|
Ga-68 gallium 68 dotatate
|
$4,500.00 |
$4,500.00 |
$4,500.00 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$66.00 |
$185.52 |
$333.18 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$336.00 |
$336.00 |
$342.00 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$188.40 |
$188.40 |
$188.40 |
$96.94
|
|
Galectin-3
|
$111.60 |
$111.60 |
$111.60 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$25,292.65 |
$27,287.59 |
$32,215.13 |
$11,117.34
|
|
Gammaglobulin iga
|
$60.60 |
$60.60 |
$60.60 |
$67.20
|
|
Gammaglobulin ige
|
$74.40 |
$74.40 |
$74.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$96.60 |
$96.60 |
$96.60 |
$57.54
|
|
Gamunex-c/gammaked
|
$10,887.78 |
$12,851.16 |
$12,851.16 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$156.06 |
$252.00 |
$438.90 |
$197.40
|
|
Gastrin test
|
$37.80 |
$37.80 |
$37.80 |
$61.80
|
|
Gba gene
|
$391.20 |
$391.20 |
$391.20 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$213.60 |
$237.00 |
$249.90 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$52,609.74 |
$52,609.74 |
$52,609.74 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$102,132.02 |
$102,132.02 |
$102,132.02 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$77,676.91 |
$77,676.91 |
$77,676.91 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$91,847.70 |
$91,847.70 |
$91,847.70 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$2,395.20 |
$2,395.20 |
$2,395.20 |
$3,978.65
|
|
Geniop sldg augmentation
|
$103,870.56 |
$103,870.56 |
$103,870.56 |
$3,837.72
|
|
Geniop sldg osteot 2/>
|
$60,369.81 |
$60,369.81 |
$60,369.81 |
$6,966.64
|
|
Gen, neuro, clo loop, rechg
|
$57,732.84 |
$57,732.84 |
$57,732.84 |
$36,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$19.44 |
$25.92 |
$27.84 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$141.60 |
$141.60 |
$141.60 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$6,003.59 |
$6,003.59 |
$9,377.54 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$15,715.92 |
$15,715.92 |
$15,715.92 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$4,511.40 |
$4,511.40 |
$13,626.78 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$72.00 |
$72.00 |
$72.00 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$87.60 |
$87.60 |
$87.60 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$88.80 |
$88.80 |
$88.80 |
$69.30
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,701.60 |
$1,701.60 |
$1,701.60 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$5,202.60 |
$5,202.60 |
$5,202.60 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$553.80 |
$3,225.60 |
$4,236.84 |
$565.49
|
|
Ghs chemo >8 hrs
|
$901.20 |
$901.20 |
$901.20 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$489.00 |
$489.00 |
$489.00 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$189.00 |
$189.00 |
$189.00 |
$132.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,750.00 |
$3,750.00 |
$12,963.86 |
$3,086.00
|
|
Ghs community re-entry 15 minutes
|
$66.60 |
$70.20 |
$70.20 |
$88.50
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,376.40 |
$1,376.40 |
$1,376.40 |
$1,432.20
|
|
Ghs excision ingrown nail
|
$837.00 |
$837.00 |
$837.00 |
$439.50
|
|
Ghs fat & muscle
|
$30.00 |
$30.00 |
$30.00 |
$38.08
|
|
Ghs fb removal foot - deep - left
|
$12,129.00 |
$12,129.00 |
$12,129.00 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$5,495.40 |
$5,495.40 |
$5,495.40 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$3,178.80 |
$5,230.80 |
$13,039.80 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$3,178.80 |
$3,178.80 |
$3,178.80 |
$1,706.20
|
|
Ghs fish cytogen
|
$446.40 |
$446.40 |
$446.40 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$213.00 |
$213.00 |
$213.00 |
$223.00
|
|
Ghs hcv amplificaiton
|
$103.20 |
$103.20 |
$103.20 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$186.60 |
$186.60 |
$196.20 |
$142.50
|
|
Ghs histoplasma antigen
|
$134.40 |
$134.40 |
$134.40 |
$141.00
|
|
Ghs HIV antibody
|
$126.00 |
$126.00 |
$126.00 |
$90.14
|
|
Ghs i and d perirectal abscess 46040
|
$11,384.88 |
$11,384.88 |
$19,567.80 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,552.80 |
$1,552.80 |
$1,552.80 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$1,546.20 |
$1,546.20 |
$1,546.20 |
$703.15
|
|
Ghs inf midline insertion
|
$751.20 |
$751.20 |
$751.20 |
$1,219.20
|
|
Ghs inhibitor screen
|
$216.00 |
$216.00 |
$216.00 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$504.60 |
$504.60 |
$504.60 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$1,702.20 |
$1,702.20 |
$1,702.20 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$571.80 |
$571.80 |
$571.80 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,107.20 |
$2,107.20 |
$2,107.20 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$5,264.40 |
$5,264.40 |
$5,264.40 |
$1,727.25
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$833.40 |
$833.40 |
$833.40 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,309.20 |
$1,309.20 |
$1,309.20 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,579.60 |
$3,579.60 |
$3,579.60 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$442.80 |
$442.80 |
$442.80 |
$213.75
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$5,005.26 |
$11,172.54 |
$15,887.58 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$838.20 |
$838.20 |
$11,172.54 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$6,240.30 |
$6,240.30 |
$21,513.42 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$837.00 |
$837.00 |
$16,236.96 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$837.00 |
$837.00 |
$15,507.54 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$835.80 |
$835.80 |
$19,739.46 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$835.80 |
$835.80 |
$11,306.10 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$837.00 |
$837.00 |
$837.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$725.40 |
$725.40 |
$725.40 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$725.40 |
$725.40 |
$725.40 |
$1,126.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$725.40 |
$725.40 |
$725.40 |
$907.50
|
|
Ghs layered repair over 30.0 cm -12047
|
$3,579.60 |
$3,579.60 |
$3,579.60 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$725.40 |
$725.40 |
$725.40 |
$1,064.98
|
|
Ghs leukocyte alkaline phos (mayo)
|
$76.20 |
$76.20 |
$76.20 |
$76.20
|
|
Ghs mbp
|
$99.00 |
$99.00 |
$99.00 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$259.20 |
$259.20 |
$259.20 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$171.60 |
$171.60 |
$171.60 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$196.20 |
$196.20 |
$196.20 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$186.60 |
$186.60 |
$186.60 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$196.20 |
$196.20 |
$196.20 |
$147.75
|
|
Ghs nailbed repair/nail removal
|
$1,297.20 |
$1,297.20 |
$1,297.20 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$3,972.60 |
$3,972.60 |
$3,972.60 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,301.40 |
$1,301.40 |
$1,301.40 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$2,967.60 |
$2,967.60 |
$2,967.60 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$2,919.00 |
$2,919.00 |
$2,919.00 |
$1,689.00
|
|
Ghs nerve block celiac plexus
|
$1,556.40 |
$1,556.40 |
$1,556.40 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$2,788.80 |
$2,788.80 |
$2,788.80 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$896.40 |
$896.40 |
$3,105.00 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$2,867.40 |
$2,867.40 |
$33,700.55 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$2,094.00 |
$2,094.00 |
$2,094.00 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$299.40 |
$628.20 |
$628.20 |
$478.50
|
|
Ghs o2 saturation
|
$72.00 |
$101.40 |
$101.40 |
$70.80
|
