|
Fusion of thumb
|
$473.44 |
$8,453.60 |
$8,453.60 |
|
|
Fusion of tibiofibular joint
|
$429.22 |
$15,226.08 |
$15,226.08 |
|
|
Fusion of toes
|
$212.52 |
$3,839.54 |
$3,839.54 |
|
|
Fusion of ureter & bowel
|
$870.76 |
$870.76 |
$870.76 |
|
|
Fusion of ureter & kidney
|
$758.78 |
$758.78 |
$758.78 |
|
|
Fusion of ureter & kidney
|
$710.16 |
$710.16 |
$710.16 |
|
|
Fxn gene charac alleles
|
$181.28 |
$274.83 |
$274.83 |
|
|
Fxn gene detc abnor alleles
|
$90.64 |
$137.00 |
$373.82 |
|
|
Fxn gene full gene sequence
|
$181.28 |
$274.83 |
$274.83 |
|
|
Fxn gene known famil variant
|
$122.32 |
$185.20 |
$952.00 |
|
|
G0180 home health certification
|
$32.78 |
$32.78 |
$32.78 |
|
|
G6pc gene
|
$58.49 |
$58.49 |
$58.49 |
|
|
G6pd full gene sequence
|
$396.00 |
$600.00 |
$1,537.20 |
|
|
G6pd gene alys cmn variant
|
$115.28 |
$174.81 |
$900.00 |
|
|
G6pd known familial variant
|
$247.72 |
$375.25 |
$1,930.00 |
|
|
Ga-67 gallium 0.1 mci
|
$121.73 |
$121.73 |
$1,578.50 |
|
|
Ga-68 gallium 68 dotatate
|
$51.09 |
$51.09 |
$10,500.00 |
|
|
Gabapentin non-blood
|
$65.23 |
$80.28 |
$83.00 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.69 |
$0.85 |
$11.90 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$2.80 |
$3.45 |
$16.80 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.44 |
$0.54 |
$9.82 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$28.03 |
$34.50 |
$137.40 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$14.08 |
$21.07 |
$270.00 |
|
|
Galactokinase - sendout
|
$14.08 |
$21.48 |
$21.48 |
|
|
Galactose transferase test
|
$7.92 |
$11.74 |
$11.74 |
|
|
Galectin-3
|
$29.04 |
$44.25 |
$159.66 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$475.51 |
$475.51 |
$6,906.00 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$636.60 |
$636.97 |
$7,795.00 |
|
|
Gallbladder Removal (Laparoscopic)
|
$410.52 |
$6,904.15 |
$6,905.27 |
|
|
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
|
$1,026.05 |
$1,026.05 |
$20,166.00 |
|
|
Gallium locametz 1 millicuri
|
$873.44 |
$873.44 |
$14,000.00 |
|
|
Galsulfase injection
|
$1,642.20 |
$1,642.20 |
$1,642.20 |
|
|
Gamma globulin > 10 cc inj
|
$498.52 |
$498.52 |
$498.52 |
|
|
Gamma globulin 1 cc inj
|
$49.85 |
$49.85 |
$170.17 |
|
|
Gammaglobulin iga
|
$9.30 |
$20.14 |
$377.00 |
|
|
Gammaglobulin ige
|
$16.46 |
$40.20 |
$288.00 |
|
|
Gamma glutamyltransferase
|
$7.20 |
$18.00 |
$206.00 |
|
|
Gammagraft
|
$127.14 |
$127.14 |
$127.14 |
|
|
Gammaplex injection
|
$55.06 |
$57.93 |
$57.93 |
|
|
Gamunex-c/gammaked
|
$34.74 |
$48.81 |
$150.53 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$148.73 |
$248.80 |
$318.32 |
|
|
Gardner vag dna amp probe
|
$23.32 |
$35.09 |
$35.09 |
|
|
Gardner vag dna quant
|
$41.76 |
$41.76 |
$356.40 |
|
|
Gastric analy w/ph ea spec
|
$4.40 |
$6.71 |
$6.71 |
|
|
Gastric emptying imag study
|
$475.51 |
$475.51 |
$1,410.00 |
|
|
Gastric emptying imag study
|
$636.97 |
$636.97 |
$1,830.00 |
|
|
Gastric motility studies
|
$43.78 |
$627.89 |
$627.89 |
|
|
Gastric mucosa imaging
|
$16.94 |
$475.51 |
$475.51 |
|
|
Gastrin test
|
$11.88 |
$17.69 |
$17.69 |
|
|
Gastroduodenostomy
|
$630.30 |
$630.30 |
