|
Gamunex-c/gammaked
|
$7,764.24 |
$7,764.24 |
$7,764.24 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$525.30 |
$525.30 |
$548.64 |
$197.40
|
|
Gardner vag dna amp probe
|
$111.60 |
$111.60 |
$111.60 |
$65.30
|
|
Gated heart multiple
|
$649.80 |
$649.80 |
$649.80 |
$1,400.64
|
|
Gba gene
|
$331.80 |
$331.80 |
$331.80 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$229.32 |
$229.32 |
$249.90 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$51,997.98 |
$51,997.98 |
$51,997.98 |
$19,305.62
|
|
General health panel
|
$54.60 |
$54.60 |
$54.60 |
$275.00
|
|
Generator barostim neo2 2014
|
$154,651.65 |
$154,651.65 |
$154,651.65 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$117,620.93 |
$117,620.93 |
$117,620.93 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$139,078.80 |
$139,078.80 |
$139,078.80 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$2,395.20 |
$2,395.20 |
$2,395.20 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$87,420.96 |
$87,420.96 |
$87,420.96 |
$36,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$33.36 |
$33.36 |
$68,955.00 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$52.20 |
$52.20 |
$52.20 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$5,446.96 |
$5,446.96 |
$5,446.96 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$658.20 |
$658.20 |
$658.20 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$2,517.60 |
$2,517.60 |
$2,517.60 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$17.40 |
$17.40 |
$17.40 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$159.00 |
$159.00 |
$159.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$401.40 |
$401.40 |
$401.40 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$25.20 |
$25.20 |
$25.20 |
$69.30
|
|
Ghs bleeding time (ivy)
|
$83.40 |
$83.40 |
$83.40 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,045.65
|
|
Ghs change cysto/gastrost
|
$1,534.80 |
$1,534.80 |
$1,534.80 |
$565.49
|
|
Ghs chemo >8 hrs
|
$2,356.80 |
$2,356.80 |
$2,356.80 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$206.40 |
$206.40 |
$206.40 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$47,309.18 |
$47,309.18 |
$47,309.18 |
$512.40
|
|
Ghs closure surg wound/dehiscence-13160
|
$18,821.11 |
$18,821.11 |
$18,821.11 |
$3,086.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,655.40 |
$1,655.40 |
$1,655.40 |
$1,109.47
|
|
Ghs fb removal - incisional
|
$2,978.40 |
$2,978.40 |
$8,365.80 |
$2,271.01
|
|
Ghs febrile agglutinns(mayo)
|
$39.60 |
$39.60 |
$39.60 |
$48.57
|
|
Ghs fish cytogen
|
$86.40 |
$86.40 |
$86.40 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$171.60 |
$171.60 |
$171.60 |
$223.00
|
|
Ghs hcv amplificaiton
|
$91.80 |
$91.80 |
$91.80 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$185.40 |
$185.40 |
$185.40 |
$142.50
|
|
Ghs hgb stability-thal
|
$87.60 |
$87.60 |
$87.60 |
$87.60
|
|
Ghs histoplasma antigen
|
$141.60 |
$141.60 |
$141.60 |
$141.00
|
|
Ghs HIV antibody
|
$100.20 |
$100.20 |
$100.20 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$248.40 |
$248.40 |
$248.40 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$6,665.88 |
$6,665.88 |
$6,665.88 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$8,212.11 |
$8,212.11 |
$8,212.11 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$1,372.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$960.60 |
$960.60 |
$960.60 |
$523.73
|
|
Ghs inf midline insertion
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$1,219.20
|
|
Ghs inhibitor screen
|
$109.20 |
$109.20 |
$109.20 |
$187.32
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$30,226.88 |
$30,226.88 |
$30,226.88 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$9,861.42 |
$9,861.42 |
