|
Gabapentin non-blood
|
$20.00 |
$20.00 |
$20.00 |
$42.35
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$419.18 |
$419.18 |
$419.18 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$123.50 |
$123.50 |
$123.50 |
$100.00
|
|
Gallbladder Removal (Laparoscopic)
|
$12,906.50 |
$12,906.50 |
$12,906.50 |
$12,906.50
|
|
Gamma globulin 1 cc inj
|
$107.00 |
$107.00 |
$107.00 |
$406.90
|
|
Gammaglobulin iga
|
$349.00 |
$349.00 |
$349.00 |
$69.42
|
|
Gammaglobulin ige
|
$96.50 |
$96.50 |
$96.50 |
$83.40
|
|
Gamma glutamyltransferase
|
$46.00 |
$46.00 |
$46.00 |
$57.54
|
|
Gammagraft
|
$143.50 |
$143.50 |
$143.50 |
$143.50
|
|
Gamunex-c/gammaked
|
$133.00 |
$133.00 |
$133.00 |
$7,435.88
|
|
Gardner vag dna quant
|
$245.00 |
$245.00 |
$245.00 |
$104.80
|
|
Gastroesophageal reflux study
|
$1,231.50 |
$1,231.50 |
$1,231.50 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$948.50 |
$948.50 |
$948.50 |
$1,352.00
|
|
Gastro/jejuno tube, std
|
$621.50 |
$621.50 |
$621.50 |
$337.96
|
|
Gel cap app device for trach
|
$38.50 |
$38.50 |
$38.50 |
$70.00
|
|
Gel-one
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$873.00 |
$873.00 |
$873.00 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$145.00 |
$145.00 |
$145.00 |
$208.92
|
|
General health panel
|
$223.00 |
$223.00 |
$223.00 |
$262.44
|
|
Generator barostim neo2 2014
|
$18,485.00 |
$18,485.00 |
$18,485.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$10,100.00 |
$10,100.00 |
$10,100.00 |
$36,771.84
|
|
Genetic tstg severe inh cond
|
$5,056.50 |
$5,056.50 |
$5,056.50 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$15,425.00 |
$15,425.00 |
$15,425.00 |
$40,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$23.40 |
$23.40 |
$23.40 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$96.50 |
$96.50 |
$96.50 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$7,855.50 |
$7,855.50 |
$7,855.50 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$5,285.50 |
$5,285.50 |
$5,285.50 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$18.50 |
$18.50 |
$18.50 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$71.00 |
$71.00 |
$71.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$611.00 |
$611.00 |
$611.00 |
$403.38
|
|
Ghs analysis neurostim without reprogramming
|
$235.00 |
$235.00 |
$235.00 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$103.00 |
$103.00 |
$103.00 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$350.50 |
$350.50 |
$350.50 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,459.00 |
$1,459.00 |
$1,459.00 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,870.00 |
$2,870.00 |
$2,870.00 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$2,330.00 |
$2,330.00 |
$2,330.00 |
$594.55
|
|
Ghs chemo >8 hrs
|
$2,960.50 |
$2,960.50 |
$2,960.50 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$225.50 |
$225.50 |
$225.50 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$123.00 |
$123.00 |
$123.00 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$544.50 |
$544.50 |
$544.50 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$293.00 |
$293.00 |
$293.00 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,117.00 |
$2,117.00 |
$2,117.00 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$1,867.50 |
$1,867.50 |
$1,867.50 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$9,432.00 |
$9,432.00 |
$9,432.00 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$737.00 |
$737.00 |
$737.00 |
$494.40
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,964.00 |
$1,964.00 |
$1,964.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$293.00 |
$293.00 |
$293.00 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$275.00 |
$275.00 |
$275.00 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$83.00 |
$83.00 |
$83.00 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$7,605.50 |
$7,605.50 |
$7,605.50 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$168.00 |
$168.00 |
$168.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$508.00 |
$508.00 |
$508.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$169.50 |
$169.50 |
$169.50 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$20.00 |
$20.00 |
$20.00 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$821.00 |
$821.00 |
$821.00 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$328.50 |
$328.50 |
$328.50 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,457.50 |
$1,457.50 |
$1,457.50 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,616.50 |
$1,616.50 |
$1,616.50 |
$560.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$1,339.38 |
$1,339.38 |
$1,339.38 |
$467.00
|
|
Ghs excision ingrown nail
|
$466.50 |
$466.50 |
$466.50 |
$442.61
|
|
Ghs fb removal foot - deep - left
|
$10,126.00 |
$10,126.00 |
$10,126.00 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$3,472.50 |
$3,472.50 |
$3,472.50 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$5,157.00 |
$5,157.00 |
$5,157.00 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$1,706.20
|
|
Ghs fish cytogen
|
$357.30 |
$357.30 |
$357.30 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$311.50 |
$311.50 |
$311.50 |
$225.00
|
|
Ghs flow volume loop
|
$275.00 |
$275.00 |
$275.00 |
$308.69
|
|
Ghs hcv amplificaiton
|
$205.50 |
$205.50 |
$205.50 |
$203.45
|
|
Ghs hgb stability-thal
|
$12.00 |
$12.00 |
$12.00 |
$89.91
|
|
Ghs histoplasma antigen
|
$76.50 |
$76.50 |
$76.50 |
$141.00
|
|
Ghs HIV antibody
|
$90.00 |
$90.00 |
$90.00 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,417.00 |
$2,417.00 |
$2,417.00 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$4,257.50 |
$4,257.50 |
$4,257.50 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$859.00 |
$859.00 |
$859.00 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$821.50 |
$821.50 |
$821.50 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$6,480.00 |
$6,480.00 |
$6,480.00 |
$520.80
|
|
Ghs inf midline insertion
|
$546.00 |
$546.00 |
$546.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$308.00 |
$308.00 |
$308.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$494.00 |
$494.00 |
$494.00 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$3,567.00 |
$3,567.00 |
$3,567.00 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,445.50 |
$1,445.50 |
$1,445.50 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$3,567.00 |
$3,567.00 |
$3,567.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$649.50 |
$649.50 |
$649.50 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$3,236.75 |
$3,236.75 |
$3,236.75 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$4,030.75 |
$4,030.75 |
$4,030.75 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$18.00 |
$18.00 |
$18.00 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$455.00 |
$455.00 |
$455.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$134.00 |
$134.00 |
$134.00 |
$108.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$642.00 |
$642.00 |
$642.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$419.50 |
$419.50 |
$419.50 |
$569.28
|
|
Ghs IV infusion sotrovimab
|
$843.00 |
$843.00 |
$843.00 |
$553.80
|
|
Ghs IV thrombolytics - cerebral
|
$425.00 |
$425.00 |
$425.00 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$2,575.67 |
$2,575.67 |
$2,575.67 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$945.17 |
$945.17 |
$945.17 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$6,313.50 |
$6,313.50 |
$6,313.50 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$3,627.13 |
$3,627.13 |
$3,627.13 |
$670.40
|
