|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$303.00 |
$303.00 |
$303.00 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$75.60 |
$75.60 |
$75.60 |
$131.25
|
|
Fructosamine glycated protein
|
$209.40 |
$209.40 |
$209.40 |
$63.50
|
|
Ftl cgen abnor five anal
|
$373.80 |
$373.80 |
$373.80 |
$155.10
|
|
Full Spine X-ray (Scoliosis Survey)
|
$718.20 |
$718.20 |
$718.20 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$0.60 |
$0.60 |
$0.60 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$6.60 |
$6.60 |
$6.60 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.40 |
$2.40 |
$2.40 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$14.40 |
$14.40 |
$14.40 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.60 |
$0.60 |
$0.60 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$22.20 |
$22.20 |
$22.20 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$34.20 |
$34.20 |
$34.20 |
$100.00
|
|
Galectin-3
|
$78.00 |
$78.00 |
$78.00 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,956.60 |
$1,956.60 |
$1,956.60 |
$1,615.00
|
|
Gamma globulin 1 cc inj
|
$189.60 |
$189.60 |
$189.60 |
$407.60
|
|
Gammaglobulin iga
|
$280.80 |
$280.80 |
$280.80 |
$69.60
|
|
Gammaglobulin ige
|
$226.80 |
$226.80 |
$226.80 |
$83.85
|
|
Gamma glutamyltransferase
|
$111.00 |
$111.00 |
$111.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$338.40 |
$338.40 |
$338.40 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$735.20 |
$735.20 |
$735.20 |
$197.40
|
|
Gardner vag dna quant
|
$290.40 |
$290.40 |
$290.40 |
$104.80
|
|
Gastric motility studies
|
$1,578.60 |
$1,578.60 |
$1,578.60 |
$972.00
|
|
Gastro/jejuno tube, std
|
$790.80 |
$790.80 |
$790.80 |
$379.50
|
|
Gauze >16<=48 no w/sal without b
|
$26.40 |
$26.40 |
$26.40 |
$5.00
|
|
Gauze >16 <=48 sq in w/bordr
|
$4.20 |
$4.20 |
$4.20 |
$4.20
|
|
Gauze <= 16 sq in w/border
|
$12.00 |
$12.00 |
$12.00 |
$13.65
|
|
Gel-one
|
$2,173.80 |
$2,173.80 |
$2,173.80 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$3.00 |
$3.00 |
$3.00 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$364.20 |
$364.20 |
$364.20 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$844.20 |
$844.20 |
$844.20 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$54,031.20 |
$54,031.20 |
$54,031.20 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$62,886.00 |
$62,886.00 |
$62,886.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$11,622.60 |
$11,622.60 |
$11,622.60 |
$3,978.65
|
|
Genome sequence analysis
|
$4,397.40 |
$4,397.40 |
$4,397.40 |
$5,031.20
|
|
Genome sequence analysis
|
$4,397.40 |
$4,397.40 |
$4,397.40 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$49.60 |
$49.60 |
$49.60 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$351.60 |
$351.60 |
$351.60 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$4,449.00 |
$4,449.00 |
$4,449.00 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,512.60 |
$1,512.60 |
$1,512.60 |
$1,465.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$110.40 |
$110.40 |
$110.40 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$455.40 |
$455.40 |
$455.40 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$471.00 |
$471.00 |
$471.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$1,059.85
|
|
Ghs change cysto/gastrost
|
$1,759.80 |
$1,759.80 |
$1,759.80 |
$594.55
|
|
Ghs chemo >8 hrs
|
$696.00 |
$696.00 |
$696.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$446.40 |
$446.40 |
$446.40 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$54.00 |
$54.00 |
$54.00 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$825.60 |
$825.60 |
$825.60 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$825.60 |
$825.60 |
$825.60 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$718.20 |
$718.20 |
$718.20 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$718.20 |
$718.20 |
$718.20 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$4,530.60 |
$4,530.60 |
$4,530.60 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$825.60 |
$825.60 |
$825.60 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,926.80 |
$2,926.80 |
$2,926.80 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$2,389.20 |
$2,389.20 |
$2,389.20 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$825.60 |
$825.60 |
$825.60 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$72.00 |
$72.00 |
$72.00 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$408.60 |
$408.60 |
$408.60 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$408.60 |
$408.60 |
$408.60 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$408.60 |
$408.60 |
$408.60 |
$339.60
|
|
Ghs cutdown placement age 1 and over
|
$120.00 |
$120.00 |
$120.00 |
$372.73
|
|
Ghs diphtheria toxoid ab igg
|
$304.20 |
$304.20 |
$304.20 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$825.60 |
$825.60 |
$825.60 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$5,277.60 |
$5,277.60 |
$5,277.60 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$471.00 |
$471.00 |
$471.00 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,360.20 |
$1,360.20 |
$1,360.20 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$547.20 |
$547.20 |
$547.20 |
$586.80
|
|
Ghs excision ingrown nail
|
$589.80 |
$589.80 |
$589.80 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$718.20 |
$718.20 |
$718.20 |
$510.00
|
|
Ghs fb removal foot - deep - left
|
$7,126.80 |
$7,126.80 |
$7,126.80 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$7,126.80 |
$7,126.80 |
$7,126.80 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$3,129.60 |
$3,129.60 |
$3,129.60 |
$1,706.20
|
|
Ghs fish cytogen
|
$354.60 |
$354.60 |
$354.60 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$354.60 |
$354.60 |
$354.60 |
$226.20
|
|
Ghs flow volume loop
|
$163.80 |
$163.80 |
$163.80 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$304.80 |
$304.80 |
$304.80 |
$368.50
|
|
Ghs histoplasma antigen
|
$674.40 |
$674.40 |
$674.40 |
$142.00
|
|
Ghs HIV antibody
|
$200.40 |
$200.40 |
$200.40 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$458.40 |
$458.40 |
$458.40 |
$513.64
|
|
Ghs i and d abscess/hematoma scrotum
|
$7,126.80 |
$7,126.80 |
$7,126.80 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst simple
|
$589.80 |
$589.80 |
$589.80 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$825.60 |
$825.60 |
$825.60 |
$526.50
|
|
Ghs inf midline insertion
|
$327.00 |
$327.00 |
$327.00 |
$1,238.25
|
|
Ghs inhibitor screen
|
$345.00 |
$345.00 |
$345.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$471.00 |
$471.00 |
$471.00 |
$275.88
|
|
Ghs inj neurolytic other perph nerve
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$616.20 |
$616.20 |
$616.20 |
$434.12
|
|
Ghs inj transforaminal cerv single bil
|
$3,816.00 |
$3,816.00 |
$3,816.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$471.00 |
$471.00 |
$471.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$825.60 |
$825.60 |
$825.60 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$1,051.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$147.00 |
$147.00 |
$147.00 |
$110.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$576.40
|
|
Ghs IV infusion sotrovimab
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$566.87
|
