|
Gel-one
|
$5,274.00 |
$5,274.00 |
$5,274.00 |
$1,868.36
|
|
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 |
$208.92
|
|
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
|
$203.50 |
$203.50 |
$203.50 |
$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 |
$36,729.55
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$169.18 |
$169.18 |
$169.18 |
$57.38
|
|
Gentamicin peak therapeutic drug level
|
$211.00 |
$211.00 |
$211.00 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$1,560.50 |
$1,560.50 |
$1,560.50 |
$1,466.88
|
|
Ghs acetylcholinesterase, rbc
|
$15.50 |
$15.50 |
$15.50 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$421.00 |
$421.00 |
$421.00 |
$100.30
|
|
Ghs chemo >8 hrs
|
$960.50 |
$960.50 |
$960.50 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$417.50 |
$417.50 |
$417.50 |
$287.76
|
|
Ghs community re-entry 15 minutes
|
$91.50 |
$91.50 |
$91.50 |
$89.00
|
|
Ghs diphtheria toxoid ab igg
|
$121.50 |
$121.50 |
$121.50 |
$54.00
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$380.50 |
$380.50 |
$380.50 |
$586.80
|
|
Ghs fish cytogen
|
$104.00 |
$104.00 |
$104.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$286.50 |
$286.50 |
$286.50 |
$226.20
|
|
Ghs histoplasma antigen
|
$157.00 |
$157.00 |
$157.00 |
$141.60
|
|
Ghs inhibitor screen
|
$198.50 |
$198.50 |
$198.50 |
$191.88
|
|
Ghs IV inf sq injection, on-body injector
|
$186.00 |
$186.00 |
$186.00 |
$108.00
|
|
Ghs mbp
|
$60.50 |
$60.50 |
$60.50 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$274.50 |
$274.50 |
$274.50 |
$246.40
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$274.50 |
$274.50 |
$274.50 |
$231.00
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$274.50 |
$274.50 |
$274.50 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$274.50 |
$274.50 |
$274.50 |
$151.20
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$274.50 |
$274.50 |
$274.50 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$311.50 |
$311.50 |
$311.50 |
$457.80
|
|
Ghs ng placement w fluoro guidance
|
$1,046.50 |
$1,046.50 |
$1,046.50 |
$485.00
|
|
Ghs o2 saturation
|
$68.00 |
$68.00 |
$68.00 |
$72.45
|
|
Ghs ot prosthetic training/15 min
|
$91.50 |
$91.50 |
$91.50 |
$90.75
|
|
Ghs ot sensory integrative tech/15min
|
$91.50 |
$91.50 |
$91.50 |
$96.00
|
|
Ghs picc line insert < 5
|
$1,581.50 |
$1,581.50 |
$1,581.50 |
$2,019.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,295.50 |
$3,295.50 |
$3,295.50 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$17.00 |
$17.00 |
$17.00 |
$37.50
|
|
Ghs prostatic acid phosphatase (mayo)
|
$31.00 |
$31.00 |
$31.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$52.00 |
$52.00 |
$52.00 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$13.50 |
$13.50 |
$13.50 |
$50.05
|
|
Ghs sensitivity (per antimicro)
|
$65.00 |
$65.00 |
$65.00 |
$58.95
|
|
Ghs sleep study unattended
|
$739.50 |
$739.50 |
$739.50 |
$503.38
|
|
Ghs sp train/fitting sp device - kx
|
$258.00 |
$258.00 |
$258.00 |
$243.60
|
|
Ghs st - eval for alt comm
|
$146.00 |
$146.00 |
$146.00 |
$93.60
|
|
Ghs st - re-eval for alt comm
|
$272.00 |
$272.00 |
$272.00 |
$301.60
|
|
Gi inhouse confirmation
|
$79.50 |
$79.50 |
$79.50 |
$84.80
|
|
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
|
$469.50 |
$469.50 |
$469.50 |
$63.00
|
|
Glucose 1 hr post dose
|
$42.00 |
$42.00 |
$42.00 |
$50.40
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$17.50 |
$17.50 |
$17.50 |
$24.26
