|
Gamma globulin 1 cc inj
|
$56.00 |
$56.00 |
$1,079.18 |
|
|
Gammaglobulin iga
|
$33.57 |
$81.90 |
$17,579.35 |
|
|
Gammaglobulin ige
|
$64.28 |
$83.85 |
$1,819.00 |
|
|
Gamma glutamyltransferase
|
$33.57 |
$54.00 |
$3,314.25 |
|
|
Gamunex-c/gammaked
|
$120.31 |
$5,164.64 |
$28,520.25 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$96.04 |
$138.00 |
$447.35 |
|
|
Gardner vag dna amp probe
|
$88.80 |
$88.80 |
$88.80 |
|
|
Gardner vag dna quant
|
$104.80 |
$104.80 |
$104.80 |
|
|
Gastric analy w/ph ea spec
|
$33.57 |
$33.57 |
$33.57 |
|
|
Gastric emptying imag study
|
$631.20 |
$1,270.00 |
$1,863.47 |
|
|
Gastric emptying imag study
|
$744.80 |
$744.80 |
$2,309.73 |
|
|
Gastric motility studies
|
$576.00 |
$576.00 |
$1,073.94 |
|
|
Gastric mucosa imaging
|
$555.20 |
$555.20 |
$555.20 |
|
|
Gastrin test
|
$44.80 |
$44.80 |
$44.80 |
|
|
Gastroduodenostomy
|
$1,309.92 |
$2,492.80 |
$2,492.80 |
|
|
Gastroesophageal reflux study
|
$541.60 |
$623.77 |
$1,377.85 |
|
|
Gastroesophageal reflux test
|
$413.60 |
$413.60 |
$3,004.48 |
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$1,732.32 |
$3,295.20 |
$4,798.00 |
|
|
Gastrojejunostomy w/vagotomy
|
$1,688.64 |
$3,209.60 |
$3,209.60 |
|
|
Gastro/jejuno tube, std
|
$42.40 |
$42.40 |
$194.82 |
|
|
Gastroplasty duodenal switch
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
|
|
Gastrostomy open neonatal
|
$1,474.40 |
$1,474.40 |
$1,474.40 |
|
|
Gated heart multiple
|
$286.86 |
$954.24 |
$2,422.40 |
|
|
Gauze >16<=48 no w/sal without b
|
$3.43 |
$3.43 |
$3.43 |
|
|
Gauze <=16 in no w/sal without b
|
$0.60 |
$6.40 |
$6.40 |
|
|
Gauze <= 16 sq in w/border
|
$7.80 |
$8.40 |
$8.40 |
|
|
Gba gene
|
$127.86 |
$127.86 |
$127.86 |
|
|
Gc stocking thighlngth 18-30
|
$46.20 |
$48.60 |
$68.30 |
|
|
Gc stocking waistlngth 18-30
|
$24.60 |
$25.80 |
$25.80 |
|
|
Gc stocking waistlngth 40+
|
$260.04 |
$260.04 |
$260.04 |
|
|
Gel-one
|
$1,056.00 |
$1,056.00 |
$5,750.00 |
|
|
Gel-syn injection 0.1 mg
|
$1.60 |
$1.60 |
$1,784.45 |
|
|
Gemcitabine 1 gram intravenous solution
|
$16.00 |
$254.17 |
$1,324.79 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$344.29 |
$31,504.65 |
$31,504.65 |
|
|
General health panel
|
$70.40 |
$246.40 |
$464.52 |
|
|
Generator barostim neo2 2014
|
$25,256.40 |
$44,831.44 |
$70,875.00 |
|
|
Generator emblem MRI sicd subq
|
$22,347.00 |
$25,453.33 |
$52,550.72 |
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$35,196.52 |
$37,570.90 |
$78,750.00 |
|
|
Genetic tstg severe inh cond
|
$4,897.60 |
$4,897.60 |
$4,897.60 |
|
|
Genioplasty augmentation
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
|
|
Geniop sldg augmentation
|
$2,196.80 |
$2,196.80 |
$2,196.80 |
|
|
Geniop sldg osteot 1
|
$1,696.80 |
$1,696.80 |
$1,696.80 |
|
|
Geniop sldg osteot 2/>
|
$1,895.20 |
$1,895.20 |
$1,895.20 |
|
|
Genome sequence analysis
|
$4,829.96 |
$4,829.96 |
$4,829.96 |
|
|
Genome sequence analysis
|
$2,601.56 |
$2,601.56 |
$2,601.56 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$3.20 |
$76.40 |
$114.80 |
|
|
Gentamicin peak therapeutic drug level
|
$64.26 |
$97.50 |
$438.00 |
|
|
G-esoph reflx tst w/electrod
|
$909.60 |
$1,103.70 |
$17,260.06 |
|
|
Ghs abscess perianal iandd
|
$228.00 |
$1,508.00 |
$20,712.40 |
|
|
Ghs abscess postoperative iandd complex
|
$537.60 |
$2,850.96 |
$46,553.78 |
|
|
Ghs acetylcholinesterase, rbc
|
$33.57 |
$33.57 |
$113.40 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$64.28 |
$64.28 |
