|
Gemcitabine 1 gram intravenous solution
|
$58.50 |
$58.50 |
$58.50 |
$208.92
|
|
General health panel
|
$73.20 |
$73.20 |
$73.20 |
$262.44
|
|
Generator barostim neo2 2014
|
$59,900.00 |
$59,900.00 |
$59,900.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$34,160.00 |
$34,160.00 |
$34,160.00 |
$36,771.84
|
|
Genetic tstg severe inh cond
|
$3,371.60 |
$3,371.60 |
$3,371.60 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$34,886.40 |
$34,886.40 |
$34,886.40 |
$40,800.00
|
|
Genome sequence analysis
|
$3,488.00 |
$3,488.00 |
$3,488.00 |
$5,031.20
|
|
Genome sequence analysis
|
$1,879.20 |
$1,879.20 |
$1,879.20 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$19.78 |
$19.78 |
$19.78 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$40.40 |
$40.40 |
$40.40 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,546.40 |
$1,546.40 |
$1,546.40 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$2,460.40 |
$2,460.40 |
$2,460.40 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$20.40 |
$20.40 |
$20.40 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$40.00 |
$40.00 |
$40.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$194.40 |
$194.40 |
$194.40 |
$403.38
|
|
Ghs analysis neurostim without reprogramming
|
$287.60 |
$287.60 |
$287.60 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$33.60 |
$33.60 |
$33.60 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$374.40 |
$374.40 |
$374.40 |
$570.00
|
|
Ghs bladder cath - complex-foley
|
$320.80 |
$320.80 |
$320.80 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,280.80 |
$1,280.80 |
$1,280.80 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$1,939.20 |
$1,939.20 |
$1,939.20 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$616.00 |
$616.00 |
$616.00 |
$594.55
|
|
Ghs chemo >8 hrs
|
$816.40 |
$816.40 |
$816.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$196.00 |
$196.00 |
$196.00 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$88.40 |
$88.40 |
$88.40 |
$133.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,782.40 |
$3,782.40 |
$3,782.40 |
$3,448.80
|
|
Ghs community re-entry 15 minutes
|
$41.20 |
$41.20 |
$41.20 |
$89.00
|
|
Ghs cricothyroidotomy
|
$1,788.40 |
$1,788.40 |
$1,788.40 |
$1,103.75
|
|
Ghs diphtheria toxoid ab igg
|
$33.60 |
$33.60 |
$33.60 |
$55.02
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$243.60 |
$243.60 |
$243.60 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,027.60 |
$2,027.60 |
$2,027.60 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$297.60 |
$297.60 |
$297.60 |
$560.00
|
|
Ghs fb removal from muscle - complicated
|
$5,534.40 |
$5,534.40 |
$5,534.40 |
$3,295.35
|
|
Ghs fb removal - non-incisional
|
$3,050.00 |
$3,050.00 |
$3,050.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$18.40 |
$18.40 |
$18.40 |
$48.10
|
|
Ghs fish cytogen
|
$51.60 |
$51.60 |
$51.60 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$104.00 |
$104.00 |
$104.00 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$208.40 |
$208.40 |
$208.40 |
$365.40
|
|
Ghs hcv amplificaiton
|
$81.60 |
$81.60 |
$81.60 |
$203.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$38.40 |
$38.40 |
$38.40 |
$144.60
|
|
Ghs hgb stability-thal
|
$11.20 |
$11.20 |
$11.20 |
$89.91
|
|
Ghs histoplasma antigen
|
$32.40 |
$32.40 |
$32.40 |
$141.00
|
|
Ghs HIV antibody
|
$34.00 |
$34.00 |
$34.00 |
$90.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,174.40 |
$3,174.40 |
$3,174.40 |
$2,766.00
|
|
Ghs i and d pilonidal cyst simple
|
$629.20 |
$629.20 |
$629.20 |
$696.80
|
|
Ghs inf midline insertion
|
$917.60 |
$917.60 |
$917.60 |
$1,219.20
|
|
Ghs inhibitor screen
|
$32.40 |
$32.40 |
$32.40 |
$191.88
|
|
Ghs inj neurolytic intercostal nerve
|
$2,754.40 |
$2,754.40 |
$2,754.40 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,091.20 |
$2,091.20 |
$2,091.20 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$489.20 |
$489.20 |
