|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$924.50 |
$924.50 |
$924.50 |
$156.60
|
|
Fructosamine glycated protein
|
$55.00 |
$55.00 |
$55.00 |
$60.75
|
|
Furosemide 10 mg/ml injection solution
|
$3.35 |
$3.35 |
$3.35 |
$19.00
|
|
Fusion of finger jnt add-on
|
$5,470.50 |
$5,470.50 |
$5,470.50 |
$192.40
|
|
Fusion of finger joint
|
$10,941.00 |
$10,941.00 |
$10,941.00 |
$4,350.00
|
|
Gabapentin non-blood
|
$31.50 |
$31.50 |
$31.50 |
$36.30
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$101.30 |
$101.30 |
$101.30 |
$177.52
|
|
Galac-1-phosphate uridyltran - sendout
|
$148.50 |
$148.50 |
$148.50 |
$96.94
|
|
Gallbladder Removal (Laparoscopic)
|
$13,618.88 |
$13,618.88 |
$13,618.88 |
$11,117.34
|
|
Gamma globulin 1 cc inj
|
$107.00 |
$107.00 |
$107.00 |
$363.35
|
|
Gammaglobulin iga
|
$349.00 |
$349.00 |
$349.00 |
$67.20
|
|
Gammaglobulin ige
|
$85.50 |
$85.50 |
$85.50 |
$83.85
|
|
Gamma glutamyltransferase
|
$38.00 |
$38.00 |
$38.00 |
$57.54
|
|
Gammagraft
|
$143.50 |
$143.50 |
$143.50 |
$143.50
|
|
Gamunex-c/gammaked
|
$10,071.90 |
$10,071.90 |
$10,071.90 |
$7,634.20
|
|
Gel-syn injection 0.1 mg
|
$5.50 |
$5.50 |
$5.50 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$10.50 |
$10.50 |
$10.50 |
$207.51
|
|
General health panel
|
$201.00 |
$201.00 |
$201.00 |
$275.00
|
|
Generator barostim neo2 2014
|
$8,782.00 |
$8,782.00 |
$8,782.00 |
$48,147.60
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$30.97 |
$30.97 |
$30.97 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$85.00 |
$85.00 |
$85.00 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,481.50 |
$1,481.50 |
$1,481.50 |
$1,410.90
|
|
Ghs analysis neurostim without reprogramming
|
$77.50 |
$77.50 |
$77.50 |
$246.50
|
|
Ghs antibodies (torch) igm
|
$70.00 |
$70.00 |
$70.00 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$213.50 |
$213.50 |
$213.50 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,575.50 |
$1,575.50 |
$1,575.50 |
$1,045.65
|
|
Ghs change cysto/gastrost
|
$598.50 |
$598.50 |
$598.50 |
$565.49
|
|
Ghs chemo >8 hrs
|
$772.00 |
$772.00 |
$772.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$286.00 |
$286.00 |
$286.00 |
$286.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$635.00 |
$635.00 |
$635.00 |
$512.40
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,800.50 |
$1,800.50 |
$1,800.50 |
$1,592.00
|
|
Ghs clsd red med malleolus fx without manip
|
$243.00 |
$243.00 |
$243.00 |
$496.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$283.50 |
$283.50 |
$283.50 |
$495.55
|
|
Ghs conjunctiva foreign body-superf bil
|
$202.50 |
$202.50 |
$202.50 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$910.00 |
$910.00 |
$910.00 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$200.00 |
$200.00 |
$200.00 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$20.00 |
$20.00 |
$20.00 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$270.00 |
$270.00 |
$270.00 |
$578.00
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$176.00 |
$176.00 |
$176.00 |
$593.91
|
|
Ghs electrostagmgraphy
|
$30.50 |
$30.50 |
$30.50 |
$295.50
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$467.00 |
$467.00 |
$467.00 |
$467.00
|
|
Ghs eyelid foreign body-embedded - bil
|
$365.00 |
$365.00 |
$365.00 |
$501.04
|
|
Ghs fish cytogen
|
$205.00 |
$205.00 |
$205.00 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$207.50 |
$207.50 |
$207.50 |
$223.00
|
|
Ghs histoplasma antigen
|
$204.50 |
$204.50 |
$204.50 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$5,117.50 |
$5,117.50 |
$5,117.50 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,326.50 |
$1,326.50 |
$1,326.50 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,746.50 |
$1,746.50 |
$1,746.50 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$1,508.50 |
$1,508.50 |
$1,508.50 |
