|
Furosemide 10 mg/ml injection solution
|
$7.95 |
$7.95 |
$7.95 |
$19.00
|
|
G6pd full gene sequence
|
$144.00 |
$144.00 |
$144.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$27.97 |
$27.97 |
$27.97 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$122.24 |
$122.24 |
$122.24 |
$118.56
|
|
Gabapentin non-blood
|
$2.56 |
$2.56 |
$2.56 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.08 |
$2.08 |
$2.08 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$121.12 |
$121.12 |
$121.12 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.20 |
$0.20 |
$0.20 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$11.36 |
$11.36 |
$11.36 |
$250.83
|
|
Galectin-3
|
$7.08 |
$7.08 |
$7.08 |
$111.60
|
|
Gammaglobulin iga
|
$30.40 |
$30.40 |
$30.40 |
$67.20
|
|
Gammaglobulin ige
|
$46.72 |
$46.72 |
$46.72 |
$83.85
|
|
Gamma glutamyltransferase
|
$32.32 |
$32.32 |
$32.32 |
$57.54
|
|
Gastric emptying imag study
|
$326.72 |
$326.72 |
$326.72 |
$1,291.55
|
|
Gastroesophageal reflux study
|
$269.92 |
$269.92 |
$269.92 |
$949.80
|
|
Gastroesophageal reflux test
|
$499.52 |
$499.52 |
$499.52 |
$1,321.45
|
|
Gastro/jejuno tube, std
|
$165.12 |
$165.12 |
$165.12 |
$334.57
|
|
Gated heart multiple
|
$668.32 |
$668.32 |
$668.32 |
$1,400.64
|
|
General health panel
|
$126.40 |
$126.40 |
$126.40 |
$275.00
|
|
Genetic tstg severe inh cond
|
$272.40 |
$272.40 |
$272.40 |
$3,978.65
|
|
Genome sequence analysis
|
$496.00 |
$496.00 |
$496.00 |
$5,534.32
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$8.95 |
$8.95 |
$8.95 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$64.00 |
$64.00 |
$64.00 |
$126.00
|
|
Ghs acetylcholinesterase, rbc
|
$1.25 |
$1.25 |
$1.25 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$21.12 |
$21.12 |
$21.12 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$16.36 |
$16.36 |
$16.36 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$2.72 |
$2.72 |
$2.72 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$608.48 |
$608.48 |
$608.48 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$93.60 |
$93.60 |
$93.60 |
$64.40
|
|
Ghs central line insert < age 5, failed
|
$2,807.68 |
$2,807.68 |
$2,807.68 |
$2,535.60
|
|
Ghs chemo >8 hrs
|
$246.24 |
$246.24 |
$246.24 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$105.28 |
$105.28 |
$105.28 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$4.99 |
$4.99 |
$4.99 |
$132.00
|
|
Ghs community re-entry 15 minutes
|
$22.72 |
$22.72 |
$22.72 |
$88.50
|
|
Ghs cutdown placement age 1 and over
|
$82.08 |
$82.08 |
$82.08 |
$377.89
|
|
Ghs cutdown placement under 1 yr
|
$26.24 |
$26.24 |
$26.24 |
$182.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$518.56 |
$518.56 |
$518.56 |
$1,432.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$632.48 |
$632.48 |
$632.48 |
$593.91
|
|
Ghs febrile agglutinns(mayo)
|
$17.76 |
$17.76 |
$17.76 |
$48.57
|
|
Ghs fish cytogen
|
$17.08 |
$17.08 |
$17.08 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$29.73 |
$29.73 |
$29.73 |
$223.00
|
|
Ghs flow volume loop
|
$104.32 |
$104.32 |
$104.32 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$111.20 |
$111.20 |
$111.20 |
$368.50
|
|
Ghs histoplasma antigen
|
$1.62 |
$1.62 |
$1.62 |
$141.00
|
|
Ghs HIV antibody
|
$66.56 |
$66.56 |
$66.56 |
$90.14
|
|
Ghs inf midline insertion
|
$75.04 |
$75.04 |
$75.04 |
$1,219.20
|
|
Ghs inhibitor screen
|
$2.03 |
$2.03 |
$2.03 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$63.68 |
$63.68 |
$63.68 |
$275.50
|
|
Ghs intro needle/intracath vein - 36000
|
$111.52 |
$111.52 |
$111.52 |
$213.75
|
|
Ghs IV thrombolytics - cerebral
|
$408.00 |
$408.00 |
$408.00 |
$663.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$24.48 |
