|
Gamma glutamyltransferase
|
$26.23 |
$26.23 |
$26.23 |
$57.54
|
|
Gamunex-c/gammaked
|
$4.76 |
$4.76 |
$4.76 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$27.90 |
$27.90 |
$27.90 |
$197.40
|
|
Gastro/jejuno tube, std
|
$242.53 |
$242.53 |
$242.53 |
$334.57
|
|
Gemcitabine 1 gram intravenous solution
|
$63.29 |
$63.29 |
$63.29 |
$207.51
|
|
General health panel
|
$248.27 |
$248.27 |
$248.27 |
$275.00
|
|
Generator barostim neo2 2014
|
$54,040.09 |
$54,040.09 |
$54,040.09 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$45,768.30 |
$45,768.30 |
$45,768.30 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$0.95 |
$0.95 |
$0.95 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$111.02 |
$111.02 |
$111.02 |
$126.00
|
|
Ghs abscess perianal iandd
|
$685.64 |
$685.64 |
$685.64 |
$1,410.90
|
|
Ghs acetylcholinesterase, rbc
|
$45.75 |
$45.75 |
$45.75 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$134.81 |
$134.81 |
$134.81 |
$100.30
|
|
Ghs analysis neurostim without reprogramming
|
$118.95 |
$118.95 |
$118.95 |
$246.50
|
|
Ghs antibodies (torch) igm
|
$28.67 |
$28.67 |
$28.67 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$237.29 |
$237.29 |
$237.29 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$23.18 |
$23.18 |
$23.18 |
$64.40
|
|
Ghs central line insert < age 5, failed
|
$2,147.81 |
$2,147.81 |
$2,147.81 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$436.15 |
$436.15 |
$436.15 |
$565.49
|
|
Ghs chemo >8 hrs
|
$667.95 |
$667.95 |
$667.95 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$278.16 |
$278.16 |
$278.16 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$194.59 |
$194.59 |
$194.59 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$211.67 |
$211.67 |
$211.67 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$309.88 |
$309.88 |
$309.88 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,423.74 |
$1,423.74 |
$1,423.74 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$221.43 |
$221.43 |
$221.43 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$1,611.62 |
$1,611.62 |
$1,611.62 |
$2,148.00
|
|
Ghs clsd red med malleolus fx w manip
|
$1,083.97 |
$1,083.97 |
$1,083.97 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,679.73 |
$2,679.73 |
$2,679.73 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$502.03 |
$502.03 |
$502.03 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$264.74 |
$264.74 |
$264.74 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$57.95 |
$57.95 |
$57.95 |
$88.50
|
|
Ghs conjunctiva foreign body-superf bil
|
$292.80 |
$292.80 |
$292.80 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$410.53 |
$410.53 |
$410.53 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$427.00 |
$427.00 |
$427.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,415.20 |
$1,415.20 |
$1,415.20 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$533.14 |
$533.14 |
$533.14 |
$578.00
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$716.14 |
$716.14 |
$716.14 |
$1,432.20
|
|
Ghs eyelid foreign body-embedded - bil
|
$394.67 |
$394.67 |
$394.67 |
$501.04
|
|
Ghs fb removal - incisional
|
$3,778.34 |
$3,778.34 |
$3,778.34 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$1,063.84 |
$1,063.84 |
$1,063.84 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$107.97 |
$107.97 |
$107.97 |
$48.57
|
|
Ghs fish cytogen
|
$102.48 |
$102.48 |
$102.48 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$511.18 |
$511.18 |
$511.18 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$416.63 |
$416.63 |
$416.63 |
$368.50
|
|
Ghs hcv amplificaiton
|
$273.89 |
$273.89 |
$273.89 |
$187.00
|
|
Ghs histoplasma antigen
|
$81.13 |
$81.13 |
$81.13 |
$141.00
|
|
Ghs HIV antibody
|
$73.20 |
$73.20 |
$73.20 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$56.73 |
$56.73 |
$56.73 |
$475.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,489.01 |
$1,489.01 |
$1,489.01 |
$2,630.53
|
|
Ghs i and d pilonidal cyst simple
|
$431.27 |
$431.27 |
$431.27 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$179.34 |
$179.34 |
$179.34 |
$523.73
|
|
Ghs inf midline insertion
|
$430.05 |
$430.05 |
$430.05 |
$1,219.20
|
|
Ghs inhibitor screen
|
$50.02 |
$50.02 |
$50.02 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$86.62 |
$86.62 |
$86.62 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$1,370.67 |
$1,370.67 |
$1,370.67 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$277.55 |
$277.55 |
$277.55 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$535.58 |
$535.58 |
$535.58 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$1,553.06 |
$1,553.06 |
$1,553.06 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$539.85 |
$539.85 |
$539.85 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,146.19 |
$1,146.19 |
$1,146.19 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,776.32 |
$1,776.32 |
$1,776.32 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,837.93 |
$1,837.93 |
$1,837.93 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$294.63 |
$294.63 |
$294.63 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$201.30 |
$201.30 |
$201.30 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$165.31 |
$165.31 |
$165.31 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$420.90 |
$420.90 |
$420.90 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$420.90 |
$420.90 |
$420.90 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$420.90 |
$420.90 |
$420.90 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$1,042.49 |
$1,042.49 |
$1,042.49 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$166.53 |
$166.53 |
$166.53 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$660.63 |
$660.63 |
$660.63 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$463.60 |
$463.60 |
$463.60 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$591.70 |
$591.70 |
$591.70 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$813.13 |
$813.13 |
$813.13 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$501.42 |
$501.42 |
$501.42 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$879.01 |
$879.01 |
$879.01 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,032.73 |
$1,032.73 |
$1,032.73 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$519.72 |
$519.72 |
$519.72 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$903.41 |
$903.41 |
$903.41 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$595.36 |
$595.36 |
$595.36 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$936.35 |
$936.35 |
$936.35 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$707.60 |
$707.60 |
$707.60 |
$1,126.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$993.69 |
$993.69 |
$993.69 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$814.35 |
$814.35 |
$814.35 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,068.11 |
$1,068.11 |
$1,068.11 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$69.54 |
$69.54 |
$69.54 |
$76.20
|
|
Ghs mbp
|
$43.92 |
$43.92 |
$43.92 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$251.32 |
$251.32 |
$251.32 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$251.32 |
$251.32 |
$251.32 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$251.32 |
$251.32 |
$251.32 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$251.32 |
$251.32 |
$251.32 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$251.32 |
$251.32 |
$251.32 |
$147.75
|
|
Ghs musc test done w/n test comp
|
$622.81 |
$622.81 |
$622.81 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$571.57 |
$571.57 |
$571.57 |
$266.59
|
|
Ghs myocardial strain img spckl track
|
$370.88 |
$370.88 |
$370.88 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$180.56 |
$180.56 |
$180.56 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$986.37 |
$986.37 |
$986.37 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$990.64 |
$990.64 |
$990.64 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$762.50 |
$762.50 |
$762.50 |
$1,549.80
|