|
Gamma globulin 1 cc inj
|
$71.50 |
$71.50 |
$71.50 |
$363.35
|
|
Gammaglobulin iga
|
$349.00 |
$349.00 |
$349.00 |
$68.94
|
|
Gammaglobulin ige
|
$33.00 |
$33.00 |
$33.00 |
$84.00
|
|
Gamma glutamyltransferase
|
$15.00 |
$15.00 |
$15.00 |
$57.54
|
|
Gammagraft
|
$119.50 |
$119.50 |
$119.50 |
$143.50
|
|
Gamunex-c/gammaked
|
$89.00 |
$89.00 |
$89.00 |
$7,372.04
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$2,376.00
|
|
Gel-one
|
$742.50 |
$742.50 |
$742.50 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$3.50 |
$3.50 |
$3.50 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$7.00 |
$7.00 |
$7.00 |
$208.92
|
|
General health panel
|
$485.50 |
$485.50 |
$485.50 |
$275.00
|
|
Genetic tstg severe inh cond
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$2.00 |
$2.00 |
$2.00 |
$56.40
|
|
Gentamicin peak therapeutic drug level
|
$45.00 |
$45.00 |
$45.00 |
$125.67
|
|
G-esoph reflx tst w/electrod
|
$511.00 |
$511.00 |
$511.00 |
$1,466.88
|
|
Ghs abscess perianal iandd
|
$1,351.50 |
$1,351.50 |
$1,351.50 |
$1,461.76
|
|
Ghs abscess postoperative iandd complex
|
$197.00 |
$197.00 |
$197.00 |
$3,638.88
|
|
Ghs analysis neurostim without reprogramming
|
$127.50 |
$127.50 |
$127.50 |
$246.98
|
|
Ghs bladder cath - complex-foley
|
$78.50 |
$78.50 |
$78.50 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$56.50 |
$56.50 |
$56.50 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$91.50 |
$91.50 |
$91.50 |
$2,535.44
|
|
Ghs change cysto/gastrost
|
$487.50 |
$487.50 |
$487.50 |
$591.50
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$336.50 |
$336.50 |
$336.50 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$497.50 |
$497.50 |
$497.50 |
$675.85
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$513.00 |
$513.00 |
$513.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$2,278.50 |
$2,278.50 |
$2,278.50 |
$2,211.05
|
|
Ghs closure surg wound/dehiscence-13160
|
$841.50 |
$841.50 |
$841.50 |
$3,250.26
|
|
Ghs clsd red med malleolus fx without manip
|
$346.50 |
$346.50 |
$346.50 |
$495.00
|
|
Ghs clsd red med malleolus fx w manip
|
$1,576.00 |
$1,576.00 |
$1,576.00 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$538.50 |
$538.50 |
$538.50 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$578.00 |
$578.00 |
$578.00 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$383.00 |
$383.00 |
$383.00 |
$505.60
|
|
Ghs conjunctiva foreign body-embed bil
|
$33.50 |
$33.50 |
$33.50 |
$441.48
|
|
Ghs conjunctiva foreign body-superf bil
|
$169.00 |
$169.00 |
$169.00 |
$288.96
|
|
Ghs corneal fb without slit lamp bilat
|
$496.00 |
$496.00 |
$496.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$159.00 |
$159.00 |
$159.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$362.00 |
$362.00 |
$362.00 |
$1,103.75
|
|
Ghs dislocation elbow closed treatment
|
$443.50 |
$443.50 |
$443.50 |
$599.40
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$115.00 |
$115.00 |
$115.00 |
$1,192.32
|
|
Ghs ed rmvl or bivalving cast
|
$34.50 |
$34.50 |
$34.50 |
$338.40
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$66.50 |
$66.50 |
$66.50 |
$467.50
|
|
Ghs excision ingrown nail
|
$393.50 |
$393.50 |
$393.50 |
$443.00
|
|
Ghs eyelid foreign body-embedded - bil
|
$304.50 |
$304.50 |
$304.50 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$325.50 |
$325.50 |
$325.50 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$263.50 |
$263.50 |
$263.50 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$2,381.50 |
$2,381.50 |
$2,381.50 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$159.00 |
$159.00 |
$159.00 |
$1,706.20
|
|
Ghs fish cytogen
|
$66.50 |
$66.50 |
$66.50 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$128.50 |
$128.50 |
$128.50 |
$225.00
|
|
Ghs flow volume loop
|
$44.00 |
$44.00 |
$44.00 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$368.50 |
$368.50 |
$368.50 |
$368.50
|
|
Ghs i and d abscess/hematoma scrotum
