|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$432.96 |
$432.96 |
$432.96 |
$197.40
|
|
Gemcitabine 1 gram intravenous solution
|
$280.31 |
$280.31 |
$280.31 |
$208.92
|
|
Generator barostim neo2 2014
|
$103,621.84 |
$103,621.84 |
$103,621.84 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$78,810.00 |
$78,810.00 |
$78,810.00 |
$36,771.84
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$93,187.50 |
$93,187.50 |
$93,187.50 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$4,049.40 |
$4,049.40 |
$4,049.40 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$58,575.00 |
$58,575.00 |
$58,575.00 |
$40,800.00
|
|
Genome sequence analysis
|
$1,541.40 |
$1,541.40 |
$1,541.40 |
$5,031.20
|
|
Genome sequence analysis
|
$1,541.40 |
$1,541.40 |
$1,541.40 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$60.71 |
$60.71 |
$60.71 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$96.30 |
$96.30 |
$96.30 |
$123.84
|
|
Ghs abscess perianal iandd
|
$346.50 |
$346.50 |
$346.50 |
$1,452.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$27.00 |
$27.00 |
$27.00 |
$100.30
|
|
Ghs bladder cath - complex-foley
|
$235.50 |
$235.50 |
$235.50 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$351.90 |
$351.90 |
$351.90 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$1,398.30 |
$1,398.30 |
$1,398.30 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$4,477.82 |
$4,477.82 |
$4,477.82 |
$594.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$86.40 |
$86.40 |
$86.40 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$86.40 |
$86.40 |
$86.40 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$597.90 |
$597.90 |
$597.90 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$597.90 |
$597.90 |
$597.90 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,724.40 |
$1,724.40 |
$1,724.40 |
$3,448.80
|
|
Ghs clsd red med malleolus fx w manip
|
$597.90 |
$597.90 |
$597.90 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$597.90 |
$597.90 |
$597.90 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$86.40 |
$86.40 |
$86.40 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$86.40 |
$86.40 |
$86.40 |
$497.53
|
|
Ghs conjunctiva foreign body-embed bil
|
$157.80 |
$157.80 |
$157.80 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$48.60 |
$48.60 |
$48.60 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$216.90 |
$216.90 |
$216.90 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$216.90 |
$216.90 |
$216.90 |
$339.60
|
|
Ghs cricothyroidotomy
|
$87.00 |
$87.00 |
$87.00 |
$1,103.75
|
|
Ghs dislocation elbow closed treatment
|
$86.40 |
$86.40 |
$86.40 |
$583.80
|
|
Ghs ed rmvl or bivalving cast
|
$118.50 |
$118.50 |
$118.50 |
$335.08
|
|
Ghs excision ingrown nail
|
$155.70 |
$155.70 |
$155.70 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$110.70 |
$110.70 |
$110.70 |
$501.04
|
|
Ghs fb removal - incisional
|
$624.60 |
$624.60 |
$624.60 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$624.60 |
$624.60 |
$624.60 |
$1,706.20
|
|
Ghs flow volume loop
|
$388.80 |
$388.80 |
$388.80 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$117.30 |
$117.30 |
$117.30 |
$365.40
|
|
Ghs hcv amplificaiton
|
$177.30 |
$177.30 |
$177.30 |
$203.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$137.10 |
$137.10 |
$137.10 |
$144.60
|
|
Ghs histoplasma antigen
|
$113.10 |
$113.10 |
$113.10 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$17,549.34 |
$17,549.34 |
$17,549.34 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$451.50 |
$451.50 |
$451.50 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$177.90 |
$177.90 |
$177.90 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$177.90 |
$177.90 |
$177.90 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$425.40 |
$425.40 |
$425.40 |
$520.80
|
|
Ghs inf midline insertion
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
$1,219.20
|
|
Ghs init tx 1st degree burn
|
$211.50 |
$211.50 |
$211.50 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$46,778.16 |
$46,778.16 |
$46,778.16 |
$1,710.80
|
|
Ghs inj transforaminal cerv single bil
|
$649.80 |
$649.80 |
$649.80 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$176.10 |
$176.10 |
$176.10 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$554.40 |
$554.40 |
$554.40 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$11,611.31 |
$11,611.31 |
$11,611.31 |
$1,051.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$297.60 |
$297.60 |
$297.60 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$3,358.80 |
$3,358.80 |
$3,358.80 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$157.80 |
$157.80 |
$157.80 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$10,892.12 |
$10,892.12 |
$10,892.12 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$554.40 |
$554.40 |
$554.40 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$554.40 |
$554.40 |
$554.40 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$554.40 |
$554.40 |
$554.40 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$554.40 |
$554.40 |
$554.40 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$554.40 |
$554.40 |
$554.40 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$554.40 |
$554.40 |
$554.40 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$554.40 |
$554.40 |
$554.40 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$554.40 |
$554.40 |
$554.40 |
$737.10
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$554.40 |
$554.40 |
$554.40 |
$967.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$554.40 |
$554.40 |
$554.40 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$554.40 |
$554.40 |
$554.40 |
$907.50
|
|
Ghs mbp
|
$497.70 |
$497.70 |
$497.70 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$390.60 |
$390.60 |
$390.60 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$168.00 |
$168.00 |
$168.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$168.00 |
$168.00 |
$168.00 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$188.10 |
$188.10 |
$188.10 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$56.40 |
$56.40 |
$56.40 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$986.40 |
$986.40 |
$986.40 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$662.40 |
$662.40 |
$662.40 |
$272.25
|
|
Ghs nailbed repair/nail removal
|
$242.70 |
$242.70 |
$242.70 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$887.70 |
$887.70 |
$887.70 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$671.70 |
$671.70 |
$671.70 |
$1,121.00
|
|
Ghs nerve block axillary nerve
|
$887.70 |
$887.70 |
$887.70 |
$1,540.00
|
|
Ghs nerve block brachial plexus
|
$1,166.40 |
$1,166.40 |
$1,166.40 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$608.10 |
$608.10 |
$608.10 |
$1,556.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$887.70 |
$887.70 |
$887.70 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$1,160.40 |
$1,160.40 |
$1,160.40 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$671.70 |
$671.70 |
$671.70 |
$1,183.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$44.10 |
$44.10 |
$44.10 |
$83.04
|
|
Ghs opcc repair cvp without subq port
|
$241.50 |
$241.50 |
$241.50 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$1,550.10 |
$1,550.10 |
$1,550.10 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$10.80 |
$10.80 |
$10.80 |
$58.00
|
|
Ghs ot group caregiver training
|
$20.40 |
$20.40 |
$20.40 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$39.00 |
$39.00 |
$39.00 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$1,394.70 |
$1,394.70 |
$1,394.70 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$153.60 |
$153.60 |
$153.60 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,251.00 |
$1,251.00 |
$1,251.00 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$569.70 |
$569.70 |
$569.70 |
$545.40
|
|
Ghs phenylketonurid
|
$9.00 |
$9.00 |
$9.00 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,514.10 |
$1,514.10 |
$1,514.10 |
$1,996.00
|
|
Ghs plngl fx pm cl
|
$86.40 |
$86.40 |
$86.40 |
$564.50
|
|
Ghs pr without cont pulse ox
|
$63.30 |
$63.30 |
$63.30 |
$146.86
|