|
Forearm/arm cuffs ext/flex a
|
$479.88 |
$479.88 |
$479.88 |
$580.42
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$81.05 |
$81.05 |
$81.05 |
$106.10
|
|
Fracture assessment via dxa
|
$111.24 |
$111.24 |
$111.24 |
$173.18
|
|
Fragmenting of kidney stone
|
$17,659.44 |
$17,659.44 |
$17,659.44 |
$10,057.42
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$26.93 |
$26.93 |
$26.93 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$31.32 |
$31.32 |
$31.32 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$273.96 |
$273.96 |
$273.96 |
$122.00
|
|
Fructosamine glycated protein
|
$4.83 |
$4.83 |
$4.83 |
$60.75
|
|
Furosemide 10 mg/ml injection solution
|
$13.23 |
$13.23 |
$13.23 |
$19.00
|
|
G0180 home health certification
|
$49.68 |
$49.68 |
$49.68 |
$116.00
|
|
G6pd full gene sequence
|
$324.00 |
$324.00 |
$324.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$62.93 |
$62.93 |
$62.93 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$309.96 |
$309.96 |
$309.96 |
$118.56
|
|
Gabapentin non-blood
|
$5.76 |
$5.76 |
$5.76 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$6.48 |
$6.48 |
$6.48 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$12.60 |
$12.60 |
$12.60 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.44 |
$1.44 |
$1.44 |
$177.52
|
|
Galactose transferase test
|
$7.34 |
$7.34 |
$7.34 |
$31.35
|
|
Gammaglobulin iga
|
$44.73 |
$44.73 |
$44.73 |
$67.20
|
|
Gammaglobulin ige
|
$10.44 |
$10.44 |
$10.44 |
$83.85
|
|
Gamma glutamyltransferase
|
$49.32 |
$49.32 |
$49.32 |
$57.54
|
|
Gba gene
|
$17.01 |
$17.01 |
$17.01 |
$160.72
|
|
General health panel
|
$213.84 |
$213.84 |
$213.84 |
$275.00
|
|
Generator barostim neo2 2014
|
$29,340.00 |
$29,340.00 |
$29,340.00 |
$48,147.60
|
|
Genetic tstg severe inh cond
|
$612.90 |
$612.90 |
$612.90 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$36,000.00 |
$36,000.00 |
$36,000.00 |
$36,800.00
|
|
Genome sequence analysis
|
$1,116.00 |
$1,116.00 |
$1,116.00 |
$5,534.32
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$20.39 |
$20.39 |
$20.39 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$116.28 |
$116.28 |
$116.28 |
$126.00
|
|
Ghs acetylcholinesterase, rbc
|
$2.82 |
$2.82 |
$2.82 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$47.52 |
$47.52 |
$47.52 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$280.80 |
$280.80 |
$280.80 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$3.75 |
$3.75 |
$3.75 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$364.32 |
$364.32 |
$364.32 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$50.04 |
$50.04 |
$50.04 |
$64.40
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$128.88 |
$128.88 |
$128.88 |
$132.00
|
|
Ghs community re-entry 15 minutes
|
$128.88 |
$128.88 |
$128.88 |
$88.50
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,067.76 |
$1,067.76 |
$1,067.76 |
$1,109.47
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$194.04 |
$194.04 |
$194.04 |
$593.91
|
|
Ghs febrile agglutinns(mayo)
|
$1.92 |
$1.92 |
$1.92 |
$48.57
|
|
Ghs fish cytogen
|
$38.43 |
$38.43 |
$38.43 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$62.68 |
$62.68 |
$62.68 |
$223.00
|
|
Ghs flow volume loop
|
$343.80 |
$343.80 |
$343.80 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$489.60 |
$489.60 |
$489.60 |
$368.50
|
|
Ghs histoplasma antigen
|
$3.64 |
$3.64 |
$3.64 |
$141.00
|
|
Ghs HIV antibody
|
$70.92 |
$70.92 |
$70.92 |
$90.14
|
|
Ghs i and d perirectal abscess 46040
|
$1,061.28 |
$1,061.28 |
$1,061.28 |
$2,630.53
|
|
Ghs inhibitor screen
|
$4.12 |
$4.12 |
$4.12 |
$187.32
|
|
Ghs IV thrombolytics - cerebral
|
$504.36 |
$504.36 |
$504.36 |
$663.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$3.42 |
$3.42 |
$3.42 |
$76.20
|
|
