|
Galac-1-phosphate uridyltran - sendout
|
$63.53 |
$63.53 |
$96.50 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$708.50 |
$1,438.58 |
$2,177.00 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$708.50 |
$1,502.55 |
$2,216.55 |
|
|
Galsulfase injection
|
$4,914.50 |
$4,914.50 |
$4,914.50 |
|
|
Gamma globulin 1 cc inj
|
$1,101.18 |
$1,101.18 |
$1,101.18 |
|
|
Gammaglobulin iga
|
$41.50 |
$101.50 |
$129.89 |
|
|
Gammaglobulin ige
|
$64.00 |
$117.58 |
$117.58 |
|
|
Gamma glutamyltransferase
|
$35.50 |
$55.28 |
$123.00 |
|
|
Gamunex-c/gammaked
|
$4,702.50 |
$4,702.50 |
$9,186.62 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$151.18 |
$151.18 |
$151.18 |
|
|
Gastric analy w/ph ea spec
|
$19.50 |
$19.50 |
$19.50 |
|
|
Gastric emptying imag study
|
$1,098.50 |
$1,098.50 |
$1,098.50 |
|
|
Gastric emptying imag study
|
$1,313.50 |
$1,313.50 |
$1,313.50 |
|
|
Gastroesophageal reflux study
|
$696.50 |
$696.50 |
$696.50 |
|
|
Gastroesophageal reflux test
|
$1,110.80 |
$1,110.80 |
$1,110.80 |
|
|
Gastro/jejuno tube, std
|
$72.24 |
$72.24 |
$72.24 |
|
|
Gated heart multiple
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
|
|
Gauze >16<=48 no w/sal without b
|
$3.62 |
$3.62 |
$3.62 |
|
|
Gauze <=16 in no w/sal without b
|
$3.62 |
$3.62 |
$3.62 |
|
|
Gauze <= 16 sq in w/border
|
$1.00 |
$1.00 |
$1.00 |
|
|
Gauze > 48 in no w/sal without b
|
$3.62 |
$3.62 |
$3.62 |
|
|
Gel-syn injection 0.1 mg
|
$896.78 |
$896.78 |
$896.78 |
|
|
Gemcitabine 1 gram intravenous solution
|
$172.10 |
$368.23 |
$505.80 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$20,115.00 |
$20,115.00 |
$20,115.00 |
|
|
General health panel
|
$522.00 |
$522.00 |
$522.00 |
|
|
Generator barostim neo2 2014
|
$12,750.00 |
$12,750.00 |
$12,750.00 |
|
|
Generator emblem MRI sicd subq
|
$10,750.00 |
$10,750.00 |
$45,186.03 |
|
|
Genetic tstg severe inh cond
|
$3,234.50 |
$5,329.65 |
$10,772.48 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$61.08 |
$85.18 |
$85.18 |
|
|
Gentamicin peak therapeutic drug level
|
$108.50 |
$138.85 |
$197.40 |
|
|
Genvisc 850, inj, 1mg
|
$922.20 |
$922.20 |
$922.20 |
|
|
G-esoph reflx tst w/electrod
|
$1,413.78 |
$1,413.78 |
$1,413.78 |
|
|
Ghs abscess perianal iandd
|
$637.95 |
$637.95 |
$5,972.00 |
|
|
Ghs abscess postoperative iandd complex
|
$1,416.70 |
$1,416.70 |
$4,450.50 |
|
|
Ghs acetylcholinesterase, rbc
|
$62.78 |
$62.78 |
$76.50 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$54.00 |
$100.30 |
$100.30 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$232.00 |
$362.55 |
$362.55 |
|
|
Ghs analysis neurostim without reprogramming
|
$246.50 |
$246.98 |
$302.00 |
|
|
Ghs antibodies (torch) igm
|
$49.00 |
$125.28 |
$201.00 |
|
|
Ghs aspiration bladder - needle
|
$722.33 |
$722.33 |
$722.33 |
|
|
Ghs bladder cath - complex-foley
|
$175.50 |
$344.48 |
$1,971.00 |
|
|
Ghs bleeding time (ivy)
|
$137.88 |
$137.88 |
$137.88 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,000.08 |
$1,000.08 |
$1,008.50 |
|
|
Ghs central line insert < age 5, failed
|
$1,419.00 |
$2,100.70 |
$3,973.10 |
|
|
Ghs change cysto/gastrost
|
$398.95 |
$398.95 |
$1,025.75 |
|
|
Ghs chemo >8 hrs
|
$1,003.80 |
$1,359.83 |
$1,462.00 |
|
|
Ghs chemo IV push, ea addtl
|
$197.00 |
$381.18 |
$1,781.00 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$130.70 |
$130.70 |
$130.70 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$184.50 |
$523.65 |
$2,004.00 |
|
|
Ghs closed reduction ankle dislocation
|
$527.50 |
$712.33 |
$2,202.00 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$478.70 |