$703.15
|
|
Ghs inf midline insertion
|
$389.50 |
$389.50 |
$389.50 |
$1,219.20
|
|
Ghs init tx 1st degree burn
|
$554.00 |
$554.00 |
$554.00 |
$275.50
|
|
Ghs inj tendon origin/insertion
|
$548.00 |
$548.00 |
$548.00 |
$431.07
|
|
Ghs insertion of needle - bone
|
$449.00 |
$449.00 |
$449.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,752.17 |
$2,752.17 |
$2,752.17 |
$863.28
|
|
Ghs intro needle/intracath vein - 36000
|
$76.00 |
$76.00 |
$76.00 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$99.50 |
$99.50 |
$99.50 |
$107.58
|
|
Ghs IV thrombolytics - cerebral
|
$791.50 |
$791.50 |
$791.50 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$987.00 |
$987.00 |
$987.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$947.00 |
$947.00 |
$947.00 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$839.00 |
$839.00 |
$839.00 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$560.00 |
$560.00 |
$560.00 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$449.50 |
$449.50 |
$449.50 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$467.00 |
$467.00 |
$467.00 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$799.00 |
$799.00 |
$799.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$839.00 |
$839.00 |
$839.00 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,384.00 |
$1,384.00 |
$1,384.00 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$449.50 |
$449.50 |
$449.50 |
$740.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$44.50 |
$44.50 |
$44.50 |
$76.20
|
|
Ghs low level laser therapy
|
$71.00 |
$71.00 |
$71.00 |
$77.70
|
|
Ghs mbp
|
$83.00 |
$83.00 |
$83.00 |
$77.35
|
|
Ghs moderate sedation ea addtl 15 min
|
$69.00 |
$69.00 |
$69.00 |
$151.50
|
|
Ghs musc test done w/n test comp
|
$264.00 |
$264.00 |
$264.00 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$236.00 |
$236.00 |
$236.00 |
$266.59
|
|
Ghs nailbed repair/nail removal
|
$946.50 |
$946.50 |
$946.50 |
$724.37
|
|
Ghs nerve block brachial plexus
|
$2,614.50 |
$2,614.50 |
$2,614.50 |
$1,689.00
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$118.00 |
$118.00 |
$118.00 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$478.50
|
|
Ghs ot sensory integrative tech/15min
|
$132.00 |
$132.00 |
$132.00 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$115.50 |
$115.50 |
$115.50 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$1,297.50 |
$1,297.50 |
$1,297.50 |
$815.20
|
|
Ghs peritonsillar abscess i andd
|
$488.50 |
$488.50 |
$488.50 |
$546.36
|
|
Ghs phenylketonurid
|
$175.00 |
$175.00 |
$175.00 |
$53.76
|
|
Ghs plngl fx pm cl
|
$564.50 |
$564.50 |
$564.50 |
$564.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$2,284.00 |
$2,284.00 |
$2,284.00 |
$3,557.58
|
|
Ghs pos nystagmus
|
$19.50 |
$19.50 |
$19.50 |
$228.00
|
|
Ghs ppd (tb intradermal)
|
$8.00 |
$8.00 |
$8.00 |
$37.70
|
|
Ghs protoporphyrins fract
|
$8.00 |
$8.00 |
$8.00 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$149.50 |
$149.50 |
$149.50 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$115.50 |
$115.50 |
$115.50 |
$275.60
|
|
Ghs quinidine
|
$167.50 |
$167.50 |
$167.50 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$279.00 |
$279.00 |
$279.00 |
$287.50
|
|
Ghs respiratory syncytical virus igg/m
|
$62.00 |
$62.00 |
$62.00 |
$71.20
|
|
Ghs sensitivity (per antimicro)
|
$40.50 |
$40.50 |
$40.50 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$449.50 |
$449.50 |
$449.50 |
$553.60
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$474.50 |
$474.50 |
$474.50 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$230.50 |
$230.50 |
$230.50 |
$484.80
|
|
Ghs sleep study unattended
|
$248.00 |
$248.00 |
$248.00 |
$495.00
|
|
Ghs sphenopalatine ganglion block
|
$458.00 |
$458.00 |
$458.00 |
$637.92
|
|
Ghs spont nystagmus
|
$47.00 |
$47.00 |
$47.00 |
$242.00
|
