|
Fusion of foot bones
|
$10,048.00 |
$10,048.00 |
$10,048.00 |
$4,881.00
|
|
Fusion of thumb
|
$7,472.00 |
$7,472.00 |
$7,472.00 |
$5,886.74
|
|
Fusion of toes
|
$5,867.00 |
$5,867.00 |
$5,867.00 |
$3,839.54
|
|
Gabapentin non-blood
|
$21.50 |
$21.50 |
$21.50 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$61.81 |
$61.81 |
$61.81 |
$102.90
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$205.40 |
$205.40 |
$205.40 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$275.00 |
$275.00 |
$275.00 |
$100.00
|
|
Gallbladder Removal (Laparoscopic)
|
$7,552.50 |
$7,552.50 |
$7,552.50 |
$11,117.34
|
|
Gallium illuccix 1 millicure
|
$1,162.00 |
$1,162.00 |
$1,162.00 |
$1,651.72
|
|
Gamma globulin 1 cc inj
|
$107.00 |
$107.00 |
$107.00 |
$363.35
|
|
Gammaglobulin iga
|
$349.00 |
$349.00 |
$349.00 |
$69.60
|
|
Gammaglobulin ige
|
$84.00 |
$84.00 |
$84.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$37.00 |
$37.00 |
$37.00 |
$57.75
|
|
Gammagraft
|
$143.50 |
$143.50 |
$143.50 |
$143.50
|
|
Gamunex-c/gammaked
|
$133.00 |
$133.00 |
$133.00 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$60.94 |
$60.94 |
$60.94 |
$197.40
|
|
Gel-one
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$1,868.36
|
|
Gel-syn injection 0.1 mg
|
$5.50 |
$5.50 |
$5.50 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$99.09 |
$99.09 |
$99.09 |
$208.92
|
|
General health panel
|
$239.50 |
$239.50 |
$239.50 |
$276.76
|
|
Generator barostim neo2 2014
|
$8,547.50 |
$8,547.50 |
$8,547.50 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$10,038.04 |
$10,038.04 |
$10,038.04 |
$36,764.70
|
|
Genetic tstg severe inh cond
|
$5,981.00 |
$5,981.00 |
$5,981.00 |
$3,915.78
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$27.29 |
$27.29 |
$27.29 |
$57.38
|
|
Gentamicin peak therapeutic drug level
|
$84.00 |
$84.00 |
$84.00 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,465.00 |
$1,465.00 |
$1,465.00 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$9,667.00 |
$9,667.00 |
$9,667.00 |
$3,515.40
|
|
Ghs analysis neurostim without reprogramming
|
$153.00 |
$153.00 |
$153.00 |
$246.98
|
|
Ghs antibodies (torch) igm
|
$74.50 |
$74.50 |
$74.50 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$362.00 |
$362.00 |
$362.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$779.00 |
$779.00 |
$779.00 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$512.00 |
$512.00 |
$512.00 |
$582.40
|
|
Ghs chemo >8 hrs
|
$541.00 |
$541.00 |
$541.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$45.50 |
$45.50 |
$45.50 |
$287.76
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$114.00 |
$114.00 |
$114.00 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$365.50 |
$365.50 |
$365.50 |
$501.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,527.50 |
$2,527.50 |
$2,527.50 |
$1,568.40
|
|
Ghs closed tx tibial fracture w/manip
|
$2,527.50 |
$2,527.50 |
$2,527.50 |
$2,179.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$6,779.00 |
$6,779.00 |
$6,779.00 |
$3,127.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,182.00 |
$2,182.00 |
$2,182.00 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$2,240.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$365.50 |
$365.50 |
$365.50 |
$497.53
|
|
Ghs conjunctiva foreign body-embed bil
|
$486.50 |
$486.50 |
$486.50 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$205.00 |
$205.00 |
$205.00 |
$288.96
|
|
Ghs corneal fb without slit lamp bilat
|
$665.50 |
$665.50 |
$665.50 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$205.00 |
$205.00 |
$205.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$331.50 |
$331.50 |
$331.50 |
$1,103.75
|
|
Ghs diphtheria toxoid ab igg
|
$71.00 |
$71.00 |
$71.00 |
$54.43
|
|
Ghs dislocation elbow closed treatment
|
$365.50 |
$365.50 |
$365.50 |
$583.80
|
|
