|
Gammaglobulin ige
|
$292.20 |
$292.20 |
$292.20 |
$83.85
|
|
Gamma glutamyltransferase
|
$89.40 |
$89.40 |
$89.40 |
$57.54
|
|
Gamunex-c/gammaked
|
$11,191.20 |
$11,191.20 |
$11,191.20 |
$7,634.20
|
|
Gated heart multiple
|
$714.60 |
$714.60 |
$714.60 |
$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
|
$317.40 |
$317.40 |
$317.40 |
$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
|
$26.88 |
$26.88 |
$26.88 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$97.20 |
$97.20 |
$97.20 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,141.80 |
$1,141.80 |
$1,141.80 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$8,464.20 |
$8,464.20 |
$8,464.20 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$112.80 |
$112.80 |
$112.80 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$124.80 |
$124.80 |
$124.80 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$394.20 |
$394.20 |
$394.20 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$202.20 |
$202.20 |
$202.20 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$290.40 |
$290.40 |
$290.40 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$115.20 |
$115.20 |
$115.20 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$4,926.00 |
$4,926.00 |
$4,926.00 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$1,136.40 |
$1,136.40 |
$1,136.40 |
$565.49
|
|
Ghs chemo >8 hrs
|
$847.80 |
$847.80 |
$847.80 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$211.20 |
$211.20 |
$211.20 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$78.60 |
$78.60 |
$78.60 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$375.60 |
$375.60 |
$375.60 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$240.00 |
$240.00 |
$240.00 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,024.40 |
$2,024.40 |
$2,024.40 |
$1,592.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,736.60 |
$2,736.60 |
$2,736.60 |
$3,086.00
|
|
Ghs clsd red med malleolus fx w manip
|
$2,024.40 |
$2,024.40 |
$2,024.40 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,371.80 |
$2,371.80 |
$2,371.80 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$365.40 |
$365.40 |
$365.40 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$375.60 |
$375.60 |
$375.60 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$127.20 |
$127.20 |
$127.20 |
$88.50
|
|
Ghs conjunctiva foreign body-superf bil
|
$121.80 |
$121.80 |
$121.80 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$403.80 |
$403.80 |
$403.80 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$121.80 |
$121.80 |
$121.80 |
$339.60
|
|
Ghs cricothyroidotomy
|
$386.40 |
$386.40 |
$386.40 |
$1,067.30
|
|
Ghs diphtheria toxoid ab igg
|
$126.00 |
$126.00 |
$126.00 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$322.20 |
$322.20 |
$322.20 |
$578.00
|
|
Ghs excision ingrown nail
|
$355.20 |
$355.20 |
$355.20 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$301.20 |
$301.20 |
$301.20 |
$501.04
|
|
Ghs fb removal - incisional
|
$2,050.80 |
$2,050.80 |
$2,050.80 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$2,566.20 |
$2,566.20 |
$2,566.20 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$130.20 |
$130.20 |
$130.20 |
$48.57
|
|
Ghs fish cytogen
|
$148.20 |
$148.20 |
$148.20 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$144.00 |
$144.00 |
$144.00 |
$223.00
|
|
Ghs flow volume loop
|
$214.20 |
$214.20 |
$214.20 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$378.60 |
$378.60 |
$378.60 |
$368.50
|
|
Ghs hcv amplificaiton
|
$501.60 |
$501.60 |
$501.60 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$185.40 |
$185.40 |
$185.40 |
$142.50
|
|
Ghs hgb stability-thal
|
$87.60 |
$87.60 |
$87.60 |
$87.60
|
|
Ghs histoplasma antigen
|
$144.00 |
$144.00 |
$144.00 |
$141.00
|
|
Ghs HIV antibody
|
$114.00 |
$114.00 |
$114.00 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$248.40 |
$248.40 |
$248.40 |
$475.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,890.60 |
$1,890.60 |
$1,890.60 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$678.00 |
$678.00 |
$678.00 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$912.00 |
$912.00 |
$912.00 |
$703.15
|
|
Ghs immun0electrophoresis
|
$282.00 |
$282.00 |
$282.00 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$351.60 |
$351.60 |
$351.60 |
$523.73
|
|
Ghs inhibitor screen
|
$111.60 |
$111.60 |
$111.60 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$194.40 |
$194.40 |
$194.40 |
$275.50
|
|
Ghs inj tendon origin/insertion
|
$578.40 |
$578.40 |
$578.40 |
$431.07
|
|
Ghs insertion of needle - bone
|
$624.60 |
$624.60 |
$624.60 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$355.20 |
$355.20 |
$355.20 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$741.60 |
$741.60 |
$741.60 |
$1,035.60
|
|
Ghs IV inf sq injection, on-body injector
|
$74.40 |
$74.40 |
$74.40 |
$107.58
|
|
Ghs IV thrombolytics - cerebral
|
$492.00 |
$492.00 |
$492.00 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$477.00 |
$477.00 |
$477.00 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$477.00 |
$477.00 |
$477.00 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$477.00 |
$477.00 |
$477.00 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$477.00 |
$477.00 |
$477.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$477.00 |
$477.00 |
$477.00 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$631.20 |
$631.20 |
$631.20 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$355.20 |
$355.20 |
$355.20 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$631.20 |
$631.20 |
$631.20 |
$740.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$477.00 |
$477.00 |
$477.00 |
$1,126.40
|
|
Ghs leukocyte alkaline phos (mayo)
|
$61.20 |
$61.20 |
$61.20 |
$76.20
|
|
Ghs mbp
|
$80.40 |
$80.40 |
$80.40 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$204.00 |
$204.00 |
$204.00 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$106.20 |
$106.20 |
$106.20 |
$151.50
|
|
Ghs nailbed repair/nail removal
|
$552.60 |
$552.60 |
$552.60 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,858.40 |
$2,858.40 |
$2,858.40 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$936.00 |
$936.00 |
$936.00 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$2,228.40 |
$2,228.40 |
$2,228.40 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$2,170.80 |
$2,170.80 |
$2,170.80 |
$1,689.00
|
|
Ghs nerve block sciatic nerve
|
$2,233.80 |
$2,233.80 |
$2,233.80 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,507.80 |
$1,507.80 |
$1,507.80 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$861.60 |
$861.60 |
$861.60 |
$478.50
|
|
Ghs o2 saturation
|
$113.40 |
$113.40 |
$113.40 |
$70.80
|
|
Ghs ot dds rom
|
$127.80 |
$127.80 |
$127.80 |
$62.28
|
|
Ghs ot group caregiver training
|
$32.40 |
$32.40 |
$32.40 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$167.40 |
$167.40 |
$167.40 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$97.80 |
$97.80 |
$97.80 |
$94.80
|
|
Ghs pacing - transcutaneous
|
$941.40 |
$941.40 |
$941.40 |
$815.20
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$4,395.00 |
$4,395.00 |
$4,395.00 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$5,354.40 |
$5,354.40 |
$5,354.40 |
$962.00
|
