|
Fusion of knuckle
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Fusion of knuckle joint
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Fusion of knuckle joints
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Fusion of knuckle joints
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Fusion of knuckle with graft
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Fusion of spermatic ducts
|
$2,238.78 |
$3,986.00 |
$6,839.00 |
|
|
Fusion of spermatic ducts
|
$3,769.31 |
$4,061.71 |
$6,839.00 |
|
|
Fusion of tendons at wrist
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Fusion of tendons at wrist
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Fusion of thumb
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Fusion of tibiofibular joint
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Fusion of toes
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Fxn gene charac alleles
|
$274.83 |
$302.31 |
$302.31 |
|
|
Fxn gene detc abnor alleles
|
$137.00 |
$150.70 |
$150.70 |
|
|
Fxn gene full gene sequence
|
$274.83 |
$302.31 |
$302.31 |
|
|
Fxn gene known famil variant
|
$185.20 |
$203.72 |
$203.72 |
|
|
G6pc gene
|
$58.49 |
$64.34 |
$64.34 |
|
|
G6pd full gene sequence
|
$600.00 |
$660.00 |
$660.00 |
|
|
G6pd gene alys cmn variant
|
$174.81 |
$192.29 |
$192.29 |
|
|
G6pd known familial variant
|
$375.25 |
$412.78 |
$412.78 |
|
|
Ga-68 gallium 68 dotatate
|
$51.09 |
$51.09 |
$51.09 |
|
|
Gabapentin non-blood
|
$37.02 |
$59.52 |
$68.21 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$21.07 |
$23.18 |
$23.18 |
|
|
Galactokinase - sendout
|
$21.48 |
$23.63 |
$23.63 |
|
|
Galactose transferase test
|
$11.74 |
$12.91 |
$12.91 |
|
|
Galectin-3
|
$44.25 |
$48.68 |
$48.68 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$306.76 |
$444.77 |
$651.53 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$365.19 |
$595.79 |
$885.90 |
|
|
Gallbladder Removal (Laparoscopic)
|
$3,786.00 |
$6,311.00 |
$6,870.89 |
|
|
Gallium ga-68 dotatoc
|
$4.05 |
$4.05 |
$4.05 |
|
|
Gallium ga-68 psma-11, ucla
|
$372.17 |
$372.17 |
$372.17 |
|
|
Gallium ga-68 psma-11 ucsf
|
$534.91 |
$534.91 |
$534.91 |
|
|
Gallium illuccix 1 millicure
|
$973.64 |
$973.64 |
$1,026.05 |
|
|
Gallium locametz 1 millicuri
|
$873.44 |
$873.44 |
$873.44 |
|
|
Gamma globulin > 10 cc inj
|
$167.06 |
$167.06 |
$498.52 |
|
|
Gamma globulin 1 cc inj
|
$48.42 |
$48.42 |
$49.85 |
|
|
Gammaglobulin iga
|
$9.30 |
$10.23 |
$52.50 |
|
|
Gammaglobulin ige
|
$16.46 |
$18.11 |
$85.50 |
|
|
Gamma glutamyltransferase
|
$7.20 |
$7.92 |
$48.40 |
|
|
Gammaplex injection
|
$57.93 |
$62.47 |
$62.47 |
|
|
Gamunex-c/gammaked
|
$48.03 |
$48.03 |
$48.81 |
|
|
Gardner vag dna amp probe
|
$35.09 |
$38.60 |
$38.60 |
|
|
Gardner vag dna quant
|
$41.76 |
$45.94 |
$45.94 |
|
|
Gastric analy w/ph ea spec
|
$6.71 |
$7.38 |
$7.38 |
|
|
Gastric emptying imag study
|
$439.15 |
$444.77 |
$473.22 |
|
|
Gastric emptying imag study
|
$588.26 |
$595.79 |
$633.90 |
|
|
Gastric motility studies
|
$228.71 |
$579.88 |
$684.69 |
|
|
Gastric mucosa imaging
|
$221.67 |
$444.77 |
$473.22 |
|
|
Gastrin test
|
$17.69 |
$19.46 |
$19.46 |
|
|
Gastroesophageal reflux study
|
$439.15 |
$450.71 |
$822.00 |
|
|
Gastroesophageal reflux test