Ghs low level laser therapy
|
$186.84 |
$186.84 |
$186.84 |
$77.70
|
|
Ghs mbp
|
$5.50 |
$5.50 |
$5.50 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$342.72 |
$342.72 |
$342.72 |
$242.31
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$287.28 |
$287.28 |
$287.28 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$273.60 |
$273.60 |
$273.60 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$273.60 |
$273.60 |
$273.60 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$442.80 |
$442.80 |
$442.80 |
$457.80
|
|
Ghs o2 saturation
|
$52.56 |
$52.56 |
$52.56 |
$70.80
|
|
Ghs opcc repair cvp without subq port
|
$1,379.88 |
$1,379.88 |
$1,379.88 |
$1,229.24
|
|
Ghs ot group caregiver training
|
$34.92 |
$34.92 |
$34.92 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$81.72 |
$81.72 |
$81.72 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$49.32 |
$49.32 |
$49.32 |
$94.80
|
|
Ghs pacing - transcutaneous
|
$714.60 |
$714.60 |
$714.60 |
$815.20
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$8.53 |
$8.53 |
$8.53 |
$76.56
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,003.48 |
$3,003.48 |
$3,003.48 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$53.64 |
$53.64 |
$53.64 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$3.09 |
$3.09 |
$3.09 |
$43.55
|
|
Ghs protoporphyrins fract
|
$4.59 |
$4.59 |
$4.59 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$3.92 |
$3.92 |
$3.92 |
$50.05
|
|
Ghs reticulocyte count
|
$133.56 |
$133.56 |
$133.56 |
$34.45
|
|
Ghs sedimentation rate
|
$69.12 |
$69.12 |
$69.12 |
$45.50
|
|
Ghs semen analysis fert
|
$297.72 |
$297.72 |
$297.72 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$59.04 |
$59.04 |
$59.04 |
$57.60
|
|
Ghs sleep study unattended
|
$867.24 |
$867.24 |
$867.24 |
$495.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$51.84 |
$51.84 |
$51.84 |
$98.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$235.44 |
$235.44 |
$235.44 |
$351.45
|
|
Ghs urine, porphyrins quant
|
$4.71 |
$4.71 |
$4.71 |
$75.00
|
|
Giardia lamblia antibody
|
$22.68 |
$22.68 |
$22.68 |
$83.44
|
|
Gi inhouse confirmation
|
$114.84 |
$114.84 |
$114.84 |
$83.70
|
|
Gjb6 gene com variants
|
$12.60 |
$12.60 |
$12.60 |
$106.40
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$431.17 |
$431.17 |
$431.17 |
$491.67
|
|
Glucagon plasma - sendout
|
$4.57 |
$4.57 |
$4.57 |
$63.00
|
|
Glucose 1 hr post dose
|
$33.12 |
$33.12 |
$33.12 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$39.60 |
$39.60 |
$39.60 |
$23.86
|
|
Glucose blood quantitative
|
$33.12 |
$33.12 |
$33.12 |
$40.00
|
|
Glucose body fluid
|
$57.96 |
$57.96 |
$57.96 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$72.36 |
$72.36 |
$72.36 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$18.72 |
$18.72 |
$18.72 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$18.90 |
$18.90 |
$18.90 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$84.96 |
$84.96 |
$84.96 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$198.00 |
$198.00 |
$198.00 |
$129.00
|
|
Graft axiofill 1000mg
|
$84.67 |
$84.67 |
$84.67 |
$5,125.68
|
|
Graft nerve adv 3-4x70mm
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$19,620.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$5,275.08 |
$5,275.08 |
$5,275.08 |
$30,392.04
|
|
Guided cath fluid drainage 10030
|
$1,093.68 |
$1,093.68 |
$1,093.68 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$352.08 |
$352.08 |
$352.08 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$172.44 |
$172.44 |
$172.44 |
$1,105.00
|
|
Hair removal by electrolysis 17380
|
$241.20 |
$241.20 |
$241.20 |
$849.50
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$18.55 |
$18.55 |
$18.55 |
$23.06
|
|
Hand X-ray
|
$507.24 |
$507.24 |
$507.24 |
$356.00
|