$489.20 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,105.60 |
$1,105.60 |
$1,105.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,038.00 |
$2,038.00 |
$2,038.00 |
$1,814.80
|
|
Ghs intro needle/intracath vein - 36000
|
$95.60 |
$95.60 |
$95.60 |
$202.47
|
|
Ghs IV inf sq injection, on-body injector
|
$1,621.20 |
$1,621.20 |
$1,621.20 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$641.20 |
$641.20 |
$641.20 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,042.80 |
$1,042.80 |
$1,042.80 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$541.20 |
$541.20 |
$541.20 |
$591.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$21.60 |
$21.60 |
$21.60 |
$73.50
|
|
Ghs mbp
|
$43.20 |
$43.20 |
$43.20 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$414.80 |
$414.80 |
$414.80 |
$242.64
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$414.80 |
$414.80 |
$414.80 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$336.40 |
$336.40 |
$336.40 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$171.20 |
$171.20 |
$171.20 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$171.20 |
$171.20 |
$171.20 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$212.40 |
$212.40 |
$212.40 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$222.00 |
$222.00 |
$222.00 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$159.60 |
$159.60 |
$159.60 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$480.40 |
$480.40 |
$480.40 |
$444.60
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,119.60 |
$2,119.60 |
$2,119.60 |
$1,545.05
|
|
Ghs nerve blk intercostal, single level
|
$1,280.80 |
$1,280.80 |
$1,280.80 |
$1,121.00
|
|
Ghs nerve block brachial plexus
|
$2,089.60 |
$2,089.60 |
$2,089.60 |
$1,695.24
|
|
Ghs nerve block celiac plexus
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$2,119.60 |
$2,119.60 |
$2,119.60 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,119.60 |
$2,119.60 |
$2,119.60 |
$1,671.75
|
|
Ghs nerve block sciatic nerve
|
$1,616.00 |
$1,616.00 |
$1,616.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,280.80 |
$1,280.80 |
$1,280.80 |
$1,183.50
|
|
Ghs ng placement w fluoro guidance
|
$460.80 |
$460.80 |
$460.80 |
$478.50
|
|
Ghs opcc repair cvp without subq port
|
$1,899.20 |
$1,899.20 |
$1,899.20 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$2,899.60 |
$2,899.60 |
$2,899.60 |
$2,194.40
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$70.80 |
$70.80 |
$70.80 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$70.80 |
$70.80 |
$70.80 |
$64.50
|
|
Ghs ot group caregiver training
|
$29.20 |
$29.20 |
$29.20 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$60.80 |
$60.80 |
$60.80 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$48.80 |
$48.80 |
$48.80 |
$96.00
|
|
Ghs pacing - transcutaneous
|
$529.60 |
$529.60 |
$529.60 |
$822.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$712.40 |
$712.40 |
$712.40 |
$809.67
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$712.40 |
$712.40 |
$712.40 |
$962.00
|
|
Ghs phenylketonurid
|
$26.40 |
$26.40 |
$26.40 |
$53.76
|
|
Ghs picc line insert < 5
|
$1,804.80 |
$1,804.80 |
$1,804.80 |
$1,996.00
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,949.20 |
$2,949.20 |
$2,949.20 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$41.60 |
$41.60 |
$41.60 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$24.00 |
$24.00 |
$24.00 |
$43.55
|
|
Ghs protein, misc fluid
|
$12.40 |
$12.40 |
$12.40 |
$24.60
|
|
Ghs protoporphyrins fract
|
$36.00 |
$36.00 |
$36.00 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$136.40 |
$136.40 |
$136.40 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$33.20 |
$33.20 |
$33.20 |
$47.55
|
|
Ghs quinidine
|
$36.40 |
$36.40 |
$36.40 |
$83.20
|
|
Ghs refill of implantable pump
|
$578.00 |
$578.00 |
$578.00 |
$539.13
|
|
Ghs removal intranasal foreign body
|
$216.40 |
$216.40 |
$216.40 |
$283.51
|
