|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$821.95 |
$821.95 |
$851.76 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$93.00 |
$138.60 |
$749.00 |
|
|
Galectin-3
|
$142.80 |
$142.80 |
$142.80 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$466.50 |
$1,683.00 |
$3,870.00 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$466.50 |
$1,890.50 |
$3,870.00 |
|
|
Gallbladder Removal (Laparoscopic)
|
$19,360.25 |
$19,360.25 |
$23,092.24 |
|
|
Gallium ga-68 dotatoc
|
$732.00 |
$732.00 |
$732.00 |
|
|
Gallium ga-68 psma-11 ucsf
|
$1,872.00 |
$1,872.00 |
$2,820.00 |
|
|
Gallium illuccix 1 millicure
|
$3,591.00 |
$3,591.00 |
$141,000.00 |
|
|
Gallium locametz 1 millicuri
|
$3,057.00 |
$3,057.00 |
$3,057.00 |
|
|
Gammaglobulin iga
|
$66.00 |
$105.00 |
$275.50 |
|
|
Gammaglobulin ige
|
$58.50 |
$190.00 |
$470.50 |
|
|
Gamma glutamyltransferase
|
$35.50 |
$63.00 |
$200.00 |
|
|
Gammagraft
|
$78.00 |
$78.00 |
$78.00 |
|
|
Gamunex-c/gammaked
|
$24,988.32 |
$24,988.32 |
$28,558.08 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$808.31 |
$808.31 |
$904.61 |
|
|
Gastric emptying imag study
|
$861.50 |
$1,131.00 |
$1,131.00 |
|
|
Gastric emptying imag study
|
$912.00 |
$1,198.00 |
$1,198.00 |
|
|
Gastric motility studies
|
$508.50 |
$628.00 |
$1,070.50 |
|
|
Gastroesophageal reflux study
|
$637.50 |
$837.50 |
$837.50 |
|
|
Gastroesophageal reflux test
|
$888.50 |
$1,931.00 |
$2,776.50 |
|
|
Gastro/jejuno tube, std
|
$50.50 |
$73.00 |
$221.00 |
|
|
Gated heart multiple
|
$8,424.00 |
$8,424.00 |
$8,424.00 |
|
|
Gemcitabine 1 gram intravenous solution
|
$90.00 |
$90.00 |
$498.00 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$44,811.00 |
$44,811.00 |
$58,115.38 |
|
|
General health panel
|
$88.00 |
$147.00 |
$777.00 |
|
|
Generator barostim neo2 2014
|
$60,500.00 |
$60,500.00 |
$244,022.13 |
|
|
Generator emblem MRI sicd subq
|
$38,360.00 |
$55,808.50 |
$185,592.00 |
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$54,137.00 |
$54,137.00 |
$219,450.00 |
|
|
Genetic counseling 30 min
|
$61.00 |
$75.00 |
$75.00 |
|
|
Genetic tstg severe inh cond
|
$7,345.80 |
$7,345.80 |
$7,345.80 |
|
|
Gen, neuro, clo loop, rechg
|
$137,940.00 |
$137,940.00 |
$137,940.00 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$51.28 |
$57.38 |
$67.86 |
|
|
Gentamicin peak therapeutic drug level
|
$92.50 |
$160.00 |
$467.50 |
|
|
G-esoph reflx tst w/electrod
|
$1,336.00 |
$3,070.69 |
$13,746.93 |
|
|
Ghs abscess perianal iandd
|
$458.50 |
$911.00 |
$2,198.00 |
|
|
Ghs abscess postoperative iandd complex
|
$1,455.50 |
$2,012.00 |
$13,497.28 |
|
|
Ghs acetylcholinesterase, rbc
|
$26.00 |
$68.00 |
$82.00 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$102.60 |
$102.60 |
$561.00 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
|
|
Ghs analysis neurostim without reprogramming
|
$262.50 |
$324.00 |
$412.50 |
|
|
Ghs antibodies (torch) igm
|
$71.50 |
$137.00 |
$443.00 |
|
|
Ghs aspiration bladder - needle
|
$281.00 |
$388.50 |
$583.80 |
|
|
Ghs bladder cath - complex-foley
|
$129.50 |
$180.00 |
$287.00 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$369.00 |
$510.00 |
$919.20 |
|
|
Ghs central line insert < age 5, failed
|
$1,060.50 |
$1,466.50 |
$2,618.40 |
|
|
Ghs change cysto/gastrost
|
$263.50 |
$524.00 |
$4,357.20 |
|
|
Ghs chemo >8 hrs
|
$148.50 |
$220.50 |
$565.50 |
|
|
Ghs chemo IV push, ea addtl
|
$61.00 |
$90.00 |
$402.60 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$26.00 |
$35.50 |
$213.00 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$218.00 |