$630.30 |
|
|
Gastroesophageal reflux study
|
$19.80 |
$475.51 |
$3,786.00 |
|
|
Gastroesophageal reflux test
|
$29.92 |
$627.89 |
$627.89 |
|
|
Gastrointestinal repair
|
$1,372.36 |
$1,372.36 |
$1,372.36 |
|
|
Gastrointestinal repair
|
$1,666.06 |
$1,666.06 |
$1,666.06 |
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$832.70 |
$832.70 |
$832.70 |
|
|
Gastrojejunostomy w/vagotomy
|
$812.24 |
$812.24 |
$812.24 |
|
|
Gastro/jejuno tube, std
|
$508.20 |
$508.20 |
$508.20 |
|
|
Gastroplasty duodenal switch
|
$1,213.96 |
$1,213.96 |
$1,213.96 |
|
|
Gastrostomy open neonatal
|
$377.96 |
$1,109.47 |
$1,109.47 |
|
|
Gated heart multiple
|
$475.51 |
$475.51 |
$3,485.00 |
|
|
Gauze >16 <=48 sq in w/bordr
|
$3.00 |
$3.00 |
$3.00 |
|
|
Gba gene
|
$47.25 |
$47.25 |
$827.00 |
|
|
Gel-one
|
$534.48 |
$534.48 |
$1,341.67 |
|
|
Gel-syn injection 0.1 mg
|
$4.23 |
$4.88 |
$613.60 |
|
|
Gemcitabine 1 gram intravenous solution
|
$78.54 |
$78.54 |
$375.20 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$74.40 |
$229.67 |
$34,637.96 |
|
|
General health panel
|
$47.43 |
$56.84 |
$522.00 |
|
|
Generator barostim neo2 2014
|
$480.00 |
$480.00 |
$27,562.80 |
|
|
Generator emblem MRI sicd subq
|
$28,865.40 |
$35,104.91 |
$62,740.72 |
|
|
Genetic counseling 30 min
|
$306.00 |
$306.00 |
$306.00 |
|
|
Genetic tstg severe inh cond
|
$1,616.12 |
$2,448.56 |
$11,606.00 |
|
|
Genioplasty augmentation
|
$309.76 |
$7,000.36 |
$7,000.36 |
|
|
Geniop sldg augmentation
|
$516.12 |
$3,837.72 |
$3,837.72 |
|
|
Geniop sldg osteot 1
|
$330.22 |
$3,837.72 |
$3,837.72 |
|
|
Geniop sldg osteot 2/>
|
$458.04 |
$7,000.36 |
$7,000.36 |
|
|
Genome re-evaluation
|
$2,337.65 |
$2,337.65 |
$2,337.65 |
|
|
Genome sequence analysis
|
$1,418.00 |
$5,031.20 |
$5,031.20 |
|
|
Genome sequence analysis
|
$2,709.95 |
$2,709.95 |
$4,439.40 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$2.28 |
$3.43 |
$33.00 |
|
|
Gentamicin peak therapeutic drug level
|
$16.38 |
$40.20 |
$229.00 |
|
|
Genvisc 850, inj, 1mg
|
$5.90 |
$5.90 |
$524.86 |
|
|
G-esoph reflx tst w/electrod
|
$49.50 |
$627.89 |
$877.34 |
|
|
Gfrg autol fat lipo ea addl
|
$88.88 |
$88.88 |
$88.88 |
|
|
Ghs abscess perianal iandd
|
$771.60 |
$1,078.88 |
$6,650.00 |
|
|
Ghs abscess postoperative iandd complex
|
$110.66 |
$3,386.84 |
$8,316.18 |
|
|
Ghs acetylcholinesterase, rbc
|
$9.81 |
$9.81 |
$92.54 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$11.44 |
$17.11 |
$713.64 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$67.32 |
$102.26 |
$1,532.40 |
|
|
Ghs analysis neurostim without reprogramming
|
$11.44 |
$152.54 |
$1,461.00 |
|
|
Ghs antibodies (torch) igm
|
$14.39 |
$14.39 |
$154.65 |
|
|
Ghs aspiration bladder - needle
|
$287.81 |
$287.81 |
$1,966.48 |
|
|
Ghs bladder cath - complex-foley
|
$66.00 |
$185.15 |
$1,426.00 |
|
|
Ghs bleeding time (ivy)
|
$4.82 |
$4.82 |
$24.96 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$33.66 |
$819.50 |
$914.90 |
|
|
Ghs central line insert < age 5, failed
|
$698.40 |
$3,724.63 |
$7,365.54 |
|
|
Ghs change cysto/gastrost
|
$259.28 |
$287.81 |
$1,126.00 |
|
|
Ghs chemo >8 hrs
|
$8.42 |
$392.51 |
$1,846.00 |
|
