|
Gamma glutamyltransferase
|
$37.60 |
$37.60 |
$37.60 |
$57.54
|
|
General health panel
|
$161.60 |
$161.60 |
$161.60 |
$262.44
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$61.31 |
$61.31 |
$61.31 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$77.60 |
$77.60 |
$77.60 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,528.00 |
$1,528.00 |
$1,528.00 |
$1,465.00
|
|
Ghs acetylcholinesterase, rbc
|
$35.20 |
$35.20 |
$35.20 |
$43.06
|
|
Ghs bladder cath - complex-foley
|
$278.40 |
$278.40 |
$278.40 |
$344.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$466.40 |
$466.40 |
$466.40 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$526.40 |
$526.40 |
$526.40 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,666.40 |
$1,666.40 |
$1,666.40 |
$1,592.00
|
|
Ghs clsd red med malleolus fx without manip
|
$425.60 |
$425.60 |
$425.60 |
$513.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$488.80 |
$488.80 |
$488.80 |
$500.40
|
|
Ghs conjunctiva foreign body-embed bil
|
$326.40 |
$326.40 |
$326.40 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$204.00 |
$204.00 |
$204.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$379.20 |
$379.20 |
$379.20 |
$422.25
|
|
Ghs dislocation elbow closed treatment
|
$478.40 |
$478.40 |
$478.40 |
$602.00
|
|
Ghs eyelid foreign body-embedded - bil
|
$585.60 |
$585.60 |
$585.60 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$3,139.20 |
$3,139.20 |
$3,139.20 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$2,262.40 |
$2,262.40 |
$2,262.40 |
$2,323.75
|
|
Ghs fish cytogen
|
$58.40 |
$58.40 |
$58.40 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$124.80 |
$124.80 |
$124.80 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$375.20 |
$375.20 |
$375.20 |
$368.50
|
|
Ghs hcv amplificaiton
|
$92.80 |
$92.80 |
$92.80 |
$196.20
|
|
Ghs HIV antibody
|
$75.20 |
$75.20 |
$75.20 |
$89.70
|
|
Ghs i and d perirectal abscess 46040
|
$3,583.20 |
$3,583.20 |
$3,583.20 |
$2,798.50
|
|
Ghs incision thrombosed ext hemorrhoid
|
$584.80 |
$584.80 |
$584.80 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$228.00 |
$228.00 |
$228.00 |
$350.90
|
|
Ghs init tx 1st degree burn
|
$288.80 |
$288.80 |
$288.80 |
$275.88
|
|
Ghs insertion of needle - bone
|
$363.20 |
$363.20 |
$363.20 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$874.40 |
$874.40 |
$874.40 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,025.60 |
$1,025.60 |
$1,025.60 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,434.40 |
$2,434.40 |
$2,434.40 |
$2,164.64
|
|
Ghs IV thrombolytics - cerebral
|
$704.80 |
$704.80 |
$704.80 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$658.40 |
$658.40 |
$658.40 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$555.20 |
$555.20 |
$555.20 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$629.60 |
$629.60 |
$629.60 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$638.40 |
$638.40 |
$638.40 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$660.00 |
$660.00 |
$660.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$654.40 |
$654.40 |
$654.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$672.00 |
$672.00 |
$672.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$747.20 |
$747.20 |
$747.20 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$972.00 |
$972.00 |
$972.00 |
$740.00
|
|
Ghs mbp
|
$57.60 |
$57.60 |
$57.60 |
$76.00
|
|
Ghs myocardial strain img spckl track
|
$536.00 |
$536.00 |
$536.00 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$808.80 |
$808.80 |
$808.80 |
$724.37
|
|
Ghs ng placement w fluoro guidance
|
$544.00 |
$544.00 |
$544.00 |
$485.00
|
|
Ghs ot group caregiver training
|
$52.00 |
$52.00 |
$52.00 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$127.20 |
$127.20 |
$127.20 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$124.80 |
