|
Gammaglobulin ige
|
$138.76 |
$138.76 |
$138.76 |
$85.00
|
|
Gamma glutamyltransferase
|
$200.22 |
$200.22 |
$200.22 |
$55.28
|
|
Gamunex-c/gammaked
|
$10,523.05 |
$10,523.05 |
$10,523.05 |
$7,372.04
|
|
Gemcitabine 1 gram intravenous solution
|
$474.21 |
$474.21 |
$474.21 |
$252.84
|
|
General health panel
|
$1,652.71 |
$1,652.71 |
$1,652.71 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$79.23 |
$79.23 |
$79.23 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$264.99 |
$264.99 |
$264.99 |
$119.00
|
|
Ghs abscess perianal iandd
|
$4,921.10 |
$4,921.10 |
$4,921.10 |
$1,530.50
|
|
Ghs acetylcholinesterase, rbc
|
$118.05 |
$118.05 |
$118.05 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$272.04 |
$272.04 |
$272.04 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$126.60 |
$126.60 |
$126.60 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$1,624.54 |
$1,624.54 |
$1,624.54 |
$344.48
|
|
Ghs central line insert < age 5, failed
|
$15,205.47 |
$15,205.47 |
$15,205.47 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$1,143.26 |
$1,143.26 |
$1,143.26 |
$699.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$402.31 |
$402.31 |
$402.31 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$1,651.70 |
$1,651.70 |
$1,651.70 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$1,814.51 |
$1,814.51 |
$1,814.51 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$2,621.64
|
|
Ghs clsd red med malleolus fx w manip
|
$8,627.31 |
$8,627.31 |
$8,627.31 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$756.74 |
$756.74 |
$756.74 |
$2,399.46
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,651.70 |
$1,651.70 |
$1,651.70 |
$547.94
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,519.27 |
$1,519.27 |
$1,519.27 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$759.98 |
$759.98 |
$759.98 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$1,527.93 |
$1,527.93 |
$1,527.93 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$919.47 |
$919.47 |
$919.47 |
$368.16
|
|
Ghs dislocation elbow closed treatment
|
$1,814.51 |
$1,814.51 |
$1,814.51 |
$687.73
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,568.18 |
$2,568.18 |
$2,568.18 |
$1,439.40
|
|
Ghs excision ingrown nail
|
$661.10 |
$661.10 |
$661.10 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$951.20 |
$951.20 |
$951.20 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$10,481.19 |
$10,481.19 |
$10,481.19 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$15,835.72 |
$15,835.72 |
$15,835.72 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$12,483.70 |
$12,483.70 |
$12,483.70 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$9,324.42 |
$9,324.42 |
$9,324.42 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$80.03 |
$80.03 |
$80.03 |
$48.57
|
|
Ghs fish cytogen
|
$245.58 |
$245.58 |
$245.58 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$615.96 |
$615.96 |
$615.96 |
$229.45
|
|
Ghs histoplasma antigen
|
$554.28 |
$554.28 |
$554.28 |
$137.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$10,263.24 |
$10,263.24 |
$10,263.24 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$6,421.63 |
$6,421.63 |
$6,421.63 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$3,803.02 |
$3,803.02 |
$3,803.02 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$3,816.54 |
$3,816.54 |
$3,816.54 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$687.85 |
$687.85 |
$687.85 |
$543.60
|
|
Ghs inf midline insertion
|
$698.72 |
$698.72 |
$698.72 |
$1,234.20
|
|
Ghs init tx 1st degree burn
|
$332.34 |
$332.34 |
$332.34 |
$300.30
|
|
Ghs insertion of needle - bone
|
$881.07 |
$881.07 |
$881.07 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$3,673.38 |
$3,673.38 |
$3,673.38 |
$1,160.28
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,291.63 |
