|
Gel-one
|
$816.73 |
$816.73 |
$816.73 |
|
|
Gel-syn injection 0.1 mg
|
$1.59 |
$1.59 |
$1.59 |
|
|
Gemcitabine 1 gram intravenous solution
|
$15.02 |
$22.38 |
$354.92 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$341.46 |
$341.46 |
$341.46 |
|
|
General health panel
|
$86.92 |
$280.00 |
$891.83 |
|
|
Generator barostim neo2 2014
|
$6,160.82 |
$29,068.88 |
$100,207.20 |
|
|
Generator emblem MRI sicd subq
|
$13,822.50 |
$24,895.85 |
$55,500.00 |
|
|
Genetic tstg severe inh cond
|
$1,870.00 |
$1,870.00 |
$6,993.78 |
|
|
Gen, neuro, clo loop, rechg
|
$3,045.00 |
$32,700.00 |
$40,800.00 |
|
|
Genome sequence analysis
|
$2,094.34 |
$5,811.30 |
$5,811.30 |
|
|
Genome sequence analysis
|
$1,128.07 |
$3,129.72 |
$3,129.72 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$3.99 |
$17.99 |
$217.65 |
|
|
Gentamicin peak therapeutic drug level
|
$39.90 |
$142.50 |
$192.82 |
|
|
Genvisc 850, inj, 1mg
|
$28.80 |
$28.80 |
$28.80 |
|
|
G-esoph reflx tst w/electrod
|
$640.00 |
$1,500.00 |
$2,185.15 |
|
|
Ghs abscess perianal iandd
|
$224.72 |
$1,087.02 |
$2,135.65 |
|
|
Ghs abscess postoperative iandd complex
|
$3,914.58 |
$5,878.40 |
$6,540.60 |
|
|
Ghs acetylcholinesterase, rbc
|
$20.35 |
$57.50 |
$61.60 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$56.18 |
$117.50 |
$155.04 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$174.99 |
$554.40 |
$1,437.89 |
|
|
Ghs analysis neurostim without reprogramming
|
$217.17 |
$350.96 |
$753.66 |
|
|
Ghs antibodies (torch) igm
|
$17.60 |
$65.00 |
$168.60 |
|
|
Ghs aspiration bladder - needle
|
$136.40 |
$280.00 |
$911.38 |
|
|
Ghs bladder cath - complex-foley
|
$150.70 |
$327.50 |
$1,655.93 |
|
|
Ghs bleeding time (ivy)
|
$14.84 |
$114.18 |
$119.20 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$161.65 |
$634.70 |
$1,612.00 |
|
|
Ghs central line insert < age 5, failed
|
$1,085.00 |
$1,085.00 |
$6,284.44 |
|
|
Ghs change cysto/gastrost
|
$365.00 |
$489.72 |
$1,966.64 |
|
|
Ghs chemo >8 hrs
|
$362.52 |
$470.00 |
$772.20 |
|
|
Ghs chemo infusion >8 hrs
|
$444.40 |
$510.00 |
$707.85 |
|
|
Ghs chemo IV push, ea addtl
|
$172.15 |
$237.92 |
$287.85 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$36.30 |
$142.50 |
$378.40 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$174.90 |
$780.78 |
$1,683.61 |
|
|
Ghs closed reduction ankle dislocation
|
$376.20 |
$543.84 |
$2,228.80 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$174.90 |
$1,607.10 |
$3,517.60 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$593.34 |
$593.34 |
$2,291.20 |
|
|
Ghs closed tx tibial fracture w/manip
|
$352.00 |
$2,158.20 |
$5,920.01 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$725.61 |
$4,621.32 |
$5,138.58 |
|
|
Ghs clsd red med malleolus fx without manip
|
$473.67 |
$473.67 |
$2,112.80 |
|
|
Ghs clsd red med malleolus fx w manip
|
$1,356.85 |
$3,092.10 |
$5,934.85 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$758.10 |
$3,092.10 |
$5,920.01 |
|
|
Ghs cl tx knee disl; wo anesth
|
$114.95 |
$581.90 |
$1,564.00 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$189.75 |
$526.35 |
$1,200.00 |
|
|
Ghs community re-entry 15 minutes
|
$64.13 |
$87.50 |
$163.82 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$32.33 |
$321.75 |
$489.92 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$25.44 |
$137.50 |
$551.72 |
|
|
Ghs corneal fb without slit lamp bilat
|
$193.05 |
$281.58 |
$1,557.44 |
|
|
Ghs corneal fb with slit lamp bilat
|
$227.50 |
$323.95 |
$726.00 |
|
|
Ghs cricothyroidotomy
|
$411.95 |
$1,202.52 |
$2,745.05 |
|
|
Ghs cutdown placement age 1 and over
