79.88 |
$79.88 |
$79.88 |
$51.02
|
|
Gentamicin peak therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,418.18 |
$1,418.18 |
$1,418.18 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$3,834.23 |
$3,834.23 |
$3,834.23 |
$1,469.60
|
|
Ghs abscess postoperative iandd complex
|
$5,312.93 |
$5,312.93 |
$5,312.93 |
$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
|
$435.28 |
$435.28 |
$435.28 |
$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
|
$1,060.78 |
$1,060.78 |
$1,060.78 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,068.08 |
$1,068.08 |
$1,068.08 |
$2,535.44
|
|
Ghs change cysto/gastrost
|
$903.56 |
$903.56 |
$903.56 |
$596.00
|
|
Ghs chemo >8 hrs
|
$625.88 |
$625.88 |
$625.88 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$316.80 |
$316.80 |
$316.80 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$130.19 |
$130.19 |
$130.19 |
$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
|
$3,069.86 |
$3,069.86 |
$3,069.86 |
$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
|
$69.52 |
$69.52 |
$69.52 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$399.35 |
$399.35 |
$399.35 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$351.69 |
$351.69 |
$351.69 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$323.10 |
$323.10 |
$323.10 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$339.20 |
$339.20 |
$339.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$970.24 |
$970.24 |
$970.24 |
$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
|
$1,474.42 |
$1,474.42 |
$1,474.42 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$152.80 |
$152.80 |
$152.80 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,299.88 |
$1,299.88 |
$1,299.88 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$526.57 |
$526.57 |
$526.57 |
$586.80
|
|
Ghs electrostagmgraphy
|
$92.80 |
$92.80 |
$92.80 |
$315.28
|
|
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 |
$449.50
|
|
Ghs excision ingrown nail
|
$470.07 |
$470.07 |
$470.07 |
$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 |
$523.77
|
|
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
|
$1,796.55 |
$1,796.55 |
$1,796.55 |
$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
|