$11,805.72 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$693.00 |
$693.00 |
$47,161.43 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$688.20 |
$688.20 |
$688.20 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$9,964.56 |
$9,964.56 |
$9,964.56 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$947.40 |
$947.40 |
$947.40 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$9,861.42 |
$9,861.42 |
$9,861.42 |
$770.22
|
|
Ghs leukocyte alkaline phos (mayo)
|
$60.60 |
$60.60 |
$60.60 |
$76.20
|
|
Ghs mbp
|
$37.80 |
$37.80 |
$37.80 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$366.60 |
$366.60 |
$366.60 |
$242.31
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$366.60 |
$366.60 |
$366.60 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$311.40 |
$311.40 |
$311.40 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$98.40 |
$98.40 |
$98.40 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$98.40 |
$98.40 |
$98.40 |
$147.75
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,639.80 |
$1,639.80 |
$1,639.80 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$2,341.80 |
$2,341.80 |
$2,341.80 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$2,341.80 |
$2,341.80 |
$2,341.80 |
$1,689.00
|
|
Ghs nerve block sciatic nerve
|
$2,341.80 |
$2,341.80 |
$51,285.45 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,141.36
|
|
Ghs o2 saturation
|
$113.40 |
$113.40 |
$113.40 |
$70.80
|
|
Ghs ob unlisted IV or art inj or infusion
|
$73.80 |
$73.80 |
$73.80 |
$75.00
|
|
Ghs opcc repair cvp w subq port
|
$6,732.24 |
$6,732.24 |
$6,732.24 |
$2,194.40
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,438.80 |
$1,438.80 |
$4,036.38 |
$851.04
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,831.20 |
$1,831.20 |
$4,757.34 |
$962.00
|
|
Ghs phenylketonurid
|
$111.00 |
$111.00 |
$111.00 |
$53.76
|
|
Ghs plt ct-manual
|
$24.60 |
$24.60 |
$24.60 |
$37.96
|
|
Ghs ppd (tb intradermal)
|
$16.20 |
$16.20 |
$50.40 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$17.40 |
$17.40 |
$17.40 |
$43.55
|
|
Ghs protoporphyrins fract
|
$86.40 |
$86.40 |
$86.40 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$54.00 |
$54.00 |
$54.00 |
$50.05
|
|
Ghs quinidine
|
$280.80 |
$280.80 |
$280.80 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$79.20 |
$79.20 |
$79.20 |
$71.20
|
|
Ghs reticulocyte count
|
$28.20 |
$28.20 |
$28.20 |
$34.45
|
|
Ghs sedimentation rate
|
$42.00 |
$42.00 |
$42.00 |
$45.50
|
|
Ghs semen analysis fert
|
$273.00 |
$273.00 |
$273.00 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$63.00 |
$63.00 |
$63.00 |
$57.60
|
|
Ghs urine, hydroxproline total
|
$49.80 |
$49.80 |
$49.80 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$47.40 |
$47.40 |
$47.40 |
$75.00
|
|
Giardia lamblia antibody
|
$48.60 |
$48.60 |
$48.60 |
$83.44
|
|
Gi inhouse confirmation
|
$82.20 |
$82.20 |
$82.20 |
$83.70
|
|
Gjb2 gene full sequence
|
$500.40 |
$500.40 |
$500.40 |
$502.80
|
|
Gjb6 gene com variants
|
$250.20 |
$250.20 |
$250.20 |
$106.40
|
|
Glassia injection
|
$3,385.80 |
$3,385.80 |
$3,385.80 |
$20.32
|
|
Glaucoma surgery
|
$12,701.46 |
$12,701.46 |
$12,701.46 |
$4,627.00
|
|
Glove finger flexion right lg xl
|
$343.52 |
$343.52 |
$343.52 |
$100.48
|
|
Glucagon 1 mg solution for injection
|
$1,512.00 |
$1,512.00 |
$1,579.20 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,425.12 |
$1,425.12 |
$1,510.92 |
$491.67
|
|
Glucagon plasma - sendout
|
$27.00 |
$27.00 |
$27.00 |
$63.00
|
|
Glucose 1 hr post dose
|
$54.60 |
$54.60 |
$54.60 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$9.00 |
$9.00 |
$9.00 |
$23.86
|
|
Glucose blood quantitative
|
$54.60 |
$54.60 |
$54.60 |
$40.00
|
|
Glucose body fluid
|
$50.40 |
$50.40 |
$50.40 |
$52.20
|
