|
Gastric emptying imag study
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
|
|
Gastroesophageal reflux study
|
$1,549.60 |
$1,549.60 |
$1,602.25 |
|
|
Gastroesophageal reflux test
|
$482.30 |
$1,321.45 |
$2,211.95 |
|
|
Gated heart multiple
|
$2,522.65 |
$2,522.65 |
$2,522.65 |
|
|
Gba gene
|
$406.90 |
$406.90 |
$406.90 |
|
|
Gemcitabine 1 gram intravenous solution
|
$82.44 |
$115.91 |
$123.43 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$27,447.71 |
$27,447.71 |
$27,447.71 |
|
|
General health panel
|
$128.25 |
$128.25 |
$128.25 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$7.64 |
$21.25 |
$123.43 |
|
|
Gentamicin peak therapeutic drug level
|
$135.20 |
$180.05 |
$210.60 |
|
|
G-esoph reflx tst w/electrod
|
$1,155.70 |
$1,155.70 |
$1,688.70 |
|
|
Ghs abscess perianal iandd
|
$427.70 |
$8,103.50 |
$16,397.94 |
|
|
Ghs abscess postoperative iandd complex
|
$142.35 |
$742.30 |
$3,506.10 |
|
|
Ghs acetylcholinesterase, rbc
|
$37.05 |
$52.65 |
$63.70 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$200.20 |
$405.60 |
$1,985.10 |
|
|
Ghs analysis neurostim without reprogramming
|
$115.05 |
$115.05 |
$328.25 |
|
|
Ghs antibodies (torch) igm
|
$95.55 |
$112.45 |
$190.50 |
|
|
Ghs aspiration bladder - needle
|
$232.70 |
$232.70 |
$232.70 |
|
|
Ghs bladder cath - complex-foley
|
$169.00 |
$278.20 |
$923.65 |
|
|
Ghs bleeding time (ivy)
|
$62.40 |
$67.60 |
$87.75 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$419.90 |
$452.40 |
$1,158.97 |
|
|
Ghs central line insert < age 5, failed
|
$745.55 |
$745.55 |
$1,017.90 |
|
|
Ghs change cysto/gastrost
|
$66.00 |
$508.30 |
$1,066.65 |
|
|
Ghs chemo >8 hrs
|
$533.00 |
$535.60 |
$634.40 |
|
|
Ghs chemo IV push, ea addtl
|
$130.65 |
$211.25 |
$348.40 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$98.80 |
$120.25 |
$183.30 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$453.05 |
$534.95 |
$759.85 |
|
|
Ghs closed reduction ankle dislocation
|
$795.60 |
$912.60 |
$1,179.10 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,188.20 |
$1,201.20 |
$1,331.20 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$708.50 |
$708.50 |
$852.80 |
|
|
Ghs closed tx tibial fracture w/manip
|
$1,212.25 |
$1,311.70 |
$1,479.40 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,543.10 |
$3,994.61 |
$11,891.52 |
|
|
Ghs clsd red med malleolus fx without manip
|
$726.05 |
$726.05 |
$726.05 |
|
|
Ghs clsd red med malleolus fx w manip
|
$982.80 |
$982.80 |
$1,352.65 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,049.75 |
$1,180.40 |
$1,657.50 |
|
|
Ghs cl tx knee disl; wo anesth
|
$797.55 |
$797.55 |
$819.65 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$443.30 |
$554.45 |
$616.85 |
|
|
Ghs community re-entry 15 minutes
|
$61.10 |
$82.55 |
$233.35 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$119.60 |
$122.20 |
$3,762.79 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$122.25 |
$131.30 |
$331.66 |
|
|
Ghs corneal fb without slit lamp bilat
|
$87.75 |
$212.55 |
$331.66 |
|
|
Ghs corneal fb with slit lamp bilat
|
$84.75 |
$190.45 |
$391.95 |
|
|
Ghs cricothyroidotomy
|
$666.90 |
$666.90 |
$754.00 |
|
|
Ghs cutdown placement age 1 and over
|
$109.20 |
$109.20 |
$158.60 |
|
|
Ghs cutdown placement under 1 yr
|
$143.00 |
$143.00 |
$486.20 |
|
|
Ghs diphtheria toxoid ab igg
|
$59.15 |
$59.15 |
$103.35 |
|
|
Ghs dislocation elbow closed treatment
|
$713.25 |
$746.20 |
$1,032.85 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$272.35 |
$272.35 |
$272.35 |
|
|
Ghs ed rmvl or bivalving cast
|
$117.00 |
$117.00 |
$117.65 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,479.75 |
