|
Ftl cgen abnor two proteins
|
$68.40 |
$68.40 |
$68.40 |
$109.00
|
|
Ft prosth multiaxial ankl/ft
|
$220.80 |
$220.80 |
$220.80 |
$439.60
|
|
Full sole/heel wedge btween
|
$33.60 |
$33.60 |
$33.60 |
$113.14
|
|
Furnsh initial orthosis only
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$3,034.95
|
|
Furosemide 10 mg/ml injection solution
|
$7.53 |
$7.53 |
$7.53 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$30.70 |
$30.70 |
$30.70 |
$27.08
|
|
Fxn gene detc abnor alleles
|
$183.20 |
$183.20 |
$183.20 |
$200.88
|
|
Fxn gene full gene sequence
|
$549.60 |
$549.60 |
$549.60 |
$379.27
|
|
G6pd full gene sequence
|
$432.40 |
$432.40 |
$432.40 |
$1,320.00
|
|
G6pd known familial variant
|
$528.40 |
$528.40 |
$528.40 |
$751.20
|
|
Ga-67 gallium 0.1 mci
|
$167.20 |
$167.20 |
$167.20 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$234.00 |
$234.00 |
$234.00 |
$139.70
|
|
Gabapentin non-blood
|
$122.00 |
$122.00 |
$122.00 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$108.40 |
$108.40 |
$108.40 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$30.22 |
$30.22 |
$30.22 |
$121.12
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$34.00 |
$34.00 |
$34.00 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$53.20 |
$53.20 |
$53.20 |
$100.00
|
|
Galectin-3
|
$49.60 |
$49.60 |
$49.60 |
$111.60
|
|
Gallium illuccix 1 millicure
|
$2,338.80 |
$2,338.80 |
$2,338.80 |
$2,046.76
|
|
Gammaglobulin iga
|
$23.20 |
$23.20 |
$23.20 |
$69.42
|
|
Gammaglobulin ige
|
$41.60 |
$41.60 |
$41.60 |
$83.40
|
|
Gamma glutamyltransferase
|
$18.00 |
$18.00 |
$18.00 |
$57.54
|
|
Gastric analy w/ph ea spec
|
$13.20 |
$13.20 |
$13.20 |
$31.50
|
|
Gastroesophageal reflux study
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$1,031.60
|
|
Gastro/jejuno tube, std
|
$3,424.00 |
$3,424.00 |
$3,424.00 |
$337.96
|
|
Gated heart multiple
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$1,395.35
|
|
Gba gene
|
$83.20 |
$83.20 |
$83.20 |
$160.72
|
|
Gc stocking thighlngth 18-30
|
$45.20 |
$45.20 |
$45.20 |
$68.30
|
|
Gemcitabine 1 gram intravenous solution
|
$68.28 |
$68.28 |
$68.28 |
$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
|
$34.08 |
$34.08 |
$34.08 |
$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
|
