|
Galactose transferase test
|
$52.65 |
$52.65 |
$52.65 |
$31.35
|
|
Galectin-3
|
$198.25 |
$198.25 |
$198.25 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,802.45 |
$1,802.45 |
$1,994.85 |
$1,493.98
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,414.10 |
$2,414.10 |
$2,671.50 |
$1,612.00
|
|
Gallbladder Removal (Laparoscopic)
|
$2,722.20 |
$17,444.70 |
$17,444.70 |
$13,208.00
|
|
Gallium ga-68 psma-11, ucla
|
$10,617.75 |
$10,617.75 |
$10,617.75 |
$187.20
|
|
Gallium ga-68 psma-11 ucsf
|
$1,320.15 |
$1,320.15 |
$1,320.15 |
$1,344.20
|
|
Gallium illuccix 1 millicure
|
$1,222.00 |
$1,222.00 |
$1,222.00 |
$1,696.55
|
|
Gallium locametz 1 millicuri
|
$1,071.20 |
$1,071.20 |
$1,071.20 |
$1,853.80
|
|
Galsulfase injection
|
$1,163.92 |
$1,163.92 |
$1,163.92 |
$4,037.51
|
|
Gamma globulin 1 cc inj
|
$121.72 |
$121.72 |
$121.72 |
$407.60
|
|
Gammaglobulin iga
|
$41.60 |
$41.60 |
$41.60 |
$69.60
|
|
Gammaglobulin ige
|
$74.10 |
$74.10 |
$74.10 |
$83.85
|
|
Gamma glutamyltransferase
|
$32.50 |
$32.50 |
$32.50 |
$57.54
|
|
Gammaplex injection
|
$192.11 |
$192.11 |
$192.11 |
$7,464.29
|
|
Gamunex-c/gammaked
|
$35.84 |
$35.84 |
$115.45 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$227.60 |
$227.60 |
$227.60 |
$197.40
|
|
Gastric analy w/ph ea spec
|
$29.90 |
$29.90 |
$29.90 |
$31.34
|
|
Gastric emptying imag study
|
$2,057.25 |
$2,057.25 |
$2,057.25 |
$1,345.40
|
|
Gastric emptying imag study
|
$2,694.90 |
$2,694.90 |
$2,694.90 |
$1,665.50
|
|
Gastric motility studies
|
$1,961.05 |
$1,961.05 |
$1,961.05 |
$972.00
|
|
Gastric mucosa imaging
|
$1,981.85 |
$1,981.85 |
$1,981.85 |
$565.00
|
|
Gastrin test
|
$79.30 |
$79.30 |
$79.30 |
$61.80
|
|
Gastroduodenostomy
|
$4,388.80 |
$4,388.80 |
$4,388.80 |
$2,240.04
|
|
Gastroesophageal reflux study
|
$1,979.25 |
$1,979.25 |
$1,979.25 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$1,838.85 |
$1,838.85 |
$1,838.85 |
$1,352.00
|
|
Gastrointestinal repair
|
$10,428.60 |
$10,428.60 |
$10,428.60 |
$3,216.48
|
|
Gastrointestinal repair
|
$11,876.80 |
$11,876.80 |
$11,876.80 |
$3,808.22
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$5,857.80 |
$5,857.80 |
$5,857.80 |
$2,376.00
|
|
Gastrojejunostomy w/vagotomy
|
$5,657.60 |
$5,657.60 |
$5,657.60 |
$2,886.18
|
|
Gastroplasty duodenal switch
|
$8,658.00 |
$8,658.00 |
$8,658.00 |
$4,780.80
|
|
Gastrostomy open neonatal
|
$2,207.40 |
$2,207.40 |
$2,207.40 |
$1,474.40
|
|
Gated heart multiple
|
$2,184.65 |
$2,184.65 |
$2,184.65 |
$1,405.04
|
|
Gauze >16<=48 no w/sal without b
|
$1.06 |
$1.06 |
$1.06 |
$5.00
|
|
Gauze <= 16 sq in w/border
|
$1.95 |
$1.95 |
$1.95 |
$13.65
|
|
Gba gene
|
$211.90 |
$211.90 |
$211.90 |
$160.72
|
|
Gc stocking full lngth 18-30
|
$42.25 |
$42.25 |
$42.25 |
$29.40
|
|
Gc stocking thighlngth 18-30
|
$79.76 |
$79.76 |
$79.76 |
$68.30
|
|
Gc stocking thighlngth 30-40
|
$79.76 |
$79.76 |
$79.76 |
$44.40
|
|
Gc stocking waistlngth 18-30
|
$64.81 |
$64.81 |
$64.81 |
$42.00
|
|
Gefitinib oral
|
$405.03 |
$405.03 |
$405.03 |
$423.82
|
|
Gel-one
|
$897.00 |
$897.00 |
$1,996.80 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$4.81 |
$453.96 |
$453.96 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$158.44 |
$158.44 |
$472.13 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$32,764.84 |
$32,764.84 |
$32,764.84 |
$19,305.62
|
|
General health panel
|
$323.05 |
$323.05 |
$323.05 |
$261.00
|
|
Generator barostim neo2 2014
|
$6,987.50 |
$6,987.50 |
$33,540.00 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$23,400.00 |
