|
Fusion of foot bones
|
$6,288.57 |
$6,288.57 |
$6,288.57 |
$6,288.57
|
|
Fusion of hand joint
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,839.00
|
|
Fusion of knuckle
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,907.11
|
|
Fusion of knuckle joint
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Fusion of knuckle joints
|
$4,259.84 |
$4,259.84 |
$4,259.84 |
$4,259.84
|
|
Fusion of knuckle with graft
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,907.11
|
|
Fusion of spermatic ducts
|
$3,498.74 |
$3,498.74 |
$3,498.74 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$3,673.67 |
$3,673.67 |
$3,673.67 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$4,443.10 |
$4,443.10 |
$4,443.10 |
$3,594.44
|
|
Fusion of tendons at wrist
|
$3,273.55 |
$3,273.55 |
$3,273.55 |
$3,839.54
|
|
Fusion of thumb
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$9,791.00
|
|
Fusion of toes
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
G0180 home health certification
|
$134.40 |
$134.40 |
$134.40 |
$116.00
|
|
G6pc gene
|
$140.79 |
$140.79 |
$140.79 |
$138.40
|
|
G6pd full gene sequence
|
$1,974.30 |
$1,974.30 |
$1,974.30 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$243.00 |
$243.00 |
$243.00 |
$243.00
|
|
Ga-68 gallium 68 dotatate
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$140.35
|
|
Gabapentin non-blood
|
$43.68 |
$43.68 |
$43.68 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$248.73 |
$248.73 |
$248.73 |
$120.00
|
|
Galac-1-phosphate uridyltran - sendout
|
$139.72 |
$139.72 |
$139.72 |
$100.00
|
|
Galactokinase - sendout
|
$225.00 |
$225.00 |
$225.00 |
$204.97
|
|
Galactose transferase test
|
$34.93 |
$34.93 |
$34.93 |
$31.35
|
|
Galectin-3
|
$132.21 |
$132.21 |
$132.21 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,754.98 |
$1,754.98 |
$1,754.98 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,968.31 |
$1,968.31 |
$1,968.31 |
$1,615.00
|
|
Gamma globulin 1 cc inj
|
$1,243.58 |
$1,243.58 |
$1,243.58 |
$407.60
|
|
Gammaglobulin iga
|
$97.36 |
$97.36 |
$97.36 |
$69.60
|
|
Gammaglobulin ige
|
$116.66 |
$116.66 |
$116.66 |
$83.85
|
|
Gamma glutamyltransferase
|
$82.61 |
$82.61 |
$82.61 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$197.40 |
$197.40 |
$197.40 |
$197.40
|
|
Gardner vag dna amp probe
|
$57.36 |
$57.36 |
$57.36 |
$72.15
|
|
Gastric analy w/ph ea spec
|
$25.61 |
$25.61 |
$25.61 |
$31.50
|
|
Gastric emptying imag study
|
$1,389.15 |
$1,389.15 |
$1,389.15 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,770.81 |
$1,770.81 |
$1,770.81 |
$1,665.50
|
|
Gastric motility studies
|
$1,606.88 |
$1,606.88 |
$1,606.88 |
$972.00
|
|
Gastrin test
|
$119.11 |
$119.11 |
$119.11 |
$61.80
|
|
Gastroesophageal reflux study
|
$1,110.50 |
$1,110.50 |
$1,110.50 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$1,092.39 |
$1,092.39 |
$1,092.39 |
$1,352.00
|
|
Gastrostomy open neonatal
|
$1,154.78 |
$1,154.78 |
$1,154.78 |
$1,474.40
|
|
Gated heart multiple
|
$1,370.99 |
$1,370.99 |
$1,370.99 |
$1,405.04
|
|
Gba gene
|
$291.87 |
$291.87 |
$291.87 |
$160.72
|
|
Gc stocking thighlngth 18-30
|
$90.00 |
$90.00 |
$90.00 |
$68.30
|
|
Gemcitabine 1 gram intravenous solution
|
$336.40 |
$336.40 |
$336.40 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$17,843.81 |
$17,843.81 |
$17,843.81 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$54,677.39 |
$54,677.39 |
$54,677.39 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$43,578.00 |
$43,578.00 |
$43,578.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$8,289.90 |
$8,289.90 |
$8,289.90 |
$3,978.65
|
|
Genioplasty augmentation
|
$4,555.73 |
$4,555.73 |
$4,555.73 |
$6,547.81
|
|
Geniop sldg osteot 1
|
$2,903.97 |
$2,903.97 |
$2,903.97 |
$3,837.72
|
|
Gen, neuro, clo loop, rechg
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$38,632.78
|
|
Genome sequence analysis
|
$7,500.00 |
$7,500.00 |
$7,500.00 |
$5,031.20
|
|
Genome sequence analysis
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$122.95 |
$122.95 |
$122.95 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$159.60 |
$159.60 |
$159.60 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,787.85 |
$1,787.85 |
$1,787.85 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,800.89 |
$1,800.89 |
$1,800.89 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$3,834.59 |
$3,834.59 |
$3,834.59 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$80.97 |
$80.97 |
$80.97 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$112.30 |
$112.30 |
$112.30 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$553.69 |
$553.69 |
$553.69 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$247.06 |
$247.06 |
$247.06 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$100.40 |
$100.40 |
$100.40 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$593.88 |
$593.88 |
$593.88 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$352.34 |
$352.34 |
$352.34 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$53.82 |
$53.82 |
$53.82 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,164.15 |
$1,164.15 |
$1,164.15 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,966.54 |
$1,966.54 |
$1,966.54 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$891.29 |
$891.29 |
$891.29 |
$594.55
|
|
Ghs chemo >8 hrs
|
$840.52 |
$840.52 |
$840.52 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$503.81 |
$503.81 |
$503.81 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$382.34 |
$382.34 |
$382.34 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$214.54 |
$214.54 |
$214.54 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$858.89 |
$858.89 |
$858.89 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$701.73 |
$701.73 |
$701.73 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,986.71 |
$1,986.71 |
$1,986.71 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$486.35 |
$486.35 |
$486.35 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,578.79 |
$2,578.79 |
$2,578.79 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$5,197.54 |
$5,197.54 |
$5,197.54 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$440.75 |
$440.75 |
$440.75 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,862.77 |
$1,862.77 |
$1,862.77 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,016.05 |
$2,016.05 |
$2,016.05 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$545.69 |
$545.69 |
$545.69 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$735.91 |
$735.91 |
$735.91 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$97.36 |
$97.36 |
$97.36 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$392.95 |
$392.95 |
$392.95 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$329.84 |
$329.84 |
$329.84 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$485.68 |
$485.68 |
$485.68 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$282.50 |
$282.50 |
$282.50 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,557.88 |
$1,557.88 |
$1,557.88 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$346.51 |
$346.51 |
$346.51 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$259.27 |
$259.27 |
$259.27 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$116.25 |
$116.25 |
$116.25 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$715.76 |
$715.76 |
$715.76 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,094.95 |
$1,094.95 |
$1,094.95 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$282.53 |
$282.53 |
$282.53 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$749.98 |
$749.98 |
$749.98 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$413.84 |
$413.84 |
$413.84 |
$586.80
|
|
Ghs electrostagmgraphy
|
$570.69 |
$570.69 |
$570.69 |
$322.00
|
|
Ghs elect torsion swing
|
$425.50 |
$425.50 |
$425.50 |
$266.29
|
