|
Gabapentin non-blood
|
$17.70 |
$17.70 |
$17.70 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$58.56 |
$58.56 |
$58.56 |
$102.00
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$84.35 |
$84.35 |
$84.35 |
$250.83
|
|
Galectin-3
|
$23.55 |
$23.55 |
$23.55 |
$111.60
|
|
Gammaglobulin iga
|
$16.20 |
$16.20 |
$16.20 |
$67.20
|
|
Gammaglobulin ige
|
$28.80 |
$28.80 |
$28.80 |
$83.85
|
|
Gamma glutamyltransferase
|
$12.60 |
$12.60 |
$12.60 |
$57.54
|
|
Gamunex-c/gammaked
|
$5,339.28 |
$5,339.28 |
$5,339.28 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$127.83 |
$127.83 |
$127.83 |
$197.40
|
|
Gastroesophageal reflux study
|
$452.25 |
$452.25 |
$452.25 |
$949.80
|
|
Gated heart multiple
|
$452.25 |
$452.25 |
$452.25 |
$1,400.64
|
|
Gemcitabine 1 gram intravenous solution
|
$201.47 |
$201.47 |
$201.47 |
$207.51
|
|
General health panel
|
$49.20 |
$49.20 |
$49.20 |
$275.00
|
|
Genetic tstg severe inh cond
|
$3,142.35 |
$3,142.35 |
$3,142.35 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$62.16 |
$62.16 |
$62.16 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$28.80 |
$28.80 |
$28.80 |
$126.00
|
|
Ghs abscess perianal iandd
|
$211.95 |
$211.95 |
$211.95 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$756.90 |
$756.90 |
$756.90 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$13.35 |
$13.35 |
$13.35 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$28.20 |
$28.20 |
$28.20 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$565.05 |
$565.05 |
$565.05 |
$371.84
|
|
Ghs analysis neurostim without reprogramming
|
$54.75 |
$54.75 |
$54.75 |
$246.50
|
|
Ghs antibodies (torch) igm
|
$25.20 |
$25.20 |
$25.20 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$79.80 |
$79.80 |
$79.80 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$313.50 |
$313.50 |
$313.50 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$574.35 |
$574.35 |
$574.35 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$52.05 |
$52.05 |
$52.05 |
$565.49
|
|
Ghs chemo >8 hrs
|
$279.90 |
$279.90 |
$279.90 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$106.95 |
$106.95 |
$106.95 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$61.50 |
$61.50 |
$61.50 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$129.90 |
$129.90 |
$129.90 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$211.95 |
$211.95 |
$211.95 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$211.95 |
$211.95 |
$211.95 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$265.35 |
$265.35 |
$265.35 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$578.40 |
$578.40 |
$578.40 |
$2,148.00
|
|
Ghs clsd red med malleolus fx w manip
|
$578.40 |
$578.40 |
$578.40 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$283.95 |
$283.95 |
$283.95 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$205.50 |
$205.50 |
$205.50 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$79.20 |
$79.20 |
$79.20 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$29.25 |
$29.25 |
$29.25 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$144.15 |
$144.15 |
$144.15 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$73.20 |
$73.20 |
$73.20 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$73.20 |
$73.20 |
$73.20 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$72.90 |
$72.90 |
$72.90 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$26.10 |
$26.10 |
$26.10 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$245.85 |
$245.85 |
$245.85 |
$578.00
|
|
Ghs ed rmvl or bivalving cast
|
$55.35 |
$55.35 |
$55.35 |
$329.60
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$310.05 |
$310.05 |
$310.05 |
$1,432.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$263.55 |
$263.55 |
$263.55 |
$593.91
|
|
Ghs excision ingrown nail
|
$69.15 |
$69.15 |
$69.15 |
$439.50
|
|
Ghs fb removal foot - deep - left
|
$418.95 |
$418.95 |
$418.95 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$811.65 |
$811.65 |
$811.65 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$717.30 |
$717.30 |
$717.30 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$211.95 |
$211.95 |
$211.95 |
$1,706.20
|
|
Ghs fish cytogen
|
$36.00 |
$36.00 |
$36.00 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$70.20 |
$70.20 |
$70.20 |
$223.00
|
|
Ghs flow volume loop
|
$92.25 |
$92.25 |
$92.25 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$64.20 |
$64.20 |
$64.20 |
$368.50
|
|
Ghs hcv amplificaiton
|
$61.50 |
$61.50 |
$61.50 |
$187.00
|
|
Ghs hgb stability-thal
|
$14.40 |
$14.40 |
$14.40 |
$87.60
|
|
Ghs histoplasma antigen
|
$20.10 |
$20.10 |
$20.10 |
$141.00
|
|
Ghs HIV antibody
|
$24.00 |
$24.00 |
$24.00 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$271.20 |
$271.20 |
$271.20 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$881.70 |
$881.70 |
$881.70 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$541.35 |
$541.35 |
$541.35 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$122.70 |
$122.70 |
$122.70 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$245.85 |
$245.85 |
$245.85 |
$523.73
|
|
Ghs inf midline insertion
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$1,219.20
|
|
Ghs inhibitor screen
|
$22.50 |
$22.50 |
$22.50 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$65.25 |
$65.25 |
$65.25 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$538.05 |
$538.05 |
$538.05 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$56.85 |
$56.85 |
$56.85 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$511.65 |
$511.65 |
$511.65 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$879.75 |
$879.75 |
$879.75 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$63.00 |
$63.00 |
$63.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$311.10 |
$311.10 |
$311.10 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$322.50 |
$322.50 |
$322.50 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$136.50 |
$136.50 |
$136.50 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$256.35 |
$256.35 |
$256.35 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$27.00 |
$27.00 |
$27.00 |
$107.58
|
|
Ghs IV thrombolytics - cerebral
|
$1,512.60 |
$1,512.60 |
$1,512.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$255.60 |
$255.60 |
$255.60 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$100.05 |
$100.05 |
$100.05 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$112.05 |
$112.05 |
$112.05 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$127.95 |
$127.95 |
$127.95 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$174.90 |
$174.90 |
$174.90 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$150.90 |
$150.90 |
$150.90 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$247.80 |
$247.80 |
$247.80 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$296.55 |
$296.55 |
$296.55 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$251.40 |
$251.40 |
$251.40 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$272.55 |
$272.55 |
$272.55 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$309.45 |
$309.45 |
$309.45 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$299.85 |
$299.85 |
$299.85 |
$790.40
|
|
Ghs leukocyte alkaline phos (mayo)
|
$15.15 |
$15.15 |
$15.15 |
$76.20
|
|
Ghs mbp
|
$30.15 |
$30.15 |
$30.15 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$121.65 |
$121.65 |
$121.65 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$91.80 |
$91.80 |
$91.80 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$75.15 |
$75.15 |
$75.15 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$39.00 |
$39.00 |
$39.00 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$56.85 |
$56.85 |
$56.85 |
$147.75
|
