|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$159.43 |
$159.43 |
$159.43 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$272.65 |
$272.65 |
$272.65 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$122.64 |
$122.64 |
$122.64 |
$100.00
|
|
Galactose transferase test
|
$36.54 |
$36.54 |
$36.54 |
$31.35
|
|
Gallium illuccix 1 millicure
|
$987.00 |
$987.00 |
$987.00 |
$1,857.92
|
|
Gamma globulin 1 cc inj
|
$925.01 |
$925.01 |
$925.01 |
$363.35
|
|
Gammaglobulin iga
|
$55.02 |
$55.02 |
$55.02 |
$69.03
|
|
Gammaglobulin ige
|
$91.56 |
$91.56 |
$91.56 |
$84.00
|
|
Gamma glutamyltransferase
|
$57.54 |
$57.54 |
$57.54 |
$57.54
|
|
Gamunex-c/gammaked
|
$6,543.60 |
$6,543.60 |
$6,543.60 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$96.04 |
$96.04 |
$96.04 |
$197.40
|
|
Gastric motility studies
|
$1,073.94 |
$1,073.94 |
$1,073.94 |
$797.52
|
|
Gastroesophageal reflux study
|
$672.00 |
$672.00 |
$672.00 |
$1,082.05
|
|
Gastroesophageal reflux test
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$1,352.00
|
|
Gastro/jejuno tube, std
|
$166.99 |
$166.99 |
$166.99 |
$334.57
|
|
Gated heart multiple
|
$286.86 |
$286.86 |
$286.86 |
$1,405.04
|
|
Gauze >16<=48 no w/sal without b
|
$3.43 |
$3.43 |
$3.43 |
$5.00
|
|
Gc stocking thighlngth 18-30
|
$68.30 |
$68.30 |
$68.30 |
$75.71
|
|
Gemcitabine 1 gram intravenous solution
|
$217.86 |
$217.86 |
$217.86 |
$207.51
|
|
General health panel
|
$464.52 |
$464.52 |
$464.52 |
$275.00
|
|
Generator barostim neo2 2014
|
$37,207.93 |
$37,207.93 |
$37,207.93 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$31,512.60 |
$31,512.60 |
$31,512.60 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$86.84 |
$86.84 |
$86.84 |
$56.40
|
|
Gentamicin peak therapeutic drug level
|
$64.26 |
$64.26 |
$64.26 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$1,267.98 |
$1,267.98 |
$1,267.98 |
$1,466.88
|
|
Ghs abscess perianal iandd
|
$873.18 |
$873.18 |
$873.18 |
$1,436.80
|
|
Ghs abscess postoperative iandd complex
|
$1,096.62 |
$1,096.62 |
$1,096.62 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$46.20 |
$46.20 |
$46.20 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$102.90 |
$102.90 |
$102.90 |
$100.20
|
|
Ghs analysis neurostim without reprogramming
|
$81.90 |
$81.90 |
$81.90 |
$246.98
|
|
Ghs antibodies (torch) igm
|
$69.30 |
$69.30 |
$69.30 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$199.92 |
$199.92 |
$199.92 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$116.76 |
$116.76 |
$116.76 |
$62.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$833.28 |
$833.28 |
$833.28 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,102.52 |
$2,102.52 |
$2,102.52 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$227.22 |
$227.22 |
$227.22 |
$591.50
|
|
Ghs chemo >8 hrs
|
$275.94 |
$275.94 |
$275.94 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$175.56 |
$175.56 |
$175.56 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$82.32 |
$82.32 |
$82.32 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$161.28 |
$161.28 |
$161.28 |
$501.50
|
|
Ghs closed reduction ankle dislocation
|
$210.00 |
$210.00 |
$210.00 |
$672.60
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$597.24 |
$597.24 |
$597.24 |
$1,568.40
|
|
Ghs closed tx radiocarpal disloc w manip
|
$474.60 |
$474.60 |
$474.60 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,142.82 |
$1,142.82 |
$1,142.82 |
$2,179.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,405.74 |
$1,405.74 |
$1,405.74 |
$3,314.50
|
|
Ghs clsd red med malleolus fx without manip
|
$798.42 |
$798.42 |
$798.42 |
$490.00
|
|
Ghs clsd red med malleolus fx w manip
|
$769.02 |
$769.02 |
$769.02 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,200.78 |
$1,200.78 |
$1,200.78 |
$2,240.00
|
|
Ghs cl tx knee disl; wo anesth
|
$320.46 |
$320.46 |
$320.46 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$198.24 |
$198.24 |