$354.00 |
$486.00 |
|
|
Ghs closed reduction ankle dislocation
|
$309.50 |
$428.50 |
$776.50 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$744.00 |
$1,028.50 |
$2,561.00 |
|
|
Ghs closed tx tibial fracture w/manip
|
$907.50 |
$1,255.00 |
$2,882.00 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,148.00 |
$4,353.00 |
$12,052.12 |
|
|
Ghs clsd red med malleolus fx without manip
|
$254.00 |
$351.00 |
$351.00 |
|
|
Ghs clsd red med malleolus fx w manip
|
$952.20 |
$1,902.50 |
$2,631.00 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$960.60 |
$1,618.00 |
$2,937.00 |
|
|
Ghs cl tx knee disl; wo anesth
|
$313.00 |
$420.50 |
$486.00 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$333.50 |
$378.60 |
$486.00 |
|
|
Ghs community re-entry 15 minutes
|
$45.00 |
$65.50 |
$145.80 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$164.00 |
$286.50 |
$698.40 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$75.50 |
$165.50 |
$290.40 |
|
|
Ghs corneal fb without slit lamp bilat
|
$201.50 |
$299.00 |
$553.50 |
|
|
Ghs corneal fb with slit lamp bilat
|
$145.80 |
$257.50 |
$613.00 |
|
|
Ghs cricothyroidotomy
|
$273.00 |
$1,315.50 |
$1,975.50 |
|
|
Ghs dislocation elbow closed treatment
|
$218.00 |
$378.60 |
$486.00 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$622.50 |
$845.50 |
$2,041.00 |
|
|
Ghs ed rmvl or bivalving cast
|
$146.50 |
$207.00 |
$637.20 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$691.50 |
$735.50 |
$1,457.00 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$210.50 |
$447.50 |
$1,099.00 |
|
|
Ghs electrostagmgraphy
|
$259.00 |
$259.00 |
$259.00 |
|
|
Ghs elect torsion swing
|
$236.50 |
$236.50 |
$236.50 |
|
|
Ghs elect vertical elct
|
$82.50 |
$82.50 |
$82.50 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$196.00 |
$270.50 |
$270.50 |
|
|
Ghs excision ingrown nail
|
$277.00 |
$460.00 |
$895.20 |
|
|
Ghs eye exam
|
$53.50 |
$74.00 |
$74.00 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$160.00 |
$238.00 |
$673.20 |
|
|
Ghs fat & muscle
|
$62.40 |
$62.40 |
$62.40 |
|
|
Ghs fb removal foot - deep - left
|
$2,388.50 |
$2,834.00 |
$3,303.00 |
|
|
Ghs fb removal from muscle - complicated
|
$10,097.88 |
$10,097.88 |
$10,097.88 |
|
|
Ghs fb removal - incisional
|
$1,022.50 |
$2,444.00 |
$6,858.91 |
|
|
Ghs fb removal - non-incisional
|
$1,059.50 |
$1,810.80 |
$16,216.08 |
|
|
Ghs fish cytogen
|
$80.00 |
$353.00 |
$474.50 |
|
|
Ghs fish hybrid in situ 100-300
|
$325.50 |
$437.50 |
$540.00 |
|
|
Ghs flow volume loop
|
$672.00 |
$672.00 |
$672.00 |
|
|
Ghs gastric intub aspiration lavage
|
$217.00 |
$300.00 |
$431.50 |
|
|
Ghs hcv amplificaiton
|
$161.40 |
$161.40 |
$692.00 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$669.00 |
$669.00 |
$669.00 |
|
|
Ghs hgb stability-thal
|
$41.50 |
$57.00 |
$210.60 |
|
|
Ghs histoplasma antigen
|
$83.50 |
$261.00 |
$578.00 |
|
|
Ghs HIV antibody
|
$56.50 |
$72.50 |
$322.00 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,217.50 |
$3,066.50 |
$4,608.60 |
|
|
Ghs i and d perirectal abscess 46040
|
$2,447.00 |
$3,434.40 |
$5,201.50 |
|
|
Ghs i and d pilonidal cyst complex
|
$1,066.00 |
$1,622.00 |
$3,027.50 |
|
|
Ghs i and d pilonidal cyst simple
|
$336.00 |
$465.60 |
$1,066.00 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$229.50 |
$455.00 |
$1,545.00 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$126.00 |
$209.00 |
$295.00 |
|
|
Ghs inf midline insertion
|
$103.50 |
$1,062.50 |
$54,272.86 |
|
|
Ghs inhibitor screen
|
$217.20 |
$453.50 |
$1,197.00 |
|