$1,291.63 |
$1,291.63 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$507.70 |
$507.70 |
$507.70 |
$117.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$5,804.01 |
$5,804.01 |
$5,804.01 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$2,360.39 |
$2,360.39 |
$2,360.39 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$2,394.57 |
$2,394.57 |
$2,394.57 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$2,194.80 |
$2,194.80 |
$2,194.80 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$779.35
|
|
Ghs leukocyte alkaline phos (mayo)
|
$601.46 |
$601.46 |
$601.46 |
$59.40
|
|
Ghs mbp
|
$316.74 |
$316.74 |
$316.74 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$1,081.36 |
$1,081.36 |
$1,081.36 |
$261.80
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$983.20 |
$983.20 |
$983.20 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$983.20 |
$983.20 |
$983.20 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$983.20 |
$983.20 |
$983.20 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$744.76 |
$744.76 |
$744.76 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$726.86 |
$726.86 |
$726.86 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,107.76 |
$2,107.76 |
$2,107.76 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$1,096.42 |
$1,096.42 |
$1,096.42 |
$1,230.80
|
|
Ghs nerve block celiac plexus
|
$4,518.81 |
$4,518.81 |
$4,518.81 |
$1,712.00
|
|
Ghs ng placement w fluoro guidance
|
$960.91 |
$960.91 |
$960.91 |
$468.75
|
|
Ghs o2 saturation
|
$199.62 |
$199.62 |
$199.62 |
$72.45
|
|
Ghs ot group caregiver training
|
$55.64 |
$55.64 |
$55.64 |
$43.20
|
|
Ghs ot sensory integrative tech/15min
|
$180.12 |
$180.12 |
$180.12 |
$101.05
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$308.64 |
$308.64 |
$308.64 |
$90.15
|
|
Ghs peritonsillar abscess i andd
|
$1,615.31 |
$1,615.31 |
$1,615.31 |
$694.20
|
|
Ghs phenylketonurid
|
$212.91 |
$212.91 |
$212.91 |
$51.58
|
|
Ghs picc line insert < 5
|
$7,388.14 |
$7,388.14 |
$7,388.14 |
$2,060.40
|
|
Ghs plngl fx pm cl
|
$1,705.16 |
$1,705.16 |
$1,705.16 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$81.00 |
$81.00 |
$81.00 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$118.27 |
$118.27 |
$118.27 |
$40.56
|
|
Ghs protoporphyrins fract
|
$217.51 |
$217.51 |
$217.51 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$618.60 |
$618.60 |
$618.60 |
$156.70
|
|
Ghs removal intranasal foreign body
|
$778.33 |
$778.33 |
$778.33 |
$324.35
|
|
Ghs removal pharyngeal foreign body
|
$949.45 |
$949.45 |
$949.45 |
$460.00
|
|
Ghs reticulocyte count
|
$155.59 |
$155.59 |
$155.59 |
$33.57
|
|
Ghs sensitivity (per antimicro)
|
$361.54 |
$361.54 |
$361.54 |
$59.90
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$2,229.95 |
$2,229.95 |
$2,229.95 |
$590.40
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$2,211.02 |
$2,211.02 |
$2,211.02 |
$705.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$1,338.15 |
$1,338.15 |
$1,338.15 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$1,120.75 |
$1,120.75 |
$1,120.75 |
$470.47
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$538.64
|
|
Ghs simple repair over 30 cm - 12007
|
$1,120.75 |
$1,120.75 |
$1,120.75 |
$660.00
|
|
Ghs strapping shoulder - 29240
|
$618.45 |
$618.45 |
$618.45 |
$243.07
|
|
Ghs st - re-eval for alt comm
|
$768.25 |
$768.25 |
$768.25 |
$309.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$598.01 |
$598.01 |
$598.01 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$3,841.84 |
$3,841.84 |
$3,841.84 |
$976.98
|
|
Ghs tx distal phalangeal fx with manipulation
|
$1,417.66 |
$1,417.66 |
$1,417.66 |
$591.00
|
|
Ghs urine, porphyrins quant
|
$234.47 |
$234.47 |
$234.47 |
$70.20
|
|
Ghs vaginal delivery only
|
$7,559.96 |
$7,559.96 |
$7,559.96 |
$3,525.06
|