|
Galactose transferase test
|
$9.00 |
$17.50 |
$125.00 |
|
|
Gallbladder Removal (Laparoscopic)
|
$743.50 |
$10,842.00 |
$37,009.50 |
|
|
Gallium illuccix 1 millicure
|
$1,128.00 |
$1,162.00 |
$1,255.20 |
|
|
Gamma globulin 1 cc inj
|
$71.50 |
$107.00 |
$114.40 |
|
|
Gammaglobulin iga
|
$16.80 |
$349.00 |
$558.40 |
|
|
Gammaglobulin ige
|
$33.00 |
$85.50 |
$198.60 |
|
|
Gamma glutamyltransferase
|
$15.00 |
$37.00 |
$135.60 |
|
|
Gammagraft
|
$119.50 |
$143.50 |
$945.00 |
|
|
Gamunex-c/gammaked
|
$89.00 |
$133.00 |
$14,178.00 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$2.63 |
$60.94 |
$326.40 |
|
|
Gardner vag dna quant
|
$43.00 |
$43.00 |
$245.00 |
|
|
Gastrin test
|
$142.50 |
$142.50 |
$142.50 |
|
|
Gastroesophageal reflux study
|
$684.50 |
$1,102.00 |
$1,231.50 |
|
|
Gastroesophageal reflux test
|
$409.00 |
$938.50 |
$948.50 |
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$1,449.50 |
$1,480.00 |
$2,368.00 |
|
|
Gastro/jejuno tube, std
|
$70.00 |
$70.00 |
$621.50 |
|
|
Gastroplasty duodenal switch
|
$16,526.00 |
$16,526.00 |
$16,526.00 |
|
|
Gated heart multiple
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
|
|
Gauze <=16 in no w/sal without b
|
$1.50 |
$1.50 |
$1.50 |
|
|
Gauze <= 16 sq in w/border
|
$7.50 |
$7.50 |
$7.50 |
|
|
Gba gene
|
$338.50 |
$338.50 |
$594.00 |
|
|
Gel cap app device for trach
|
$38.50 |
$38.50 |
$38.50 |
|
|
Gel-one
|
$742.50 |
$1,114.00 |
$2,228.00 |
|
|
Gel-syn injection 0.1 mg
|
$3.50 |
$5.50 |
$1,862.40 |
|
|
Gemcitabine 1 gram intravenous solution
|
$7.00 |
$39.77 |
$346.80 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$20,391.36 |
$20,391.36 |
$20,391.36 |
|
|
General health panel
|
$201.00 |
$242.00 |
$485.50 |
|
|
Generator barostim neo2 2014
|
$774.50 |
$8,782.00 |
$70,776.97 |
|
|
Generator emblem MRI sicd subq
|
$10,038.04 |
$12,909.00 |
$29,122.58 |
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$31,360.00 |
$31,360.00 |
$31,360.00 |
|
|
Genetic tstg severe inh cond
|
$510.50 |
$2,146.50 |
$5,981.00 |
|
|
Genioplasty augmentation
|
$65,847.00 |
$65,847.00 |
$65,847.00 |
|
|
Geniop sldg osteot 2/>
|
$25,148.75 |
$25,148.75 |
$25,148.75 |
|
|
Gen, neuro, clo loop, rechg
|
$15,425.00 |
$18,145.00 |
$20,029.80 |
|
|
Genome sequence analysis
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
|
|
Genome sequence analysis
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$2.00 |
$18.76 |
$41.30 |
|
|
Gentamicin peak therapeutic drug level
|
$43.50 |
$90.50 |
$315.00 |
|
|
G-esoph reflx tst w/electrod
|
$83.00 |
$511.00 |
$1,646.50 |
|
|
Ghs abscess perianal iandd
|
$891.00 |
$1,459.00 |
$7,855.50 |
|
|
Ghs abscess postoperative iandd complex
|
$188.00 |
$3,381.00 |
$16,640.00 |
|
|
Ghs acetylcholinesterase, rbc
|
$18.50 |
$37.00 |
$55.00 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$71.00 |
$89.50 |
$318.00 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$611.00 |
$611.00 |
$637.50 |
|
|
Ghs analysis neurostim without reprogramming
|
$77.50 |
$153.00 |
$264.50 |
|
|
Ghs antibodies (torch) igm
|
$11.00 |
$70.00 |
$103.00 |
|
|
Ghs aspiration bladder - needle
|
$319.00 |
$319.00 |
$319.00 |
|
|
Ghs bladder cath - complex-foley
|
$78.50 |
$277.50 |
$5,080.38 |
|
|
Ghs bleeding time (ivy)
|
$24.50 |
$24.50 |
$79.00 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$56.50 |
$1,151.00 |
$4,714.66 |
|
|
Ghs central line insert < age 5, failed
|
$88.00 |
$2,856.50 |
$12,395.00 |
|
|
Ghs change cysto/gastrost
