|
Fructosamine glycated protein
|
$21.20 |
$21.20 |
$21.20 |
$61.75
|
|
Functional brain mapping
|
$417.20 |
$417.20 |
$417.20 |
$514.80
|
|
Fundus photography with i&r 92250
|
$122.00 |
$122.00 |
$122.00 |
$178.20
|
|
Ga-67 gallium 0.1 mci
|
$60.12 |
$60.12 |
$60.12 |
$121.73
|
|
Gallium illuccix 1 millicure
|
$1,027.83 |
$1,027.83 |
$1,027.83 |
$2,046.76
|
|
Gammaglobulin iga
|
$128.00 |
$128.00 |
$128.00 |
$69.42
|
|
Gammaglobulin ige
|
$22.00 |
$22.00 |
$22.00 |
$83.40
|
|
Gamma glutamyltransferase
|
$48.80 |
$48.80 |
$48.80 |
$57.54
|
|
Gardner vag dna amp probe
|
$36.00 |
$36.00 |
$36.00 |
$71.40
|
|
Gastric emptying imag study
|
$794.00 |
$794.00 |
$794.00 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,053.20 |
$1,053.20 |
$1,053.20 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$1,031.60 |
$1,031.60 |
$1,031.60 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$1,834.80 |
$1,834.80 |
$1,834.80 |
$1,352.00
|
|
Gated heart multiple
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,395.35
|
|
Gc stocking full lngth 18-30
|
$29.40 |
$29.40 |
$29.40 |
$29.40
|
|
Gc stocking full lngth 30-40
|
$37.80 |
$37.80 |
$37.80 |
$37.80
|
|
Gc stocking full lngth 40+
|
$42.00 |
$42.00 |
$42.00 |
$42.00
|
|
Gc stocking thighlngth 18-30
|
$23.10 |
$23.10 |
$23.10 |
$68.30
|
|
Gc stocking thighlngth 30-40
|
$27.30 |
$27.30 |
$27.30 |
$44.40
|
|
Gc stocking thighlngth 40+
|
$29.40 |
$29.40 |
$29.40 |
$29.40
|
|
Gc stocking waistlngth 18-30
|
$42.00 |
$42.00 |
$42.00 |
$42.00
|
|
Gc stocking waistlngth 30-40
|
$52.50 |
$52.50 |
$52.50 |
$52.50
|
|
Gc stocking waistlngth 40+
|
$63.00 |
$63.00 |
$63.00 |
$63.00
|
|
General health panel
|
$227.60 |
$227.60 |
$227.60 |
$262.44
|
|
Generator barostim neo2 2014
|
$44,415.00 |
$44,415.00 |
$44,415.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$31,500.00 |
$31,500.00 |
$31,500.00 |
$36,771.84
|
|
Gentamicin peak therapeutic drug level
|
$112.80 |
$112.80 |
$112.80 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,704.00 |
$1,704.00 |
$1,704.00 |
$1,500.00
|
|
Ghs abscess postoperative iandd complex
|
$8,736.40 |
$8,736.40 |
$8,736.40 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$49.60 |
$49.60 |
$49.60 |
$43.06
|
|
Ghs alpha thalasemia, 7 deletions
|
$2,049.60 |
$2,049.60 |
$2,049.60 |
$403.38
|
|
Ghs antibodies (torch) igm
|
$32.80 |
$32.80 |
$32.80 |
$69.12
|
|
Ghs change cysto/gastrost
|
$654.40 |
$654.40 |
$654.40 |
$594.55
|
|
Ghs chemo >8 hrs
|
$256.80 |
$256.80 |
$256.80 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$1,796.00 |
$1,796.00 |
$1,796.00 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$205.60 |
$205.60 |
$205.60 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$85.20 |
$85.20 |
$85.20 |
$133.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,652.40 |
$3,652.40 |
$3,652.40 |
$3,448.80
|
|
Ghs community re-entry 15 minutes
|
$61.60 |
$61.60 |
$61.60 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$313.60 |
$313.60 |
$313.60 |
$424.90
|
|
Ghs corneal fb with slit lamp bilat
|
$130.00 |
$130.00 |
$130.00 |
$339.60
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$688.40 |
$688.40 |
$688.40 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,276.80 |
$2,276.80 |
$2,276.80 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,854.80 |
$1,854.80 |
$1,854.80 |
$560.00
|
|
Ghs eye exam
|
$440.80 |
$440.80 |
$440.80 |
$162.24
|
|
Ghs fish cytogen
|
$118.40 |
$118.40 |
$118.40 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$142.00 |
$142.00 |
$142.00 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$308.80 |
$308.80 |
$308.80 |
$365.40
|
|
Ghs hcv amplificaiton
|
$443.60 |
$443.60 |
$443.60 |
$203.45
|
|
Ghs hgb stability-thal
|
$132.40 |
