|
Fusion of foot bones
|
$485.32 |
$485.32 |
$485.32 |
$10,203.05
|
|
Fusion of foot bones
|
$383.02 |
$383.02 |
$383.02 |
$5,419.00
|
|
Fusion of hand joint
|
$479.16 |
$479.16 |
$479.16 |
$6,311.00
|
|
Fusion of knee
|
$911.24 |
$911.24 |
$911.24 |
$3,352.14
|
|
Fusion of knuckle
|
$450.34 |
$450.34 |
$450.34 |
$7,807.24
|
|
Fusion of knuckle joint
|
$456.28 |
$456.28 |
$456.28 |
$3,821.05
|
|
Fusion of knuckle joints
|
$531.96 |
$531.96 |
$531.96 |
$4,259.84
|
|
Fusion of knuckle joints
|
$538.34 |
$538.34 |
$538.34 |
$7,907.11
|
|
Fusion of knuckle with graft
|
$512.82 |
$512.82 |
$512.82 |
$7,807.24
|
|
Fusion of skull arteries
|
$1,623.16 |
$1,623.16 |
$1,623.16 |
$3,896.79
|
|
Fusion of spermatic ducts
|
$495.22 |
$495.22 |
$495.22 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$652.96 |
$652.96 |
$652.96 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$432.96 |
$432.96 |
$432.96 |
$3,591.33
|
|
Fusion of tendons at wrist
|
$403.26 |
$403.26 |
$403.26 |
$3,839.54
|
|
Fusion of thumb
|
$473.44 |
$473.44 |
$473.44 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$429.22 |
$429.22 |
$429.22 |
$9,791.00
|
|
Fusion of toes
|
$212.52 |
$212.52 |
$212.52 |
$3,839.54
|
|
Fusion of ureter & bowel
|
$870.76 |
$870.76 |
$870.76 |
$2,002.05
|
|
Fusion of ureter & kidney
|
$758.78 |
$758.78 |
$758.78 |
$2,702.04
|
|
Fusion of ureter & kidney
|
$710.16 |
$710.16 |
$710.16 |
$1,493.66
|
|
Fxn gene charac alleles
|
$181.28 |
$181.28 |
$181.28 |
$302.31
|
|
Fxn gene detc abnor alleles
|
$90.64 |
$90.64 |
$90.64 |
$195.30
|
|
Fxn gene full gene sequence
|
$181.28 |
$181.28 |
$181.28 |
$302.31
|
|
Fxn gene known famil variant
|
$122.32 |
$122.32 |
$122.32 |
$304.59
|
|
G0180 home health certification
|
$32.78 |
$32.78 |
$32.78 |
$107.25
|
|
G6pd full gene sequence
|
$396.00 |
$396.00 |
$396.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$115.28 |
$115.28 |
$115.28 |
$243.00
|
|
G6pd known familial variant
|
$247.72 |
$247.72 |
$247.72 |
$751.20
|
|
Galac-1-phosphate uridyltran - sendout
|
$14.08 |
$14.08 |
$14.08 |
$100.00
|
|
Galactokinase - sendout
|
$14.08 |
$14.08 |
$14.08 |
$196.38
|
|
Galactose transferase test
|
$7.92 |
$7.92 |
$7.92 |
$31.35
|
|
Galectin-3
|
$29.04 |
$29.04 |
$29.04 |
$96.99
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$822.90 |
$822.90 |
$822.90 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,102.14 |
$1,102.14 |
$1,102.14 |
$1,612.00
|
|
Gallbladder Removal (Laparoscopic)
|
$410.52 |
$410.52 |
$410.52 |
$13,208.00
|
|
Gammaglobulin iga
|
$49.14 |
$49.14 |
$49.14 |
$69.15
|
|
Gammaglobulin ige
|
$86.58 |
$86.58 |
$86.58 |
$83.85
|
|
Gamma glutamyltransferase
|
$38.22 |
$38.22 |
$38.22 |
$57.54
|
|
Gardner vag dna amp probe
|
$23.32 |
$23.32 |
$23.32 |
$65.30
|
|
Gardner vag dna quant
|
$219.96 |
$219.96 |
$219.96 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$4.40 |
$4.40 |
$4.40 |
$27.67
|
|
Gastric emptying imag study
|
$822.90 |
$822.90 |
$822.90 |
$1,345.40
|
|
Gastric emptying imag study
|
$1,102.14 |
$1,102.14 |
$1,102.14 |
$1,665.50
|
|
Gastric motility studies
|
$43.78 |
$43.78 |
$43.78 |
$972.00
|
|
Gastric mucosa imaging
|
$16.94 |
$16.94 |
$16.94 |
$565.00
|
|
Gastrin test
|
$11.88 |
$11.88 |
$11.88 |
$61.80
|
|
Gastroduodenostomy
|
$630.30 |
$630.30 |
$630.30 |
$2,240.04
|
|
Gastroesophageal reflux study
|
$19.80 |
$19.80 |
$19.80 |
$1,055.60
|
|
Gastroesophageal reflux test
|
$29.92 |
$29.92 |
$29.92 |
$1,352.00
|
|
Gastrointestinal repair
|
$1,372.36 |
$1,372.36 |
$1,372.36 |
$3,216.48
|
|
Gastrointestinal repair
|
$1,666.06 |
$1,666.06 |
$1,666.06 |
$3,808.22
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$832.70 |
$832.70 |
$832.70 |
