|
Fosaprepitant 150 mg intravenous powder for solution
|
$273.71 |
$273.71 |
$273.71 |
$457.50
|
|
Foscarnet sodium injection
|
$1,008.91 |
$1,008.91 |
$1,008.91 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$211.34 |
$211.34 |
$211.34 |
$106.10
|
|
_fragile x methylation-sendout
|
$129.90 |
$129.90 |
$129.90 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$104.40 |
$104.40 |
$104.40 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$66.90 |
$66.90 |
$66.90 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$277.20 |
$277.20 |
$277.20 |
$122.00
|
|
Fructosamine glycated protein
|
$15.30 |
$15.30 |
$15.30 |
$60.75
|
|
Ftl cgen abnor four anal
|
$32.70 |
$32.70 |
$32.70 |
$204.52
|
|
Furosemide 10 mg/ml injection solution
|
$6.17 |
$6.17 |
$6.17 |
$19.00
|
|
Ga-67 gallium 0.1 mci
|
$62.49 |
$62.49 |
$62.49 |
$118.56
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$220.98 |
$220.98 |
$220.98 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$247.35 |
$247.35 |
$247.35 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$14.10 |
$14.10 |
$14.10 |
$96.94
|
|
Gallium illuccix 1 millicure
|
$631.35 |
$631.35 |
$631.35 |
$1,395.27
|
|
Gammaglobulin iga
|
$36.90 |
$36.90 |
$36.90 |
$67.20
|
|
Gammaglobulin ige
|
$34.50 |
$34.50 |
$34.50 |
$83.85
|
|
Gamma glutamyltransferase
|
$21.90 |
$21.90 |
$21.90 |
$57.54
|
|
Gamunex-c/gammaked
|
$3,368.41 |
$3,368.41 |
$3,368.41 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$99.45 |
$99.45 |
$99.45 |
$197.40
|
|
Gastroesophageal reflux study
|
$183.90 |
$183.90 |
$183.90 |
$949.80
|
|
Gel-one
|
$414.00 |
$414.00 |
$414.00 |
$1,341.67
|
|
Gel-syn injection 0.1 mg
|
$139.68 |
$139.68 |
$139.68 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$304.85 |
$304.85 |
$304.85 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$9,968.72 |
$9,968.72 |
$9,968.72 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$15,180.00 |
$15,180.00 |
$15,180.00 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$29,700.00 |
$29,700.00 |
$29,700.00 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$14.03 |
$14.03 |
$14.03 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$49.50 |
$49.50 |
$49.50 |
$126.00
|
|
Ghs abscess postoperative iandd complex
|
$697.50 |
$697.50 |
$697.50 |
$3,515.40
|
|
Ghs antibodies (torch) igm
|
$15.60 |
$15.60 |
$15.60 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$75.30 |
$75.30 |
$75.30 |
$344.00
|
|
Ghs chemo >8 hrs
|
$151.80 |
$151.80 |
$151.80 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$44.70 |
$44.70 |
$44.70 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$28.80 |
$28.80 |
$28.80 |
$132.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,629.30 |
$1,629.30 |
$1,629.30 |
$3,086.00
|
|
Ghs community re-entry 15 minutes
|
$15.00 |
$15.00 |
$15.00 |
$88.50
|
|
Ghs ed rmvl or bivalving cast
|
$128.70 |
$128.70 |
$128.70 |
$329.60
|
|
Ghs fb removal - incisional
|
$435.90 |
$435.90 |
$435.90 |
$2,271.01
|
|
Ghs fish cytogen
|
$12.60 |
$12.60 |
$12.60 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$53.70 |
$53.70 |
$53.70 |
$223.00
|
|
Ghs hgb stability-thal
|
$30.30 |
$30.30 |
$30.30 |
$87.60
|
|
Ghs inf midline insertion
|
$78.60 |
$78.60 |
$78.60 |
$1,219.20
|
|
Ghs inhibitor screen
|
$169.80 |
$169.80 |
$169.80 |
$187.32
|
|
Ghs intro needle/intracath vein - 36000
|
$111.30 |
$111.30 |
$111.30 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$30.00 |
$30.00 |
$30.00 |
$107.58
|
|
Ghs low level laser therapy
|
$10.20 |
$10.20 |
$10.20 |
$77.70
|
|
Ghs mbp
|
$50.10 |
$50.10 |
$50.10 |
$77.35
|
|
Ghs myocardial strain img spckl track
|
$69.30 |
$69.30 |
$69.30 |
$457.80
|
|
Ghs nerve block celiac plexus
|
$406.50 |
$406.50 |