$132.40 |
$132.40 |
$89.91
|
|
Ghs histoplasma antigen
|
$386.80 |
$386.80 |
$386.80 |
$141.00
|
|
Ghs HIV antibody
|
$46.40 |
$46.40 |
$46.40 |
$90.00
|
|
Ghs i and d pilonidal cyst simple
|
$722.80 |
$722.80 |
$722.80 |
$696.80
|
|
Ghs inf midline insertion
|
$758.00 |
$758.00 |
$758.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$283.50 |
$283.50 |
$283.50 |
$191.88
|
|
Ghs inj tendon origin/insertion
|
$1,299.60 |
$1,299.60 |
$1,299.60 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,946.40 |
$1,946.40 |
$1,946.40 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$3,825.20 |
$3,825.20 |
$3,825.20 |
$1,814.80
|
|
Ghs intro needle/intracath vein - 36000
|
$178.40 |
$178.40 |
$178.40 |
$202.47
|
|
Ghs IV inf sq injection, on-body injector
|
$121.20 |
$121.20 |
$121.20 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$726.80 |
$726.80 |
$726.80 |
$553.80
|
|
Ghs IV thrombolytics - cerebral
|
$472.80 |
$472.80 |
$472.80 |
$663.00
|
|
Ghs mbp
|
$126.40 |
$126.40 |
$126.40 |
$75.50
|
|
Ghs moderate sedation ea addtl 15 min
|
$150.00 |
$150.00 |
$150.00 |
$150.00
|
|
Ghs musc test done w/n test comp
|
$131.20 |
$131.20 |
$131.20 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$131.20 |
$131.20 |
$131.20 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$108.80 |
$108.80 |
$108.80 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$262.40 |
$262.40 |
$262.40 |
$444.60
|
|
Ghs nerve blk intercostal, single level
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
$1,121.00
|
|
Ghs nerve block celiac plexus
|
$3,540.80 |
$3,540.80 |
$3,540.80 |
$1,556.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$1,946.40 |
$1,946.40 |
$1,946.40 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$402.00 |
$402.00 |
$402.00 |
$478.50
|
|
Ghs o2 saturation
|
$42.80 |
$42.80 |
$42.80 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$1,293.60 |
$1,293.60 |
$1,293.60 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$103.20 |
$103.20 |
$103.20 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$153.20 |
$153.20 |
$153.20 |
$64.50
|
|
Ghs ot group caregiver training
|
$33.20 |
$33.20 |
$33.20 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$58.00 |
$58.00 |
$58.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$64.40 |
$64.40 |
$64.40 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$126.40 |
$126.40 |
$126.40 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$1,840.00 |
$1,840.00 |
$1,840.00 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$547.20 |
$547.20 |
$547.20 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,524.40 |
$1,524.40 |
$1,524.40 |
$962.00
|
|
Ghs phenylketonurid
|
$106.40 |
$106.40 |
$106.40 |
$53.76
|
|
Ghs picc line insert < 5
|
$4,108.00 |
$4,108.00 |
$4,108.00 |
$1,996.00
|
|
Ghs plt ct-manual
|
$11.20 |
$11.20 |
$11.20 |
$37.96
|
|
Ghs ppd (tb intradermal)
|
$19.20 |
$19.20 |
$19.20 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$24.80 |
$24.80 |
$24.80 |
$43.55
|
|
Ghs protoporphyrins fract
|
$30.00 |
$30.00 |
$30.00 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$105.20 |
$105.20 |
$105.20 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$251.60 |
$251.60 |
$251.60 |
$285.60
|
|
Ghs quinidine
|
$54.00 |
$54.00 |
$54.00 |
$83.20
|
|
Ghs reticulocyte count
|
$38.00 |
$38.00 |
$38.00 |
$35.40
|
|
Ghs sedimentation rate
|
$47.20 |
$47.20 |
$47.20 |
$45.50
|
|
Ghs sleep study unattended
|
$414.00 |
$414.00 |
$414.00 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$765.60 |
$765.60 |
$765.60 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,356.80 |
$1,356.80 |
$1,356.80 |
$1,405.20
|
|
Ghs sp train/fitting sp device - kx
|
$165.20 |
$165.20 |
$165.20 |
$249.60
|