$173.40 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$204.80 |
$204.80 |
$257.40 |
|
|
Ghs analysis neurostim without reprogramming
|
$81.90 |
$114.40 |
$777.80 |
|
|
Ghs antibodies (torch) igm
|
$48.57 |
$48.57 |
$245.40 |
|
|
Ghs aspiration bladder - needle
|
$169.60 |
$415.07 |
$1,008.45 |
|
|
Ghs bladder cath - complex-foley
|
$107.25 |
$344.00 |
$390.21 |
|
|
Ghs bleeding time (ivy)
|
$32.85 |
$32.85 |
$116.76 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$528.60 |
$1,060.78 |
$6,209.27 |
|
|
Ghs central line insert < age 5, failed
|
$417.00 |
$1,581.76 |
$5,746.00 |
|
|
Ghs change cysto/gastrost
|
$227.22 |
$565.49 |
$1,223.00 |
|
|
Ghs chemo >8 hrs
|
$119.52 |
$501.00 |
$1,454.05 |
|
|
Ghs chemo infusion >8 hrs
|
$316.80 |
$316.80 |
$501.00 |
|
|
Ghs chemo IV push, ea addtl
|
$109.60 |
$146.31 |
$356.20 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$82.32 |
$88.80 |
$398.40 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$161.28 |
$689.60 |
$1,872.00 |
|
|
Ghs closed reduction ankle dislocation
|
$210.00 |
$1,849.60 |
$1,849.60 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$597.24 |
$2,299.20 |
$18,798.00 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$253.80 |
$2,036.80 |
$2,036.80 |
|
|
Ghs closed tx tibial fracture w/manip
|
$712.32 |
$2,627.20 |
$2,627.20 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,051.20 |
$1,972.00 |
$50,924.40 |
|
|
Ghs clsd red med malleolus fx without manip
|
$419.20 |
$1,635.20 |
$5,101.85 |
|
|
Ghs clsd red med malleolus fx w manip
|
$52.00 |
$2,347.20 |
$5,255.86 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$983.40 |
$2,683.20 |
$3,191.64 |
|
|
Ghs cl tx knee disl; wo anesth
|
$320.46 |
$2,564.80 |
$2,564.80 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$198.24 |
$815.20 |
$815.20 |
|
|
Ghs community re-entry 15 minutes
|
$44.52 |
$91.91 |
$925.12 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$234.24 |
$399.35 |
$1,775.83 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$112.00 |
$207.06 |
$570.70 |
|
|
Ghs corneal fb without slit lamp bilat
|
$158.00 |
$323.10 |
$553.80 |
|
|
Ghs corneal fb with slit lamp bilat
|
$234.24 |
$339.20 |
$500.40 |
|
|
Ghs cricothyroidotomy
|
$797.28 |
$970.24 |
$1,418.08 |
|
|
Ghs cutdown placement age 1 and over
|
$100.80 |
$100.80 |
$640.77 |
|
|
Ghs cutdown placement under 1 yr
|
$68.80 |
$118.40 |
$525.84 |
|
|
Ghs diphtheria toxoid ab igg
|
$48.57 |
$48.57 |
$91.80 |
|
|
Ghs dislocation elbow closed treatment
|
$418.74 |
$1,817.60 |
$1,817.60 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$268.00 |
$820.80 |
$1,474.42 |
|
|
Ghs ed rmvl or bivalving cast
|
$81.12 |
$249.48 |
$494.62 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$332.00 |
$1,274.85 |
$1,785.55 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$217.14 |
$642.20 |
$1,124.01 |
|
|
Ghs electrostagmgraphy
|
$92.80 |
$92.80 |
$324.84 |
|
|
Ghs elect torsion swing
|
$109.92 |
$242.40 |
$275.40 |
|
|
Ghs elect vertical elct
|
$18.40 |
$18.40 |
$141.60 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$213.85 |
$380.00 |
$908.95 |
|
|
Ghs excision ingrown nail
|
$156.66 |
$426.40 |
$1,013.90 |
|
|
Ghs eye exam
|
$82.80 |
$174.40 |
$174.40 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$232.68 |
$1,272.00 |
$1,272.00 |
|
|
Ghs fat & muscle
|
$56.44 |
$56.44 |
$85.20 |
|
|
Ghs fb removal foot - deep - left
|
$283.50 |
$2,342.40 |
$29,358.50 |
|
|
Ghs fb removal from muscle - complicated
|
$953.76 |
$1,162.40 |
$3,447.60 |
|