$2,479.75 |
$3,268.20 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$458.90 |
$458.90 |
$512.20 |
|
|
Ghs electrostagmgraphy
|
$571.35 |
$571.35 |
$571.35 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$55.90 |
$209.95 |
$344.25 |
|
|
Ghs excision ingrown nail
|
$208.00 |
$228.15 |
$345.15 |
|
|
Ghs eye exam
|
$95.25 |
$95.25 |
$129.35 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$335.40 |
$453.70 |
$7,415.65 |
|
|
Ghs fat & muscle
|
$73.45 |
$73.45 |
$73.45 |
|
|
Ghs fb removal foot - deep - left
|
$5,739.50 |
$5,739.50 |
$5,739.50 |
|
|
Ghs fb removal from muscle - complicated
|
$693.55 |
$693.55 |
$780.65 |
|
|
Ghs fb removal - incisional
|
$239.25 |
$509.60 |
$4,990.70 |
|
|
Ghs fb removal - non-incisional
|
$421.85 |
$634.40 |
$2,429.05 |
|
|
Ghs febrile agglutinns(mayo)
|
$57.85 |
$61.75 |
$82.55 |
|
|
Ghs fish cytogen
|
$252.20 |
$273.00 |
$310.05 |
|
|
Ghs fish hybrid in situ 100-300
|
$112.45 |
$150.15 |
$310.70 |
|
|
Ghs flow volume loop
|
$84.00 |
$214.50 |
$230.10 |
|
|
Ghs gastric intub aspiration lavage
|
$283.40 |
$307.45 |
$59,342.80 |
|
|
Ghs hcv amplificaiton
|
$86.25 |
$226.20 |
$309.40 |
|
|
Ghs hgb stability-thal
|
$92.95 |
$92.95 |
$107.25 |
|
|
Ghs histoplasma antigen
|
$159.25 |
$165.75 |
$289.25 |
|
|
Ghs HIV antibody
|
$29.25 |
$111.80 |
$150.15 |
|
|
Ghs hla-dr/dq, multiple antigens
|
$870.35 |
$870.35 |
$2,021.50 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$578.50 |
$578.50 |
$587.60 |
|
|
Ghs i and d perirectal abscess 46040
|
$915.85 |
$2,434.90 |
$14,459.76 |
|
|
Ghs i and d pilonidal cyst complex
|
$503.75 |
$515.45 |
$1,316.25 |
|
|
Ghs i and d pilonidal cyst simple
|
$83.85 |
$265.20 |
$508.95 |
|
|
Ghs immun0electrophoresis
|
$94.25 |
$134.55 |
$172.90 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$295.50 |
$440.70 |
$13,896.92 |
|
|
Ghs inf midline insertion
|
$19,457.60 |
$19,457.60 |
$31,550.36 |
|
|
Ghs inhibitor screen
|
$185.25 |
$237.25 |
$314.60 |
|
|
Ghs init tx 1st degree burn
|
$85.50 |
$170.30 |
$387.40 |
|
|
Ghs inj neurolytic intercostal nerve
|
$572.00 |
$819.65 |
$9,388.60 |
|
|
Ghs inj neurolytic other perph nerve
|
$672.75 |
$1,158.97 |
$2,298.86 |
|
|
Ghs inj tendon origin/insertion
|
$59.25 |
$184.60 |
$328.25 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$793.65 |
$793.65 |
$2,567.54 |
|
|
Ghs inj transforaminal cerv single bil
|
$1,379.30 |
$2,890.87 |
$4,184.70 |
|
|
Ghs insertion of needle - bone
|
$152.25 |
$243.10 |
$293.80 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$697.45 |
$764.40 |
$17,243.74 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$757.25 |
$785.85 |
$25,120.50 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$918.45 |
$975.65 |
$15,341.36 |
|
|
Ghs intro needle/intracath vein - 36000
|
$18,545.28 |
$18,545.28 |
$18,545.28 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$488.15 |
$488.15 |
$556.40 |
|
|
Ghs IV inf sq injection, on-body injector
|
$90.35 |
$105.30 |
$174.20 |
|
|
Ghs IV thrombolytics - cerebral
|
$900.90 |
$900.90 |
$1,002.95 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$349.05 |
$391.30 |
$408.85 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$256.50 |
$488.15 |
$12,562.36 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$115.05 |
$365.95 |
$1,805.59 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$288.00 |
$535.60 |
$20,445.48 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$157.95 |
$537.00 |
$7,775.33 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$335.25 |
$554.45 |
$17,243.74 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$206.05 |
$605.15 |
$7,838.94 |
|
