|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$397.47 |
$397.47 |
$397.47 |
$2.04
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$89.60 |
$89.60 |
$89.60 |
$15.60
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$429.08 |
$429.08 |
$429.08 |
$90.60
|
|
Galac-1-phosphate uridyltran - sendout
|
$318.50 |
$318.50 |
$318.50 |
$85.50
|
|
Galactose transferase test
|
$9.75 |
$9.75 |
$9.75 |
$25.00
|
|
Gallbladder Removal (Laparoscopic)
|
$14,143.77 |
$14,143.77 |
$14,143.77 |
$6,870.89
|
|
Gallium illuccix 1 millicure
|
$747.50 |
$747.50 |
$747.50 |
$1,377.60
|
|
Gammaglobulin iga
|
$120.90 |
$120.90 |
$120.90 |
$78.60
|
|
Gammaglobulin ige
|
$65.65 |
$65.65 |
$65.65 |
$87.10
|
|
Gamma glutamyltransferase
|
$98.15 |
$98.15 |
$98.15 |
$54.60
|
|
Gamunex-c/gammaked
|
$11,989.43 |
$11,989.43 |
$11,989.43 |
$100.40
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$294.00 |
$294.00 |
$294.00 |
$154.86
|
|
Gardner vag dna quant
|
$89.70 |
$89.70 |
$89.70 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$49.40 |
$49.40 |
$49.40 |
$25.61
|
|
Gastroesophageal reflux study
|
$1,602.25 |
$1,602.25 |
$1,602.25 |
$887.62
|
|
Gastroesophageal reflux test
|
$1,321.45 |
$1,321.45 |
$1,321.45 |
$1,110.80
|
|
Gated heart multiple
|
$2,522.65 |
$2,522.65 |
$2,522.65 |
$1,177.70
|
|
Gemcitabine 1 gram intravenous solution
|
$115.91 |
$115.91 |
$115.91 |
$168.02
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$21.25 |
$21.25 |
$21.25 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$182.00 |
$182.00 |
$182.00 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$1,688.70 |
$1,688.70 |
$1,688.70 |
$1,413.78
|
|
Ghs abscess perianal iandd
|
$9,008.32 |
$9,008.32 |
$9,008.32 |
$1,512.80
|
|
Ghs abscess postoperative iandd complex
|
$3,506.10 |
$3,506.10 |
$3,506.10 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$45.50 |
$45.50 |
$45.50 |
$44.20
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,985.10 |
$1,985.10 |
$1,985.10 |
$437.58
|
|
Ghs analysis neurostim without reprogramming
|
$328.25 |
$328.25 |
$328.25 |
$275.60
|
|
Ghs antibodies (torch) igm
|
$140.40 |
$140.40 |
$140.40 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$923.65 |
$923.65 |
$923.65 |
$333.18
|
|
Ghs bleeding time (ivy)
|
$87.75 |
$87.75 |
$87.75 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$578.27 |
$578.27 |
$578.27 |
$1,000.08
|
|
Ghs central line insert < age 5, failed
|
$1,017.90 |
$1,017.90 |
$1,017.90 |
$2,489.25
|
|
Ghs change cysto/gastrost
|
$1,066.65 |
$1,066.65 |
$1,066.65 |
$727.35
|
|
Ghs chemo >8 hrs
|
$533.00 |
$533.00 |
$533.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$348.40 |
$348.40 |
$348.40 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$183.30 |
$183.30 |
$183.30 |
$135.85
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$759.85 |
$759.85 |
$759.85 |
$540.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,331.20 |
$1,331.20 |
$1,331.20 |
$1,655.78
|
|
Ghs closure surg wound/dehiscence-13160
|
$11,891.52 |
$11,891.52 |
$11,891.52 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$233.35 |
$233.35 |
$233.35 |
$85.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$3,762.79 |
$3,762.79 |
$3,762.79 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$331.66 |
$331.66 |
$331.66 |
$278.00
|
|
Ghs corneal fb without slit lamp bilat
|
$331.66 |
$331.66 |
$331.66 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$391.95 |
$391.95 |
$391.95 |
$362.21
|
|
Ghs cutdown placement under 1 yr
|
$486.20 |
$486.20 |
$486.20 |
$142.80
|
|
Ghs diphtheria toxoid ab igg
|
$103.35 |
$103.35 |
$103.35 |
$91.80
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$3,268.20 |
$3,268.20 |
$3,268.20 |
$1,360.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$458.90 |
$458.90 |
$458.90 |
$586.80
|
|
Ghs eye exam
|
$129.35 |
$129.35 |
$129.35 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$7,415.65 |
$7,415.65 |
$7,415.65 |
$585.60
|
|
Ghs fat & muscle
|
$73.45 |
$73.45 |
$73.45 |
$45.75
|
|
Ghs fb removal foot - deep - left
|
$5,739.50 |
$5,739.50 |