|
$226.50 |
$226.50 |
$226.50 |
$3,402.40
|
|
Ghs i and d perirectal abscess 46040
|
$2,082.50 |
$2,082.50 |
$2,082.50 |
$2,657.23
|
|
Ghs i and d pilonidal cyst complex
|
$1,030.50 |
$1,030.50 |
$1,030.50 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$1,030.50 |
$1,030.50 |
$1,030.50 |
$701.60
|
|
Ghs incision thrombosed ext hemorrhoid
|
$239.50 |
$239.50 |
$239.50 |
$526.50
|
|
Ghs inf midline insertion
|
$95.00 |
$95.00 |
$95.00 |
$1,241.85
|
|
Ghs inhibitor screen
|
$72.00 |
$72.00 |
$72.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$49.50 |
$49.50 |
$49.50 |
$275.80
|
|
Ghs inj neurolytic intercostal nerve
|
$188.50 |
$188.50 |
$188.50 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$125.50 |
$125.50 |
$125.50 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$430.50 |
$430.50 |
$430.50 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$61.00 |
$61.00 |
$61.00 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$131.50 |
$131.50 |
$131.50 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$548.50 |
$548.50 |
$548.50 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$593.00 |
$593.00 |
$593.00 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$309.00 |
$309.00 |
$309.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$354.00 |
$354.00 |
$354.00 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$196.00 |
$196.00 |
$196.00 |
$211.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$150.00 |
$150.00 |
$150.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$58.00 |
$58.00 |
$58.00 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$618.50 |
$618.50 |
$618.50 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$184.50 |
$184.50 |
$184.50 |
$505.45
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$389.50 |
$389.50 |
$389.50 |
$602.70
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$593.00 |
$593.00 |
$593.00 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$593.00 |
$593.00 |
$593.00 |
$614.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$593.00 |
$593.00 |
$593.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$593.00 |
$593.00 |
$593.00 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$564.50 |
$564.50 |
$564.50 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$593.00 |
$593.00 |
$593.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$215.00 |
$215.00 |
$215.00 |
$755.08
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$564.50 |
$564.50 |
$564.50 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$301.00 |
$301.00 |
$301.00 |
$972.30
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$333.50 |
$333.50 |
$333.50 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$708.00 |
$708.00 |
$708.00 |
$1,033.85
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$24.00 |
$24.00 |
$24.00 |
$246.40
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$96.00 |
$96.00 |
$96.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$83.00 |
$83.00 |
$83.00 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$13.00 |
$13.00 |
$13.00 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$63.00 |
$63.00 |
$63.00 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$104.50 |
$104.50 |
$104.50 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$66.00 |
$66.00 |
$66.00 |
$266.59
|
|
Ghs myocardial strain img spckl track
|
$104.50 |
$104.50 |
$104.50 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$115.50 |
$115.50 |
$115.50 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$25.00 |
$25.00 |
$25.00 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$59.50 |
$59.50 |
$59.50 |
$1,132.80
|
|
Ghs nerve block axillary nerve
|
$70.50 |
$70.50 |
$70.50 |
$1,579.20
|
|
Ghs nerve block brachial plexus
|
$76.00 |
$76.00 |
$76.00 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$96.00 |
$96.00 |
$96.00 |
$1,560.13
|
|
Ghs nerve block interscaline
|
$78.00 |
$78.00 |
$78.00 |
$1,541.40
|
