|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$16.89 |
$16.89 |
$17.67 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$123.01 |
$123.01 |
$167.24 |
$131.25
|
|
Fructosamine glycated protein
|
$10.39 |
$10.39 |
$17.97 |
$63.50
|
|
Ftl cgen abnor four anal
|
$164.56 |
$164.56 |
$164.56 |
$211.83
|
|
Full Spine X-ray (Scoliosis Survey)
|
$182.90 |
$182.90 |
$296.41 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$14.48 |
$14.48 |
$14.48 |
$19.53
|
|
G6pc gene
|
$62.71 |
$62.71 |
$62.71 |
$138.40
|
|
G6pd full gene sequence
|
$643.20 |
$643.20 |
$643.20 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$187.40 |
$187.40 |
$187.40 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$95.68 |
$95.68 |
$95.68 |
$121.73
|
|
Gabapentin non-blood
|
$10.98 |
$10.98 |
$10.98 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$340.36 |
$340.36 |
$340.36 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$287.57 |
$287.57 |
$287.57 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$541.36 |
$541.36 |
$541.36 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$373.33 |
$373.33 |
$373.33 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$33.91 |
$33.91 |
$115.83 |
$100.00
|
|
Galactose transferase test
|
$7.06 |
$7.06 |
$7.06 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$469.76 |
$469.76 |
$814.19 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$576.96 |
$576.96 |
$1,115.42 |
$1,615.00
|
|
Gammaglobulin iga
|
$9.97 |
$9.97 |
$24.70 |
$69.60
|
|
Gammaglobulin ige
|
$11.37 |
$11.37 |
$67.81 |
$83.85
|
|
Gamma glutamyltransferase
|
$12.15 |
$12.15 |
$91.12 |
$57.54
|
|
Gamunex-c/gammaked
|
$5,284.70 |
$5,284.70 |
$5,284.70 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$221.64 |
$221.64 |
$221.64 |
$197.40
|
|
Gastroesophageal reflux test
|
$249.63 |
$249.63 |
$249.63 |
$1,352.00
|
|
Gated heart multiple
|
$1,057.92 |
$1,057.92 |
$1,057.92 |
$1,405.04
|
|
Gba gene
|
$50.66 |
$50.66 |
$50.66 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$123.02 |
$123.02 |
$123.02 |
$207.51
|
|
Generator barostim neo2 2014
|
$37,187.33 |
$37,187.33 |
$108,692.50 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$29,456.58 |
$29,456.58 |
$36,348.04 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$2,624.86 |
$2,624.86 |
$2,624.86 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$0.07 |
$0.07 |
$93.80 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$9.80 |
$9.80 |
$138.56 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$615.75 |
$615.75 |
$1,086.21 |
$1,514.00
|
|
Ghs acetylcholinesterase, rbc
|
$11.56 |
$11.56 |
$11.56 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$10.19 |
$10.19 |
$143.65 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$253.15 |
$253.15 |
$836.16 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$15.27 |
$15.27 |
$15.43 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$247.60 |
$247.60 |
$247.60 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$156.50 |
$156.50 |
$156.50 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$31.90 |
$31.90 |
$31.90 |
$61.29
|
|
Ghs change cysto/gastrost
|
$247.64 |
$247.64 |
$247.64 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$114.65 |
$114.65 |
$275.51 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$37.62 |
$37.62 |
$110.21 |
$133.70
|
|
Ghs community re-entry 15 minutes
|
$22.54 |
$22.54 |
$22.54 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$23.32 |
$23.32 |
$23.32 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$17.69 |
$17.69 |
$17.69 |
$422.25
|
|
Ghs cutdown placement age 1 and over
|
$419.69 |
$419.69 |
$419.69 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$419.69 |
$419.69 |
$419.69 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$21.86 |
