|
Fusion of ankle joint open
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$9,791.00
|
|
Fusion of big toe joint
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,488.00
|
|
Fusion of big toe joint
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,811.00
|
|
Fusion of facial/other nerve
|
$1,628.26 |
$1,628.26 |
$1,628.26 |
$1,628.26
|
|
Fusion of finger jnt add-on
|
$129.69 |
$129.69 |
$129.69 |
$192.40
|
|
Fusion of finger joint
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,499.12
|
|
Fusion of finger tendons
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Fusion of finger tendons
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$1,893.86
|
|
Fusion of foot bones
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$6,697.18
|
|
Fusion of foot bones
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$10,203.05
|
|
Fusion of foot bones
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,419.00
|
|
Fusion of hand joint
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$6,311.00
|
|
Fusion of knee
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$3,352.14
|
|
Fusion of knuckle
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Fusion of knuckle joint
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,821.05
|
|
Fusion of knuckle joints
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,259.84
|
|
Fusion of knuckle joints
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,907.11
|
|
Fusion of knuckle with graft
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,807.24
|
|
Fusion of skull arteries
|
$3,896.79 |
$3,896.79 |
$3,896.79 |
$3,896.79
|
|
Fusion of spermatic ducts
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,591.33
|
|
Fusion of tendons at wrist
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Fusion of thumb
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$9,791.00
|
|
Fusion of toes
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Fusion of ureter & bowel
|
$2,002.05 |
$2,002.05 |
$2,002.05 |
$2,002.05
|
|
Fusion of ureter & kidney
|
$1,741.38 |
$1,741.38 |
$1,741.38 |
$2,702.04
|
|
Fusion of ureter & kidney
|
$1,493.66 |
$1,493.66 |
$1,493.66 |
$1,493.66
|
|
Fxn gene charac alleles
|
$379.27 |
$379.27 |
$379.27 |
$302.31
|
|
Fxn gene detc abnor alleles
|
$189.06 |
$189.06 |
$189.06 |
$195.30
|
|
Fxn gene full gene sequence
|
$379.27 |
$379.27 |
$379.27 |
$302.31
|
|
Fxn gene known famil variant
|
$255.58 |
$255.58 |
$255.58 |
$304.59
|
|
G0180 home health certification
|
$78.33 |
$78.33 |
$78.33 |
$107.25
|
|
G6pc gene
|
$80.72 |
$80.72 |
$80.72 |
$138.40
|
|
G6pd full gene sequence
|
$828.00 |
$828.00 |
$828.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$241.24 |
$241.24 |
$241.24 |
$243.00
|
|
G6pd known familial variant
|
$517.85 |
$517.85 |
$517.85 |
$751.20
|
|
Ga-68 gallium 68 dotatate
|
$68.49 |
$68.49 |
$68.49 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.38 |
$0.38 |
$0.38 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$2.02 |
$2.02 |
$2.02 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.14 |
$0.14 |
$0.14 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$20.36 |
$20.36 |
$20.36 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$29.08 |
$29.08 |
$29.08 |
$100.00
|
|
Galactokinase - sendout
|
$29.64 |
$29.64 |
$29.64 |
$196.38
|
|
Galactose transferase test
|
$16.20 |
$16.20 |
$16.20 |
$31.35
|
|
Galectin-3
|
$61.07 |
$61.07 |
$61.07 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$549.70 |
$549.70 |
$549.70 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$746.61 |
$746.61 |
$746.61 |
