|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$197.40 |
$197.40 |
$207.00 |
$197.40
|
|
Gardner vag dna amp probe
|
$57.36 |
$57.36 |
$57.36 |
$72.15
|
|
Gastric analy w/ph ea spec
|
$27.67 |
$27.67 |
$27.67 |
$31.50
|
|
Gastric emptying imag study
|
$1,391.99 |
$1,391.99 |
$1,391.99 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,770.81 |
$1,770.81 |
$1,770.81 |
$1,665.50
|
|
Gastric motility studies
|
$1,487.86 |
$1,487.86 |
$1,487.86 |
$972.00
|
|
Gastrin test
|
$119.11 |
$119.11 |
$119.11 |
$61.80
|
|
Gastroesophageal reflux study
|
$704.79 |
$704.79 |
$1,120.86 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$1,323.71 |
$1,323.71 |
$1,323.71 |
$1,352.00
|
|
Gastrostomy open neonatal
|
$1,132.14 |
$1,132.14 |
$1,132.14 |
$1,474.40
|
|
Gated heart multiple
|
$870.21 |
$870.21 |
$1,405.04 |
$1,405.04
|
|
Gauze >16<=48 no w/sal without b
|
$18.18 |
$18.18 |
$18.18 |
$5.00
|
|
Gauze <=16 in no w/sal without b
|
$19.98 |
$19.98 |
$19.98 |
$6.40
|
|
Gauze > 48 in no w/sal without b
|
$11.88 |
$11.88 |
$11.88 |
$7.08
|
|
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
|
$263.34 |
$263.34 |
$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
|
$4,401.73 |
$4,401.73 |
$4,401.73 |
$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
|
$39.15 |
$39.15 |
$122.95 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$88.65 |
$88.65 |
$119.90 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$650.43 |
$650.43 |
$1,877.99 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$329.94 |
$329.94 |
$1,849.64 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$393.30 |
$393.30 |
$4,458.69 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$85.02 |
$85.02 |
$85.02 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$127.35 |
$127.35 |
$127.35 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$620.57 |
$620.57 |
$620.57 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$262.35 |
$262.35 |
$262.35 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$100.40 |
$100.40 |
$115.47 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$95.31 |
$95.31 |
$590.84 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$124.47 |
$124.47 |
$312.34 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$33.84 |
$33.84 |
$53.82 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$768.24 |
$768.24 |
$1,318.23 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$793.26 |
$793.26 |
$2,519.49 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$346.05 |
$346.05 |
$625.78 |
$594.55
|
|
Ghs chemo >8 hrs
|
$832.40 |
$832.40 |
$832.40 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$503.81 |
$503.81 |
$503.81 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$198.00 |
$198.00 |
$369.86 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$80.82 |
$80.82 |
$169.49 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$170.19 |
$170.19 |
$678.16 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$170.10 |
$170.10 |
$615.82 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,230.18 |
$1,230.18 |
$1,230.18 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$513.59 |
$513.59 |
$513.59 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$3,374.87 |
$3,374.87 |
$3,374.87 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$861.03 |
$861.03 |
$4,798.35 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$397.98 |
$397.98 |
$616.87 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,653.27 |
$2,653.27 |
$2,653.27 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,047.36 |
$3,047.36 |
$3,047.36 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$125.91 |
$125.91 |
$720.73 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$178.02 |
$178.02 |
$760.78 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$30.51 |
$30.51 |
$104.88 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$345.89 |
$345.89 |
$345.89 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$376.96 |
$376.96 |
$376.96 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$381.91 |
$381.91 |
$381.91 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$287.87 |
$287.87 |
$287.87 |
$339.60
|
|
Ghs cricothyroidotomy
|
$749.16 |
$749.16 |
$1,943.30 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$92.77 |
$92.77 |
$92.77 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$272.23 |
$272.23 |
$272.23 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$116.25 |
$116.25 |
$116.25 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$397.98 |
$397.98 |
$560.12 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$221.85 |
$221.85 |
$1,001.03 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$58.59 |
$58.59 |
$351.46 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$579.60 |
$579.60 |
$809.98 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$314.46 |
$314.46 |
$455.21 |
$586.80
|
|
Ghs electrostagmgraphy
|
$484.67 |
$484.67 |
$484.67 |
$322.00
|
|
Ghs elect torsion swing
|
$519.74 |
$519.74 |
$519.74 |
$266.29
|
|
Ghs elect vertical elct
|
$44.64 |
$44.64 |
$44.64 |
$116.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$438.47 |
$438.47 |
$438.47 |
$467.00
|
|
Ghs excision ingrown nail
|
$376.93 |
$376.93 |
$376.93 |
$449.25
|
|
Ghs eye exam
|
$172.26 |
$172.26 |
$172.26 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$105.57 |
$105.57 |
$687.50 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$706.68 |
$706.68 |
$4,011.33 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$924.84 |
$924.84 |
$2,782.37 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$977.22 |
$977.22 |
$3,520.49 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$194.67 |
$194.67 |
$1,305.06 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$51.99 |
$51.99 |
$51.99 |
$48.10
|
|
Ghs fish cytogen
|
$1,521.15 |
$1,521.15 |
$1,521.15 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$492.77 |
$492.77 |
$492.77 |
$226.20
|
|
Ghs flow volume loop
|
$241.38 |
$241.38 |
$404.04 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$227.28 |
$227.28 |
$227.28 |
$368.50
|
|
Ghs hcv amplificaiton
|
$203.58 |
$203.58 |
$261.94 |
$196.20
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$27.56 |
$27.56 |
$27.56 |
$64.28
|
|
Ghs hepatitis c virus (hcv riba)
|
$133.92 |
$133.92 |
$423.75 |
$144.54
|
|
Ghs hgb stability-thal
|
$114.74 |
$114.74 |
$114.74 |
$89.91
|
|
Ghs histoplasma antigen
|
$74.16 |
$74.16 |
$197.32 |
$142.00
|
|
Ghs HIV antibody
|
$36.63 |
$36.63 |
$148.23 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$513.64 |
$513.64 |
$513.64 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,335.42 |
$1,335.42 |
$4,955.71 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,071.36 |
$1,071.36 |
$4,078.12 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$759.24 |
$759.24 |
$2,363.20 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$221.04 |
$221.04 |
$925.84 |
$707.25
|
|
Ghs immun0electrophoresis
|
$137.31 |
$137.31 |
$137.31 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$292.23 |
$292.23 |
$613.81 |
$526.50
|