|
|
Glucose blood quantitative
|
$26.50 |
$26.50 |
$26.50 |
$41.50
|
|
Glucose body fluid
|
$16.50 |
$16.50 |
$16.50 |
$51.12
|
|
Glucose monitoring continual min 72hr pt
|
$264.00 |
$264.00 |
$264.00 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$74.00 |
$74.00 |
$74.00 |
$103.35
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$15.00 |
$15.00 |
$15.00 |
$36.00
|
|
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 |
$4,846.65
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$104.00 |
$104.00 |
$104.00 |
$117.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$144.00 |
$144.00 |
$144.00 |
$131.20
|
|
Goserelin 10.8 mg subcutaneous implant
|
$6,985.08 |
$6,985.08 |
$6,985.08 |
$4,653.16
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$359.00
|
|
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 |
$657.62
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$2,482.00 |
$2,482.00 |
$2,482.00 |
$23,253.65
|
|
Graft nerve adv 3-4x70mm
|
$14,136.40 |
$14,136.40 |
$14,136.40 |
$19,658.53
|
|
Graft patch felt ptfe 2x2
|
$24,626.00 |
$24,626.00 |
$24,626.00 |
$27,317.20
|
|
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 |
$28,666.90
|
|
Graft xenmtrx sft rect 15x20cm
|
$27,409.50 |
$27,409.50 |
$27,409.50 |
$30,586.01
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,531.55 |
$5,531.55 |
$5,531.55 |
$3,076.20
|
|
Granisetron 1 mg tab
|
$4.64 |
$4.64 |
$4.64 |
$53.15
|
|
Granisetron hcl injection
|
$192.55 |
$192.55 |
$192.55 |
$46.00
|
|
Guided cath fluid drainage 10030
|
$2,204.00 |
$2,204.00 |
$2,204.00 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$3,284.36 |
$3,284.36 |
$3,284.36 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$1,117.40 |
$1,117.40 |
$1,117.40 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$5,760.00 |
$5,760.00 |
$5,760.00 |
$6,500.00
|
|
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 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$26.86 |
$26.86 |
$26.86 |
$24.30
|
|
Handpiece aquabeam hp2000
|
$10,295.50 |
$10,295.50 |
$10,295.50 |
$6,628.05
|
|
Hand X-ray
|
$270.00 |
$270.00 |
$270.00 |
$358.40
|
|
Haptoglobin quantitative
|
$68.50 |
$68.50 |
$68.50 |
$91.14
|
|
Hba1/hba2 gene dup/del vrnts
|
$333.00 |
$333.00 |
$333.00 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$812.50 |
$812.50 |
$812.50 |
$538.85
|
|
Hcg qualitative
|
$59.00 |
$59.00 |
$59.00 |
$90.40
|
|
Hcg quantitative
|
$79.00 |
$79.00 |
$79.00 |
$140.00
|
|
Head CT scan (with and without contrast)
|
$738.50 |
$738.50 |
$738.50 |
$1,824.98
|
|
Head CT scan (with contrast)
|
$630.50 |
$630.50 |
$630.50 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$530.50 |
$530.50 |
$530.50 |
$1,268.90
|
|
Hematocrit
|
$27.00 |
$27.00 |
$27.00 |
$34.25
|
|
Hemin 350 mg intravenous powder for solution
|
$26,762.50 |
$26,762.50 |
$26,762.50 |
$20,618.46
|
|
Hemoglobin
|
$24.50 |
$24.50 |
$24.50 |
$33.00
|
|
Hemoglobin methemoglobin quantitative
|
$60.50 |
$60.50 |
$60.50 |
$53.95
|
|
Hemoglobin plasma
|
$70.00 |
$70.00 |
$70.00 |
$41.25
|
|
Hemophilus influenza antibdy
|
$82.50 |
$82.50 |
$82.50 |
$58.32
|
|
Heparin assay
|
$50.50 |
$50.50 |
$50.50 |
$139.15
|
|
Heparin bolus from bag
|
$99.80 |
$99.80 |
$99.80 |
$68.93
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$30.98 |
$30.98 |
$30.98 |
$12.79
|
|
Hepatitis a antibody igm
|
$126.00 |
$126.00 |
$126.00 |
$88.92
|
|
Hepatitis b core antibody igm
|
$129.50 |
$129.50 |
$129.50 |
$88.41
|