$885.15 |
$10,469.00 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$142.00 |
$523.85 |
$1,603.00 |
|
|
Ghs closed tx tibial fracture w/manip
|
$531.23 |
$531.23 |
$3,071.50 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,683.50 |
$2,973.33 |
$2,973.33 |
|
|
Ghs clsd red med malleolus fx without manip
|
$228.50 |
$455.23 |
$816.69 |
|
|
Ghs clsd red med malleolus fx w manip
|
$885.15 |
$885.15 |
$1,670.50 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$322.05 |
$322.05 |
$2,061.50 |
|
|
Ghs cl tx knee disl; wo anesth
|
$188.50 |
$633.28 |
$4,006.00 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$271.50 |
$344.30 |
$2,004.00 |
|
|
Ghs community re-entry 15 minutes
|
$106.00 |
$120.20 |
$129.00 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$184.40 |
$184.40 |
$1,696.00 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$150.55 |
$150.55 |
$910.88 |
|
|
Ghs corneal fb without slit lamp bilat
|
$210.00 |
$210.78 |
$1,448.00 |
|
|
Ghs corneal fb with slit lamp bilat
|
$184.40 |
$184.40 |
$1,713.00 |
|
|
Ghs cricothyroidotomy
|
$963.00 |
$1,346.93 |
$2,547.62 |
|
|
Ghs cutdown placement age 1 and over
|
$55.98 |
$55.98 |
$55.98 |
|
|
Ghs cutdown placement under 1 yr
|
$55.98 |
$55.98 |
$55.98 |
|
|
Ghs diphtheria toxoid ab igg
|
$20.00 |
$214.78 |
$214.78 |
|
|
Ghs dislocation elbow closed treatment
|
$272.50 |
$416.60 |
$2,202.00 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$813.50 |
$1,960.95 |
$1,960.95 |
|
|
Ghs ed rmvl or bivalving cast
|
$200.48 |
$200.48 |
$529.00 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,266.30 |
$1,266.30 |
$2,414.69 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$743.70 |
$743.70 |
$2,563.00 |
|
|
Ghs electrostagmgraphy
|
$164.83 |
$164.83 |
$1,708.00 |
|
|
Ghs elect vertical elct
|
$851.00 |
$851.00 |
$851.00 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$299.05 |
$299.05 |
$1,298.00 |
|
|
Ghs excision ingrown nail
|
$225.00 |
$306.45 |
$1,240.00 |
|
|
Ghs eye exam
|
$204.50 |
$204.50 |
$204.50 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$200.73 |
$200.73 |
$738.00 |
|
|
Ghs fb removal foot - deep - left
|
$1,961.00 |
$1,984.68 |
$12,719.00 |
|
|
Ghs fb removal from muscle - complicated
|
$536.13 |
$536.13 |
$5,007.00 |
|
|
Ghs fb removal - incisional
|
$1,744.58 |
$1,744.58 |
$15,149.00 |
|
|
Ghs fb removal - non-incisional
|
$436.53 |
$436.53 |
$11,315.00 |
|
|
Ghs febrile agglutinns(mayo)
|
$26.50 |
$26.50 |
$26.50 |
|
|
Ghs fish cytogen
|
$122.00 |
$222.18 |
$222.18 |
|
|
Ghs fish hybrid in situ 100-300
|
$186.50 |
$444.63 |
$538.00 |
|
|
Ghs flow volume loop
|
$386.00 |
$386.00 |
$386.00 |
|
|
Ghs gastric intub aspiration lavage
|
$156.50 |
$413.60 |
$413.60 |
|
|
Ghs hcv amplificaiton
|
$122.50 |
$245.78 |
$463.47 |
|
|
Ghs hgb stability-thal
|
$85.28 |
$85.28 |
$85.28 |
|
|
Ghs histoplasma antigen
|
$123.50 |
$223.70 |
$399.00 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,495.00 |
$1,960.98 |
$12,454.00 |
|
|
Ghs i and d perirectal abscess 46040
|
$2,433.50 |
$2,630.53 |
$7,793.00 |
|
|
Ghs i and d pilonidal cyst complex
|
$1,574.63 |
$1,574.63 |
$9,490.00 |
|
|
Ghs i and d pilonidal cyst simple
|
$381.75 |
$381.75 |
$4,631.00 |
|
|
Ghs immun0electrophoresis
|
$18.50 |
$77.53 |
$157.08 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$345.00 |
$474.85 |
$1,068.80 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$199.55 |
$199.55 |
$199.55 |
|
|
Ghs inf midline insertion
|
$814.23 |
$814.23 |
$2,179.50 |
|
|
Ghs inhibitor screen
|
$181.50 |
$209.43 |
$209.43 |
|