$198.24 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$44.52 |
$44.52 |
$44.52 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$285.60 |
$285.60 |
$285.60 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$207.06 |
$207.06 |
$207.06 |
$288.96
|
|
Ghs corneal fb without slit lamp bilat
|
$241.08 |
$241.08 |
$241.08 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$241.08 |
$241.08 |
$241.08 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,103.75
|
|
Ghs cutdown placement age 1 and over
|
$446.88 |
$446.88 |
$446.88 |
$377.89
|
|
Ghs cutdown placement under 1 yr
|
$525.84 |
$525.84 |
$525.84 |
$189.07
|
|
Ghs dislocation elbow closed treatment
|
$418.74 |
$418.74 |
$418.74 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$460.32 |
$460.32 |
$460.32 |
$1,189.60
|
|
Ghs ed rmvl or bivalving cast
|
$249.48 |
$249.48 |
$249.48 |
$330.85
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$543.48 |
$543.48 |
$543.48 |
$1,388.18
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$217.14 |
$217.14 |
$217.14 |
$560.00
|
|
Ghs excision ingrown nail
|
$156.66 |
$156.66 |
$156.66 |
$442.22
|
|
Ghs eyelid foreign body-embedded - bil
|
$232.68 |
$232.68 |
$232.68 |
$529.80
|
|
Ghs fb removal foot - deep - left
|
$283.50 |
$283.50 |
$283.50 |
$2,593.97
|
|
Ghs fb removal from muscle - complicated
|
$2,168.04 |
$2,168.04 |
$2,168.04 |
$3,338.50
|
|
Ghs fb removal - incisional
|
$1,231.86 |
$1,231.86 |
$1,231.86 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$1,078.56 |
$1,078.56 |
$1,078.56 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$55.44 |
$55.44 |
$55.44 |
$48.10
|
|
Ghs fish cytogen
|
$94.92 |
$94.92 |
$94.92 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$187.32 |
$187.32 |
$187.32 |
$225.00
|
|
Ghs flow volume loop
|
$199.92 |
$199.92 |
$199.92 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$203.28 |
$203.28 |
$203.28 |
$368.50
|
|
Ghs hcv amplificaiton
|
$213.36 |
$213.36 |
$213.36 |
$198.90
|
|
Ghs hepatitis c virus (hcv riba)
|
$141.54 |
$141.54 |
$141.54 |
$142.50
|
|
Ghs hgb stability-thal
|
$95.34 |
$95.34 |
$95.34 |
$87.60
|
|
Ghs histoplasma antigen
|
$131.88 |
$131.88 |
$131.88 |
$141.26
|
|
Ghs HIV antibody
|
$44.52 |
$44.52 |
$44.52 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$1,105.02 |
$1,105.02 |
$1,105.02 |
$476.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,461.18 |
$1,461.18 |
$1,461.18 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$1,052.94 |
$1,052.94 |
$1,052.94 |
$2,633.28
|
|
Ghs i and d pilonidal cyst complex
|
$1,224.72 |
$1,224.72 |
$1,224.72 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$298.20 |
$298.20 |
$298.20 |
$674.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$191.94 |
$191.94 |
$191.94 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$99.12 |
$99.12 |
$99.12 |
$350.90
|
|
Ghs inf midline insertion
|
$316.68 |
$316.68 |
$316.68 |
$1,241.85
|
|
Ghs inhibitor screen
|
$187.32 |
$187.32 |
$187.32 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$81.06 |
$81.06 |
$81.06 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$601.44 |
$601.44 |
$601.44 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$758.52 |
$758.52 |
$758.52 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$218.40 |
$218.40 |
$218.40 |
$438.38
|
|
Ghs inj transforaminal cerv ea add bil
|
$480.06 |
$480.06 |
$480.06 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,181.88 |
$1,181.88 |
$1,181.88 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$158.76 |
$158.76 |
$158.76 |
$415.20
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$562.80 |
$562.80 |
$562.80 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$893.76 |
$893.76 |
$893.76 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,774.08 |
$1,774.08 |
$1,774.08 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$199.92 |
$199.92 |
$199.92 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$272.16 |
$272.16 |
$272.16 |
$551.20
|