|
$433.95 |
$457.60 |
$1,276.00 |
|
|
Ghs diphtheria toxoid ab igg
|
$37.62 |
$55.29 |
$146.40 |
|
|
Ghs dislocation elbow closed treatment
|
$189.75 |
$526.35 |
$2,455.20 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$725.00 |
$725.00 |
$1,996.07 |
|
|
Ghs ed rmvl or bivalving cast
|
$65.72 |
$217.14 |
$550.55 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$986.67 |
$1,660.00 |
$1,933.25 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$293.70 |
$2,522.52 |
$3,640.00 |
|
|
Ghs electrostagmgraphy
|
$291.20 |
$550.00 |
$550.00 |
|
|
Ghs elect torsion swing
|
$239.20 |
$239.20 |
$239.20 |
|
|
Ghs elect vertical elct
|
$58.40 |
$115.00 |
$115.00 |
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$123.49 |
$242.40 |
$311.79 |
|
|
Ghs excision ingrown nail
|
$132.50 |
$319.20 |
$1,162.94 |
|
|
Ghs eye exam
|
$117.50 |
$117.50 |
$170.40 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$160.00 |
$281.60 |
$1,552.62 |
|
|
Ghs fat & muscle
|
$14.31 |
$14.31 |
$14.31 |
|
|
Ghs fb removal foot - deep - left
|
$321.71 |
$3,169.60 |
$3,445.20 |
|
|
Ghs fb removal from muscle - complicated
|
$3,184.80 |
$3,184.80 |
$3,184.80 |
|
|
Ghs fb removal - incisional
|
$163.77 |
$675.00 |
$3,611.57 |
|
|
Ghs fb removal - non-incisional
|
$392.50 |
$392.50 |
$4,299.63 |
|
|
Ghs febrile agglutinns(mayo)
|
$11.66 |
$38.28 |
$101.20 |
|
|
Ghs fish cytogen
|
$91.16 |
$462.50 |
$999.35 |
|
|
Ghs fish hybrid in situ 100-300
|
$36.57 |
$182.50 |
$486.75 |
|
|
Ghs flow volume loop
|
$147.40 |
$237.50 |
$345.42 |
|
|
Ghs gastric intub aspiration lavage
|
$240.00 |
$425.55 |
$583.44 |
|
|
Ghs hcv amplificaiton
|
$167.48 |
$220.00 |
$308.80 |
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$47.17 |
$47.17 |
$47.17 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$40.28 |
$144.54 |
$239.20 |
|
|
Ghs hgb stability-thal
|
$29.68 |
$115.50 |
$247.50 |
|
|
Ghs histoplasma antigen
|
$58.14 |
$147.95 |
$300.30 |
|
|
Ghs HIV antibody
|
$33.06 |
$75.00 |
$110.77 |
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,030.00 |
$2,030.00 |
$5,047.46 |
|
|
Ghs i and d perirectal abscess 46040
|
$670.89 |
$2,471.04 |
$7,946.34 |
|
|
Ghs i and d pilonidal cyst complex
|
$198.22 |
$1,354.10 |
$3,864.68 |
|
|
Ghs i and d pilonidal cyst simple
|
$145.00 |
$159.00 |
$1,354.10 |
|
|
Ghs immun0electrophoresis
|
$31.80 |
$31.80 |
$31.80 |
|
|
Ghs incision thrombosed ext hemorrhoid
|
$180.73 |
$396.55 |
$1,726.45 |
|
|
Ghs indirect laryngoscopy/w fb removal
|
$105.05 |
$181.79 |
$1,500.32 |
|
|
Ghs inf midline insertion
|
$501.60 |
$1,038.80 |
$2,790.98 |
|
|
Ghs inhibitor screen
|
$17.10 |
$192.50 |
$574.75 |
|
|
Ghs init tx 1st degree burn
|
$46.64 |
$213.40 |
$832.60 |
|
|
Ghs inj neurolytic intercostal nerve
|
$802.56 |
$1,060.00 |
$4,748.48 |
|
|
Ghs inj neurolytic other perph nerve
|
$166.42 |
$1,210.00 |
$5,694.76 |
|
|
Ghs inj tendon origin/insertion
|
$54.59 |
$580.00 |
$1,003.19 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$288.32 |
$729.81 |
$3,897.85 |
|
|
Ghs inj transforaminal cerv single bil
|
$510.92 |
$1,459.09 |
$6,167.70 |
|
|
Ghs insertion of needle - bone
|
$247.50 |
$434.50 |
$621.87 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$181.50 |
$840.18 |
$1,293.05 |
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$279.84 |
$1,068.10 |
$2,017.20 |
|
|
Ghs intermed repair over 30 cm - 12037
|
$292.03 |
$1,186.68 |
$5,920.38 |
|
|
Ghs intro needle/intracath vein - 36000
|
$84.70 |
$90.00 |
$1,120.35 |
|
|
Ghs irrigate corpora cavernosa for priapism
|
$372.35 |
$455.00 |
$1,194.05 |
|