$124.80 |
$124.80 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$775.20 |
$775.20 |
$775.20 |
$830.53
|
|
Ghs peritonsillar abscess i andd
|
$489.60 |
$489.60 |
$489.60 |
$555.00
|
|
Ghs phenylketonurid
|
$20.80 |
$20.80 |
$20.80 |
$53.76
|
|
Ghs plngl fx pm cl
|
$488.00 |
$488.00 |
$488.00 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$28.80 |
$28.80 |
$28.80 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$63.20 |
$63.20 |
$63.20 |
$43.55
|
|
Ghs removal intranasal foreign body
|
$272.00 |
$272.00 |
$272.00 |
$283.24
|
|
Ghs rsv eia (respir synctial vrs)
|
$85.60 |
$85.60 |
$85.60 |
$99.00
|
|
Ghs sedimentation rate
|
$25.60 |
$25.60 |
$25.60 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$40.80 |
$40.80 |
$40.80 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$499.20 |
$499.20 |
$499.20 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$497.60 |
$497.60 |
$497.60 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$535.20 |
$535.20 |
$535.20 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$421.60 |
$421.60 |
$421.60 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$389.60 |
$389.60 |
$389.60 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$452.80 |
$452.80 |
$452.80 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$563.20 |
$563.20 |
$563.20 |
$590.88
|
|
Ghs sleep study unattended
|
$608.00 |
$608.00 |
$608.00 |
$503.38
|
|
Ghs strapping shoulder - 29240
|
$188.80 |
$188.80 |
$188.80 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$953.27
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,410.40 |
$2,410.40 |
$2,410.40 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$494.40 |
$494.40 |
$494.40 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$50.40 |
$50.40 |
$50.40 |
$73.80
|
|
Ghs vaginal delivery only
|
$3,371.20 |
$3,371.20 |
$3,371.20 |
$3,341.93
|
|
Ghs windowing of cast
|
$204.00 |
$204.00 |
$204.00 |
$212.55
|
|
Gi inhouse confirmation
|
$44.80 |
$44.80 |
$44.80 |
$87.75
|
|
Glucagon 1 mg solution for injection
|
$315.01 |
$315.01 |
$315.01 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$243.14 |
$243.14 |
$243.14 |
$491.67
|
|
Glucose 1 hr post dose
|
$34.40 |
$34.40 |
$34.40 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$28.80 |
$28.80 |
$28.80 |
$23.12
|
|
Glucose blood quantitative
|
$40.80 |
$40.80 |
$40.80 |
$42.25
|
|
Glucose body fluid
|
$29.60 |
$29.60 |
$29.60 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$64.80 |
$64.80 |
$64.80 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$28.00 |
$28.00 |
$28.00 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$60.35 |
$60.35 |
$60.35 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,177.19 |
$3,177.19 |
$3,177.19 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$88.00 |
$88.00 |
$88.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$88.00 |
$88.00 |
$88.00 |
$129.03
|
|
Graft axiofill 1000mg
|
$2,518.90 |
$2,518.90 |
$2,518.90 |
$5,125.68
|
|
Graft xenmtrx sft rect 15x20cm
|
$3,360.00 |
$3,360.00 |
$3,360.00 |
$29,676.26
|
|
Great toe with reduction 28495
|
$457.60 |
$457.60 |
$457.60 |
$495.00
|
|
Ground mileage
|
$23.20 |
$23.20 |
$23.20 |
$17.60
|
|
Group train without patient
|
$52.00 |
$52.00 |
$52.00 |
$47.60
|
|
Guide wire threaded 1.4x150mm
|
$673.60 |
$673.60 |
$673.60 |
$3,284.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$60.59 |
$60.59 |
$60.59 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$114.40 |
$114.40 |
$114.40 |
$105.30
|
|
Hand X-ray
|
$252.00 |
$252.00 |
$252.00 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$227.20 |
$227.20 |
$227.20 |
$294.90
|
|
Haptoglobin quantitative
|
$71.20 |
$71.20 |
$71.20 |
$92.80
|
|
Hcg qualitative
|
$47.20 |
$47.20 |
$47.20 |
$90.10
|
|
Hcg quantitative
|
$102.40 |
$102.40 |
$102.40 |
$139.20
|