$5,739.50 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$1,989.65 |
$1,989.65 |
$1,989.65 |
$2,454.00
|
|
Ghs fb removal - non-incisional
|
$2,429.05 |
$2,429.05 |
$2,429.05 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$82.55 |
$82.55 |
$82.55 |
$51.99
|
|
Ghs fish cytogen
|
$310.05 |
$310.05 |
$310.05 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$150.15 |
$150.15 |
$150.15 |
$229.45
|
|
Ghs flow volume loop
|
$214.50 |
$214.50 |
$214.50 |
$291.75
|
|
Ghs gastric intub aspiration lavage
|
$391.30 |
$391.30 |
$391.30 |
$385.60
|
|
Ghs hcv amplificaiton
|
$265.20 |
$265.20 |
$265.20 |
$198.90
|
|
Ghs histoplasma antigen
|
$185.25 |
$185.25 |
$185.25 |
$157.30
|
|
Ghs HIV antibody
|
$150.15 |
$150.15 |
$150.15 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$2,021.50 |
$2,021.50 |
$2,021.50 |
$475.80
|
|
Ghs i and d perirectal abscess 46040
|
$7,740.64 |
$7,740.64 |
$7,740.64 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,316.25 |
$1,316.25 |
$1,316.25 |
$1,468.35
|
|
Ghs i and d pilonidal cyst simple
|
$476.45 |
$476.45 |
$476.45 |
$762.75
|
|
Ghs immun0electrophoresis
|
$94.25 |
$94.25 |
$94.25 |
$110.00
|
|
Ghs inf midline insertion
|
$19,457.60 |
$19,457.60 |
$19,457.60 |
$1,580.00
|
|
Ghs inhibitor screen
|
$242.45 |
$242.45 |
$242.45 |
$138.06
|
|
Ghs init tx 1st degree burn
|
$387.40 |
$387.40 |
$387.40 |
$295.00
|
|
Ghs inj neurolytic intercostal nerve
|
$9,388.60 |
$9,388.60 |
$9,388.60 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,298.86 |
$2,298.86 |
$2,298.86 |
$1,838.37
|
|
Ghs inj tendon origin/insertion
|
$328.25 |
$328.25 |
$328.25 |
$412.50
|
|
Ghs inj transforaminal cerv ea add bil
|
$793.65 |
$793.65 |
$793.65 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$4,184.70 |
$4,184.70 |
$4,184.70 |
$1,706.32
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$11,292.19 |
$11,292.19 |
$11,292.19 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$25,120.50 |
$25,120.50 |
$25,120.50 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$15,341.36 |
$15,341.36 |
$15,341.36 |
$2,026.46
|
|
Ghs intro needle/intracath vein - 36000
|
$18,545.28 |
$18,545.28 |
$18,545.28 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$174.20 |
$174.20 |
$174.20 |
$117.42
|
|
Ghs IV thrombolytics - cerebral
|
$900.90 |
$900.90 |
$900.90 |
$752.80
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$7,974.26 |
$7,974.26 |
$7,974.26 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,805.59 |
$1,805.59 |
$1,805.59 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$7,326.33 |
$7,326.33 |
$7,326.33 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$7,775.33 |
$7,775.33 |
$7,775.33 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$7,815.53 |
$7,815.53 |
$7,815.53 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$7,838.94 |
$7,838.94 |
$7,838.94 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$11,750.03 |
$11,750.03 |
$11,750.03 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,084.58 |
$1,084.58 |
$1,084.58 |
$740.00
|
|
Ghs mbp
|
$215.15 |
$215.15 |
$215.15 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$175.50 |
$175.50 |
$175.50 |
$240.00
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$146.90 |
$146.90 |
$146.90 |
$219.95
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$159.25 |
$159.25 |
$159.25 |
$216.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$273.00 |
$273.00 |
$273.00 |
$125.34
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$121.55 |
$121.55 |
$121.55 |
$123.30
|
|
Ghs myocardial strain img spckl track
|
$465.40 |
$465.40 |
$465.40 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$1,038.05 |
$1,038.05 |
$1,038.05 |
$818.00
|
|
Ghs nerve blk intercostal, ea addtl level
|
$3,275.82 |
$3,275.82 |
$3,275.82 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$22,936.17 |
$22,936.17 |
$22,936.17 |
$1,232.23
|
|
Ghs nerve block axillary nerve
|
$18,931.32 |
$18,931.32 |
$18,931.32 |
$1,271.25
|
|
Ghs nerve block brachial plexus
|
$23,426.18 |
$23,426.18 |
$23,426.18 |
$1,789.51
|
