|
Gardner vag dna quant
|
$50.05 |
$50.05 |
$50.05 |
$104.80
|
|
Gastric emptying imag study
|
$744.90 |
$744.90 |
$744.90 |
$1,270.00
|
|
Gastric emptying imag study
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$1,549.60 |
$1,549.60 |
$1,549.60 |
$887.62
|
|
Gastroesophageal reflux test
|
$2,211.95 |
$2,211.95 |
$2,211.95 |
$1,110.80
|
|
Gemcitabine 1 gram intravenous solution
|
$82.44 |
$82.44 |
$82.44 |
$168.02
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$22.85 |
$22.85 |
$22.85 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$210.60 |
$210.60 |
$210.60 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$1,155.70 |
$1,155.70 |
$1,155.70 |
$1,413.78
|
|
Ghs abscess perianal iandd
|
$16,397.94 |
$16,397.94 |
$16,397.94 |
$1,512.80
|
|
Ghs abscess postoperative iandd complex
|
$142.35 |
$142.35 |
$142.35 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$37.05 |
$37.05 |
$37.05 |
$44.20
|
|
Ghs analysis neurostim without reprogramming
|
$115.05 |
$115.05 |
$115.05 |
$275.60
|
|
Ghs bladder cath - complex-foley
|
$169.00 |
$169.00 |
$169.00 |
$333.18
|
|
Ghs chemo IV push, ea addtl
|
$199.55 |
$199.55 |
$199.55 |
$292.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$5,856.99 |
$5,856.99 |
$5,856.99 |
$2,973.33
|
|
Ghs diphtheria toxoid ab igg
|
$59.15 |
$59.15 |
$59.15 |
$91.80
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,479.75 |
$2,479.75 |
$2,479.75 |
$1,360.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$512.20 |
$512.20 |
$512.20 |
$586.80
|
|
Ghs electrostagmgraphy
|
$571.35 |
$571.35 |
$571.35 |
$247.20
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$55.90 |
$55.90 |
$55.90 |
$441.35
|
|
Ghs febrile agglutinns(mayo)
|
$61.75 |
$61.75 |
$61.75 |
$51.99
|
|
Ghs fish cytogen
|
$252.20 |
$252.20 |
$252.20 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$153.40 |
$153.40 |
$153.40 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$59,342.80 |
$59,342.80 |
$59,342.80 |
$385.60
|
|
Ghs histoplasma antigen
|
$289.25 |
$289.25 |
$289.25 |
$157.30
|
|
Ghs i and d perirectal abscess 46040
|
$14,459.76 |
$14,459.76 |
$14,459.76 |
$3,034.00
|
|
Ghs i and d pilonidal cyst simple
|
$83.85 |
$83.85 |
$83.85 |
$762.75
|
|
Ghs incision thrombosed ext hemorrhoid
|
$13,896.92 |
$13,896.92 |
$13,896.92 |
$534.60
|
|
Ghs inf midline insertion
|
$31,550.36 |
$31,550.36 |
$31,550.36 |
$1,580.00
|
|
Ghs inhibitor screen
|
$314.60 |
$314.60 |
$314.60 |
$138.06
|
|
Ghs inj neurolytic intercostal nerve
|
$819.65 |
$819.65 |
$819.65 |
$2,047.92
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$17,243.74 |
$17,243.74 |
$17,243.74 |
$876.00
|
|
Ghs IV inf sq injection, on-body injector
|
$104.00 |
$104.00 |
$104.00 |
$117.42
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$12,562.36 |
$12,562.36 |
$12,562.36 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$115.05 |
$115.05 |
$115.05 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$20,445.48 |
$20,445.48 |
$20,445.48 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$157.95 |
$157.95 |
$157.95 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$17,243.74 |
$17,243.74 |
$17,243.74 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$206.05 |
$206.05 |
$206.05 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$15,877.10 |
$15,877.10 |
$15,877.10 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$21,494.52 |
$21,494.52 |
$21,494.52 |
$740.00
|
|
Ghs mbp
|
$18.20 |
$18.20 |
$18.20 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$223.60 |
$223.60 |
$223.60 |
$240.00
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$184.60 |
$184.60 |
$184.60 |
$216.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$35.75 |
$35.75 |
$35.75 |
$123.30
|
|
Ghs musc test done w/n test comp
|
$628.55 |
$628.55 |
$628.55 |
$352.97
|
|
Ghs musc tst done w/nerv tst lim
|
$209.30 |
$209.30 |
$209.30 |
$277.25
|
|
