|
Gamunex-c/gammaked
|
$11,178.00 |
$11,178.00 |
$11,178.00 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$187.68 |
$187.68 |
$187.68 |
$197.40
|
|
Gastroesophageal reflux test
|
$2,476.00 |
$2,476.00 |
$2,476.00 |
$1,321.45
|
|
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
|
$207.50 |
$207.50 |
$207.50 |
$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
|
$215.00 |
$215.00 |
$215.00 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$1,590.50 |
$1,590.50 |
$1,590.50 |
$1,418.18
|
|
Ghs acetylcholinesterase, rbc
|
$16.00 |
$16.00 |
$16.00 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$429.00 |
$429.00 |
$429.00 |
$100.30
|
|
Ghs bladder cath - complex-foley
|
$596.00 |
$596.00 |
$596.00 |
$344.00
|
|
Ghs change cysto/gastrost
|
$109.72 |
$109.72 |
$109.72 |
$565.49
|
|
Ghs chemo >8 hrs
|
$979.00 |
$979.00 |
$979.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$425.50 |
$425.50 |
$425.50 |
$286.00
|
|
Ghs community re-entry 15 minutes
|
$93.50 |
$93.50 |
$93.50 |
$88.50
|
|
Ghs diphtheria toxoid ab igg
|
$124.00 |
$124.00 |
$124.00 |
$62.05
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$388.00 |
$388.00 |
$388.00 |
$593.91
|
|
Ghs fish cytogen
|
$106.00 |
$106.00 |
$106.00 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$292.00 |
$292.00 |
$292.00 |
$223.00
|
|
Ghs histoplasma antigen
|
$160.00 |
$160.00 |
$160.00 |
$141.00
|
|
Ghs inf midline insertion
|
$714.00 |
$714.00 |
$714.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$202.50 |
$202.50 |
$202.50 |
$187.32
|
|
Ghs inj neurolytic other perph nerve
|
$258.65 |
$258.65 |
$258.65 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$33.42 |
$33.42 |
$33.42 |
$431.07
|
|
Ghs intro needle/intracath vein - 36000
|
$744.00 |
$744.00 |
$744.00 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$189.50 |
$189.50 |
$189.50 |
$107.58
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$119.35 |
$119.35 |
$119.35 |
$770.22
|
|
Ghs mbp
|
$61.50 |
$61.50 |
$61.50 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$280.00 |
$280.00 |
$280.00 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$280.00 |
$280.00 |
$280.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$280.00 |
$280.00 |
$280.00 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$280.00 |
$280.00 |
$280.00 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$280.00 |
$280.00 |
$280.00 |
$147.75
|
|
Ghs musc test done w/n test comp
|
$87.10 |
$87.10 |
$87.10 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$42.25 |
$42.25 |
$42.25 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$93.28 |
$93.28 |
$93.28 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$317.50 |
$317.50 |
$317.50 |
$457.80
|
|
Ghs ng placement w fluoro guidance
|
$1,067.00 |
$1,067.00 |
$1,067.00 |
$478.50
|
|
Ghs o2 saturation
|
$69.50 |
$69.50 |
$69.50 |
$70.80
|
|
Ghs opcc repair cvp without subq port
|
$2,274.50 |
$2,274.50 |
$2,274.50 |
$1,229.24
|
|
Ghs opcc repair cvp w subq port
|
$4,546.50 |
$4,546.50 |
$4,546.50 |
$2,194.40
|
|
Ghs ot prosthetic training/15 min
|
$93.50 |
$93.50 |
$93.50 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$93.50 |
$93.50 |
$93.50 |
$94.80
|
|
Ghs picc line insert < 5
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$2,019.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,359.50 |
$3,359.50 |
$3,359.50 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$17.50 |
$17.50 |
$17.50 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$31.50 |
$31.50 |
$31.50 |
$43.55
|
|
Ghs protoporphyrins fract
|
$53.00 |
$53.00 |
$53.00 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$14.00 |
$14.00 |
$14.00 |
$50.05
|
|
Ghs removal intranasal foreign body
|
$225.00 |
$225.00 |
$225.00 |
$287.50
|
|
Ghs sensitivity (per antimicro)
|
$66.50 |
$66.50 |
$66.50 |
$57.60
|
|
Ghs sleep study unattended
|
$754.00 |
$754.00 |
$754.00 |
$495.00
|
|
Ghs sp train/fitting sp device - kx
|
$263.00 |
$263.00 |
$263.00 |
$250.50
|
|
Ghs st - eval for alt comm
|
$149.00 |
$149.00 |
$149.00 |
$93.60
|
|
Ghs st - re-eval for alt comm
|
$277.50 |
$277.50 |
$277.50 |
$309.00
|
|
Gi inhouse confirmation
|
$81.00 |
$81.00 |
$81.00 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$2,098.85
|
|
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
|
$478.50 |
$478.50 |
$478.50 |
$63.00
|
|
Glucose 1 hr post dose
|
$43.00 |
$43.00 |
$43.00 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$18.00 |
$18.00 |
$18.00 |
$23.86
|
|
Glucose blood quantitative
|
$27.00 |
$27.00 |
$27.00 |
$40.00
|
|
Glucose body fluid
|
$17.00 |
$17.00 |
$17.00 |
$52.20
|
|
Glucose monitoring continual min 72hr pt
|
$269.00 |
$269.00 |
$269.00 |
$118.39
|
|
Glucose tolerance test (gtt) 3 specimens
|
$75.50 |
$75.50 |
$75.50 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$15.50 |
$15.50 |
$15.50 |
$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)
|
$106.00 |
$106.00 |
$106.00 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$147.00 |
$147.00 |
$147.00 |
$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
|
$35,369.55 |
$35,369.55 |
$35,369.55 |
$27,367.40
|
|
Graft xenmtrx sft rect 15x20cm
|
$27,409.51 |
$27,409.51 |
$27,409.51 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,531.55 |
$5,531.55 |
$5,531.55 |
$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
|
$2,246.50 |
$2,246.50 |
$2,246.50 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$3,284.36 |
$3,284.36 |
$3,284.36 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$1,117.40 |
$1,117.40 |
$1,117.40 |
$1,105.00
|
|
Guid loc target vol rad tx
|
$747.00 |
$747.00 |
$747.00 |
$536.00
|
|
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
|
$275.00 |
$275.00 |
$275.00 |
$356.00
|
