|
Fusion of ureter & kidney
|
$793.27 |
$793.27 |
$793.27 |
$2,702.04
|
|
Fusion of ureter & kidney
|
$742.44 |
$742.44 |
$742.44 |
$1,493.66
|
|
Fxn gene charac alleles
|
$189.52 |
$189.52 |
$189.52 |
$302.31
|
|
Fxn gene detc abnor alleles
|
$94.76 |
$94.76 |
$94.76 |
$195.30
|
|
Fxn gene full gene sequence
|
$189.52 |
$189.52 |
$189.52 |
$302.31
|
|
Fxn gene known famil variant
|
$127.88 |
$127.88 |
$127.88 |
$304.59
|
|
G0180 home health certification
|
$34.27 |
$34.27 |
$34.27 |
$107.25
|
|
G6pd full gene sequence
|
$414.00 |
$414.00 |
$414.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$120.52 |
$120.52 |
$120.52 |
$243.00
|
|
G6pd known familial variant
|
$258.98 |
$258.98 |
$258.98 |
$751.20
|
|
Galac-1-phosphate uridyltran - sendout
|
$14.72 |
$14.72 |
$14.72 |
$100.00
|
|
Galactokinase - sendout
|
$14.72 |
$14.72 |
$14.72 |
$196.38
|
|
Galactose transferase test
|
$8.28 |
$8.28 |
$8.28 |
$31.35
|
|
Galectin-3
|
$30.36 |
$30.36 |
$30.36 |
$96.99
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,378.30 |
$1,378.30 |
$1,378.30 |
$1,612.00
|
|
Gallbladder Removal (Laparoscopic)
|
$429.18 |
$429.18 |
$429.18 |
$13,208.00
|
|
Gammaglobulin iga
|
$61.60 |
$61.60 |
$61.60 |
$69.15
|
|
Gammaglobulin ige
|
$108.57 |
$108.57 |
$108.57 |
$83.85
|
|
Gamma glutamyltransferase
|
$47.74 |
$47.74 |
$47.74 |
$57.54
|
|
Gardner vag dna amp probe
|
$24.38 |
$24.38 |
$24.38 |
$65.30
|
|
Gardner vag dna quant
|
$28.98 |
$28.98 |
$28.98 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$4.60 |
$4.60 |
$4.60 |
$27.67
|
|
Gastric emptying imag study
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$1,345.40
|
|
Gastric emptying imag study
|
$1,378.30 |
$1,378.30 |
$1,378.30 |
$1,665.50
|
|
Gastric motility studies
|
$45.77 |
$45.77 |
$45.77 |
$972.00
|
|
Gastric mucosa imaging
|
$17.71 |
$17.71 |
$17.71 |
$565.00
|
|
Gastrin test
|
$12.42 |
$12.42 |
$12.42 |
$61.80
|
|
Gastroduodenostomy
|
$658.95 |
$658.95 |
$658.95 |
$2,240.04
|
|
Gastroesophageal reflux study
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$1,055.60
|
|
Gastroesophageal reflux test
|
$31.28 |
$31.28 |
$31.28 |
$1,352.00
|
|
Gastrointestinal repair
|
$1,434.74 |
$1,434.74 |
$1,434.74 |
$3,216.48
|
|
Gastrointestinal repair
|
$1,741.79 |
$1,741.79 |
$1,741.79 |
$3,808.22
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$870.55 |
$870.55 |
$870.55 |
$2,376.00
|
|
Gastrojejunostomy w/vagotomy
|
$849.16 |
$849.16 |
$849.16 |
$2,886.18
|
|
Gastro/jejuno tube, std
|
$264.21 |
$264.21 |
$264.21 |
$379.50
|
|
Gastroplasty duodenal switch
|
$1,269.14 |
$1,269.14 |
$1,269.14 |
$4,780.80
|
|
Gastrostomy open neonatal
|
$395.14 |
$395.14 |
$395.14 |
$1,474.40
|
|
Gated heart multiple
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$1,405.04
|
|
Gba gene
|
$53.82 |
$53.82 |
$53.82 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$81.76 |
$81.76 |
$81.76 |
$207.51
|
|
General health panel
|
$199.43 |
$199.43 |
$199.43 |
$261.00
|
|
Generator emblem MRI sicd subq
|
$5,438.06 |
$5,438.06 |
$5,438.06 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$7,164.08 |
$7,164.08 |
$7,164.08 |
$3,978.65
|
|
Genioplasty augmentation
|
$323.84 |
$323.84 |
$323.84 |
$6,547.81
|
|
Geniop sldg augmentation
|
$539.58 |
$539.58 |
$539.58 |
$3,837.72
|
|
Geniop sldg osteot 1
|
$345.23 |
$345.23 |
$345.23 |
$3,837.72
|
|
Geniop sldg osteot 2/>
|
$478.86 |
$478.86 |
$478.86 |
$6,839.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$26.82 |
$26.82 |
$26.82 |
$51.02
|
|
Gentamicin peak therapeutic drug level
|
$107.80 |
$107.80 |
$107.80 |
$121.75
|
|
G-esoph reflx tst w/electrod
|
$51.75 |
$51.75 |
$51.75 |
$1,500.00
|
|
Gfrg autol fat lipo ea addl
|
$92.92 |
$92.92 |
$92.92 |
$5,825.30
|
|
Ghs abscess perianal iandd
|
$2,668.05 |
$2,668.05 |
