|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.37 |
$1.37 |
$1.37 |
$107.11
|
|
Galac-1-phosphate uridyltran - sendout
|
$15.00 |
$15.00 |
$15.00 |
$94.25
|
|
Gammaglobulin iga
|
$37.50 |
$37.50 |
$37.50 |
$68.40
|
|
Gammaglobulin ige
|
$107.50 |
$107.50 |
$107.50 |
$83.85
|
|
Gamma glutamyltransferase
|
$75.00 |
$75.00 |
$75.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$108.66 |
$108.66 |
$108.66 |
$7,372.04
|
|
Gauze >16<=48 no w/sal without b
|
$5.00 |
$5.00 |
$5.00 |
$4.77
|
|
Gauze <=16 in no w/sal without b
|
$20.33 |
$20.33 |
$20.33 |
$4.62
|
|
Gauze > 48 in no w/sal without b
|
$5.00 |
$5.00 |
$5.00 |
$5.13
|
|
Gc stocking thighlngth 18-30
|
$150.00 |
$150.00 |
$150.00 |
$79.76
|
|
General health panel
|
$280.00 |
$280.00 |
$280.00 |
$275.00
|
|
Genetic tstg severe inh cond
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$142.50 |
$142.50 |
$142.50 |
$119.90
|
|
G-esoph reflx tst w/electrod
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,413.78
|
|
Ghs acetylcholinesterase, rbc
|
$57.50 |
$57.50 |
$57.50 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$117.50 |
$117.50 |
$117.50 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$65.00 |
$65.00 |
$65.00 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$327.50 |
$327.50 |
$327.50 |
$340.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$515.00 |
$515.00 |
$515.00 |
$1,045.65
|
|
Ghs change cysto/gastrost
|
$365.00 |
$365.00 |
$365.00 |
$590.17
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$142.50 |
$142.50 |
$142.50 |
$132.00
|
|
Ghs community re-entry 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$87.50
|
|
Ghs conjunctiva foreign body-superf bil
|
$137.50 |
$137.50 |
$137.50 |
$279.00
|
|
Ghs corneal fb without slit lamp bilat
|
$227.50 |
$227.50 |
$227.50 |
$417.50
|
|
Ghs corneal fb with slit lamp bilat
|
$227.50 |
$227.50 |
$227.50 |
$339.60
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$586.80
|
|
Ghs excision ingrown nail
|
$247.50 |
$247.50 |
$247.50 |
$438.91
|
|
Ghs eyelid foreign body-embedded - bil
|
$160.00 |
$160.00 |
$160.00 |
$501.04
|
|
Ghs fb removal - incisional
|
$675.00 |
$675.00 |
$675.00 |
$2,220.00
|
|
Ghs fb removal - non-incisional
|
$392.50 |
$392.50 |
$392.50 |
$1,706.20
|
|
Ghs fish cytogen
|
$462.50 |
$462.50 |
$462.50 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$182.50 |
$182.50 |
$182.50 |
$220.80
|
|
Ghs flow volume loop
|
$237.50 |
$237.50 |
$237.50 |
$303.75
|
|
Ghs hcv amplificaiton
|
$220.00 |
$220.00 |
$220.00 |
$183.25
|
|
Ghs hgb stability-thal
|
$247.50 |
$247.50 |
$247.50 |
$87.60
|
|
Ghs histoplasma antigen
|
$210.00 |
$210.00 |
$210.00 |
$138.00
|
|
Ghs HIV antibody
|
$75.00 |
$75.00 |
$75.00 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$3,165.00
|
|
Ghs i and d pilonidal cyst simple
|
$145.00 |
$145.00 |
$145.00 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$195.00 |
$195.00 |
$195.00 |
$523.73
|
|
Ghs inf midline insertion
|
$625.00 |
$625.00 |
$625.00 |
$1,184.30
|
|
Ghs inhibitor screen
|
$192.50 |
$192.50 |
$192.50 |
$181.50
|
|
Ghs init tx 1st degree burn
|
$112.50 |
$112.50 |
$112.50 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$1,599.83
|
|
Ghs insertion of needle - bone
|
$247.50 |
$247.50 |
$247.50 |
$415.00
|
|
Ghs intro needle/intracath vein - 36000
|
$90.00 |
$90.00 |
$90.00 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$455.00 |
$455.00 |
$455.00 |
$532.89
|
|
Ghs IV inf sq injection, on-body injector
|
$110.00 |
$110.00 |
$110.00 |
$107.25
|
|
Ghs IV thrombolytics - cerebral
|
$335.00 |
$335.00 |
$335.00 |
$663.00
|
|
Ghs low level laser therapy
|
$17.50 |
$17.50 |
$17.50 |
$80.85
|
|
Ghs mbp
|
$97.50 |
