|
Gel-one
|
$5,274.00 |
$5,274.00 |
$5,274.00 |
$1,341.67
|
|
Gel-syn injection 0.1 mg
|
$1,605.26 |
$1,605.26 |
$1,605.26 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$88.86 |
$88.86 |
$88.86 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$24,767.40 |
$24,767.40 |
$24,767.40 |
$19,305.62
|
|
General health panel
|
$200.50 |
$200.50 |
$200.50 |
$275.00
|
|
Generator barostim neo2 2014
|
$84,737.50 |
$84,737.50 |
$84,737.50 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$53,750.00 |
$53,750.00 |
$53,750.00 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$169.18 |
$169.18 |
$169.18 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$208.00 |
$208.00 |
$208.00 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$1,538.00 |
$1,538.00 |
$1,538.00 |
$1,418.18
|
|
Ghs acetylcholinesterase, rbc
|
$15.50 |
$15.50 |
$15.50 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$415.00 |
$415.00 |
$415.00 |
$100.30
|
|
Ghs chemo >8 hrs
|
$946.50 |
$946.50 |
$946.50 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$411.50 |
$411.50 |
$411.50 |
$286.00
|
|
Ghs community re-entry 15 minutes
|
$90.50 |
$90.50 |
$90.50 |
$88.50
|
|
Ghs diphtheria toxoid ab igg
|
$120.00 |
$120.00 |
$120.00 |
$62.05
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$375.00 |
$375.00 |
$375.00 |
$593.91
|
|
Ghs fish cytogen
|
$102.50 |
$102.50 |
$102.50 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$282.50 |
$282.50 |
$282.50 |
$223.00
|
|
Ghs histoplasma antigen
|
$154.50 |
$154.50 |
$154.50 |
$141.00
|
|
Ghs inhibitor screen
|
$196.00 |
$196.00 |
$196.00 |
$187.32
|
|
Ghs IV inf sq injection, on-body injector
|
$183.00 |
$183.00 |
$183.00 |
$107.58
|
|
Ghs mbp
|
$59.50 |
$59.50 |
$59.50 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$271.00 |
$271.00 |
$271.00 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$271.00 |
$271.00 |
$271.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$271.00 |
$271.00 |
$271.00 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$271.00 |
$271.00 |
$271.00 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$271.00 |
$271.00 |
$271.00 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$307.00 |
$307.00 |
$307.00 |
$457.80
|
|
Ghs ng placement w fluoro guidance
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$478.50
|
|
Ghs o2 saturation
|
$67.00 |
$67.00 |
$67.00 |
$70.80
|
|
Ghs ot prosthetic training/15 min
|
$90.50 |
$90.50 |
$90.50 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$90.50 |
$90.50 |
$90.50 |
$94.80
|
|
Ghs picc line insert < 5
|
$1,559.00 |
$1,559.00 |
$1,559.00 |
$2,019.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,248.50 |
$3,248.50 |
$3,248.50 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$17.00 |
$17.00 |
$17.00 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$30.50 |
$30.50 |
$30.50 |
$43.55
|
|
Ghs protoporphyrins fract
|
$51.50 |
$51.50 |
$51.50 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$13.50 |
$13.50 |
$13.50 |
$50.05
|
|
Ghs sensitivity (per antimicro)
|
$64.50 |
$64.50 |
$64.50 |
$57.60
|
|
Ghs sleep study unattended
|
$729.00 |
$729.00 |
$729.00 |
$495.00
|
|
Ghs sp train/fitting sp device - kx
|
$254.50 |
$254.50 |
$254.50 |
$250.50
|
|
Ghs st - eval for alt comm
|
$144.00 |
$144.00 |
$144.00 |
$93.60
|
|
Ghs st - re-eval for alt comm
|
$268.50 |
$268.50 |
$268.50 |
$309.00
|
|
Gi inhouse confirmation
|
$78.50 |
$78.50 |
$78.50 |
$83.70
|
|
Glassia injection
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$20.32
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$550.23 |
$550.23 |
$550.23 |
$491.67
|
|
Glucagon plasma - sendout
|
$462.50 |
$462.50 |
$462.50 |
$63.00
|
|
Glucose 1 hr post dose
|
$41.50 |
$41.50 |
$41.50 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$17.50 |