|
$145.77 |
$520.02 |
$624.87 |
|
|
Gastro/jejuno tube, std
|
$65.72 |
$74.83 |
$94.45 |
|
|
Gastrostomy open neonatal
|
$1,024.64 |
$3,986.00 |
$6,839.00 |
|
|
Gated heart multiple
|
$439.15 |
$445.16 |
$744.13 |
|
|
Gba gene
|
$47.25 |
$51.98 |
$51.98 |
|
|
Gel-one
|
$524.02 |
$524.02 |
$534.48 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$229.67 |
$236.62 |
$236.62 |
|
|
General health panel
|
$35.00 |
$129.21 |
$132.01 |
|
|
Genetic counseling 30 min
|
$51.11 |
$87.65 |
$111.00 |
|
|
Genetic tstg severe inh cond
|
$2,448.56 |
$2,693.42 |
$2,693.42 |
|
|
Genioplasty augmentation
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Geniop sldg augmentation
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Geniop sldg osteot 1
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Geniop sldg osteot 2/>
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Genome re-evaluation
|
$2,337.65 |
$2,571.42 |
$2,571.42 |
|
|
Genome sequence analysis
|
$5,031.20 |
$5,534.32 |
$5,534.32 |
|
|
Genome sequence analysis
|
$2,709.95 |
$2,980.95 |
$2,980.95 |
|
|
Gentamicin peak therapeutic drug level
|
$16.38 |
$18.02 |
$109.00 |
|
|
Genvisc 850, inj, 1mg
|
$5.90 |
$6.02 |
$6.02 |
|
|
G-esoph reflx tst w/electrod
|
$168.99 |
$579.88 |
$725.22 |
|
|
Ghs abscess perianal iandd
|
$996.39 |
$3,986.00 |
$6,839.00 |
|
|
Ghs abscess postoperative iandd complex
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Ghs acetylcholinesterase, rbc
|
$9.81 |
$10.79 |
$10.79 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$17.11 |
$18.82 |
$18.82 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$102.26 |
$112.49 |
$457.50 |
|
|
Ghs analysis neurostim without reprogramming
|
$120.30 |
$142.67 |
$151.80 |
|
|
Ghs antibodies (torch) igm
|
$14.39 |
$15.83 |
$74.50 |
|
|
Ghs aspiration bladder - needle
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Ghs bladder cath - complex-foley
|
$170.99 |
$3,986.00 |
$6,839.00 |
|
|
Ghs bleeding time (ivy)
|
$4.82 |
$5.30 |
$5.30 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$756.84 |
$3,986.00 |
$6,839.00 |
|
|
Ghs central line insert < age 5, failed
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ghs change cysto/gastrost
|
$265.80 |
$3,986.00 |
$6,839.00 |
|
|
Ghs chemo >8 hrs
|
$162.28 |
$367.45 |
$470.88 |
|
|
Ghs chemo infusion >8 hrs
|
$196.02 |
$367.13 |
$390.62 |
|
|
Ghs chemo IV push, ea addtl
|
$77.78 |
$198.48 |
$317.09 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$35.09 |
$38.60 |
$38.60 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs closed reduction ankle dislocation
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs closed tx tibial fracture w/manip
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Ghs clsd red med malleolus fx without manip
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs clsd red med malleolus fx w manip
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,749.06 |
$3,986.00 |
$6,839.00 |
|
|
Ghs cl tx knee disl; wo anesth
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$262.16 |
$3,986.00 |
$6,839.00 |
|
|
Ghs community re-entry 15 minutes
|
$40.61 |
$40.61 |
$45.50 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$436.10 |
$3,986.00 |
$6,839.00 |
|