$97.50 |
$97.50 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$250.00 |
$250.00 |
$250.00 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$122.50 |
$122.50 |
$122.50 |
$149.40
|
|
Ghs musc test done w/n test comp
|
$130.00 |
$130.00 |
$130.00 |
$322.80
|
|
Ghs musc tst done w/nerv tst lim
|
$130.00 |
$130.00 |
$130.00 |
$264.42
|
|
Ghs musc tst done w/n tst non ext
|
$72.50 |
$72.50 |
$72.50 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$235.00 |
$235.00 |
$235.00 |
$464.95
|
|
Ghs nailbed repair/nail removal
|
$357.50 |
$357.50 |
$357.50 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$910.00 |
$910.00 |
$910.00 |
$1,506.50
|
|
Ghs nerve blk intercostal, single level
|
$610.00 |
$610.00 |
$610.00 |
$1,084.00
|
|
Ghs nerve block axillary nerve
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$1,535.00
|
|
Ghs nerve block celiac plexus
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$985.00 |
$985.00 |
$985.00 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,707.09
|
|
Ghs nerve block sciatic nerve
|
$1,645.00 |
$1,645.00 |
$1,645.00 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$515.00 |
$515.00 |
$515.00 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$485.00 |
$485.00 |
$485.00 |
$472.21
|
|
Ghs o2 saturation
|
$65.00 |
$65.00 |
$65.00 |
$68.32
|
|
Ghs opcc repair cvp without subq port
|
$610.00 |
$610.00 |
$610.00 |
$1,229.24
|
|
Ghs ot prosthetic training/15 min
|
$87.50 |
$87.50 |
$87.50 |
$88.80
|
|
Ghs ot sensory integrative tech/15min
|
$87.50 |
$87.50 |
$87.50 |
$92.50
|
|
Ghs ot work hardening-additional hours
|
$135.00 |
$135.00 |
$135.00 |
$121.54
|
|
Ghs pacing - transcutaneous
|
$815.00 |
$815.00 |
$815.00 |
$815.00
|
|
Ghs phenylketonurid
|
$12.50 |
$12.50 |
$12.50 |
$53.76
|
|
Ghs prostatic acid phosphatase (mayo)
|
$67.50 |
$67.50 |
$67.50 |
$43.55
|
|
Ghs protoporphyrins fract
|
$57.50 |
$57.50 |
$57.50 |
$64.35
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$87.50 |
$87.50 |
$87.50 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$270.00 |
$270.00 |
$270.00 |
$270.00
|
|
Ghs removal intranasal foreign body
|
$140.00 |
$140.00 |
$140.00 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$140.00 |
$140.00 |
$140.00 |
$445.45
|
|
Ghs reticulocyte count
|
$30.00 |
$30.00 |
$30.00 |
$33.60
|
|
Ghs semen analysis fert
|
$105.00 |
$105.00 |
$105.00 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$27.50 |
$27.50 |
$27.50 |
$55.25
|
|
Ghs speech-gen aug dev eval iii, st
|
$175.00 |
$175.00 |
$175.00 |
$134.60
|
|
Ghs sp train/fitting sp device - kx
|
$217.50 |
$217.50 |
$217.50 |
$242.00
|
|
Ghs strapping shoulder - 29240
|
$110.00 |
$110.00 |
$110.00 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$345.00 |
$345.00 |
$345.00 |
$309.00
|
|
Ghs tracheostomy emergency - transtracheal
|
$570.00 |
$570.00 |
$570.00 |
$1,752.89
|
|
Ghs urine, porphyrins quant
|
$110.00 |
$110.00 |
$110.00 |
$73.80
|
|
Ghs vaginal delivery only
|
$2,345.00 |
$2,345.00 |
$2,345.00 |
$3,142.35
|
|
Giardia lamblia antibody
|
$85.00 |
$85.00 |
$85.00 |
$81.60
|
|
Gi inhouse confirmation
|
$80.00 |
$80.00 |
$80.00 |
$83.85
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$2,103.50
|
|
Gi trc img intral esophagus
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$1,897.82
|
|
Gjb2 gene full sequence
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$502.80
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$366.06 |
$366.06 |
$366.06 |
$491.67
|
|
Glucagon plasma - sendout
|
$107.50 |
$107.50 |
$107.50 |
$63.00
|
|
Glucose 1 hr post dose
|
$55.00 |
$55.00 |
$55.00 |
$47.60
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$10.00 |
$10.00 |
$10.00 |
$23.40
|
