|
_fragile x methylation-sendout
|
$21.94 |
$21.94 |
$21.94 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$33.43 |
$33.43 |
$33.43 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$100.01 |
$100.01 |
$100.01 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$91.25 |
$91.25 |
$91.25 |
$123.90
|
|
Frozen blood thaw
|
$67.96 |
$67.96 |
$67.96 |
$189.84
|
|
Fructosamine glycated protein
|
$2.59 |
$2.59 |
$2.59 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$30.97 |
$30.97 |
$30.97 |
$27.48
|
|
Ga-67 gallium 0.1 mci
|
$51.79 |
$51.79 |
$51.79 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$1,005.58 |
$1,005.58 |
$1,005.58 |
$119.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$138.37 |
$138.37 |
$138.37 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$260.58 |
$260.58 |
$260.58 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$179.75 |
$179.75 |
$179.75 |
$210.50
|
|
Gallium illuccix 1 millicure
|
$940.10 |
$940.10 |
$940.10 |
$1,395.27
|
|
Gammaglobulin iga
|
$5.64 |
$5.64 |
$5.64 |
$75.30
|
|
Gammaglobulin ige
|
$4.08 |
$4.08 |
$4.08 |
$85.00
|
|
Gamma glutamyltransferase
|
$62.48 |
$62.48 |
$62.48 |
$55.28
|
|
Gamunex-c/gammaked
|
$5,081.88 |
$5,081.88 |
$5,081.88 |
$6,963.60
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$156.46 |
$156.46 |
$156.46 |
$197.40
|
|
Gastroesophageal reflux study
|
$1,269.99 |
$1,269.99 |
$1,269.99 |
$957.25
|
|
Gastroesophageal reflux test
|
$1,368.91 |
$1,368.91 |
$1,368.91 |
$1,129.63
|
|
Gated heart multiple
|
$1,390.83 |
$1,390.83 |
$1,390.83 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$931.06 |
$931.06 |
$931.06 |
$269.06
|
|
General health panel
|
$138.37 |
$138.37 |
$138.37 |
$280.50
|
|
Generator barostim neo2 2014
|
$57,693.44 |
$57,693.44 |
$57,693.44 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$35,824.13 |
$35,824.13 |
$35,824.13 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$39,406.68 |
$39,406.68 |
$39,406.68 |
$56,470.28
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$16.44 |
$16.44 |
$16.44 |
$63.08
|
|
Gentamicin peak therapeutic drug level
|
$117.82 |
$117.82 |
$117.82 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$621.98 |
$621.98 |
$621.98 |
$1,352.03
|
|
Ghs abscess postoperative iandd complex
|
$2,104.32 |
$2,104.32 |
$2,104.32 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$4.11 |
$4.11 |
$4.11 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$4.87 |
$4.87 |
$4.87 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$4.47 |
$4.47 |
$4.47 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$166.60 |
$166.60 |
$166.60 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$21.10 |
$21.10 |
$21.10 |
$55.90
|
|
Ghs change cysto/gastrost
|
$266.88 |
$266.88 |
$266.88 |
$699.60
|
|
Ghs chemo >8 hrs
|
$492.11 |
$492.11 |
$492.11 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$317.57 |
$317.57 |
$317.57 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$185.50 |
$185.50 |
$185.50 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$20.55 |
$20.55 |
$20.55 |
$134.55
|
|
Ghs cricothyroidotomy
|
$206.05 |
$206.05 |
$206.05 |
$1,207.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$818.44 |
$818.44 |
$818.44 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$521.97 |
$521.97 |
$521.97 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$303.87 |
$303.87 |
$303.87 |
$586.80
|
|
Ghs fish cytogen
|
$59.87 |
$59.87 |
$59.87 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$126.53 |
$126.53 |
$126.53 |
$229.45
|
|
Ghs hcv amplificaiton
|
$10.64 |
$10.64 |
$10.64 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$4.70 |
$4.70 |
$4.70 |
$106.05
|
|
Ghs histoplasma antigen
|
$2.77 |
$2.77 |
$2.77 |
$137.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,073.81 |
$1,073.81 |
