|
Ftl cgen abnor two proteins
|
$161.31 |
$161.31 |
$161.31 |
$109.00
|
|
Full mouth x-ray of teeth
|
$362.45 |
$362.45 |
$362.45 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$487.21 |
$487.21 |
$1,119.80 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,720.00 |
$2,720.00 |
$3,092.65 |
$3,091.20
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$6,365.08 |
$6,365.08 |
$6,365.08 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$579.20 |
$579.20 |
$579.20 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,645.60 |
$2,645.60 |
$2,645.60 |
$2,707.20
|
|
Fundus photography with i&r 92250
|
$514.20 |
$514.20 |
$514.20 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$35.91 |
$35.91 |
$35.91 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$66.34 |
$66.34 |
$66.34 |
$26.20
|
|
Fuse pancreas cyst and bowel
|
$6,660.80 |
$6,660.80 |
$6,660.80 |
$3,209.60
|
|
Fuse pancreas cyst and bowel 48520
|
$4,530.40 |
$4,530.40 |
$4,530.40 |
$2,683.20
|
|
Fusion of ankle joint open
|
$7,674.40 |
$7,674.40 |
$7,674.40 |
$9,791.00
|
|
Fusion of big toe joint
|
$12,387.20 |
$12,387.20 |
$12,387.20 |
$5,488.00
|
|
Fusion of foot bones
|
$12,387.20 |
$12,387.20 |
$12,387.20 |
$6,697.18
|
|
Fusion of foot bones
|
$12,387.20 |
$12,387.20 |
$12,387.20 |
$10,203.05
|
|
Fusion of tendons at wrist
|
$7,979.20 |
$7,979.20 |
$7,979.20 |
$3,591.33
|
|
Fusion of tendons at wrist
|
$6,840.80 |
$6,840.80 |
$6,840.80 |
$3,839.54
|
|
Fusion of tibiofibular joint
|
$5,108.80 |
$5,108.80 |
$5,108.80 |
$9,791.00
|
|
G0180 home health certification
|
$141.60 |
$141.60 |
$141.60 |
$107.25
|
|
G6pd full gene sequence
|
$1,320.00 |
$1,320.00 |
$1,800.15 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$519.28 |
$519.28 |
$519.28 |
$243.00
|
|
G6pd known familial variant
|
$1,050.71 |
$1,050.71 |
$1,050.71 |
$751.20
|
|
Ga-67 gallium 0.1 mci
|
$61.60 |
$61.60 |
$61.60 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$139.70 |
$139.70 |
$139.70 |
$140.35
|
|
Gabapentin non-blood
|
$43.45 |
$43.45 |
$156.00 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$18.12 |
$18.12 |
$18.12 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2.52 |
$2.52 |
$2.52 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$26.37 |
$26.37 |
$26.37 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$260.18 |
$260.18 |
$260.18 |
$100.00
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,068.10 |
$1,068.10 |
$2,024.44 |
$1,493.98
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,439.90 |
$1,439.90 |
$2,715.59 |
$1,612.00
|
|
Gallbladder Removal (Laparoscopic)
|
$19,655.76 |
$19,655.76 |
$19,655.76 |
$13,208.00
|
|
Gallium illuccix 1 millicure
|
$1,857.92 |
$1,857.92 |
$1,857.92 |
$1,696.55
|
|
Gamma globulin 1 cc inj
|
$33.60 |
$33.60 |
$33.60 |
$407.60
|
|
Gammaglobulin iga
|
$75.16 |
$75.16 |
$106.15 |
$69.60
|
|
Gammaglobulin ige
|
$11.55 |
$11.55 |
$189.70 |
$83.85
|
|
Gamma glutamyltransferase
|
$31.35 |
$31.35 |
$96.40 |
$57.54
|
|
Gamunex-c/gammaked
|
$119.10 |
$119.10 |
$119.10 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$162.16 |
$162.16 |
$162.16 |
$197.40
|
|
Gastric emptying imag study
|
$2,419.04 |
$2,419.04 |
$2,419.04 |
$1,345.40
|
|
Gastric emptying imag study
|
$3,210.42 |
$3,210.42 |
$3,210.42 |
$1,665.50
|
|
Gastric motility studies
|
$653.60 |
$653.60 |
$653.60 |
$972.00
|
|
Gastroesophageal reflux test
|
$547.20 |
$547.20 |
$547.20 |
$1,352.00
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$2,988.00 |
$2,988.00 |
$2,988.00 |
$2,376.00
|
|
Gastro/jejuno tube, std
|
$48.80 |
$48.80 |
$48.80 |
$379.50
|
|
Gated heart multiple
|
$2,061.40 |
$2,061.40 |
$2,172.00 |
$1,405.04
|
|
Gba gene
|
$92.51 |
$92.51 |
$163.90 |
$160.72
|
|
Gc stocking thighlngth 18-30
|
$61.60 |
$61.60 |
$61.60 |
$68.30
|
|
Gc stocking thighlngth 30-40
|
$61.60 |
$61.60 |
$61.60 |
$44.40
|
|
Gc stocking waistlngth 18-30
|
$154.40 |
$154.40 |
$154.40 |