|
$249.50 |
$487.50 |
$2,330.00 |
|
|
Ghs chemo >8 hrs
|
$447.00 |
$669.00 |
$2,960.50 |
|
|
Ghs chemo IV push, ea addtl
|
$45.50 |
$197.50 |
$343.50 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$65.50 |
$114.00 |
$219.00 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$286.80 |
$365.50 |
$765.50 |
|
|
Ghs closed reduction ankle dislocation
|
$293.00 |
$478.00 |
$796.00 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$513.00 |
$1,919.00 |
$3,472.80 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$284.00 |
$284.00 |
$286.80 |
|
|
Ghs closed tx tibial fracture w/manip
|
$521.00 |
$2,278.50 |
$3,156.00 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$835.50 |
$3,394.00 |
$9,432.00 |
|
|
Ghs clsd red med malleolus fx without manip
|
$189.00 |
$346.50 |
$737.00 |
|
|
Ghs clsd red med malleolus fx w manip
|
$467.00 |
$1,576.00 |
$2,364.00 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$528.00 |
$1,964.00 |
$7,154.50 |
|
|
Ghs cl tx knee disl; wo anesth
|
$293.00 |
$502.00 |
$924.80 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$275.00 |
$383.00 |
$765.50 |
|
|
Ghs community re-entry 15 minutes
|
$61.50 |
$71.50 |
$83.00 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$33.50 |
$448.50 |
$7,605.50 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$153.00 |
$186.50 |
$7,327.00 |
|
|
Ghs corneal fb without slit lamp bilat
|
$292.20 |
$760.00 |
$1,318.67 |
|
|
Ghs corneal fb with slit lamp bilat
|
$155.00 |
$200.00 |
$400.00 |
|
|
Ghs cricothyroidotomy
|
$331.50 |
$371.50 |
$579.20 |
|
|
Ghs cutdown placement age 1 and over
|
$570.50 |
$570.50 |
$570.50 |
|
|
Ghs diphtheria toxoid ab igg
|
$20.00 |
$20.00 |
$82.00 |
|
|
Ghs dislocation elbow closed treatment
|
$196.50 |
$382.50 |
$1,322.00 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$115.00 |
$116.50 |
$1,618.25 |
|
|
Ghs ed rmvl or bivalving cast
|
$34.50 |
$55.20 |
$411.00 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,073.50 |
$1,440.50 |
$1,554.00 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$176.00 |
$513.00 |
$1,616.50 |
|
|
Ghs electrostagmgraphy
|
$30.50 |
$213.00 |
$1,692.00 |
|
|
Ghs elect torsion swing
|
$135.00 |
$135.00 |
$135.00 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$66.50 |
$106.40 |
$1,339.38 |
|
|
Ghs excision ingrown nail
|
$96.50 |
$466.50 |
$2,195.00 |
|
|
Ghs eye exam
|
$153.50 |
$153.50 |
$170.00 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$108.00 |
$371.00 |
$15,340.00 |
|
|
Ghs fat & muscle
|
$57.60 |
$57.60 |
$57.60 |
|
|
Ghs fb removal foot - deep - left
|
$325.50 |
$1,456.00 |
$10,196.00 |
|
|
Ghs fb removal from muscle - complicated
|
$263.50 |
$3,198.50 |
$4,104.34 |
|
|
Ghs fb removal - incisional
|
$192.50 |
$2,015.50 |
$5,383.50 |
|
|
Ghs fb removal - non-incisional
|
$156.50 |
$2,137.00 |
$6,834.17 |
|
|
Ghs febrile agglutinns(mayo)
|
$28.00 |
$36.00 |
$720.00 |
|
|
Ghs fish cytogen
|
$66.50 |
$305.50 |
$4,522.50 |
|
|
Ghs fish hybrid in situ 100-300
|
$128.50 |
$311.50 |
$2,134.00 |
|
|
Ghs flow volume loop
|
$14.50 |
$25.60 |
$462.50 |
|
|
Ghs gastric intub aspiration lavage
|
$24.00 |
$344.00 |
$706.50 |
|
|
Ghs hcv amplificaiton
|
$121.00 |
$207.50 |
$318.00 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$79.50 |
$168.50 |
$435.50 |
|
|
Ghs hgb stability-thal
|
$12.00 |
$12.00 |
$149.00 |
|
|
Ghs histoplasma antigen
|
$47.50 |
$55.00 |
$409.00 |
|
|
Ghs HIV antibody
|
$13.00 |
$63.50 |
$230.50 |
|