$1,073.81 |
$3,034.00
|
|
Ghs inf midline insertion
|
$954.35 |
$954.35 |
$954.35 |
$1,234.20
|
|
Ghs inj neurolytic other perph nerve
|
$1,051.89 |
$1,051.89 |
$1,051.89 |
$1,972.69
|
|
Ghs intro needle/intracath vein - 36000
|
$52.89 |
$52.89 |
$52.89 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$37.54 |
$37.54 |
$37.54 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$329.63 |
$329.63 |
$329.63 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$259.21 |
$259.21 |
$259.21 |
$617.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$2.61 |
$2.61 |
$2.61 |
$59.40
|
|
Ghs mbp
|
$6.44 |
$6.44 |
$6.44 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$257.56 |
$257.56 |
$257.56 |
$261.80
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$177.83 |
$177.83 |
$177.83 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$212.63 |
$212.63 |
$212.63 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$177.83 |
$177.83 |
$177.83 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$168.24 |
$168.24 |
$168.24 |
$503.85
|
|
Ghs nerve blk intercostal, single level
|
$720.08 |
$720.08 |
$720.08 |
$1,230.80
|
|
Ghs nerve block lumbar or thoracic symp
|
$755.97 |
$755.97 |
$755.97 |
$2,042.60
|
|
Ghs nerve block suprascapular
|
$678.15 |
$678.15 |
$678.15 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$606.91 |
$606.91 |
$606.91 |
$468.75
|
|
Ghs o2 saturation
|
$147.96 |
$147.96 |
$147.96 |
$72.45
|
|
Ghs pacing - transcutaneous
|
$248.80 |
$248.80 |
$248.80 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$809.67 |
$809.67 |
$809.67 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$971.33 |
$971.33 |
$971.33 |
$1,003.00
|
|
Ghs picc line insert < 5
|
$1,408.36 |
$1,408.36 |
$1,408.36 |
$2,060.40
|
|
Ghs ppd (tb intradermal)
|
$16.17 |
$16.17 |
$16.17 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$2.89 |
$2.89 |
$2.89 |
$40.56
|
|
Ghs protein, misc fluid
|
$4.09 |
$4.09 |
$4.09 |
$24.60
|
|
Ghs protoporphyrins fract
|
$4.39 |
$4.39 |
$4.39 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$168.79 |
$168.79 |
$168.79 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$3.01 |
$3.01 |
$3.01 |
$45.05
|
|
Ghs reticulocyte count
|
$12.33 |
$12.33 |
$12.33 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$92.34 |
$92.34 |
$92.34 |
$101.15
|
|
Ghs sedimentation rate
|
$121.66 |
$121.66 |
$121.66 |
$45.50
|
|
Ghs semen analysis fert
|
$53.43 |
$53.43 |
$53.43 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$23.02 |
$23.02 |
$23.02 |
$59.90
|
|
Ghs somatosensory testing upper & lower limbs
|
$609.93 |
$609.93 |
$609.93 |
$1,435.00
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,376.31 |
$1,376.31 |
$1,376.31 |
$2,225.73
|
|
Ghs urine, hydroxproline total
|
$7.37 |
$7.37 |
$7.37 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$6.58 |
$6.58 |
$6.58 |
$70.20
|
|
Ghs veeg 12-26 hr intmt mont
|
$583.35 |
$583.35 |
$583.35 |
$1,843.00
|
|
Gi inhouse confirmation
|
$35.62 |
$35.62 |
$35.62 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,637.43 |
$1,637.43 |
$1,637.43 |
$2,382.90
|
|
Gi wireless capsule measure
|
$576.50 |
$576.50 |
$576.50 |
$1,247.13
|
|
Glove finger flexion right lg xl
|
$66.59 |
$66.59 |
$66.59 |
$69.99
|
|
Glucagon 1 mg solution for injection
|
$368.26 |
$368.26 |
$368.26 |
$655.20
|
|
Glucagon plasma - sendout
|
$5.48 |
$5.48 |
$5.48 |
$58.56
|
|
Glucose 1 hr post dose
|
$40.83 |
$40.83 |
$40.83 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$27.13 |
$27.13 |
$27.13 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$47.13 |
$47.13 |
$47.13 |
$22.00
|
|
Glucose blood quantitative
|
$35.08 |
$35.08 |
$35.08 |
$44.76
|
|
Glucose body fluid
|
$41.38 |
$41.38 |
$41.38 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$36.17 |
$36.17 |
$36.17 |
$100.10
|
