|
Ft insert ucb berkeley shell
|
$938.21 |
$938.21 |
$938.21 |
$743.29
|
|
Ftl cgen abnor four anal
|
$373.20 |
$373.20 |
$373.20 |
$204.52
|
|
Ftl cgen abnor three anal
|
$300.00 |
$300.00 |
$300.00 |
$111.20
|
|
Ftl cgen abnor two proteins
|
$172.80 |
$172.80 |
$172.80 |
$110.00
|
|
Full sole/heel wedge btween
|
$247.18 |
$247.18 |
$247.18 |
$129.40
|
|
Furnsh initial orthosis only
|
$4,266.80 |
$4,266.80 |
$4,266.80 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$15.72 |
$15.72 |
$15.72 |
$19.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$369.66 |
$369.66 |
$369.66 |
$144.98
|
|
Galac-1-phosphate uridyltran - sendout
|
$298.80 |
$298.80 |
$298.80 |
$96.94
|
|
Galactokinase - sendout
|
$288.00 |
$288.00 |
$288.00 |
$204.97
|
|
Gallbladder Removal (Laparoscopic)
|
$23,190.67 |
$23,190.67 |
$23,190.67 |
$11,117.34
|
|
Gammaglobulin iga
|
$166.20 |
$166.20 |
$166.20 |
$67.20
|
|
Gammaglobulin ige
|
$117.00 |
$117.00 |
$117.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$137.40 |
$137.40 |
$137.40 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$364.80 |
$364.80 |
$364.80 |
$197.40
|
|
Gba gene
|
$327.00 |
$327.00 |
$327.00 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$207.51
|
|
General health panel
|
$491.40 |
$491.40 |
$491.40 |
$275.00
|
|
Generator barostim neo2 2014
|
$102,918.96 |
$102,918.96 |
$102,918.96 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$78,275.42 |
$78,275.42 |
$78,275.42 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$92,555.40 |
$92,555.40 |
$92,555.40 |
$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
|
$58,177.68 |
$58,177.68 |
$58,177.68 |
$36,800.00
|
|
Genome sequence analysis
|
$3,486.60 |
$3,486.60 |
$3,486.60 |
$5,534.32
|
|
Genome sequence analysis
|
$4,268.40 |
$4,268.40 |
$4,268.40 |
$3,577.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$23.16 |
$23.16 |
$23.16 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$149.40 |
$149.40 |
$149.40 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,385.40 |
$1,385.40 |
$1,385.40 |
$1,410.90
|
|
Ghs acetylcholinesterase, rbc
|
$277.20 |
$277.20 |
$277.20 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$277.80 |
$277.80 |
$277.80 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$391.80 |
$391.80 |
$391.80 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$133.20 |
$133.20 |
$133.20 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$481.80 |
$481.80 |
$481.80 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$64.80 |
$64.80 |
$64.80 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,490.40 |
$1,490.40 |
$1,490.40 |
$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
|
$745.20 |
$745.20 |
$745.20 |
$565.49
|
|
Ghs chemo >8 hrs
|
$479.40 |
$479.40 |
$479.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$228.00 |
$228.00 |
$228.00 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$114.60 |
$114.60 |
$114.60 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$537.00 |
$537.00 |
$537.00 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$428.40 |
$428.40 |
$428.40 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,490.60 |
$2,490.60 |
$2,490.60 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$2,490.60 |
$2,490.60 |
$2,490.60 |
$2,148.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$7,987.20 |
$7,987.20 |
$7,987.20 |
$3,086.00
|
|
Ghs clsd red med malleolus fx w manip
|
$2,194.20 |
$2,194.20 |
$2,194.20 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,315.40 |
$2,315.40 |
$2,315.40 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$537.00 |
$537.00 |
$537.00 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$537.00 |
$537.00 |
$537.00 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$107.40 |
$107.40 |
$107.40 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$315.00 |
$315.00 |
$315.00 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$205.80 |
$205.80 |
$205.80 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$296.40 |
$296.40 |
$296.40 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$318.00 |
$318.00 |
$318.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$435.60 |
$435.60 |
$435.60 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$537.00 |
$537.00 |
$537.00 |
$578.00
|
|
Ghs excision ingrown nail
|
$648.00 |
$648.00 |
$648.00 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$599.40 |
$599.40 |
$599.40 |
$501.04
|
|
Ghs fb removal - incisional
|
$2,984.40 |
$2,984.40 |
$2,984.40 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$99.60 |
$99.60 |
$99.60 |
$48.57
|
|
Ghs fish cytogen
|
$220.80 |
$220.80 |
$220.80 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$414.60 |
$414.60 |
$414.60 |
$223.00
|
|
Ghs flow volume loop
|
$446.40 |
$446.40 |
$446.40 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$250.20 |
$250.20 |
$250.20 |
$368.50
|
|
Ghs hcv amplificaiton
|
$231.60 |
$231.60 |
$231.60 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$269.40 |
$269.40 |
$269.40 |
$142.50
|
|
Ghs hgb stability-thal
|
$150.60 |
$150.60 |
$150.60 |
$87.60
|
|
Ghs histoplasma antigen
|
$164.40 |
$164.40 |
$164.40 |
$141.00
|
|
Ghs HIV antibody
|
$156.60 |
$156.60 |
$156.60 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$332.40 |
$332.40 |
$332.40 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,820.20 |
$3,820.20 |
$3,820.20 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,734.60 |
$1,734.60 |
$1,734.60 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$905.40 |
$905.40 |
$905.40 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$301.20 |
$301.20 |
$301.20 |
$523.73
|
|
Ghs inhibitor screen
|
$255.00 |
$255.00 |
$255.00 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$132.60 |
$132.60 |
$132.60 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$4,490.82 |
$4,490.82 |
$4,490.82 |
$1,702.20
|
|
Ghs insertion of needle - bone
|
$263.40 |
$263.40 |
$263.40 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$648.00 |
$648.00 |
$648.00 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
$1,035.60
|
|
Ghs irrigate corpora cavernosa for priapism
|
$662.40 |
$662.40 |
$662.40 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$75.00 |
$75.00 |
$75.00 |
$107.58
|
|
Ghs IV thrombolytics - cerebral
|
$1,139.40 |
$1,139.40 |
$1,139.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$629.40 |
$629.40 |
$629.40 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$8,108.46 |
$8,108.46 |
$8,108.46 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$648.00 |
$648.00 |
$648.00 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$648.00 |
$648.00 |
$648.00 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$648.00 |
$648.00 |
$648.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$648.00 |
$648.00 |
$648.00 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$648.00 |
$648.00 |
$648.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$648.00 |
$648.00 |
$648.00 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$648.00 |
$648.00 |
$648.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$648.00 |
$648.00 |
$648.00 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,003.80 |
$1,003.80 |
$1,003.80 |
$1,126.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$648.00 |
$648.00 |
$648.00 |
$907.50
|
|
Ghs mbp
|
$243.00 |
$243.00 |
$243.00 |
$77.35
|
