|
Gabapentin non-blood
|
$185.00 |
$185.00 |
$185.00 |
$34.45
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.79 |
$2.79 |
$2.79 |
$107.11
|
|
Galac-1-phosphate uridyltran - sendout
|
$12.50 |
$12.50 |
$12.50 |
$95.20
|
|
Galectin-3
|
$92.50 |
$92.50 |
$92.50 |
$96.00
|
|
Gammaglobulin iga
|
$37.50 |
$37.50 |
$37.50 |
$69.60
|
|
Gammaglobulin ige
|
$107.50 |
$107.50 |
$107.50 |
$83.85
|
|
Gamma glutamyltransferase
|
$75.00 |
$75.00 |
$75.00 |
$57.00
|
|
Gamunex-c/gammaked
|
$234.50 |
$234.50 |
$234.50 |
$7,372.04
|
|
Gastric emptying imag study
|
$635.00 |
$635.00 |
$635.00 |
$1,270.50
|
|
Gastric emptying imag study
|
$845.00 |
$845.00 |
$845.00 |
$1,544.00
|
|
Gastroesophageal reflux study
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$917.28
|
|
Gastro/jejuno tube, std
|
$67.50 |
$67.50 |
$67.50 |
$334.57
|
|
Gauze >16<=48 no w/sal without b
|
$1.45 |
$1.45 |
$1.45 |
$4.77
|
|
Gauze <=16 in no w/sal without b
|
$1.28 |
$1.28 |
$1.28 |
$4.62
|
|
General health panel
|
$280.00 |
$280.00 |
$280.00 |
$275.00
|
|
Gen, neuro, clo loop, rechg
|
$32,700.00 |
$32,700.00 |
$32,700.00 |
$39,300.00
|
|
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 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$62.50 |
$62.50 |
$62.50 |
$62.40
|
|
Ghs central line insert < age 5, failed
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$365.00 |
$365.00 |
$365.00 |
$591.75
|
|
Ghs chemo >8 hrs
|
$470.00 |
$470.00 |
$470.00 |
$710.00
|
|
Ghs chemo IV push, ea addtl
|
$207.50 |
$207.50 |
$207.50 |
$277.44
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$142.50 |
$142.50 |
$142.50 |
$130.70
|
|
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 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$227.50 |
$227.50 |
$227.50 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,066.50
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$725.00 |
$725.00 |
$725.00 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$586.80
|
|
Ghs excision ingrown nail
|
$247.50 |
$247.50 |
$247.50 |
$436.64
|
|
Ghs eyelid foreign body-embedded - bil
|
$160.00 |
$160.00 |
$160.00 |
$491.15
|
|
Ghs fb removal - incisional
|
$675.00 |
$675.00 |
$675.00 |
$2,262.40
|
|
Ghs fb removal - non-incisional
|
$392.50 |
$392.50 |
$392.50 |
$1,706.20
|
|
Ghs fish cytogen
|
$462.50 |
$462.50 |
$462.50 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$182.50 |
$182.50 |
$182.50 |
$222.15
|
|
Ghs gastric intub aspiration lavage
|
$240.00 |
$240.00 |
$240.00 |
$366.72
|
|
Ghs hcv amplificaiton
|
$220.00 |
$220.00 |
$220.00 |
$181.74
|
|
Ghs hepatitis c virus (hcv riba)
|
$142.50 |
$142.50 |
$142.50 |
$142.50
|
|
Ghs hgb stability-thal
|
$247.50 |
$247.50 |
$247.50 |
$87.60
|
|
Ghs histoplasma antigen
|
$210.00 |
$210.00 |
$210.00 |
$137.80
|
|
Ghs HIV antibody
|
$75.00 |
$75.00 |
$75.00 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$3,085.80
|
|
Ghs i and d pilonidal cyst simple
|
$145.00 |
$145.00 |
$145.00 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$195.00 |
$195.00 |
$195.00 |
$523.73
|
|
Ghs inf midline insertion
|
$625.00 |
$625.00 |
$625.00 |
$1,209.60
|
|
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 inj tendon origin/insertion
|
$580.00 |
$580.00 |
$580.00 |
$431.07
|
|
Ghs insertion of needle - bone
|
$247.50 |
$247.50 |
$247.50 |
$412.80
|
|
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 |
$528.96
|
|
Ghs IV inf sq injection, on-body injector
|
$110.00 |
$110.00 |
$110.00 |
$107.95
|
|
Ghs IV thrombolytics - cerebral
|
$335.00 |
$335.00 |
$335.00 |
$663.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$137.50 |
$137.50 |
$137.50 |
$75.00
|
|
Ghs low level laser therapy
|
$17.50 |
$17.50 |
$17.50 |
$85.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$152.50 |
$152.50 |
$152.50 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$72.50 |
$72.50 |
$72.50 |
$148.18
|
|
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 brachial plexus
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$1,657.03
|
|
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 |
$1,706.50
|
|
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 |
$66.70
|
|
Ghs opcc repair cvp without subq port
|
$610.00 |
$610.00 |
$610.00 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$87.50 |
$87.50 |
$87.50 |
$89.05
|
|
Ghs ot sensory integrative tech/15min
|
$87.50 |
$87.50 |
$87.50 |
$91.56
|
|
Ghs ot work hardening-additional hours
|
$135.00 |
$135.00 |
$135.00 |
$121.66
|
|
Ghs pacing - transcutaneous
|
$815.00 |
$815.00 |
$815.00 |
$815.00
|
|
Ghs phenylketonurid
|
$25.00 |
$25.00 |
$25.00 |
$53.30
|
|
Ghs picc line insert < 5
|
$920.00 |
$920.00 |
$920.00 |
$2,035.00
|
|
Ghs ppd (tb intradermal)
|
$17.50 |
$17.50 |
$17.50 |
$37.44
|
|
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 pr without cont pulse ox
|
$175.00 |
$175.00 |
$175.00 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$270.00 |
$270.00 |
$270.00 |
$270.00
|
|
Ghs quinidine
|
$85.00 |
$85.00 |
$85.00 |
$83.20
|
|
Ghs removal intranasal foreign body
|
$140.00 |
$140.00 |
$140.00 |
$287.50
|
|
Ghs removal pharyngeal foreign body
|
$140.00 |
$140.00 |
$140.00 |
$442.06
|
|
Ghs reticulocyte count
|
$30.00 |
$30.00 |
$30.00 |
$33.60
|
|
Ghs semen analysis fert
|
$105.00 |
$105.00 |
$105.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$27.50 |
$27.50 |
$27.50 |
$55.12
|
|
Ghs speech-gen aug dev eval iii, st
|
$175.00 |
$175.00 |
$175.00 |
$141.00
|
|
Ghs sphenopalatine ganglion block
|
$695.00 |
$695.00 |
$695.00 |
$616.00
|
|
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
|
