|
Gammaglobulin iga
|
$84.60 |
$84.60 |
$84.60 |
$69.60
|
|
Gammaglobulin ige
|
$180.65 |
$180.65 |
$180.65 |
$83.85
|
|
Gamma glutamyltransferase
|
$80.75 |
$80.75 |
$80.75 |
$57.54
|
|
Gamunex-c/gammaked
|
$17,761.78 |
$17,761.78 |
$17,761.78 |
$7,435.88
|
|
Gardner vag dna amp probe
|
$315.35 |
$315.35 |
$315.35 |
$72.15
|
|
Gastric emptying imag study
|
$1,660.70 |
$1,660.70 |
$1,660.70 |
$1,364.00
|
|
Gastroesophageal reflux study
|
$1,470.75 |
$1,470.75 |
$1,470.75 |
$1,031.60
|
|
Gated heart multiple
|
$2,032.85 |
$2,032.85 |
$2,032.85 |
$1,405.04
|
|
Gba gene
|
$336.95 |
$336.95 |
$336.95 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$248.39 |
$248.39 |
$248.39 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$30,550.87 |
$30,550.87 |
$30,550.87 |
$19,305.62
|
|
General health panel
|
$400.45 |
$400.45 |
$400.45 |
$262.44
|
|
Genetic tstg severe inh cond
|
$2,910.00 |
$2,910.00 |
$2,910.00 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$168.90 |
$168.90 |
$168.90 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$180.65 |
$180.65 |
$180.65 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,922.30 |
$1,922.30 |
$1,922.30 |
$1,465.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$176.65 |
$176.65 |
$176.65 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$729.20 |
$729.20 |
$729.20 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$374.25 |
$374.25 |
$374.25 |
$262.35
|
|
Ghs bladder cath - complex-foley
|
$194.10 |
$194.10 |
$194.10 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$2,211.20 |
$2,211.20 |
$2,211.20 |
$1,059.85
|
|
Ghs change cysto/gastrost
|
$868.70 |
$868.70 |
$868.70 |
$594.55
|
|
Ghs chemo >8 hrs
|
$466.40 |
$466.40 |
$466.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$202.25 |
$202.25 |
$202.25 |
$277.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$936.90 |
$936.90 |
$936.90 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$1,132.30 |
$1,132.30 |
$1,132.30 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,911.75 |
$2,911.75 |
$2,911.75 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,119.75 |
$1,119.75 |
$1,119.75 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$4,931.10 |
$4,931.10 |
$4,931.10 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$5,311.20 |
$5,311.20 |
$5,311.20 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$308.70 |
$308.70 |
$308.70 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$4,709.60 |
$4,709.60 |
$4,709.60 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$4,931.10 |
$4,931.10 |
$4,931.10 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$1,241.65 |
$1,241.65 |
$1,241.65 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$769.70 |
$769.70 |
$769.70 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$198.15 |
$198.15 |
$198.15 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$304.60 |
$304.60 |
$304.60 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$223.80 |
$223.80 |
$223.80 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$711.65 |
$711.65 |
$711.65 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$260.15 |
$260.15 |
$260.15 |
$339.60
|
|
Ghs cricothyroidotomy
|
$4,575.75 |
$4,575.75 |
$4,575.75 |
$1,104.00
|
|
Ghs dislocation elbow closed treatment
|
$1,325.05 |
$1,325.05 |
$1,325.05 |
$602.00
|
|
Ghs ed rmvl or bivalving cast
|
$884.30 |
$884.30 |
$884.30 |
$338.40
|
|
Ghs excision ingrown nail
|
$395.00 |
$395.00 |
$395.00 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$956.90 |
$956.90 |
$956.90 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$5,392.05 |
$5,392.05 |
$5,392.05 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$2,880.65 |
$2,880.65 |
$2,880.65 |
$2,323.75
|
|
Ghs fish cytogen
|
$305.80 |
$305.80 |
$305.80 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$394.80 |
$394.80 |
$394.80 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$222.45 |
$222.45 |
$222.45 |
$368.50
|
|
Ghs histoplasma antigen
|
$276.60 |
$276.60 |
$276.60 |
$142.00
|
|
Ghs HIV antibody
|
$115.95 |
$115.95 |
$115.95 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$6,064.65 |
$6,064.65 |
$6,064.65 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,343.10 |
$3,343.10 |
$3,343.10 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$2,174.80 |
$2,174.80 |
$2,174.80 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$1,236.05 |
$1,236.05 |
$1,236.05 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$571.55 |
$571.55 |
$571.55 |
$526.50
|
|
Ghs inhibitor screen
|
$80.30 |
$80.30 |
$80.30 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$662.40 |
$662.40 |
$662.40 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$2,615.05 |
$2,615.05 |
$2,615.05 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,615.25 |
$2,615.25 |
$2,615.25 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$208.95 |
$208.95 |
$208.95 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$871.55 |
$871.55 |
$871.55 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,615.05 |
$2,615.05 |
$2,615.05 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$601.15 |
$601.15 |
$601.15 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,273.90 |
$1,273.90 |
$1,273.90 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$982.70 |
$982.70 |
$982.70 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$982.70 |
$982.70 |
$982.70 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$868.70 |
$868.70 |
$868.70 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$156.30 |
$156.30 |
$156.30 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$737.40 |
$737.40 |
$737.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$655.15 |
$655.15 |
$655.15 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$581.00 |
$581.00 |
$581.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$768.35 |
$768.35 |
$768.35 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$713.10 |
$713.10 |
$713.10 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$764.30 |
$764.30 |
$764.30 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$916.65 |
$916.65 |
$916.65 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$862.70 |
$862.70 |
$862.70 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$919.35 |
$919.35 |
$919.35 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$866.75 |
$866.75 |
$866.75 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$459.75 |
$459.75 |
$459.75 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$779.20 |
$779.20 |
$779.20 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$459.75 |
$459.75 |
$459.75 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$254.75 |
$254.75 |
$254.75 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$254.75 |
$254.75 |
$254.75 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$254.75 |
$254.75 |
$254.75 |
$1,064.98
|
|
Ghs low level laser therapy
|
$191.35 |
$191.35 |
$191.35 |
$87.50
|
|
Ghs mbp
|
$166.40 |
$166.40 |
$166.40 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$103.80 |
$103.80 |
$103.80 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$103.80 |
$103.80 |
$103.80 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$199.80 |
$199.80 |
$199.80 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$103.80 |
$103.80 |
$103.80 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$162.85 |
$162.85 |
$162.85 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$639.70 |
$639.70 |
$639.70 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$655.15 |
$655.15 |
$655.15 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,740.75 |
$2,740.75 |
$2,740.75 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$2,114.10 |
$2,114.10 |
$2,114.10 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,781.90 |
$2,781.90 |
$2,781.90 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,871.20 |
$2,871.20 |
$2,871.20 |
$1,710.80
|