$406.50 |
$1,661.40
|
|
Ghs ng placement w fluoro guidance
|
$205.50 |
$205.50 |
$205.50 |
$478.50
|
|
Ghs ob unlisted IV or art inj or infusion
|
$30.00 |
$30.00 |
$30.00 |
$75.00
|
|
Ghs opcc repair cvp without subq port
|
$350.10 |
$350.10 |
$350.10 |
$1,229.24
|
|
Ghs ot group caregiver training
|
$78.30 |
$78.30 |
$78.30 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$15.00 |
$15.00 |
$15.00 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$15.00 |
$15.00 |
$15.00 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$33.90 |
$33.90 |
$33.90 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$303.90 |
$303.90 |
$303.90 |
$815.20
|
|
Ghs ppd (tb intradermal)
|
$28.50 |
$28.50 |
$28.50 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$13.80 |
$13.80 |
$13.80 |
$43.55
|
|
Ghs pr without cont pulse ox
|
$36.30 |
$36.30 |
$36.30 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$68.10 |
$68.10 |
$68.10 |
$275.60
|
|
Ghs sensitivity (per antimicro)
|
$20.70 |
$20.70 |
$20.70 |
$57.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$42.60 |
$42.60 |
$42.60 |
$146.40
|
|
Ghs sp train/fitting sp device - kx
|
$50.10 |
$50.10 |
$50.10 |
$250.50
|
|
Ghs st - re-eval for alt comm
|
$54.60 |
$54.60 |
$54.60 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$21.60 |
$21.60 |
$21.60 |
$98.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$97.80 |
$97.80 |
$97.80 |
$351.45
|
|
Ghs superficial wnd dehiscence simp12020
|
$339.90 |
$339.90 |
$339.90 |
$861.75
|
|
Ghs urine, porphyrins quant
|
$12.00 |
$12.00 |
$12.00 |
$75.00
|
|
Ghs vaginal delivery only
|
$782.70 |
$782.70 |
$782.70 |
$3,152.00
|
|
Gi inhouse confirmation
|
$28.50 |
$28.50 |
$28.50 |
$83.70
|
|
Glassia injection
|
$0.68 |
$0.68 |
$0.68 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$287.09 |
$287.09 |
$287.09 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$258.34 |
$258.34 |
$258.34 |
$491.67
|
|
Glucose 1 hr post dose
|
$14.40 |
$14.40 |
$14.40 |
$47.20
|
|
Glucose blood quantitative
|
$11.40 |
$11.40 |
$11.40 |
$40.00
|
|
Glucose body fluid
|
$18.00 |
$18.00 |
$18.00 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$26.40 |
$26.40 |
$26.40 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$12.00 |
$12.00 |
$12.00 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$32.31 |
$32.31 |
$32.31 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,043.98 |
$2,043.98 |
$2,043.98 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$56.10 |
$56.10 |
$56.10 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$56.10 |
$56.10 |
$56.10 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,149.13 |
$1,149.13 |
$1,149.13 |
$4,652.18
|
|
Graft nerve adv 3-4x70mm
|
$10,347.39 |
$10,347.39 |
$10,347.39 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$8,187.00 |
$8,187.00 |
$8,187.00 |
$27,300.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$4,455.00 |
$4,455.00 |
$4,455.00 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$30,798.00 |
$30,798.00 |
$30,798.00 |
$27,367.40
|
|
Graft xenmtrx sft rect 15x20cm
|
$2,305.20 |
$2,305.20 |
$2,305.20 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,780.50 |
$1,780.50 |
$1,780.50 |
$2,701.58
|
|
Granisetron 1 mg tab
|
$17.72 |
$17.72 |
$17.72 |
$53.15
|
|
Granisetron hcl injection
|
$105.27 |
$105.27 |
$105.27 |
$45.03
|
|
G-tube reposition
|
$122.40 |
$122.40 |
$122.40 |
$759.36
|
|
Guided cath fluid drainage 10030
|
$325.50 |
$325.50 |
$325.50 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$140.40 |
$140.40 |
$140.40 |
$1,105.00
|
|
Gw stiffened micro access kit
|
$999.90 |
$999.90 |
$999.90 |
$6,696.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$76.67 |
$76.67 |
$76.67 |
$90.14
|