Ghs musc tst done w/n tst non ext
|
$382.85 |
$382.85 |
$382.85 |
$219.05
|
|
Ghs nerve block brachial plexus
|
$35,853.41 |
$35,853.41 |
$35,853.41 |
$1,789.51
|
|
Ghs nerve block sciatic nerve
|
$33,211.72 |
$33,211.72 |
$33,211.72 |
$1,745.25
|
|
Ghs o2 saturation
|
$18.20 |
$18.20 |
$18.20 |
$55.90
|
|
Ghs ot prosthetic training/15 min
|
$102.05 |
$102.05 |
$102.05 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$82.55 |
$82.55 |
$82.55 |
$89.73
|
|
Ghs pacing - transcutaneous
|
$718.90 |
$718.90 |
$718.90 |
$872.95
|
|
Ghs phenylketonurid
|
$98.80 |
$98.80 |
$98.80 |
$61.20
|
|
Ghs polysom <6 yrs 4/> parameters
|
$5,074.55 |
$5,074.55 |
$5,074.55 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$85.80 |
$85.80 |
$85.80 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$31.85 |
$31.85 |
$31.85 |
$49.77
|
|
Ghs protoporphyrins fract
|
$79.30 |
$79.30 |
$79.30 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$261.30 |
$261.30 |
$261.30 |
$165.60
|
|
Ghs reticulocyte count
|
$93.60 |
$93.60 |
$93.60 |
$33.57
|
|
Ghs sensitivity (per antimicro)
|
$29.25 |
$29.25 |
$29.25 |
$55.12
|
|
Ghs sleep study unattended
|
$657.80 |
$657.80 |
$657.80 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$922.35 |
$922.35 |
$922.35 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$949.00 |
$949.00 |
$949.00 |
$1,506.58
|
|
Ghs st - eval for alt comm
|
$55.90 |
$55.90 |
$55.90 |
$100.98
|
|
Ghs urine, porphyrins quant
|
$223.60 |
$223.60 |
$223.60 |
$85.15
|
|
Ghs vaginal delivery only
|
$166.40 |
$166.40 |
$166.40 |
$3,341.93
|
|
Gi inhouse confirmation
|
$159.90 |
$159.90 |
$159.90 |
$79.50
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,375.40 |
$1,375.40 |
$1,375.40 |
$2,418.92
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$487.50 |
$487.50 |
$487.50 |
$509.06
|
|
Glucagon plasma - sendout
|
$89.70 |
$89.70 |
$89.70 |
$67.50
|
|
Glucose 1 hr post dose
|
$131.95 |
$131.95 |
$131.95 |
$40.00
|
|
Glucose blood quantitative
|
$90.35 |
$90.35 |
$90.35 |
$40.80
|
|
Glucose body fluid
|
$100.10 |
$100.10 |
$100.10 |
$47.70
|
|
Glucose monitoring continual min 72hr pt
|
$96.85 |
$96.85 |
$96.85 |
$154.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$104.00 |
$104.00 |
$104.00 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$104.00 |
$104.00 |
$104.00 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.60
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,256.49 |
$3,256.49 |
$3,256.49 |
$61.21
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$223.60 |
$223.60 |
$223.60 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$195.00 |
$195.00 |
$195.00 |
$117.65
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,923.71 |
$1,923.71 |
$1,923.71 |
$1,598.97
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$711.10 |
$711.10 |
$711.10 |
$486.45
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$627.90 |
$627.90 |
$627.90 |
$1,123.34
|
|
Guid loc target vol rad tx
|
$26,517.40 |
$26,517.40 |
$26,517.40 |
$620.91
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Hand X-ray
|
$585.00 |
$585.00 |
$585.00 |
$317.78
|
|
Haptoglobin quantitative
|
$136.50 |
$136.50 |
$136.50 |
$75.00
|
|
Hba1/hba2 gene dup/del vrnts
|
$310.70 |
$310.70 |
$310.70 |
$407.57
|
|
Hbot, full body chamber, 30m
|
$734.50 |
$734.50 |
$734.50 |
$524.17
|
|
Hcg qualitative
|
$170.95 |
$170.95 |
$170.95 |
$72.50
|
|
Hcg quantitative
|
$215.80 |
$215.80 |
$215.80 |
$105.00
|
|
Hc nm kidney imaging with flow
|
$1,082.90 |
$1,082.90 |
$1,082.90 |
$917.40
|
|
Hc pet myocardial imaging metabolic eval single study
|
$3,703.70 |
$3,703.70 |
$3,703.70 |
$3,549.60
|
|
Head CT scan (with and without contrast)
|
$1,801.80 |
$1,801.80 |
$1,801.80 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,633.45 |
$1,633.45 |
$1,633.45 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$44.20 |
$44.20 |
$44.20 |
$84.80
|