$17.50 |
$17.50 |
$23.86
|
|
Glucose blood quantitative
|
$26.00 |
$26.00 |
$26.00 |
$40.00
|
|
Glucose body fluid
|
$16.50 |
$16.50 |
$16.50 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$73.00 |
$73.00 |
$73.00 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$15.00 |
$15.00 |
$15.00 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$37.04 |
$37.04 |
$37.04 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,846.65 |
$4,846.65 |
$4,846.65 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$102.50 |
$102.50 |
$102.50 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$142.00 |
$142.00 |
$142.00 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$6,985.08 |
$6,985.08 |
$6,985.08 |
$4,652.18
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$672.50
|
|
Graft axiofill 1000mg
|
$17,496.00 |
$17,496.00 |
$17,496.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$13,408.34 |
$13,408.34 |
$13,408.34 |
$584.99
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$2,482.00 |
$2,482.00 |
$2,482.00 |
$24,469.57
|
|
Graft nerve adv 3-4x70mm
|
$14,136.40 |
$14,136.40 |
$14,136.40 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$24,626.00 |
$24,626.00 |
$24,626.00 |
$27,300.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$14,364.00 |
$14,364.00 |
$14,364.00 |
$1,181.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$35,369.50 |
$35,369.50 |
$35,369.50 |
$27,367.40
|
|
Graft xenmtrx sft rect 15x20cm
|
$27,409.50 |
$27,409.50 |
$27,409.50 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,531.50 |
$5,531.50 |
$5,531.50 |
$2,701.58
|
|
Granisetron 1 mg tab
|
$4.64 |
$4.64 |
$4.64 |
$53.15
|
|
Granisetron hcl injection
|
$192.55 |
$192.55 |
$192.55 |
$45.03
|
|
Ground mileage
|
$25.50 |
$25.50 |
$25.50 |
$17.55
|
|
Guided cath fluid drainage 10030
|
$2,172.50 |
$2,172.50 |
$2,172.50 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$3,284.50 |
$3,284.50 |
$3,284.50 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$1,117.50 |
$1,117.50 |
$1,117.50 |
$1,105.00
|
|
Gw stiffened micro access kit
|
$5,760.00 |
$5,760.00 |
$5,760.00 |
$6,696.00
|
|
Halo cervical into jckt vest
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$58.95 |
$58.95 |
$58.95 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$26.86 |
$26.86 |
$26.86 |
$23.06
|
|
Handpiece aquabeam hp2000
|
$10,295.50 |
$10,295.50 |
$10,295.50 |
$6,628.05
|
|
Hand X-ray
|
$266.00 |
$266.00 |
$266.00 |
$356.00
|
|
Haptoglobin quantitative
|
$67.50 |
$67.50 |
$67.50 |
$91.14
|
|
Hba1/hba2 gene dup/del vrnts
|
$328.50 |
$328.50 |
$328.50 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$800.50 |
$800.50 |
$800.50 |
$526.90
|
|
Hcg qualitative
|
$58.00 |
$58.00 |
$58.00 |
$89.70
|
|
Hcg quantitative
|
$78.00 |
$78.00 |
$78.00 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$728.00 |
$728.00 |
$728.00 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$621.50 |
$621.50 |
$621.50 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$523.00 |
$523.00 |
$523.00 |
$1,268.90
|
|
Hematocrit
|
$26.50 |
$26.50 |
$26.50 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$26,762.50 |
$26,762.50 |
$26,762.50 |
$20,618.46
|
|
Hemoglobin
|
$24.00 |
$24.00 |
$24.00 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$59.50 |
$59.50 |
$59.50 |
$53.60
|
|
Hemoglobin plasma
|
$69.00 |
$69.00 |
$69.00 |
$41.25
|
|
Hemophilus influenza antibdy
|
$81.00 |
$81.00 |
$81.00 |
$62.70
|
|
Heparin assay
|
$50.00 |
$50.00 |
$50.00 |
$140.10
|
|
Heparin bolus from bag
|
$99.80 |
$99.80 |
$99.80 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$30.98 |
$30.98 |
$30.98 |
$10.61
|
|
Hepatitis a antibody igm
|
$124.50 |
$124.50 |
$124.50 |
$87.75
|
|
Hepatitis b core antibody igm
|
$127.50 |
$127.50 |
$127.50 |
$87.98
|
