|
Galactose transferase test
|
$52.65 |
$52.65 |
$52.65 |
$31.35
|
|
Galectin-3
|
$198.25 |
$198.25 |
$198.25 |
$111.60
|
|
Gallium ga-68 psma-11, ucla
|
$10,617.75 |
$10,617.75 |
$10,617.75 |
$187.20
|
|
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
|
|
Gamunex-c/gammaked
|
$35.84 |
$35.84 |
$35.84 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$227.60 |
$227.60 |
$227.60 |
$197.40
|
|
Gefitinib oral
|
$405.03 |
$405.03 |
$405.03 |
$423.82
|
|
Gel-one
|
$897.00 |
$897.00 |
$897.00 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$453.96 |
$453.96 |
$453.96 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$158.44 |
$158.44 |
$158.44 |
$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
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$6.34 |
$6.34 |
$6.34 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$73.45 |
$73.45 |
$73.45 |
$123.84
|
|
Ghs abscess perianal iandd
|
$2,726.10 |
$2,726.10 |
$2,726.10 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$5,580.90 |
$5,580.90 |
$5,580.90 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$76.70 |
$76.70 |
$76.70 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$458.90 |
$458.90 |
$458.90 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$577.85 |
$577.85 |
$577.85 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$64.35 |
$64.35 |
$64.35 |
$69.12
|
|
Ghs central line insert < age 5, failed
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$2,519.49
|
|
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 |
$716.95 |
$513.15
|
|
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 |
$716.95 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,227.20
|
|
Ghs clsd red med malleolus fx without manip
|
$716.95 |
$716.95 |
$716.95 |
$513.80
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,319.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$716.95 |
$716.95 |
$716.95 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$114.40 |
$114.40 |
$114.40 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$385.45 |
$385.45 |
$385.45 |
$287.40
|
|
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 |
$694.20 |
$1,104.00
|
|
Ghs diphtheria toxoid ab igg
|
$68.25 |
$68.25 |
$68.25 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$716.95 |
$716.95 |
$716.95 |
$602.00
|
|
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 |
$1,429.20
|
|
Ghs electrostagmgraphy
|
$406.90 |
$406.90 |
$406.90 |
$322.00
|
|
Ghs excision ingrown nail
|
$779.35 |
$779.35 |
$779.35 |
$449.25
|
|
Ghs eye exam
|
$385.45 |
$385.45 |
$385.45 |
$162.24
|
|
Ghs fish cytogen
|
$96.20 |
$96.20 |
$96.20 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$229.45 |
$229.45 |
$229.45 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$930.80 |
$930.80 |
$930.80 |
$368.50
|
|
Ghs hcv amplificaiton
|
$157.30 |
$157.30 |
$157.30 |
$196.20
|
|
Ghs histoplasma antigen
|
$59.15 |
$59.15 |
$59.15 |
$142.00
|
|
Ghs HIV antibody
|
$61.75 |
$61.75 |
$61.75 |
$89.70
|
|
Ghs i and d perirectal abscess 46040
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$727.35 |
$727.35 |
$727.35 |
$526.50
|
|
Ghs inhibitor screen
|
$57.85 |
$57.85 |
$57.85 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$387.40 |
$387.40 |
$387.40 |
$275.88
|
|
Ghs inj transforaminal cerv single bil
|
$3,992.95 |
$3,992.95 |
$3,992.95 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$1,491.10 |
$1,491.10 |
$1,491.10 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$779.35 |
$779.35 |
$779.35 |
$886.07
|
|
Ghs irrigate corpora cavernosa for priapism
|
$727.35 |
$727.35 |
$727.35 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$206.70 |
$206.70 |
$206.70 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$1,239.55 |
$1,239.55 |
$1,239.55 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$779.35 |
$779.35 |
$779.35 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$779.35 |
$779.35 |
$779.35 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$779.35 |
$779.35 |
$779.35 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$779.35 |
$779.35 |
$779.35 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$779.35 |
$779.35 |
$779.35 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$779.35 |
$779.35 |
$779.35 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$779.35 |
$779.35 |
$779.35 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$779.35 |
$779.35 |
$779.35 |
$740.00
|
|
Ghs mbp
|
$77.35 |
$77.35 |
$77.35 |
$76.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$179.40 |
$179.40 |
$179.40 |
$150.00
|
|
Ghs myocardial strain img spckl track
|
$44.85 |
$44.85 |
$44.85 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$724.37
|
|
Ghs nerve block sciatic nerve
|
$3,105.70 |
$3,105.70 |
$3,105.70 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$485.00
|
|
Ghs o2 saturation
|
$43.55 |
$43.55 |
$43.55 |
$69.50
|
|
Ghs optokenetic
|
$468.00 |
$468.00 |
$468.00 |
$214.00
|
|
Ghs oscillating trac
|
$930.80 |
$930.80 |
$930.80 |
$325.00
|
|
Ghs ot group caregiver training
|
$576.55 |
$576.55 |
$576.55 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$175.50 |
$175.50 |
$175.50 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$122.20 |
$122.20 |
$122.20 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$326.95 |
$326.95 |
$326.95 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$2,445.95 |
$2,445.95 |
$2,445.95 |
$830.53
|
|
Ghs phenylketonurid
|
$24.70 |
$24.70 |
$24.70 |
$53.76
|
|
Ghs picc line insert < 5
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$716.95 |
$716.95 |
$716.95 |
$564.80
|
|
Ghs pos nystagmus
|
$335.40 |
$335.40 |
$335.40 |
$241.80
|
|
Ghs ppd (tb intradermal)
|
$109.85 |
$109.85 |
$109.85 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$43.55 |
$43.55 |
$43.55 |
$43.55
|
|
Ghs protoporphyrins fract
|
$64.35 |
$64.35 |
$64.35 |
$60.75
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$55.25 |
$55.25 |
$55.25 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$652.60 |
$652.60 |
$652.60 |
$285.60
|
|
Ghs quinidine
|
$65.65 |
$65.65 |
$65.65 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$385.45 |
$385.45 |
$385.45 |
$283.24
|
|
Ghs rsv eia (respir synctial vrs)
|
$62.40 |
$62.40 |
$62.40 |
$99.00
|
|
Ghs sedimentation rate
|
$18.85 |
$18.85 |
$18.85 |
$45.50
|
|
Ghs semen analysis fert
|
$133.25 |
$133.25 |
$133.25 |
$124.80
|