$33,150.00 |
$33,150.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$3,978.65 |
$3,978.65 |
$3,978.65 |
$3,978.65
|
|
Genioplasty augmentation
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$6,547.81
|
|
Geniop sldg augmentation
|
$2,948.40 |
$2,948.40 |
$2,948.40 |
$3,837.72
|
|
Geniop sldg osteot 1
|
$2,233.40 |
$2,233.40 |
$2,233.40 |
$3,837.72
|
|
Geniop sldg osteot 2/>
|
$2,762.50 |
$2,762.50 |
$2,762.50 |
$6,839.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$4.88 |
$6.34 |
$6.34 |
$51.02
|
|
Gentamicin peak therapeutic drug level
|
$73.45 |
$73.45 |
$73.45 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,586.65 |
$1,586.65 |
$2,041.65 |
$1,500.00
|
|
Gfrg autol fat lipo ea addl
|
$626.60 |
$626.60 |
$626.60 |
$5,825.30
|
|
Ghs abscess perianal iandd
|
$2,726.10 |
$2,726.10 |
$2,726.10 |
$1,469.60
|
|
Ghs abscess postoperative iandd complex
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$44.20 |
$44.20 |
$44.20 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$76.70 |
$76.70 |
$76.70 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$458.90 |
$458.90 |
$458.90 |
$389.90
|
|
Ghs analysis neurostim without reprogramming
|
$577.85 |
$577.85 |
$577.85 |
$257.50
|
|
Ghs antibodies (torch) igm
|
$64.35 |
$64.35 |
$64.35 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$727.35 |
$727.35 |
$727.35 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$468.00 |
$468.00 |
$582.40 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$21.45 |
$21.45 |
$21.45 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$2,535.44
|
|
Ghs change cysto/gastrost
|
$727.35 |
$727.35 |
$727.35 |
$596.00
|
|
Ghs chemo >8 hrs
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$1,487.85 |
$1,487.85 |
$1,487.85 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$319.15 |
$319.15 |
$319.15 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$157.30 |
$157.30 |
$157.30 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$716.95 |
$716.95 |
$819.00 |
$514.80
|
|
Ghs closed reduction ankle dislocation
|
$716.95 |
$716.95 |
$1,240.20 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$716.95 |
$716.95 |
$1,294.80 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,242.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$3,494.52
|
|
Ghs clsd red med malleolus fx without manip
|
$716.95 |
$716.95 |
$834.60 |
$518.15
|
|
Ghs clsd red med malleolus fx w manip
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,340.00
|
|
Ghs cl tx knee disl; wo anesth
|
$716.95 |
$716.95 |
$1,554.80 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$716.95 |
$716.95 |
$995.80 |
$514.50
|
|
Ghs community re-entry 15 minutes
|
$114.40 |
$114.40 |
$124.80 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$385.45 |
$385.45 |
$385.45 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$385.45 |
$385.45 |
$385.45 |
$339.60
|
|
Ghs cricothyroidotomy
|
$694.20 |
$694.20 |
$1,677.00 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$1,491.10 |
$1,491.10 |
$1,491.10 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$481.65 |
$481.65 |
$481.65 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$68.25 |
$68.25 |
$68.25 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$716.95 |
$716.95 |
$1,136.20 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$794.30 |
$794.30 |
$794.30 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$702.00 |
$702.00 |
$702.00 |
$586.80
|
|
Ghs electrostagmgraphy
|
$406.90 |
$406.90 |
$578.50 |
$315.28
|
