|
Gamma glutamyltransferase
|
$66.40 |
$66.40 |
$66.40 |
$57.54
|
|
Gamunex-c/gammaked
|
$2,377.44 |
$2,377.44 |
$2,377.44 |
$7,435.88
|
|
Gastroesophageal reflux study
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$1,031.60
|
|
Gemcitabine 1 gram intravenous solution
|
$328.36 |
$328.36 |
$328.36 |
$207.51
|
|
General health panel
|
$440.00 |
$440.00 |
$440.00 |
$262.44
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$109.77 |
$109.77 |
$109.77 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$155.20 |
$155.20 |
$155.20 |
$123.84
|
|
Ghs acetylcholinesterase, rbc
|
$35.20 |
$35.20 |
$35.20 |
$43.06
|
|
Ghs antibodies (torch) igm
|
$193.60 |
$193.60 |
$193.60 |
$69.12
|
|
Ghs change cysto/gastrost
|
$536.00 |
$536.00 |
$536.00 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$378.40 |
$378.40 |
$378.40 |
$277.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$621.60 |
$621.60 |
$621.60 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$537.60 |
$537.60 |
$537.60 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$856.00 |
$856.00 |
$856.00 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$681.60 |
$681.60 |
$681.60 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,227.20 |
$2,227.20 |
$2,227.20 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$1,155.20 |
$1,155.20 |
$1,155.20 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,929.60 |
$2,929.60 |
$2,929.60 |
$2,319.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$593.60 |
$593.60 |
$593.60 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$116.80 |
$116.80 |
$116.80 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$496.00 |
$496.00 |
$496.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$306.40 |
$306.40 |
$306.40 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$376.80 |
$376.80 |
$376.80 |
$339.60
|
|
Ghs dislocation elbow closed treatment
|
$723.20 |
$723.20 |
$723.20 |
$602.00
|
|
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 HIV antibody
|
$130.40 |
$130.40 |
$130.40 |
$89.70
|
|
Ghs init tx 1st degree burn
|
$400.80 |
$400.80 |
$400.80 |
$275.88
|
|
Ghs insertion of needle - bone
|
$515.20 |
$515.20 |
$515.20 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$876.00 |
$876.00 |
$876.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$1,051.20
|
|
Ghs IV inf sq injection, on-body injector
|
$142.40 |
$142.40 |
$142.40 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$758.40 |
$758.40 |
$758.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$420.00 |
$420.00 |
$420.00 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$752.80 |
$752.80 |
$752.80 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$591.20 |
$591.20 |
$591.20 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$610.40 |
$610.40 |
$610.40 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$672.00 |
$672.00 |
$672.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$652.80 |
$652.80 |
$652.80 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$658.40 |
$658.40 |
$658.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$663.20 |
$663.20 |
$663.20 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$708.80 |
$708.80 |
$708.80 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$885.60 |
$885.60 |
$885.60 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$721.60 |
$721.60 |
$721.60 |
$784.80
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$239.20 |
$239.20 |
$239.20 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$156.00 |
$156.00 |
$156.00 |
$150.00
|
|
Ghs myocardial strain img spckl track
|
$568.80 |
$568.80 |
$568.80 |
$457.80
|
|
Ghs ot group caregiver training
|
$51.20 |
$51.20 |
$51.20 |
$34.80
|
|
Ghs ot sensory integrative tech/15min
|
$127.20 |
$127.20 |
$127.20 |
$96.20
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$111.20 |
$111.20 |
$111.20 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$440.80 |
$440.80 |
$440.80 |
$555.00
|
|
Ghs plngl fx pm cl
|
$659.20 |
$659.20 |
$659.20 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$34.40 |
$34.40 |
$34.40 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$121.60 |
$121.60 |
$121.60 |
$43.55
|
|
Ghs pr without cont pulse ox
|
$209.60 |
$209.60 |
$209.60 |
$147.00
|
|
Ghs removal intranasal foreign body
|
$373.60 |
$373.60 |
$373.60 |
$283.24
|
|
Ghs reticulocyte count
|
$31.20 |
$31.20 |
$31.20 |
$34.50
|
|
Ghs sedimentation rate
|
$78.40 |
$78.40 |
$78.40 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$110.40 |
$110.40 |
$110.40 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$592.80 |
$592.80 |
$592.80 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$592.80 |
$592.80 |
$592.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$529.60 |
$529.60 |
$529.60 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$592.80 |
$592.80 |
$592.80 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$529.60 |
$529.60 |
$529.60 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$567.20 |
$567.20 |
$567.20 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$752.00 |
$752.00 |
$752.00 |
$590.88
|
|
Ghs sleep study unattended
|
$608.00 |
$608.00 |
$608.00 |
$503.38
|
|
Ghs sp train/fitting sp device - kx
|
$295.20 |
$295.20 |
$295.20 |
$252.75
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$953.27
|
|
Ghs urine, porphyrins quant
|
$50.40 |
$50.40 |
$50.40 |
$73.80
|
|
Gi inhouse confirmation
|
$76.00 |
$76.00 |
$76.00 |
$87.75
|
|
Glove finger flexion right lg xl
|
$96.80 |
$96.80 |
$96.80 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$414.34 |
$414.34 |
$414.34 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$379.09 |
$379.09 |
$379.09 |
$491.67
|
|
Glucose 1 hr post dose
|
$80.80 |
$80.80 |
$80.80 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$41.60 |
$41.60 |
$41.60 |
$23.12
|
|
Glucose blood quantitative
|
$66.40 |
$66.40 |
$66.40 |
$42.25
|
|
Glucose body fluid
|
$61.60 |
$61.60 |
$61.60 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$201.60 |
$201.60 |
$201.60 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$61.60 |
$61.60 |
$61.60 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$62.56 |
$62.56 |
$62.56 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,034.40 |
$3,034.40 |
$3,034.40 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$148.00 |
$148.00 |
$148.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$156.00 |
$156.00 |
$156.00 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,107.28 |
$1,107.28 |
$1,107.28 |
$4,417.13
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$88.35 |
$88.35 |
$88.35 |
$23,233.80
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$900.00 |
$900.00 |
$900.00 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$794.40 |
$794.40 |
$794.40 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$59.19 |
$59.19 |
$59.19 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$3,360.00 |
$3,360.00 |
$3,360.00 |
$29,676.26
|
|
Granisetron hcl injection
|
$63.84 |
$63.84 |
$63.84 |
$45.03
|
|
Great toe with reduction 28495
|
$470.40 |
$470.40 |
$470.40 |
$495.00
|
|
Group train without patient
|
$51.20 |
$51.20 |
$51.20 |
$47.60
|
|
Guide wire threaded 1.4x150mm
|
$841.60 |
$841.60 |
$841.60 |
$3,284.36
|
|
Gw stiffened micro access kit
|
$280.80 |
$280.80 |
$280.80 |
$6,893.38
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$64.48 |
$64.48 |
$64.48 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$126.40 |
$126.40 |
$126.40 |
$105.30
|
|
Hand X-ray
|
$363.20 |
$363.20 |
$363.20 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$336.00 |
$336.00 |
$336.00 |
$294.90
|
|
Haptoglobin quantitative
|
$146.40 |
$146.40 |
$146.40 |
$92.80
|
