|
Forearm/arm cuffs free motio
|
$2,121.83 |
$2,121.83 |
$2,121.83 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$154.80 |
$154.80 |
$154.80 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$202.50 |
$202.50 |
$202.50 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$22.32 |
$22.32 |
$22.32 |
$106.10
|
|
Fructosamine glycated protein
|
$56.40 |
$56.40 |
$56.40 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$1,121.03 |
$1,121.03 |
$1,121.03 |
$743.29
|
|
Full sole/heel wedge btween
|
$195.16 |
$195.16 |
$195.16 |
$129.40
|
|
Furnsh initial orthosis only
|
$6,386.07 |
$6,386.07 |
$6,386.07 |
$2,873.32
|
|
G6pd full gene sequence
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,320.00
|
|
Ga-68 gallium 68 dotatate
|
$7,488.00 |
$7,488.00 |
$7,488.00 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$536.54 |
$536.54 |
$536.54 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$124.81 |
$124.81 |
$124.81 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$276.15 |
$276.15 |
$276.15 |
$177.52
|
|
Gallium ga-68 psma-11 ucsf
|
$12,545.28 |
$12,545.28 |
$12,545.28 |
$534.91
|
|
Gallium illuccix 1 millicure
|
$12,398.40 |
$12,398.40 |
$12,398.40 |
$1,395.27
|
|
Gammaglobulin iga
|
$61.80 |
$61.80 |
$61.80 |
$67.20
|
|
Gammaglobulin ige
|
$64.80 |
$64.80 |
$64.80 |
$83.85
|
|
Gamma glutamyltransferase
|
$39.60 |
$39.60 |
$39.60 |
$57.54
|
|
Gammaplex injection
|
$14,349.50 |
$14,349.50 |
$14,349.50 |
$8,038.46
|
|
Gamunex-c/gammaked
|
$9,638.35 |
$9,638.35 |
$9,638.35 |
$7,634.20
|
|
Gemcitabine 1 gram intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$207.51
|
|
Generator barostim neo2 2014
|
$154,037.51 |
$154,037.51 |
$154,037.51 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$117,153.84 |
$117,153.84 |
$117,153.84 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$138,526.50 |
$138,526.50 |
$138,526.50 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$7,345.80 |
$7,345.80 |
$7,345.80 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$87,073.80 |
$87,073.80 |
$87,073.80 |
$36,800.00
|
|
Genome sequence analysis
|
$2,935.80 |
$2,935.80 |
$2,935.80 |
$5,534.32
|
|
Genome sequence analysis
|
$2,935.80 |
$2,935.80 |
$2,935.80 |
$3,577.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$25.18 |
$25.18 |
$25.18 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$64.80 |
$64.80 |
$64.80 |
$126.00
|
|
Ghs abscess perianal iandd
|
$598.80 |
$598.80 |
$598.80 |
$1,410.90
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$51.60 |
$51.60 |
$51.60 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$338.40 |
$338.40 |
$338.40 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$56.40 |
$56.40 |
$56.40 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$105.00 |
$105.00 |
$105.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,159.80 |
$1,159.80 |
$1,159.80 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,279.40 |
$2,279.40 |
$2,279.40 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$383.40 |
$383.40 |
$383.40 |
$565.49
|
|
Ghs chemo >8 hrs
|
$884.40 |
$884.40 |
$884.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$338.40 |
$338.40 |
$338.40 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$129.60 |
$129.60 |
$129.60 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$149.40 |
$149.40 |
$149.40 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$149.40 |
$149.40 |
$149.40 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,148.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,127.80 |
$3,127.80 |
$3,127.80 |
$3,086.00
|
|
Ghs clsd red med malleolus fx w manip
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$149.40 |
$149.40 |
$149.40 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$149.40 |
$149.40 |
$149.40 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$272.40 |
$272.40 |
$272.40 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$84.00 |
$84.00 |
$84.00 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$271.80 |
$271.80 |
$271.80 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$209.40 |
$209.40 |
$209.40 |
$339.60
|
|
Ghs cricothyroidotomy
|
$150.00 |
$150.00 |
$150.00 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$149.40 |
$149.40 |
$149.40 |
$578.00
|
|
Ghs excision ingrown nail
|
$268.80 |
$268.80 |
$268.80 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$190.80 |
$190.80 |
$190.80 |
$501.04
|
|
Ghs fb removal - incisional
|
$1,079.40 |
$1,079.40 |
$1,079.40 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$1,079.40 |
$1,079.40 |
$1,079.40 |
$1,706.20
|
|
Ghs fish cytogen
|
$992.40 |
$992.40 |
$992.40 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$153.60 |
$153.60 |
$153.60 |
$223.00
|
|
Ghs flow volume loop
|
$500.40 |
$500.40 |
$500.40 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$173.40 |
$173.40 |
$173.40 |
$368.50
|
|
Ghs hcv amplificaiton
|
$129.00 |
$129.00 |
$129.00 |
$187.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$780.00 |
$780.00 |
$780.00 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$333.60 |
$333.60 |
$333.60 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$333.60 |
$333.60 |
$333.60 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$534.60 |
$534.60 |
$534.60 |
$523.73
|
|
Ghs inhibitor screen
|
$48.00 |
$48.00 |
$48.00 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$330.60 |
$330.60 |
$330.60 |
$275.50
|
|
Ghs insertion of needle - bone
|
$357.60 |
$357.60 |
$357.60 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$399.60 |
$399.60 |
$399.60 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$399.60 |
$399.60 |
$399.60 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,106.80 |
$3,106.80 |
$3,106.80 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$489.60 |
$489.60 |
$489.60 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$112.20 |
$112.20 |
$112.20 |
$107.58
|
|
Ghs IV thrombolytics - cerebral
|
$5,526.00 |
$5,526.00 |
$5,526.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$272.40 |
$272.40 |
$272.40 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$399.60 |
$399.60 |
$399.60 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$3,721.88 |
$3,721.88 |
$3,721.88 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$399.60 |
$399.60 |
$399.60 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$399.60 |
$399.60 |
$399.60 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$5,839.66 |
$5,839.66 |
$5,839.66 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$399.60 |
$399.60 |
$399.60 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$399.60 |
$399.60 |
$399.60 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$399.60 |
$399.60 |
$399.60 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$399.60 |
$399.60 |
$399.60 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$399.60 |
$399.60 |
$399.60 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$399.60 |
$399.60 |
$399.60 |
$790.40
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$399.60 |
$399.60 |
$399.60 |
$907.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$33.00 |
$33.00 |
$33.00 |
$76.20
|
|
Ghs mbp
|
$64.20 |
$64.20 |
$64.20 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$144.60 |
$144.60 |
$144.60 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$144.60 |
$144.60 |
$144.60 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$144.60 |
$144.60 |
$144.60 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$72.60 |
$72.60 |
$72.60 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$72.60 |
$72.60 |
$72.60 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$640.20 |
$640.20 |
$640.20 |
$457.80
|
