|
Gel-one
|
$728.71 |
$728.71 |
$728.71 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$0.93 |
$0.93 |
$0.93 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$4.95 |
$4.95 |
$4.95 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$331.43 |
$331.43 |
$331.43 |
$19,305.62
|
|
Genetic tstg severe inh cond
|
$3,379.01 |
$3,379.01 |
$3,379.01 |
$3,978.65
|
|
Genioplasty augmentation
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,547.81
|
|
Geniop sldg augmentation
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Geniop sldg osteot 1
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Geniop sldg osteot 2/>
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$6,839.00
|
|
Genome re-evaluation
|
$3,225.96 |
$3,225.96 |
$3,225.96 |
$2,571.42
|
|
Genome sequence analysis
|
$6,943.06 |
$6,943.06 |
$6,943.06 |
$5,031.20
|
|
Genome sequence analysis
|
$3,739.73 |
$3,739.73 |
$3,739.73 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$2.99 |
$2.99 |
$2.99 |
$51.02
|
|
Gentamicin peak therapeutic drug level
|
$22.60 |
$22.60 |
$22.60 |
$123.84
|
|
Genvisc 850, inj, 1mg
|
$6.57 |
$6.57 |
$6.57 |
$6.02
|
|
G-esoph reflx tst w/electrod
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$1,500.00
|
|
Gfrg autol fat lipo ea addl
|
$179.99 |
$179.99 |
$179.99 |
$5,825.30
|
|
Ghs abscess perianal iandd
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$1,469.60
|
|
Ghs abscess postoperative iandd complex
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$13.54 |
$13.54 |
$13.54 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$23.61 |
$23.61 |
$23.61 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$141.12 |
$141.12 |
$141.12 |
$389.90
|
|
Ghs analysis neurostim without reprogramming
|
$182.95 |
$182.95 |
$182.95 |
$257.50
|
|
Ghs antibodies (torch) igm
|
$19.86 |
$19.86 |
$19.86 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$343.55 |
$343.55 |
$343.55 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$176.93 |
$176.93 |
$176.93 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$6.65 |
$6.65 |
$6.65 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$970.61 |
$970.61 |
$970.61 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$2,535.44
|
|
Ghs change cysto/gastrost
|
$343.55 |
$343.55 |
$343.55 |
$596.00
|
|
Ghs chemo >8 hrs
|
$454.19 |
$454.19 |
$454.19 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$454.19 |
$454.19 |
$454.19 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$99.00 |
$99.00 |
$99.00 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$48.42 |
$48.42 |
$48.42 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$437.54 |
$437.54 |
$437.54 |
$514.80
|
|
Ghs closed reduction ankle dislocation
|
$646.54 |
$646.54 |
$646.54 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$636.54 |
$636.54 |
$636.54 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,242.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
$3,494.52
|
|
Ghs clsd red med malleolus fx without manip
|
$450.34 |
$450.34 |
$450.34 |
$518.15
|
|
Ghs clsd red med malleolus fx w manip
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,340.00
|
|
Ghs cl tx knee disl; wo anesth
|
$750.17 |
$750.17 |
$750.17 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$497.53 |
$497.53 |
$497.53 |
$514.50
|
|
Ghs community re-entry 15 minutes
|
$43.80 |
$43.80 |
$43.80 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$614.27 |
$614.27 |
$614.27 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$182.95 |
$182.95 |
$182.95 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$614.27 |
$614.27 |
$614.27 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$182.95 |
$182.95 |
$182.95 |
$339.60
|
|
Ghs cricothyroidotomy
|
$458.67 |
$458.67 |
$458.67 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$614.27 |
$614.27 |
$614.27 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$182.95 |
$182.95 |
$182.95 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$20.99 |
$20.99 |
$20.99 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$576.32 |
$576.32 |
$576.32 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$384.59 |
$384.59 |
$384.59 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$970.61 |
$970.61 |
$970.61 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$296.91 |
$296.91 |
$296.91 |
$586.80
|
|
Ghs electrostagmgraphy
|
$176.93 |
$176.93 |
$176.93 |
$315.28
|
|
Ghs elect torsion swing
|
$176.93 |
$176.93 |
$176.93 |
$266.29
|
|
Ghs elect vertical elct
|
$14.68 |
$14.68 |
$14.68 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$558.97 |
$558.97 |
$558.97 |
$449.50
|
|
Ghs excision ingrown nail
|
$558.97 |
$558.97 |
$558.97 |
$449.25
|
|
Ghs eye exam
|
$183.07 |
$183.07 |
$183.07 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$436.44 |
$436.44 |
$436.44 |
$523.77
|
|
Ghs fat & muscle
|
$6.69 |
$6.69 |
$6.69 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$3,994.09 |
$3,994.09 |
$3,994.09 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$2,271.01 |
$2,271.01 |
$2,271.01 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$9.63 |
$9.63 |
$9.63 |
$48.10
|
|
Ghs fish cytogen
|
$29.56 |
$29.56 |
$29.56 |
$174.50
|
|
Ghs fish hybrid in situ 100-300
|
$70.64 |
$70.64 |
$70.64 |
$225.00
|
|
Ghs flow volume loop
|
$296.91 |
$296.91 |
$296.91 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$296.91 |
$296.91 |
$296.91 |
$368.50
|
|
Ghs hcv amplificaiton
|
$48.42 |
$48.42 |
$48.42 |
$196.30
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$31.70 |
$31.70 |
$31.70 |
$50.40
|
|
Ghs hepatitis c virus (hcv riba)
|
$21.38 |
$21.38 |
$21.38 |
$144.54
|
|
Ghs hgb stability-thal
|
$13.07 |
$13.07 |
$13.07 |
$87.84
|
|
Ghs histoplasma antigen
|
$18.29 |
$18.29 |
$18.29 |
$142.00
|
|
Ghs HIV antibody
|
$18.92 |
$18.92 |
$18.92 |
$90.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$146.47 |
$146.47 |
$146.47 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
$3,511.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,645.43 |
$1,645.43 |
$1,645.43 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$973.71 |
$973.71 |
$973.71 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$973.71 |
$973.71 |
$973.71 |
$707.25
|
|
Ghs immun0electrophoresis
|
$41.29 |
$41.29 |
$41.29 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$343.55 |
$343.55 |
$343.55 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$274.47 |
$274.47 |
$274.47 |
$350.90
|
|
Ghs inf midline insertion
|
$120.05 |
$120.05 |
$120.05 |
$1,241.85
|
|
Ghs inhibitor screen
|
$17.76 |
$17.76 |
$17.76 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$275.88 |
$275.88 |
$275.88 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$1,216.18 |
$1,216.18 |
$1,216.18 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,216.18 |
$1,216.18 |
$1,216.18 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$422.07 |
$422.07 |
$422.07 |
$433.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$76.27 |
$76.27 |
$76.27 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,216.18 |
$1,216.18 |
$1,216.18 |
$1,836.00
|
|
Ghs insertion of needle - bone
|
$614.27 |
$614.27 |
$614.27 |
$434.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$558.97 |
$558.97 |
$558.97 |
$887.20
|