$24.48 |
$24.48 |
$76.20
|
|
Ghs low level laser therapy
|
$44.00 |
$44.00 |
$44.00 |
$77.70
|
|
Ghs mbp
|
$2.45 |
$2.45 |
$2.45 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$119.84 |
$119.84 |
$119.84 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$116.64 |
$116.64 |
$116.64 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$123.68 |
$123.68 |
$123.68 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$119.84 |
$119.84 |
$119.84 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$116.64 |
$116.64 |
$116.64 |
$147.75
|
|
Ghs nerve block axillary nerve
|
$977.12 |
$977.12 |
$977.12 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$931.52 |
$931.52 |
$931.52 |
$1,689.00
|
|
Ghs ng placement w fluoro guidance
|
$177.60 |
$177.60 |
$177.60 |
$478.50
|
|
Ghs opcc repair cvp without subq port
|
$347.68 |
$347.68 |
$347.68 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$430.40 |
$430.40 |
$430.40 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$29.12 |
$29.12 |
$29.12 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$44.80 |
$44.80 |
$44.80 |
$94.80
|
|
Ghs pacing - transcutaneous
|
$390.88 |
$390.88 |
$390.88 |
$815.20
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$38.08 |
$38.08 |
$38.08 |
$76.56
|
|
Ghs picc line insert < 5
|
$394.72 |
$394.72 |
$394.72 |
$2,019.50
|
|
Ghs plt ct-manual
|
$32.16 |
$32.16 |
$32.16 |
$37.96
|
|
Ghs prostatic acid phosphatase (mayo)
|
$27.52 |
$27.52 |
$27.52 |
$43.55
|
|
Ghs protein, misc fluid
|
$4.08 |
$4.08 |
$4.08 |
$24.60
|
|
Ghs protoporphyrins fract
|
$2.04 |
$2.04 |
$2.04 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$1.74 |
$1.74 |
$1.74 |
$50.05
|
|
Ghs refill of implantable pump
|
$114.24 |
$114.24 |
$114.24 |
$539.13
|
|
Ghs rsv eia (respir synctial vrs)
|
$33.76 |
$33.76 |
$33.76 |
$96.60
|
|
Ghs sedimentation rate
|
$37.12 |
$37.12 |
$37.12 |
$45.50
|
|
Ghs semen analysis fert
|
$31.52 |
$31.52 |
$31.52 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$49.76 |
$49.76 |
$49.76 |
$57.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$79.68 |
$79.68 |
$79.68 |
$146.40
|
|
Ghs sp train/fitting sp device - kx
|
$146.08 |
$146.08 |
$146.08 |
$250.50
|
|
Ghs strapping shoulder - 29240
|
$73.60 |
$73.60 |
$73.60 |
$213.20
|
|
Ghs st - re-eval for alt comm
|
$151.36 |
$151.36 |
$151.36 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$22.72 |
$22.72 |
$22.72 |
$98.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$87.04 |
$87.04 |
$87.04 |
$351.45
|
|
Ghs urine, porphyrins quant
|
$2.09 |
$2.09 |
$2.09 |
$75.00
|
|
Ghs veeg 12-26 hr intmt mont
|
$469.76 |
$469.76 |
$469.76 |
$1,910.25
|
|
Giardia lamblia antibody
|
$10.08 |
$10.08 |
$10.08 |
$83.44
|
|
Gi inhouse confirmation
|
$87.20 |
$87.20 |
$87.20 |
$83.70
|
|
Gjb2 gene full sequence
|
$16.18 |
$16.18 |
$16.18 |
$502.80
|
|
Gjb6 gene com variants
|
$5.60 |
$5.60 |
$5.60 |
$106.40
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$178.08 |
$178.08 |
$178.08 |
$491.67
|
|
Glucagon plasma - sendout
|
$2.03 |
$2.03 |
$2.03 |
$63.00
|
|
Glucose 1 hr post dose
|
$51.52 |
$51.52 |
$51.52 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$31.68 |
$31.68 |
$31.68 |
$23.86
|
|
Glucose blood quantitative
|
$52.48 |
$52.48 |
$52.48 |
$40.00
|
|
Glucose body fluid
|
$15.84 |
$15.84 |
$15.84 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$100.16 |
$100.16 |
$100.16 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$12.96 |
$12.96 |
$12.96 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$32.49 |
$32.49 |
$32.49 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$52.48 |
$52.48 |
$52.48 |
$115.05
|
