|
Gel cap for trach voice pros
|
$291.08 |
$291.08 |
$291.08 |
$2.80
|
|
Gel-one
|
$5,138.10 |
$5,138.10 |
$5,138.10 |
$1,561.21
|
|
Gemcitabine 1 gram intravenous solution
|
$161.22 |
$161.22 |
$1,868.30 |
$208.92
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$32,361.12 |
$32,361.12 |
$32,361.12 |
$19,305.62
|
|
General health panel
|
$300.65 |
$300.65 |
$566.40 |
$261.00
|
|
Generator barostim neo2 2014
|
$123,388.80 |
$123,388.80 |
$352,982.09 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$93,843.84 |
$93,843.84 |
$189,146.25 |
$36,771.84
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$110,964.00 |
$110,964.00 |
$110,964.00 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$1,104.68 |
$1,104.68 |
$3,672.60 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$69,748.80 |
$69,748.80 |
$226,535.63 |
$40,800.00
|
|
Genome sequence analysis
|
$4,329.08 |
$4,329.08 |
$4,329.08 |
$5,031.20
|
|
Genome sequence analysis
|
$2,331.77 |
$2,331.77 |
$2,331.77 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$30.36 |
$30.36 |
$223.58 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$88.80 |
$88.80 |
$206.25 |
$121.75
|
|
G-esoph reflx tst w/electrod
|
$7,682.05 |
$7,682.05 |
$7,682.05 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$6,164.94 |
$6,164.94 |
$6,164.94 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$9,027.60 |
$9,027.60 |
$9,027.60 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$64.80 |
$64.80 |
$90.89 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$101.40 |
$101.40 |
$889.98 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$876.60 |
$876.60 |
$2,060.26 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$416.80 |
$416.80 |
$416.80 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$171.00 |
$171.00 |
$180.59 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$507.14 |
$507.14 |
$514.20 |
$343.68
|
|
Ghs bleeding time (ivy)
|
$52.47 |
$52.47 |
$87.60 |
$62.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$953.40 |
$953.40 |
$953.40 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,535.60 |
$2,535.60 |
$2,535.60 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$1,105.20 |
$1,105.20 |
$1,105.20 |
$594.55
|
|
Ghs chemo >8 hrs
|
$629.40 |
$629.40 |
$1,931.93 |
$698.65
|
|
Ghs chemo infusion >8 hrs
|
$1,006.72 |
$1,006.72 |
$1,006.72 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$470.40 |
$470.40 |
$1,289.96 |
$275.51
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$61.20 |
$61.20 |
$441.65 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$789.00 |
$789.00 |
$789.00 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$439.80 |
$439.80 |
$439.80 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,351.40 |
$2,351.40 |
$8,275.12 |
$3,448.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,655.60 |
$2,655.60 |
$2,655.60 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$606.60 |
$606.60 |
$606.60 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,175.40 |
$1,175.40 |
$1,175.40 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$266.78 |
$266.78 |
$266.78 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$340.80 |
$340.80 |
$340.80 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$340.80 |
$340.80 |
$340.80 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$440.40 |
$440.40 |
$440.40 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$484.20 |
$484.20 |
$484.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$435.00 |
$435.00 |
$1,103.75 |
$1,103.75
|
|
Ghs dislocation elbow closed treatment
|
$599.40 |
$599.40 |
$599.40 |
$583.80
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$510.60 |
$510.60 |
$5,908.59 |
$555.80
|
|
Ghs excision ingrown nail
|
$430.80 |
$430.80 |
$430.80 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$598.80 |
$598.80 |
$598.80 |
$501.04
|
|
Ghs fat & muscle
|
$46.61 |
$46.61 |
$46.61 |
$38.08
|
|
Ghs fb removal - incisional
|
$2,980.20 |
$2,980.20 |
$2,980.20 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$1,179.60 |
$1,179.60 |
$1,179.60 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$52.20 |
$52.20 |
$52.20 |
$48.10
|
|
Ghs fish cytogen
|
$139.80 |
$139.80 |
$1,865.70 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$543.60 |
$543.60 |
$1,865.70 |
$225.00
|
|
Ghs flow volume loop
|
$227.40 |
$227.40 |
$227.40 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$419.40 |
$419.40 |
$419.40 |
$365.40
|
|
Ghs hcv amplificaiton
|
$101.40 |
$101.40 |
$441.65 |
$201.06
|
|
Ghs hepatitis c virus (hcv riba)
|
$180.59 |
$180.59 |
$194.40 |
$144.54
|
|
Ghs hgb stability-thal
|
$87.60 |
$87.60 |
$504.56 |
$89.91
|
|
Ghs histoplasma antigen
|
$269.40 |
$269.40 |
$385.67 |
$138.00
|
|
Ghs HIV antibody
|
$212.40 |
$212.40 |
$772.63 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$261.00 |
$261.00 |
$809.89 |
$483.04
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,197.60 |
$4,197.60 |
$4,197.60 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$5,106.60 |
$5,106.60 |
$5,106.60 |
$2,671.25
|
|
Ghs i and d pilonidal cyst complex
|
$1,402.80 |
$1,402.80 |
$1,402.80 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$603.60 |
$603.60 |
$603.60 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$664.80 |
$664.80 |
$664.80 |
$520.80
|
|
Ghs inf midline insertion
|
$1,446.00 |
$1,446.00 |
$3,296.39 |
$1,219.20
|
|
Ghs inhibitor screen
|
$34.20 |
$34.20 |
$891.52 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$363.00 |
$363.00 |
$363.00 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$4,526.21 |
$4,526.21 |
$11,306.81 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$1,405.87 |
$1,405.87 |
$1,405.87 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,255.83 |
$2,255.83 |
$2,255.83 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,436.40 |
$1,436.40 |
$2,945.30 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$289.20 |
$289.20 |
$289.20 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,330.80 |
$1,330.80 |
$1,330.80 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,881.20 |
$2,881.20 |
$2,881.20 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$435.60 |
$435.60 |
$1,114.28 |
$202.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$741.00 |
$741.00 |
$741.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$120.00 |
$120.00 |
$326.80 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$1,024.20 |
$1,024.20 |
$1,024.20 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$438.00 |
$438.00 |
$438.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$910.20 |
$910.20 |
$910.20 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$8,877.18 |
$8,877.18 |
$8,877.18 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$940.20 |
$940.20 |
$940.20 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,131.60 |
$1,131.60 |
$1,131.60 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,184.40 |
$1,184.40 |
$1,184.40 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$2,523.00 |
$2,523.00 |
$2,523.00 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$20.40 |
$20.40 |
$108.35 |
$72.60
|
|
Ghs mbp
|
$202.20 |
$202.20 |
$216.79 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$553.38 |
$553.38 |
$734.40 |
$242.64
|