$2,668.05 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$115.69 |
$115.69 |
$115.69 |
$3,834.59
|
|
Ghs acetylcholinesterase, rbc
|
$64.68 |
$64.68 |
$64.68 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$112.42 |
$112.42 |
$112.42 |
$93.03
|
|
Ghs alpha thalasemia, 7 deletions
|
$299.53 |
$299.53 |
$299.53 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$11.96 |
$11.96 |
$11.96 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$95.48 |
$95.48 |
$95.48 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$25.07 |
$25.07 |
$25.07 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$458.15 |
$458.15 |
$458.15 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$3.22 |
$3.22 |
$3.22 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$2,026.64 |
$2,026.64 |
$2,026.64 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$9,209.97 |
$9,209.97 |
$9,209.97 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$622.16 |
$622.16 |
$622.16 |
$597.92
|
|
Ghs chemo >8 hrs
|
$1,091.86 |
$1,091.86 |
$1,091.86 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$1,091.86 |
$1,091.86 |
$1,091.86 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$234.08 |
$234.08 |
$234.08 |
$278.75
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$231.00 |
$231.00 |
$231.00 |
$132.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$702.24 |
$702.24 |
$702.24 |
$515.00
|
|
Ghs closed reduction ankle dislocation
|
$702.24 |
$702.24 |
$702.24 |
$672.60
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$4,683.14 |
$4,683.14 |
$4,683.14 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$702.24 |
$702.24 |
$702.24 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$4,683.14 |
$4,683.14 |
$4,683.14 |
$2,272.50
|
|
Ghs closure surg wound/dehiscence-13160
|
$515.43 |
$515.43 |
$515.43 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$702.24 |
$702.24 |
$702.24 |
$520.80
|
|
Ghs clsd red med malleolus fx w manip
|
$4,683.14 |
$4,683.14 |
$4,683.14 |
$2,217.22
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$4,683.14 |
$4,683.14 |
$4,683.14 |
$2,347.20
|
|
Ghs cl tx knee disl; wo anesth
|
$702.24 |
$702.24 |
$702.24 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$702.24 |
$702.24 |
$702.24 |
$515.45
|
|
Ghs community re-entry 15 minutes
|
$129.36 |
$129.36 |
$129.36 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,167.32 |
$1,167.32 |
$1,167.32 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$377.30 |
$377.30 |
$377.30 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$1,167.32 |
$1,167.32 |
$1,167.32 |
$423.85
|
|
Ghs corneal fb with slit lamp bilat
|
$377.30 |
$377.30 |
$377.30 |
$339.60
|
|
Ghs cricothyroidotomy
|
$679.91 |
$679.91 |
$679.91 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$1,167.32 |
$1,167.32 |
$1,167.32 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$30.36 |
$30.36 |
$30.36 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$100.10 |
$100.10 |
$100.10 |
$54.43
|
|
Ghs dislocation elbow closed treatment
|
$702.24 |
$702.24 |
$702.24 |
$604.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$69.23 |
$69.23 |
$69.23 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$21.39 |
$21.39 |
$21.39 |
$341.50
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,026.64 |
$2,026.64 |
$2,026.64 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$178.71 |
$178.71 |
$178.71 |
$593.91
|
|
Ghs electrostagmgraphy
|
$19.55 |
$19.55 |
$19.55 |
$295.50
|
|
Ghs elect torsion swing
|
$9.43 |
$9.43 |
$9.43 |
$266.29
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$46.00 |
$46.00 |
$46.00 |
$449.50
|
|
Ghs excision ingrown nail
|
$1,168.86 |
$1,168.86 |
$1,168.86 |
$449.25
|
|
Ghs eye exam
|
$28.98 |
$28.98 |
$28.98 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$874.72 |
$874.72 |
$874.72 |
$526.56
|
