|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$56.35 |
$56.35 |
$56.35 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$128.80 |
$128.80 |
$128.80 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,456.80 |
$1,456.80 |
$1,456.80 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$4,240.00 |
$4,240.00 |
$4,240.00 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$35.20 |
$35.20 |
$35.20 |
$43.06
|
|
Ghs antibodies (torch) igm
|
$172.00 |
$172.00 |
$172.00 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$303.20 |
$303.20 |
$303.20 |
$344.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$444.00 |
$444.00 |
$444.00 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$500.80 |
$500.80 |
$500.80 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$1,592.00
|
|
Ghs clsd red med malleolus fx without manip
|
$405.60 |
$405.60 |
$405.60 |
$513.80
|
|
Ghs cl tx knee disl; wo anesth
|
$530.40 |
$530.40 |
$530.40 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$447.20 |
$447.20 |
$447.20 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$116.80 |
$116.80 |
$116.80 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$221.60 |
$221.60 |
$221.60 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$357.60 |
$357.60 |
$357.60 |
$422.25
|
|
Ghs dislocation elbow closed treatment
|
$522.40 |
$522.40 |
$522.40 |
$602.00
|
|
Ghs fb removal foot - deep - left
|
$3,536.00 |
$3,536.00 |
$3,536.00 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$2,836.00 |
$2,836.00 |
$2,836.00 |
$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 HIV antibody
|
$113.60 |
$113.60 |
$113.60 |
$89.70
|
|
Ghs i and d pilonidal cyst complex
|
$1,258.40 |
$1,258.40 |
$1,258.40 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$554.40 |
$554.40 |
$554.40 |
$707.25
|
|
Ghs init tx 1st degree burn
|
$273.60 |
$273.60 |
$273.60 |
$275.88
|
|
Ghs insertion of needle - bone
|
$472.80 |
$472.80 |
$472.80 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$834.40 |
$834.40 |
$834.40 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,321.60 |
$2,321.60 |
$2,321.60 |
$2,164.64
|
|
Ghs IV thrombolytics - cerebral
|
$948.80 |
$948.80 |
$948.80 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$668.00 |
$668.00 |
$668.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$527.20 |
$527.20 |
$527.20 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$598.40 |
$598.40 |
$598.40 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$600.00 |
$600.00 |
$600.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$629.60 |
$629.60 |
$629.60 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$634.40 |
$634.40 |
$634.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$733.60 |
$733.60 |
$733.60 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$712.00 |
$712.00 |
$712.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$663.20 |
$663.20 |
$663.20 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$899.20 |
$899.20 |
$899.20 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$784.80 |
$784.80 |
$784.80 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$671.20 |
$671.20 |
$671.20 |
$913.90
|
|
Ghs nailbed repair/nail removal
|
$771.20 |
$771.20 |
$771.20 |
$724.37
|
|
Ghs ot group caregiver training
|
$54.40 |
$54.40 |
$54.40 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$124.00 |
$124.00 |
$124.00 |
$93.00
|
|
Ghs peritonsillar abscess i andd
|
$500.80 |
$500.80 |
$500.80 |
$555.00
|
|
Ghs phenylketonurid
|
$70.40 |
$70.40 |
$70.40 |
$53.76
|
|
Ghs plngl fx pm cl
|
$464.80 |
$464.80 |
$464.80 |
$564.80
|
|
Ghs prostatic acid phosphatase (mayo)
|
$116.80 |
$116.80 |
$116.80 |
$43.55
|
|
Ghs pr without cont pulse ox
|
$188.00 |
$188.00 |
$188.00 |
$147.00
|
|
Ghs removal intranasal foreign body
|
$222.40 |
$222.40 |
$222.40 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$456.00 |
$456.00 |
$456.00 |
$441.68
|
|
Ghs sensitivity (per antimicro)
|
$61.60 |
$61.60 |
$61.60 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$476.00 |
$476.00 |
$476.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$474.40 |
$474.40 |
$474.40 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$509.60 |
$509.60 |
$509.60 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$597.60 |
$597.60 |
$597.60 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$400.80 |
$400.80 |
$400.80 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$370.40 |
$370.40 |
$370.40 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$440.80 |
$440.80 |
$440.80 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$500.80 |
$500.80 |
$500.80 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$452.80 |
$452.80 |
$452.80 |
$537.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$223.20 |
$223.20 |
$223.20 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$334.40 |
$334.40 |
$334.40 |
$252.75
|
|
Ghs strapping shoulder - 29240
|
$192.80 |
$192.80 |
$192.80 |
$217.60
|
|
Ghs st - re-eval for alt comm
|
$504.00 |
$504.00 |
$504.00 |
$309.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
$953.27
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,299.20 |
$2,299.20 |
$2,299.20 |
$1,867.84
|
|
Ghs tx distal phalangeal fx with manipulation
|
$469.60 |
$469.60 |
$469.60 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$50.40 |
$50.40 |
$50.40 |
$73.80
|
|
Gi inhouse confirmation
|
$56.80 |
$56.80 |
$56.80 |
$87.75
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$247.06 |
$247.06 |
$247.06 |
$491.67
|
|
Glucose 1 hr post dose
|
$65.60 |
$65.60 |
$65.60 |
$49.00
|
|
Glucose blood quantitative
|
$58.40 |
$58.40 |
$58.40 |
$42.25
|
|
Glucose body fluid
|
$58.40 |
$58.40 |
$58.40 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$105.60 |
$105.60 |
$105.60 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$48.80 |
$48.80 |
$48.80 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$60.34 |
$60.34 |
$60.34 |
$37.40
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$140.00 |
$140.00 |
$140.00 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$146.40 |
$146.40 |
$146.40 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,131.85 |
$1,131.85 |
$1,131.85 |
$4,417.13
|
|
Graft axiofill 1000mg
|
$2,870.75 |
$2,870.75 |
$2,870.75 |
$5,125.68
|
|
Graft xenmtrx sft rect 15x20cm
|
$336.80 |
$336.80 |
$336.80 |
$29,676.26
|
|
Granisetron hcl injection
|
$62.42 |
$62.42 |
$62.42 |
$45.03
|
|
Great toe with reduction 28495
|
$464.80 |
$464.80 |
$464.80 |
$495.00
|
|
Gw stiffened micro access kit
|
$102.40 |
$102.40 |
$102.40 |
$6,893.38
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$60.59 |
$60.59 |
$60.59 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$126.40 |
$126.40 |
$126.40 |
$105.30
|
|
Hand X-ray
|
$334.40 |
$334.40 |
$334.40 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$266.40 |
$266.40 |
$266.40 |
$294.90
|
|
Haptoglobin quantitative
|
$131.20 |
$131.20 |
$131.20 |
$92.80
|
|
Hcg qualitative
|
$66.40 |
$66.40 |
$66.40 |
$90.10
|
|
Hcg quantitative
|
$117.60 |
$117.60 |
$117.60 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,447.20 |
$2,447.20 |
$2,447.20 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,977.60 |
$1,977.60 |
$1,977.60 |
$1,268.90
|
|
Heart infarct image
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$308.80 |
$308.80 |
$308.80 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$75.20 |
$75.20 |
$75.20 |
$92.00
|
|
Hematocrit
|
$48.00 |
$48.00 |
$48.00 |
$33.80
|