$2,376.00
|
|
Gastrojejunostomy w/vagotomy
|
$812.24 |
$812.24 |
$812.24 |
$2,886.18
|
|
Gastroplasty duodenal switch
|
$1,213.96 |
$1,213.96 |
$1,213.96 |
$4,780.80
|
|
Gastrostomy open neonatal
|
$377.96 |
$377.96 |
$377.96 |
$1,474.40
|
|
Gated heart multiple
|
$822.90 |
$822.90 |
$822.90 |
$1,405.04
|
|
Gba gene
|
$51.48 |
$51.48 |
$51.48 |
$160.72
|
|
General health panel
|
$159.90 |
$159.90 |
$159.90 |
$261.00
|
|
Genetic tstg severe inh cond
|
$1,616.12 |
$1,616.12 |
$1,616.12 |
$3,978.65
|
|
Genioplasty augmentation
|
$309.76 |
$309.76 |
$309.76 |
$6,547.81
|
|
Geniop sldg augmentation
|
$516.12 |
$516.12 |
$516.12 |
$3,837.72
|
|
Geniop sldg osteot 1
|
$330.22 |
$330.22 |
$330.22 |
$3,837.72
|
|
Geniop sldg osteot 2/>
|
$458.04 |
$458.04 |
$458.04 |
$6,839.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$25.66 |
$25.66 |
$25.66 |
$51.02
|
|
Gentamicin peak therapeutic drug level
|
$85.80 |
$85.80 |
$85.80 |
$121.75
|
|
G-esoph reflx tst w/electrod
|
$49.50 |
$49.50 |
$49.50 |
$1,500.00
|
|
Gfrg autol fat lipo ea addl
|
$88.88 |
$88.88 |
$88.88 |
$5,825.30
|
|
Ghs abscess perianal iandd
|
$2,133.30 |
$2,133.30 |
$2,133.30 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$110.66 |
$110.66 |
$110.66 |
$3,834.59
|
|
Ghs acetylcholinesterase, rbc
|
$51.48 |
$51.48 |
$51.48 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$11.44 |
$11.44 |
$11.44 |
$93.03
|
|
Ghs alpha thalasemia, 7 deletions
|
$67.32 |
$67.32 |
$67.32 |
$389.90
|
|
Ghs analysis neurostim without reprogramming
|
$11.44 |
$11.44 |
$11.44 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$76.44 |
$76.44 |
$76.44 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$569.40 |
$569.40 |
$569.40 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$366.60 |
$366.60 |
$366.60 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$24.96 |
$24.96 |
$24.96 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$33.66 |
$33.66 |
$33.66 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$7,365.54 |
$7,365.54 |
$7,365.54 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$497.64 |
$497.64 |
$497.64 |
$597.92
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$23.32 |
$23.32 |
$23.32 |
$132.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$561.60 |
$561.60 |
$561.60 |
$515.00
|
|
Ghs closed reduction ankle dislocation
|
$561.60 |
$561.60 |
$561.60 |
$672.60
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$285.12 |
$285.12 |
$285.12 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$2,272.50
|
|
Ghs closure surg wound/dehiscence-13160
|
$493.02 |
$493.02 |
$493.02 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$561.60 |
$561.60 |
$561.60 |
$520.80
|
|
Ghs clsd red med malleolus fx w manip
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$2,217.22
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,745.56 |
$3,745.56 |
$3,745.56 |
$2,347.20
|
|
Ghs cl tx knee disl; wo anesth
|
$561.60 |
$561.60 |
$561.60 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$561.60 |
$561.60 |
$561.60 |
$515.45
|
|
Ghs conjunctiva foreign body-embed bil
|
$933.66 |
$933.66 |
$933.66 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$301.86 |
$301.86 |
$301.86 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$933.66 |
$933.66 |
$933.66 |
$423.85
|
|
Ghs corneal fb with slit lamp bilat
|
$301.86 |
$301.86 |
$301.86 |
$339.60
|
|
Ghs cricothyroidotomy
|
$543.66 |
$543.66 |
$543.66 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$933.66 |
$933.66 |
$933.66 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$301.86 |
$301.86 |
$301.86 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$10.12 |
$10.12 |
$10.12 |
$54.43
|