$1,612.00
|
|
Gallbladder Removal (Laparoscopic)
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$13,208.00
|
|
Gallium ga-68 dotatoc
|
$4.98 |
$4.98 |
$4.98 |
$135.00
|
|
Gallium ga-68 psma-11, ucla
|
$501.63 |
$501.63 |
$501.63 |
$187.20
|
|
Gallium ga-68 psma-11 ucsf
|
$759.18 |
$759.18 |
$759.18 |
$1,344.20
|
|
Gallium illuccix 1 millicure
|
$660.36 |
$660.36 |
$660.36 |
$1,696.55
|
|
Gallium locametz 1 millicuri
|
$500.25 |
$500.25 |
$500.25 |
$1,853.80
|
|
Galsulfase injection
|
$709.13 |
$709.13 |
$709.13 |
$4,037.51
|
|
Gamma globulin > 10 cc inj
|
$144.24 |
$144.24 |
$144.24 |
$498.52
|
|
Gamma globulin 1 cc inj
|
$68.89 |
$68.89 |
$68.89 |
$407.60
|
|
Gammaglobulin iga
|
$12.83 |
$12.83 |
$12.83 |
$69.36
|
|
Gammaglobulin ige
|
$22.71 |
$22.71 |
$22.71 |
$83.85
|
|
Gamma glutamyltransferase
|
$9.94 |
$9.94 |
$9.94 |
$57.54
|
|
Gammagraft
|
$171.12 |
$171.12 |
$171.12 |
$1.00
|
|
Gammaplex injection
|
$88.22 |
$88.22 |
$88.22 |
$7,464.29
|
|
Gamunex-c/gammaked
|
$67.72 |
$67.72 |
$67.72 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$46.26 |
$46.26 |
$46.26 |
$197.40
|
|
Gardner vag dna amp probe
|
$48.42 |
$48.42 |
$48.42 |
$65.30
|
|
Gardner vag dna quant
|
$57.63 |
$57.63 |
$57.63 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$9.26 |
$9.26 |
$9.26 |
$27.67
|
|
Gastric emptying imag study
|
$549.70 |
$549.70 |
$549.70 |
$1,345.40
|
|
Gastric emptying imag study
|
$746.61 |
$746.61 |
$746.61 |
$1,665.50
|
|
Gastric motility studies
|
$513.11 |
$513.11 |
$513.11 |
$972.00
|
|
Gastric mucosa imaging
|
$549.70 |
$549.70 |
$549.70 |
$565.00
|
|
Gastrin test
|
$24.41 |
$24.41 |
$24.41 |
$61.80
|
|
Gastroduodenostomy
|
$1,445.80 |
$1,445.80 |
$1,445.80 |
$2,240.04
|
|
Gastroesophageal reflux study
|
$549.70 |
$549.70 |
$549.70 |
$1,055.60
|
|
Gastroesophageal reflux test
|
$513.11 |
$513.11 |
$513.11 |
$1,352.00
|
|
Gastrointestinal repair
|
$3,216.48 |
$3,216.48 |
$3,216.48 |
$3,216.48
|
|
Gastrointestinal repair
|
$3,808.22 |
$3,808.22 |
$3,808.22 |
$3,808.22
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$1,892.89 |
$1,892.89 |
$1,892.89 |
$2,376.00
|
|
Gastrojejunostomy w/vagotomy
|
$1,861.63 |
$1,861.63 |
$1,861.63 |
$2,886.18
|
|
Gastroplasty duodenal switch
|
$2,770.24 |
$2,770.24 |
$2,770.24 |
$4,780.80
|
|
Gastrostomy open neonatal
|
$1,247.13 |
$1,247.13 |
$1,247.13 |
$1,474.40
|
|
Gated heart multiple
|
$549.70 |
$549.70 |
$549.70 |
$1,405.04
|
|
Gauze >16<=48 no w/sal without b
|
$4.77 |
$4.77 |
$4.77 |
$5.00
|
|
Gauze >16 <=48 sq in w/bordr
|
$5.09 |
$5.09 |
$5.09 |
$4.20
|
|
Gauze <=16 in no w/sal without b
|
$4.20 |
$4.20 |
$4.20 |
$6.40
|
|
Gauze <= 16 sq in w/border
|
$1.88 |
$1.88 |
$1.88 |
$13.65
|
|
Gauze > 48 in no w/sal without b
|
$7.08 |
$7.08 |
$7.08 |
$7.08
|
|
Gba gene
|
$65.21 |
$65.21 |
$65.21 |
$160.72
|
|
Gc stocking full lngth 18-30
|
$102.05 |
$102.05 |
$102.05 |
$29.40
|
|
Gc stocking full lngth 30-40
|
$120.98 |
$120.98 |
$120.98 |
$37.80
|
|
Gc stocking full lngth 40+
|
$141.66 |
$141.66 |
$141.66 |
$42.00
|
|
Gc stocking thighlngth 18-30
|
$75.71 |
$75.71 |
$75.71 |
$68.30
|
|
Gc stocking thighlngth 30-40
|
$86.46 |
$86.46 |
$86.46 |
$44.40
|
|
Gc stocking thighlngth 40+
|
$99.54 |
$99.54 |
$99.54 |
$29.40
|
|
Gc stocking waistlngth 18-30
|
$135.05 |
$135.05 |
$135.05 |
$42.00
|
|
Gc stocking waistlngth 30-40
|
$161.02 |
$161.02 |
$161.02 |
$52.50
|
|
Gc stocking waistlngth 40+
|
$190.73 |
$190.73 |
$190.73 |
$63.00
|
|
Gel cap app device for trach
|
$107.28 |
$107.28 |
$107.28 |
$70.00
|
|
Gel cap for trach voice pros
|
$3.70 |
$3.70 |
$3.70 |
$2.80
|