Ghs ed rmvl or bivalving cast
|
$392.50 |
$392.50 |
$392.50 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,554.00 |
$1,554.00 |
$1,554.00 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$484.00 |
$484.00 |
$484.00 |
$586.80
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$449.50 |
$449.50 |
$449.50 |
$467.00
|
|
Ghs excision ingrown nail
|
$746.50 |
$746.50 |
$746.50 |
$442.22
|
|
Ghs eyelid foreign body-embedded - bil
|
$467.00 |
$467.00 |
$467.00 |
$529.80
|
|
Ghs fb removal foot - deep - left
|
$3,511.00 |
$3,511.00 |
$3,511.00 |
$2,593.97
|
|
Ghs fb removal from muscle - complicated
|
$3,339.00 |
$3,339.00 |
$3,339.00 |
$3,311.10
|
|
Ghs fb removal - non-incisional
|
$4,980.50 |
$4,980.50 |
$4,980.50 |
$1,616.45
|
|
Ghs fish cytogen
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$228.50
|
|
Ghs gastric intub aspiration lavage
|
$706.50 |
$706.50 |
$706.50 |
$368.50
|
|
Ghs hcv amplificaiton
|
$121.00 |
$121.00 |
$121.00 |
$201.60
|
|
Ghs hepatitis c virus (hcv riba)
|
$79.50 |
$79.50 |
$79.50 |
$144.54
|
|
Ghs hgb stability-thal
|
$13.00 |
$13.00 |
$13.00 |
$89.91
|
|
Ghs histoplasma antigen
|
$47.50 |
$47.50 |
$47.50 |
$141.60
|
|
Ghs HIV antibody
|
$79.50 |
$79.50 |
$79.50 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,499.00 |
$4,499.00 |
$4,499.00 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$3,891.00 |
$3,891.00 |
$3,891.00 |
$2,631.20
|
|
Ghs i and d pilonidal cyst complex
|
$1,143.50 |
$1,143.50 |
$1,143.50 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$691.95
|
|
Ghs incision thrombosed ext hemorrhoid
|
$378.50 |
$378.50 |
$378.50 |
$526.50
|
|
Ghs inhibitor screen
|
$215.00 |
$215.00 |
$215.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$318.00 |
$318.00 |
$318.00 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$1,001.50 |
$1,001.50 |
$1,001.50 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,001.50 |
$1,001.50 |
$1,001.50 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$402.50 |
$402.50 |
$402.50 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$501.00 |
$501.00 |
$501.00 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,001.50 |
$1,001.50 |
$1,001.50 |
$1,808.40
|
|
Ghs insertion of needle - bone
|
$622.50 |
$622.50 |
$622.50 |
$415.20
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,457.50 |
$2,457.50 |
$2,457.50 |
$876.00
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$97.50 |
$97.50 |
$97.50 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$378.50 |
$378.50 |
$378.50 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$31.00 |
$31.00 |
$31.00 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$564.50 |
$564.50 |
$564.50 |
$680.40
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$665.50 |
$665.50 |
$665.50 |
$503.48
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,123.38 |
$1,123.38 |
$1,123.38 |
$602.70
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$5,639.00 |
$5,639.00 |
$5,639.00 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,271.67 |
$1,271.67 |
$1,271.67 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,542.75 |
$1,542.75 |
$1,542.75 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$658.00 |
$658.00 |
$658.00 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,560.50 |
$1,560.50 |
$1,560.50 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,023.50 |
$1,023.50 |
$1,023.50 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,314.13 |
$1,314.13 |
$1,314.13 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$1,257.75 |
$1,257.75 |
$1,257.75 |
$972.30
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$467.50 |
$467.50 |
$467.50 |
$929.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$44.50 |
$44.50 |
$44.50 |
$76.20
|
|
Ghs low level laser therapy
|
$85.00 |
$85.00 |
$85.00 |
$77.70
|
