|
Fusion of skull arteries
|
$48,434.70 |
$48,434.70 |
$48,434.70 |
$9,939.80
|
|
Ga-67 gallium 0.1 mci
|
$917.49 |
$917.49 |
$917.49 |
$118.56
|
|
Ga-68 gallium 68 dotatate
|
$3,350.02 |
$3,350.02 |
$3,350.02 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1,435.01 |
$1,435.01 |
$1,435.01 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$1,104.83 |
$1,104.83 |
$1,104.83 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$269.45 |
$269.45 |
$269.45 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$380.73 |
$380.73 |
$380.73 |
$250.83
|
|
Gallbladder Removal (Laparoscopic)
|
$14,150.80 |
$14,150.80 |
$14,150.80 |
$11,117.34
|
|
Gallium ga-68 dotatoc
|
$3,119.50 |
$3,119.50 |
$3,119.50 |
$135.00
|
|
Gallium ga-68 psma-11, ucla
|
$5,446.36 |
$5,446.36 |
$5,446.36 |
$187.20
|
|
Galsulfase injection
|
$2,545.24 |
$2,545.24 |
$2,545.24 |
$4,037.51
|
|
Gamma globulin 1 cc inj
|
$1,264.99 |
$1,264.99 |
$1,264.99 |
$363.35
|
|
Gammaglobulin iga
|
$37.40 |
$37.40 |
$37.40 |
$67.20
|
|
Gammaglobulin ige
|
$66.30 |
$66.30 |
$66.30 |
$83.85
|
|
Gamma glutamyltransferase
|
$29.75 |
$29.75 |
$29.75 |
$57.54
|
|
Gammaplex injection
|
$4,695.40 |
$4,695.40 |
$4,695.40 |
$8,038.46
|
|
Gamunex-c/gammaked
|
$16,255.71 |
$16,255.71 |
$16,255.71 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$262.21 |
$262.21 |
$262.21 |
$197.40
|
|
Gastroesophageal reflux study
|
$1,852.15 |
$1,852.15 |
$1,852.15 |
$949.80
|
|
Gastro/jejuno tube, std
|
$411.40 |
$411.40 |
$411.40 |
$334.57
|
|
Gefitinib oral
|
$692.79 |
$692.79 |
$692.79 |
$423.82
|
|
Gel-one
|
$1,181.50 |
$1,181.50 |
$1,181.50 |
$1,341.67
|
|
Gel-syn injection 0.1 mg
|
$404.26 |
$404.26 |
$404.26 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$278.53 |
$278.53 |
$278.53 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$27,077.20 |
$27,077.20 |
$27,077.20 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$40,072.86 |
$40,072.86 |
$40,072.86 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$26,269.25 |
$26,269.25 |
$26,269.25 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$235.45 |
$235.45 |
$235.45 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$66.30 |
$66.30 |
$66.30 |
$126.00
|
|
Ghs abscess perianal iandd
|
$2,485.40 |
$2,485.40 |
$2,485.40 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$40.80 |
$40.80 |
$40.80 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$69.70 |
$69.70 |
$69.70 |
$100.30
|
|
Ghs analysis neurostim without reprogramming
|
$300.05 |
$300.05 |
$300.05 |
$246.50
|
|
Ghs aspiration bladder - needle
|
$692.75 |
$692.75 |
$692.75 |
$583.80
|
|
Ghs bladder cath - complex-foley
|
$437.75 |
$437.75 |
$437.75 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$19.55 |
$19.55 |
$19.55 |
$64.40
|
|
Ghs central line insert < age 5, failed
|
$7,817.45 |
$7,817.45 |
$7,817.45 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$692.75 |
$692.75 |
$692.75 |
$565.49
|
|
Ghs chemo >8 hrs
|
$920.55 |
$920.55 |
$920.55 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$920.55 |
$920.55 |
$920.55 |
$570.57
|
|
Ghs chemo IV push, ea addtl
|
$201.45 |
$201.45 |
$201.45 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$141.95 |
$141.95 |
$141.95 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$736.10 |
$736.10 |
$736.10 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$1,066.75 |
$1,066.75 |
$1,066.75 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,246.10 |
$1,246.10 |
$1,246.10 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$2,148.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$5,107.65 |
$5,107.65 |
$5,107.65 |
$3,086.00
|
|
Ghs clsd red med malleolus fx w manip
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,941.45 |
$3,941.45 |
$3,941.45 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$1,286.05 |
$1,286.05 |
$1,286.05 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$872.95 |
$872.95 |
$872.95 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$977.50 |
$977.50 |
$977.50 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$313.65 |
$313.65 |
$313.65 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$977.50 |
$977.50 |
$977.50 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$313.65 |
$313.65 |
$313.65 |
$339.60
|
|
Ghs cricothyroidotomy
|
$833.85 |
$833.85 |
$833.85 |
$1,067.30
|
|
Ghs diphtheria toxoid ab igg
|
$62.05 |
$62.05 |
$62.05 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$944.35 |
$944.35 |
$944.35 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,538.95 |
$2,538.95 |
$2,538.95 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,936.30 |
$1,936.30 |
$1,936.30 |
$1,432.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$699.55 |
$699.55 |
$699.55 |
$593.91
|
|
Ghs electrostagmgraphy
|
$42.50 |
$42.50 |
$42.50 |
$295.50
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$977.50 |
$977.50 |
$977.50 |
$467.00
|
|
Ghs excision ingrown nail
|
$977.50 |
$977.50 |
$977.50 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$816.00 |
$816.00 |
$816.00 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$6,970.00 |
$6,970.00 |
$6,970.00 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,271.01
|
|
Ghs fish cytogen
|
$87.55 |
$87.55 |
$87.55 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$206.55 |
$206.55 |
$206.55 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$769.25 |
$769.25 |
$769.25 |
$368.50
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$92.65 |
$92.65 |
$92.65 |
$64.28
|
|
Ghs HIV antibody
|
$55.25 |
$55.25 |
$55.25 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,995.45 |
$4,995.45 |
$4,995.45 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,304.80 |
$3,304.80 |
$3,304.80 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$672.35 |
$672.35 |
$672.35 |
$523.73
|
|
Ghs inf midline insertion
|
$1,626.05 |
$1,626.05 |
$1,626.05 |
$1,219.20
|
|
Ghs init tx 1st degree burn
|
$491.30 |
$491.30 |
$491.30 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$2,552.55 |
$2,552.55 |
$2,552.55 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$828.75 |
$828.75 |
$828.75 |
$431.07
|
|
Ghs insertion of needle - bone
|
$977.50 |
$977.50 |
$977.50 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,758.65 |
$1,758.65 |
$1,758.65 |
$1,035.60
|
|
Ghs intro needle/intracath vein - 36000
|
$237.15 |
$237.15 |
$237.15 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$692.75 |
$692.75 |
$692.75 |
$544.80
|
|
Ghs IV thrombolytics - cerebral
|
$947.75 |
$947.75 |
$947.75 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$977.50 |
$977.50 |
$977.50 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$977.50 |
$977.50 |
$977.50 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,758.65 |
$1,758.65 |
$1,758.65 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$977.50 |
$977.50 |
$977.50 |
$740.00
|