$42.00
|
|
Gc stocking waistlngth 30-40
|
$154.40 |
$154.40 |
$154.40 |
$52.50
|
|
Gemcitabine 1 gram intravenous solution
|
$43.17 |
$43.17 |
$43.17 |
$207.51
|
|
General health panel
|
$267.20 |
$267.20 |
$712.80 |
$261.00
|
|
Generator barostim neo2 2014
|
$24,058.85 |
$24,058.85 |
$43,078.37 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$34,535.60 |
$34,535.60 |
$36,400.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$6,993.78 |
$6,993.78 |
$6,993.78 |
$3,978.65
|
|
Genome sequence analysis
|
$2,094.34 |
$2,094.34 |
$2,094.34 |
$5,031.20
|
|
Genome sequence analysis
|
$1,128.07 |
$1,128.07 |
$1,128.07 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$75.10 |
$75.10 |
$75.10 |
$51.02
|
|
Gentamicin peak therapeutic drug level
|
$176.00 |
$176.00 |
$192.82 |
$123.84
|
|
Genvisc 850, inj, 1mg
|
$28.80 |
$28.80 |
$28.80 |
$6.02
|
|
G-esoph reflx tst w/electrod
|
$640.00 |
$640.00 |
$1,747.90 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$1,500.88 |
$1,500.88 |
$1,951.95 |
$1,469.60
|
|
Ghs abscess postoperative iandd complex
|
$5,280.40 |
$5,280.40 |
$5,336.10 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$20.35 |
$20.35 |
$61.60 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$101.20 |
$101.20 |
$101.20 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$305.13 |
$305.13 |
$880.00 |
$389.90
|
|
Ghs analysis neurostim without reprogramming
|
$453.60 |
$453.60 |
$453.60 |
$257.50
|
|
Ghs antibodies (torch) igm
|
$17.60 |
$17.60 |
$147.20 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$911.38 |
$911.38 |
$911.38 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$616.55 |
$616.55 |
$685.71 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$119.20 |
$119.20 |
$119.20 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,649.45 |
$1,649.45 |
$6,284.44 |
$2,535.44
|
|
Ghs change cysto/gastrost
|
$699.60 |
$699.60 |
$1,966.64 |
$596.00
|
|
Ghs chemo infusion >8 hrs
|
$707.85 |
$707.85 |
$707.85 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$204.04 |
$204.04 |
$273.90 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$36.30 |
$36.30 |
$272.89 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$858.00 |
$858.00 |
$1,200.00 |
$514.80
|
|
Ghs closed reduction ankle dislocation
|
$858.00 |
$858.00 |
$2,228.80 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,225.40 |
$1,225.40 |
$3,517.60 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$2,291.20 |
$2,291.20 |
$2,291.20 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,965.60 |
$2,965.60 |
$5,920.01 |
$2,242.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$5,138.58 |
$5,138.58 |
$5,138.58 |
$3,494.52
|
|
Ghs clsd red med malleolus fx without manip
|
$2,112.80 |
$2,112.80 |
$2,112.80 |
$518.15
|
|
Ghs clsd red med malleolus fx w manip
|
$1,879.90 |
$1,879.90 |
$5,934.85 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,662.00 |
$2,662.00 |
$5,920.01 |
$2,340.00
|
|
Ghs cl tx knee disl; wo anesth
|
$716.10 |
$716.10 |
$1,564.00 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$386.65 |
$386.65 |
$1,200.00 |
$514.50
|
|
Ghs community re-entry 15 minutes
|
$93.50 |
$93.50 |
$163.82 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$408.65 |
$408.65 |
$489.92 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$408.65 |
$408.65 |
$551.72 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$408.65 |
$408.65 |
$551.72 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$408.65 |
$408.65 |
$551.72 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,439.20 |
$1,439.20 |
$2,745.05 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$457.60 |
$457.60 |
$457.60 |
$372.73
|
|
Ghs diphtheria toxoid ab igg
|
$72.05 |
$72.05 |
$146.40 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$746.35 |
$746.35 |
$2,455.20 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,996.07 |
$1,996.07 |
$1,996.07 |
$1,109.47
|