|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$184.22 |
$184.22 |
$184.22 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$233.75 |
$233.75 |
$233.75 |
$122.00
|
|
Fructosamine glycated protein
|
$52.62 |
$52.62 |
$52.62 |
$60.75
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$29.15 |
$29.15 |
$29.15 |
$27.08
|
|
Ga-67 gallium 0.1 mci
|
$47.57 |
$47.57 |
$47.57 |
$118.56
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$84.04 |
$84.04 |
$84.04 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$155.61 |
$155.61 |
$155.61 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$844.12 |
$844.12 |
$844.12 |
$250.83
|
|
Gammaglobulin iga
|
$57.00 |
$57.00 |
$57.00 |
$67.20
|
|
Gammaglobulin ige
|
$77.00 |
$77.00 |
$77.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$28.00 |
$28.00 |
$28.00 |
$57.54
|
|
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
|
|
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
|
$61.00 |
$61.00 |
$61.00 |
$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
|
$129.62 |
$129.62 |
$129.62 |
$126.00
|
|
Ghs bladder cath - complex-foley
|
$72.45 |
$72.45 |
$72.45 |
$344.00
|
|
Ghs change cysto/gastrost
|
$109.72 |
$109.72 |
$109.72 |
$565.49
|
|
Ghs chemo >8 hrs
|
$656.75 |
$656.75 |
$656.75 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$184.88 |
$184.88 |
$184.88 |
$286.00
|
|
Ghs fish cytogen
|
$138.62 |
$138.62 |
$138.62 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$190.38 |
$190.38 |
$190.38 |
$223.00
|
|
Ghs histoplasma antigen
|
$120.25 |
$120.25 |
$120.25 |
$141.00
|
|
Ghs inhibitor screen
|
$85.00 |
$85.00 |
$85.00 |
$187.32
|
|
Ghs inj neurolytic other perph nerve
|
$258.65 |
$258.65 |
$258.65 |
$1,702.20
|
|
Ghs IV inf sq injection, on-body injector
|
$97.88 |
$97.88 |
$97.88 |
$107.58
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$119.35 |
$119.35 |
$119.35 |
$770.22
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$139.00 |
$139.00 |
$139.00 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$148.62 |
$148.62 |
$148.62 |
$151.50
|
|
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
|
$305.00 |
$305.00 |
$305.00 |
$457.80
|
|
Ghs nerve block axillary nerve
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
$1,689.00
|
|
Ghs nerve block sciatic nerve
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,254.78 |
$1,254.78 |
$1,254.78 |
$1,141.36
|
|
Ghs ng placement w fluoro guidance
|
$706.38 |
$706.38 |
$706.38 |
$478.50
|
|
Ghs ot sensory integrative tech/15min
|
$80.88 |
$80.88 |
$80.88 |
$94.80
|
|
Ghs protoporphyrins fract
|
$12.00 |
$12.00 |
$12.00 |
$64.28
|
|
Ghs sensitivity (per antimicro)
|
$20.75 |
$20.75 |
$20.75 |
$57.60
|
|
Ghs sp train/fitting sp device - kx
|
$216.50 |
$216.50 |
$216.50 |
$250.50
|
|
Ghs st - eval for alt comm
|
$20.80 |
$20.80 |
$20.80 |
$93.60
|
|
Gi inhouse confirmation
|
$77.50 |
$77.50 |
$77.50 |
$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
|
|
Glucose 1 hr post dose
|
$41.50 |
$41.50 |
$41.50 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$17.00 |
$17.00 |
$17.00 |
$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 monitoring continual min 72hr pt
|
$94.50 |
$94.50 |
$94.50 |
$118.39
|
|
Glucose tolerance test (gtt) 3 specimens
|
$72.50 |
$72.50 |
$72.50 |
$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)
|
$101.50 |
$101.50 |
$101.50 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$119.38 |
$119.38 |
$119.38 |
$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
|
|
Guided cath fluid drainage 10030
|
$1,249.88 |
$1,249.88 |
$1,249.88 |
$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
|
|
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
|
$264.00 |
$264.00 |
$264.00 |
$356.00
|
|
Haptoglobin quantitative
|
$28.38 |
$28.38 |
$28.38 |
$91.14
|
|
Hbot, full body chamber, 30m
|
$356.25 |
$356.25 |
$356.25 |
$526.90
|
|
Hcg qualitative
|
$57.12 |
$57.12 |
$57.12 |
$89.70
|
|
Hcg quantitative
|
$77.00 |
$77.00 |
$77.00 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$496.50 |
$496.50 |
$496.50 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$470.00 |
$470.00 |
$470.00 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$437.25 |
$437.25 |
$437.25 |
$1,268.90
|
|
Hematocrit
|
$19.00 |
$19.00 |
$19.00 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$26,762.50 |
$26,762.50 |
$26,762.50 |
$20,618.46
|
|
Hemoglobin
|
$18.38 |
$18.38 |
$18.38 |
$31.80
|
|
Heparin assay
|
$12.00 |
$12.00 |
$12.00 |
$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
|
$68.00 |
$68.00 |
$68.00 |
$87.75
|
|
Hepatitis b core antibody igm
|
$77.12 |
$77.12 |
$77.12 |
$87.98
|
