|
Gammaglobulin iga
|
$9.30 |
$9.30 |
$9.30 |
$69.60
|
|
Gammaglobulin ige
|
$16.46 |
$16.46 |
$16.46 |
$83.85
|
|
Gamma glutamyltransferase
|
$7.20 |
$7.20 |
$7.20 |
$57.54
|
|
Gammaplex injection
|
$62.47 |
$62.47 |
$62.47 |
$7,464.29
|
|
Gamunex-c/gammaked
|
$48.03 |
$48.03 |
$48.03 |
$7,435.88
|
|
Gardner vag dna amp probe
|
$35.09 |
$35.09 |
$35.09 |
$72.15
|
|
Gardner vag dna quant
|
$41.76 |
$41.76 |
$41.76 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$6.71 |
$6.71 |
$6.71 |
$31.50
|
|
Gastric emptying imag study
|
$444.77 |
$444.77 |
$444.77 |
$1,364.00
|
|
Gastric emptying imag study
|
$595.79 |
$595.79 |
$595.79 |
$1,665.50
|
|
Gastric motility studies
|
$587.30 |
$587.30 |
$587.30 |
$972.00
|
|
Gastric mucosa imaging
|
$444.77 |
$444.77 |
$444.77 |
$565.00
|
|
Gastrin test
|
$17.69 |
$17.69 |
$17.69 |
$61.80
|
|
Gastroesophageal reflux study
|
$444.77 |
$444.77 |
$444.77 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$587.30 |
$587.30 |
$587.30 |
$1,352.00
|
|
Gastrostomy open neonatal
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,474.40
|
|
Gated heart multiple
|
$444.77 |
$444.77 |
$444.77 |
$1,405.04
|
|
Gba gene
|
$47.25 |
$47.25 |
$47.25 |
$160.72
|
|
Gel-one
|
$524.02 |
$524.02 |
$524.02 |
$1,561.21
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$236.62 |
$236.62 |
$236.62 |
$19,305.62
|
|
Genetic tstg severe inh cond
|
$2,448.56 |
$2,448.56 |
$2,448.56 |
$3,978.65
|
|
Genioplasty augmentation
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,547.81
|
|
Geniop sldg augmentation
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,837.72
|
|
Geniop sldg osteot 1
|
$3,589.62 |
$3,589.62 |
$3,589.62 |
$3,837.72
|
|
Geniop sldg osteot 2/>
|
$6,547.81 |
$6,547.81 |
$6,547.81 |
$6,966.64
|
|
Genome re-evaluation
|
$2,337.65 |
$2,337.65 |
$2,337.65 |
$2,571.42
|
|
Genome sequence analysis
|
$5,031.20 |
$5,031.20 |
$5,031.20 |
$5,031.20
|
|
Genome sequence analysis
|
$2,709.95 |
$2,709.95 |
$2,709.95 |
$3,455.25
|
|
Gentamicin peak therapeutic drug level
|
$16.38 |
$16.38 |
$16.38 |
$123.84
|
|
Genvisc 850, inj, 1mg
|
$6.02 |
$6.02 |
$6.02 |
$6.02
|
|
G-esoph reflx tst w/electrod
|
$587.30 |
$587.30 |
$587.30 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,009.14 |
$1,009.14 |
$1,009.14 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$9.81 |
$9.81 |
$9.81 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$17.11 |
$17.11 |
$17.11 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$102.26 |
$102.26 |
$102.26 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$142.67 |
$142.67 |
$142.67 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$14.39 |
$14.39 |
$14.39 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$269.20 |
$269.20 |
$269.20 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$173.18 |
$173.18 |
$173.18 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$4.82 |
$4.82 |
$4.82 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$766.52 |
$766.52 |
$766.52 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$3,483.84 |
$3,483.84 |
$3,483.84 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$269.20 |
$269.20 |
$269.20 |
$594.55
|
|
Ghs chemo >8 hrs
|
$367.13 |
$367.13 |
$367.13 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$367.13 |
$367.13 |
$367.13 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$78.78 |
$78.78 |
$78.78 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$35.09 |
$35.09 |
$35.09 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$265.51 |
$265.51 |
$265.51 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$265.51 |
$265.51 |
$265.51 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$265.51 |
$265.51 |
$265.51 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,024.70 |
$2,024.70 |
$2,024.70 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$265.51 |
$265.51 |
$265.51 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,771.43 |
$1,771.43 |
$1,771.43 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$265.51 |
$265.51 |
$265.51 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$265.51 |
$265.51 |
$265.51 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$40.61 |
$40.61 |
$40.61 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$441.68 |
$441.68 |
$441.68 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$142.67 |
$142.67 |
$142.67 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$441.68 |
$441.68 |
$441.68 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$142.67 |
$142.67 |
$142.67 |
$339.60
|
|
Ghs cricothyroidotomy
|
$257.04 |
$257.04 |
$257.04 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$441.68 |
$441.68 |
$441.68 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$142.67 |
$142.67 |
$142.67 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$15.21 |
$15.21 |
$15.21 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$265.51 |
$265.51 |
$265.51 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,037.75 |
$1,037.75 |
$1,037.75 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$293.96 |
$293.96 |
$293.96 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$766.52 |
$766.52 |
$766.52 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$173.18 |
$173.18 |
$173.18 |
$586.80
|
|
Ghs electrostagmgraphy
|
$173.18 |
$173.18 |
$173.18 |
$322.00
|
|
Ghs elect torsion swing
|
$173.18 |
$173.18 |
$173.18 |
$266.29
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$442.22 |
$442.22 |
$442.22 |
$467.00
|
|
Ghs excision ingrown nail
|
$442.22 |
$442.22 |
$442.22 |
$449.25
|
|
Ghs eye exam
|
$142.64 |
$142.64 |
$142.64 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$330.87 |
$330.87 |
$330.87 |
$510.00
|
|
Ghs fat & muscle
|
$4.85 |
$4.85 |
$4.85 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$3,167.89 |
$3,167.89 |
$3,167.89 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,793.38 |
$1,793.38 |
$1,793.38 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$6.98 |
$6.98 |
$6.98 |
$48.10
|
|
Ghs fish cytogen
|
$21.42 |
$21.42 |
$21.42 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$51.19 |
$51.19 |
$51.19 |
$226.20
|
|
Ghs flow volume loop
|
$344.68 |
$344.68 |
$344.68 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$344.68 |
$344.68 |
$344.68 |
$368.50
|
|
Ghs hcv amplificaiton
|
$35.09 |
$35.09 |
$35.09 |
$196.20
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$22.97 |
$22.97 |
$22.97 |
$64.28
|
|
Ghs hepatitis c virus (hcv riba)
|
$15.49 |
$15.49 |
$15.49 |
$144.54
|
|
Ghs hgb stability-thal
|
$9.47 |
$9.47 |
$9.47 |
$89.91
|
|
Ghs histoplasma antigen
|
$13.25 |
$13.25 |
$13.25 |
$142.00
|
|
Ghs HIV antibody
|
$13.71 |
$13.71 |
$13.71 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$106.14 |
$106.14 |
$106.14 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,267.41 |
$2,267.41 |
$2,267.41 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,305.08 |
$1,305.08 |
$1,305.08 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$778.78 |
$778.78 |
$778.78 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$778.78 |
$778.78 |
$778.78 |
$707.25
|
