|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$380.80 |
$380.80 |
$380.80 |
$197.40
|
|
Gastro/jejuno tube, std
|
$1,269.60 |
$1,269.60 |
$1,269.60 |
$379.50
|
|
Gauze >16 <=48 sq in w/bordr
|
$3.00 |
$3.00 |
$3.00 |
$4.20
|
|
Gemcitabine 1 gram intravenous solution
|
$500.40 |
$500.40 |
$500.40 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$44.40 |
$44.40 |
$44.40 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$46,045.80 |
$46,045.80 |
$46,045.80 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$135,789.00 |
$135,789.00 |
$135,789.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$4,156.20 |
$4,156.20 |
$4,156.20 |
$3,978.65
|
|
Genome sequence analysis
|
$4,439.40 |
$4,439.40 |
$4,439.40 |
$5,031.20
|
|
Genome sequence analysis
|
$4,439.40 |
$4,439.40 |
$4,439.40 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$68.00 |
$68.00 |
$68.00 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$244.80 |
$244.80 |
$244.80 |
$123.84
|
|
Ghs abscess perianal iandd
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,465.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$338.40 |
$338.40 |
$338.40 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,687.20 |
$1,687.20 |
$1,687.20 |
$394.20
|
|
Ghs bladder cath - complex-foley
|
$1,198.80 |
$1,198.80 |
$1,198.80 |
$344.00
|
|
Ghs change cysto/gastrost
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$378.00 |
$378.00 |
$378.00 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$339.60 |
$339.60 |
$339.60 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$388.80 |
$388.80 |
$388.80 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$2,767.80 |
$2,767.80 |
$2,767.80 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$388.80 |
$388.80 |
$388.80 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$83.40 |
$83.40 |
$83.40 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$235.20 |
$235.20 |
$235.20 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$388.80 |
$388.80 |
$388.80 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$543.60 |
$543.60 |
$543.60 |
$339.60
|
|
Ghs cutdown placement under 1 yr
|
$106.20 |
$106.20 |
$106.20 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$325.20 |
$325.20 |
$325.20 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$602.00
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,439.40 |
$1,439.40 |
$1,439.40 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$586.80 |
$586.80 |
$586.80 |
$586.80
|
|
Ghs excision ingrown nail
|
$388.80 |
$388.80 |
$388.80 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
$510.00
|
|
Ghs fish cytogen
|
$249.60 |
$249.60 |
$249.60 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$817.20 |
$817.20 |
$817.20 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$229.20 |
$229.20 |
$229.20 |
$368.50
|
|
Ghs histoplasma antigen
|
$284.40 |
$284.40 |
$284.40 |
$142.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$462.60 |
$462.60 |
$462.60 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,768.60 |
$3,768.60 |
$3,768.60 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,401.60 |
$1,401.60 |
$1,401.60 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$543.60 |
$543.60 |
$543.60 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$543.60 |
$543.60 |
$543.60 |
$526.50
|
|
Ghs inf midline insertion
|
$3,504.60 |
$3,504.60 |
$3,504.60 |
$1,238.25
|
|
Ghs inhibitor screen
|
$118.20 |
$118.20 |
$118.20 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$395.40 |
$395.40 |
$395.40 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$1,710.80
|
|
Ghs inj transforaminal cerv single bil
|
$3,073.80 |
$3,073.80 |
$3,073.80 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$511.80 |
$511.80 |
$511.80 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$3,706.20 |
$3,706.20 |
$3,706.20 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$3,063.00 |
$3,063.00 |
$3,063.00 |
$1,051.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$2,812.80 |
$2,812.80 |
$2,812.80 |
$551.20
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$566.87
|
|
Ghs IV thrombolytics - cerebral
|
$2,286.00 |
$2,286.00 |
$2,286.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$543.60 |
$543.60 |
$543.60 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$543.60 |
$543.60 |
$543.60 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$543.60 |
$543.60 |
$543.60 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$543.60 |
$543.60 |
$543.60 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$856.80 |
$856.80 |
$856.80 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$3,771.60 |
$3,771.60 |
$3,771.60 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$3,242.40 |
$3,242.40 |
$3,242.40 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$4,071.60 |
$4,071.60 |
$4,071.60 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$3,824.40 |
$3,824.40 |
$3,824.40 |
$784.80
|
|
Ghs mbp
|
$338.40 |
$338.40 |
$338.40 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$377.40 |
$377.40 |
$377.40 |
$246.33
|
|
Ghs moderate sedation ea addtl 15 min
|
$189.00 |
$189.00 |
$189.00 |
$150.00
|
|
Ghs musc test done w/n test comp
|
$312.00 |
$312.00 |
$312.00 |
$331.20
|
|
Ghs musc tst done w/n tst non ext
|
$317.40 |
$317.40 |
$317.40 |
$184.80
|
|
Ghs nailbed repair/nail removal
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,632.20 |
$2,632.20 |
$2,632.20 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$2,632.20 |
$2,632.20 |
$2,632.20 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$1,710.80
|
|
Ghs nerve block interscaline
|
$2,812.80 |
$2,812.80 |
$2,812.80 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,812.80 |
$2,812.80 |
$2,812.80 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$987.60 |
$987.60 |
$987.60 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$320.40 |
$320.40 |
$320.40 |
$485.00
|
|
Ghs opcc repair cvp without subq port
|
$4,042.20 |
$4,042.20 |
$4,042.20 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$3,974.40 |
$3,974.40 |
$3,974.40 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$209.40 |
$209.40 |
$209.40 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$163.80 |
$163.80 |
$163.80 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$855.60 |
$855.60 |
$855.60 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$777.00 |
$777.00 |
$777.00 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$555.00
|
|
Ghs plngl fx pm cl
|
$543.60 |
$543.60 |
$543.60 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$62.40 |
$62.40 |
$62.40 |
$37.44
|
|
Ghs quinidine
|
$216.00 |
$216.00 |
$216.00 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$388.80 |
$388.80 |
$388.80 |
$283.24
|