|
Gammaglobulin iga
|
$122.40 |
$122.40 |
$122.40 |
$67.20
|
|
Gammaglobulin ige
|
$264.00 |
$264.00 |
$264.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$80.40 |
$80.40 |
$80.40 |
$57.54
|
|
Gamunex-c/gammaked
|
$11,423.28 |
$11,423.28 |
$11,423.28 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$461.10 |
$461.10 |
$461.10 |
$197.40
|
|
Gastric mucosa imaging
|
$703.20 |
$703.20 |
$703.20 |
$555.20
|
|
Gated heart multiple
|
$810.60 |
$810.60 |
$810.60 |
$1,400.64
|
|
Gba gene
|
$331.80 |
$331.80 |
$331.80 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$75.00 |
$75.00 |
$75.00 |
$207.51
|
|
General health panel
|
$54.60 |
$54.60 |
$54.60 |
$275.00
|
|
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
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$3,978.65
|
|
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
|
$29.28 |
$29.28 |
$29.28 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$76.80 |
$76.80 |
$76.80 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$6,988.86 |
$6,988.86 |
$6,988.86 |
$1,418.18
|
|
Ghs abscess postoperative iandd complex
|
$11,556.60 |
$11,556.60 |
$11,556.60 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$96.60 |
$96.60 |
$96.60 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$112.80 |
$112.80 |
$112.80 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$401.40 |
$401.40 |
$401.40 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$310.20 |
$310.20 |
$310.20 |
$70.00
|
|
Ghs bladder cath - complex-foley
|
$399.60 |
$399.60 |
$399.60 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$102.00 |
$102.00 |
$102.00 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,489.20 |
$1,489.20 |
$1,489.20 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$567.20
|
|
Ghs chemo >8 hrs
|
$890.40 |
$890.40 |
$890.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$304.80 |
$304.80 |
$304.80 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$82.80 |
$82.80 |
$82.80 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$252.00 |
$252.00 |
$252.00 |
$512.40
|
|
Ghs closed tx radiocarpal disloc w manip
|
$252.00 |
$252.00 |
$252.00 |
$520.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,873.40 |
$2,873.40 |
$2,873.40 |
$3,086.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$394.20 |
$394.20 |
$394.20 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$123.00 |
$123.00 |
$123.00 |
$88.50
|
|
Ghs diphtheria toxoid ab igg
|
$184.20 |
$184.20 |
$184.20 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$252.00 |
$252.00 |
$252.00 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,319.40 |
$1,319.40 |
$1,319.40 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,175.40 |
$1,175.40 |
$1,175.40 |
$1,432.20
|
|
Ghs excision ingrown nail
|
$373.20 |
$373.20 |
$373.20 |
$439.50
|
|
Ghs fb removal from muscle - complicated
|
$4,662.00 |
$4,662.00 |
$4,662.00 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$2,153.40 |
$2,153.40 |
$2,153.40 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$2,694.60 |
$2,694.60 |
$2,694.60 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$96.00 |
$96.00 |
$96.00 |
$48.57
|
|
Ghs fish cytogen
|
$190.80 |
$190.80 |
$190.80 |
$172.64
|
|
Ghs fish hybrid in situ 100-300
|
$186.60 |
$186.60 |
$186.60 |
$223.00
|
|
Ghs hcv amplificaiton
|
$450.00 |
$450.00 |
$450.00 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$194.40 |
$194.40 |
$194.40 |
$142.50
|
|
Ghs hgb stability-thal
|
$87.60 |
$87.60 |
$87.60 |
$87.60
|
|
Ghs histoplasma antigen
|
$129.00 |
$129.00 |
$129.00 |
$141.00
|
|
Ghs HIV antibody
|
$120.00 |
$120.00 |
$120.00 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$261.00 |
$261.00 |
$261.00 |
$475.80
|
|
Ghs i and d pilonidal cyst complex
|
$712.20 |
$712.20 |
$712.20 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$712.20 |
$712.20 |
$712.20 |
$703.15
|
|
Ghs immun0electrophoresis
|
$432.60 |
$432.60 |
$432.60 |
$110.00
|
|
Ghs inf midline insertion
|
$712.20 |
$712.20 |
$712.20 |
$1,219.20
|
|
Ghs inhibitor screen
|
$94.80 |
$94.80 |
$94.80 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$204.00 |
$204.00 |
$204.00 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$1,997.40 |
$1,997.40 |
$1,997.40 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$1,997.40 |
$1,997.40 |
$1,997.40 |
$1,702.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,290.80 |
$2,290.80 |
$2,290.80 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$2,665.20 |
$2,665.20 |
$2,665.20 |
$1,727.25
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$373.20 |
$373.20 |
$373.20 |
$863.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,873.40 |
$2,873.40 |
$2,873.40 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$512.40 |
$512.40 |
$512.40 |
$213.75
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$6,523.56 |
$6,523.56 |
$6,523.56 |
$584.35
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$16,960.44 |
$16,960.44 |
$16,960.44 |
$564.00
|
|
Ghs layer closure 2.5cm or less - 12051
|
$373.20 |
$373.20 |
$373.20 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$373.20 |
$373.20 |
$373.20 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$7,461.00 |
$7,461.00 |
$7,461.00 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$663.00 |
$663.00 |
$663.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$373.20 |
$373.20 |
$373.20 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$580.20 |
$580.20 |
$580.20 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$663.00 |
$663.00 |
$663.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$967.20
|
|
Ghs leukocyte alkaline phos (mayo)
|
$51.60 |
$51.60 |
$51.60 |
$76.20
|
|
Ghs mbp
|
$68.40 |
$68.40 |
$68.40 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$260.40 |
$260.40 |
$260.40 |
$242.64
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$213.60 |
$213.60 |
$213.60 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$155.40 |
$155.40 |
$155.40 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$155.40 |
$155.40 |
$155.40 |
$143.40
|
|
Ghs nailbed repair/nail removal
|
$580.20 |
$580.20 |
$580.20 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,182.60 |
$1,182.60 |
$1,182.60 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$2,319.00 |
$2,319.00 |
$2,319.00 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$2,319.00 |
$2,319.00 |
$2,319.00 |
$1,703.53
|
|
Ghs nerve block interscaline
|
$1,978.20 |
$1,978.20 |
$1,978.20 |
$1,526.09
|
|
Ghs nerve block sciatic nerve
|
$2,325.00 |
$2,325.00 |
$2,325.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,732.80 |
$1,732.80 |
$1,732.80 |
$1,142.40
|
|
Ghs ng placement w fluoro guidance
|
$1,176.60 |
$1,176.60 |
$1,176.60 |
$478.50
|
|
Ghs o2 saturation
|
$118.80 |
$118.80 |
$118.80 |
$70.80
|
|
Ghs ob unlisted IV or art inj or infusion
|
$73.80 |
$73.80 |
$73.80 |
$75.00
|
|
Ghs opcc repair cvp without subq port
|
$1,855.80 |
$1,855.80 |
$1,855.80 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$1,942.20 |
$1,942.20 |
$1,942.20 |
$2,194.40
|
|
Ghs ot dds rom
|
$152.40 |
$152.40 |
$152.40 |
$62.28
|
|
Ghs ot group caregiver training
|
$32.40 |
$32.40 |
$32.40 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$162.60 |
$162.60 |
$162.60 |
$90.30
|
|
Ghs ot sensory integrative tech/15min
|
$120.60 |
$120.60 |
$120.60 |
$94.80
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$851.04
|