$21.86 |
$21.86 |
$55.29
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$643.13 |
$643.13 |
$643.13 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$180.89 |
$180.89 |
$180.89 |
$586.80
|
|
Ghs febrile agglutinns(mayo)
|
$7.29 |
$7.29 |
$7.29 |
$48.10
|
|
Ghs fish cytogen
|
$21.94 |
$21.94 |
$595.07 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$52.12 |
$52.12 |
$204.76 |
$226.20
|
|
Ghs flow volume loop
|
$21.32 |
$21.32 |
$21.32 |
$308.69
|
|
Ghs hcv amplificaiton
|
$35.62 |
$35.62 |
$35.62 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$16.31 |
$16.31 |
$16.31 |
$144.54
|
|
Ghs histoplasma antigen
|
$14.21 |
$14.21 |
$51.07 |
$142.00
|
|
Ghs HIV antibody
|
$14.57 |
$14.57 |
$14.57 |
$89.70
|
|
Ghs i and d pilonidal cyst simple
|
$44.49 |
$44.49 |
$44.49 |
$707.25
|
|
Ghs immun0electrophoresis
|
$31.23 |
$31.23 |
$31.23 |
$110.00
|
|
Ghs inf midline insertion
|
$464.45 |
$464.45 |
$601.18 |
$1,238.25
|
|
Ghs inhibitor screen
|
$62.33 |
$62.33 |
$165.09 |
$191.88
|
|
Ghs insertion of needle - bone
|
$182.52 |
$182.52 |
$182.52 |
$431.28
|
|
Ghs intro needle/intracath vein - 36000
|
$39.69 |
$39.69 |
$39.69 |
$200.20
|
|
Ghs IV thrombolytics - cerebral
|
$410.04 |
$410.04 |
$410.04 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$177.15 |
$177.15 |
$177.15 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$222.18 |
$222.18 |
$222.18 |
$583.10
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$309.28 |
$309.28 |
$309.28 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$340.36 |
$340.36 |
$340.36 |
$760.20
|
|
Ghs leukocyte alkaline phos (mayo)
|
$7.20 |
$7.20 |
$7.20 |
$75.00
|
|
Ghs mbp
|
$12.35 |
$12.35 |
$18.44 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$114.98 |
$114.98 |
$223.72 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$115.24 |
$115.24 |
$223.72 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$115.24 |
$115.24 |
$245.86 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$87.91 |
$87.91 |
$112.97 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$112.97 |
$112.97 |
$115.24 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$49.32 |
$49.32 |
$105.29 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$980.93 |
$980.93 |
$980.93 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$784.29 |
$784.29 |
$784.29 |
$1,160.00
|
|
Ghs nerve block brachial plexus
|
$354.84 |
$354.84 |
$354.84 |
$1,710.80
|
|
Ghs nerve block sciatic nerve
|
$292.93 |
$292.93 |
$292.93 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$279.53 |
$279.53 |
$404.55 |
$485.00
|
|
Ghs o2 saturation
|
$5.88 |
$5.88 |
$29.75 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$634.63 |
$634.63 |
$779.33 |
$1,236.67
|
|
Ghs ot prosthetic training/15 min
|
$25.68 |
$25.68 |
$25.68 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$29.99 |
$29.99 |
$29.99 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$31.09 |
$31.09 |
$38.41 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$300.97 |
$300.97 |
$340.08 |
$830.53
|
|
Ghs phenylketonurid
|
$3.33 |
$3.33 |
$3.33 |
$53.76
|
|
Ghs picc line insert < 5
|
$956.12 |
$956.12 |
$956.12 |
$2,019.50
|
|
Ghs ppd (tb intradermal)
|
$27.88 |
$27.88 |
$27.88 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$10.36 |
$10.36 |
$11.76 |
$43.55
|
|
Ghs protoporphyrins fract
|
$15.39 |
$15.39 |
$21.76 |
$60.75
|
|
Ghs pt - work hardening/int 2hrs
|
$61.64 |
$61.64 |
$76.64 |
$285.60
|
|
Ghs quinidine
|
$11.76 |
$11.76 |
$11.76 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$24.98 |
$24.98 |
$24.98 |
$74.82
|
|
Ghs reticulocyte count
|
$3.60 |
$3.60 |
$20.64 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$107.20 |
$107.20 |
$107.20 |
$99.00
|