|
Ftl cgen abnor four anal
|
$183.00 |
$183.00 |
$183.00 |
$204.52
|
|
Ftl cgen abnor three anal
|
$148.80 |
$148.80 |
$148.80 |
$111.20
|
|
Ftl cgen abnor two proteins
|
$92.40 |
$92.40 |
$92.40 |
$110.00
|
|
Full sole/heel wedge btween
|
$129.40 |
$129.40 |
$129.40 |
$129.40
|
|
Furnsh initial orthosis only
|
$4,234.18 |
$4,234.18 |
$4,234.18 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$19.00
|
|
G6pc gene
|
$87.00 |
$87.00 |
$87.00 |
$123.00
|
|
G6pd full gene sequence
|
$714.60 |
$714.60 |
$714.60 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$231.60 |
$231.60 |
$231.60 |
$243.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$74.39 |
$74.39 |
$74.39 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$678.42 |
$678.42 |
$678.42 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$187.20 |
$187.20 |
$187.20 |
$96.94
|
|
Galactokinase - sendout
|
$216.00 |
$216.00 |
$216.00 |
$204.97
|
|
Gammaglobulin iga
|
$60.00 |
$60.00 |
$60.00 |
$67.20
|
|
Gammaglobulin ige
|
$78.00 |
$78.00 |
$78.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$82.20 |
$82.20 |
$82.20 |
$57.54
|
|
Gamunex-c/gammaked
|
$16,837.08 |
$16,837.08 |
$16,837.08 |
$7,634.20
|
|
Gastric mucosa imaging
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$555.20
|
|
Gastrin test
|
$32.40 |
$32.40 |
$32.40 |
$61.80
|
|
Gba gene
|
$324.60 |
$324.60 |
$324.60 |
$160.72
|
|
General health panel
|
$279.60 |
$279.60 |
$279.60 |
$275.00
|
|
Generator barostim neo2 2014
|
$102,132.02 |
$102,132.02 |
$102,132.02 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$77,676.91 |
$77,676.91 |
$77,676.91 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$91,847.70 |
$91,847.70 |
$91,847.70 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$1,984.80 |
$1,984.80 |
$1,984.80 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$57,732.84 |
$57,732.84 |
$57,732.84 |
$36,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$6.00 |
$6.00 |
$6.00 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$103.20 |
$103.20 |
$103.20 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$1,410.90
|
|
Ghs acetylcholinesterase, rbc
|
$61.80 |
$61.80 |
$61.80 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$87.00 |
$87.00 |
$87.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$876.60 |
$876.60 |
$876.60 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$92.40 |
$92.40 |
$92.40 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$255.60 |
$255.60 |
$255.60 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$87.60 |
$87.60 |
$87.60 |
$64.40
|
|
Ghs central line insert < age 5, failed
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$493.20 |
$493.20 |
$493.20 |
$565.49
|
|
Ghs chemo >8 hrs
|
$921.60 |
$921.60 |
$921.60 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$454.20 |
$454.20 |
$454.20 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$194.40 |
$194.40 |
$194.40 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$519.60 |
$519.60 |
$519.60 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$1,237.20 |
$1,237.20 |
$1,237.20 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,320.60 |
$1,320.60 |
$1,320.60 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$2,148.00
|
|
Ghs clsd red med malleolus fx w manip
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,166.80 |
$3,166.80 |
$3,166.80 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$519.60 |
$519.60 |
$519.60 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$519.60 |
$519.60 |
$519.60 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$83.40 |
$83.40 |
$83.40 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$612.00 |
$612.00 |
$612.00 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$233.40 |
$233.40 |
$233.40 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$536.40 |
$536.40 |
$536.40 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$589.20 |
$589.20 |
$589.20 |
$339.60
|
|
Ghs dislocation elbow closed treatment
|
$887.40 |
$887.40 |
$887.40 |
$578.00
|
|
Ghs ed rmvl or bivalving cast
|
$574.20 |
$574.20 |
$574.20 |
$329.60
|
|
Ghs excision ingrown nail
|
$311.40 |
$311.40 |
$311.40 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$598.80 |
$598.80 |
$598.80 |
$501.04
|
|
Ghs fat & muscle
|
$26.40 |
$26.40 |
$26.40 |
$38.08
|
|
Ghs fb removal - incisional
|
$2,980.20 |
$2,980.20 |
$2,980.20 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$52.20 |
$52.20 |
$52.20 |
$48.57
|
|
Ghs fish cytogen
|
$342.60 |
$342.60 |
$342.60 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$121.80 |
$121.80 |
$121.80 |
$223.00
|
|
Ghs flow volume loop
|
$206.40 |
$206.40 |
$206.40 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$606.00 |
$606.00 |
$606.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$107.40 |
$107.40 |
$107.40 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$202.80 |
$202.80 |
$202.80 |
$142.50
|
|
Ghs hgb stability-thal
|
$87.60 |
$87.60 |
$87.60 |
$87.60
|
|
Ghs histoplasma antigen
|
$139.20 |
$139.20 |
$139.20 |
$141.00
|
|
Ghs HIV antibody
|
$160.20 |
$160.20 |
$160.20 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$261.00 |
$261.00 |
$261.00 |
$475.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,537.20 |
$1,537.20 |
$1,537.20 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,402.80 |
$1,402.80 |
$1,402.80 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$602.40 |
$602.40 |
$602.40 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$563.40 |
$563.40 |
$563.40 |
$523.73
|
|
Ghs inf midline insertion
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$214.80 |
$214.80 |
$214.80 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$399.60 |
$399.60 |
$399.60 |
$275.50
|
|
Ghs insertion of needle - bone
|
$334.80 |
$334.80 |
$334.80 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$952.80 |
$952.80 |
$952.80 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,179.00 |
$1,179.00 |
$1,179.00 |
$1,035.60
|
|
Ghs intro needle/intracath vein - 36000
|
$532.80 |
$532.80 |
$532.80 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$563.40 |
$563.40 |
$563.40 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$140.40 |
$140.40 |
$140.40 |
$107.58
|
|
Ghs IV thrombolytics - cerebral
|
$649.80 |
$649.80 |
$649.80 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$685.80 |
$685.80 |
$685.80 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$663.00 |
$663.00 |
$663.00 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$453.60 |
$453.60 |
$453.60 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$722.40 |
$722.40 |
$722.40 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$822.00 |
$822.00 |
$822.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$598.80 |
$598.80 |
$598.80 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$922.80 |
$922.80 |
$922.80 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$952.80 |
$952.80 |
$952.80 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$861.00 |
$861.00 |
$861.00 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$922.80 |
$922.80 |
$922.80 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$922.80 |
$922.80 |
$922.80 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$922.80 |
$922.80 |
$922.80 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$72.00 |
$72.00 |
$72.00 |
$76.20
|
|
Ghs mbp
|
$84.60 |
$84.60 |
$84.60 |
$77.35
|
