|
Gel-syn injection 0.1 mg
|
$153.65 |
$153.65 |
$153.65 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$335.33 |
$335.33 |
$335.33 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$10,965.59 |
$10,965.59 |
$10,965.59 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$35,640.00 |
$35,640.00 |
$35,640.00 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$32,670.00 |
$32,670.00 |
$32,670.00 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$15.43 |
$15.43 |
$15.43 |
$56.35
|
|
Gentamicin peak therapeutic drug level
|
$54.45 |
$54.45 |
$54.45 |
$124.93
|
|
Ghs abscess postoperative iandd complex
|
$767.25 |
$767.25 |
$767.25 |
$3,638.88
|
|
Ghs analysis neurostim without reprogramming
|
$67.32 |
$67.32 |
$67.32 |
$246.98
|
|
Ghs antibodies (torch) igm
|
$13.53 |
$13.53 |
$13.53 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$82.83 |
$82.83 |
$82.83 |
$344.00
|
|
Ghs change cysto/gastrost
|
$523.38 |
$523.38 |
$523.38 |
$590.17
|
|
Ghs chemo >8 hrs
|
$166.98 |
$166.98 |
$166.98 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$49.17 |
$49.17 |
$49.17 |
$282.75
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$31.68 |
$31.68 |
$31.68 |
$130.70
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,792.23 |
$1,792.23 |
$1,792.23 |
$3,219.20
|
|
Ghs community re-entry 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$89.00
|
|
Ghs ed rmvl or bivalving cast
|
$141.57 |
$141.57 |
$141.57 |
$338.32
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$357.06 |
$357.06 |
$357.06 |
$1,388.18
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$133.65 |
$133.65 |
$133.65 |
$560.00
|
|
Ghs fb removal - incisional
|
$479.49 |
$479.49 |
$479.49 |
$2,323.75
|
|
Ghs fish cytogen
|
$16.50 |
$16.50 |
$16.50 |
$173.26
|
|
Ghs fish hybrid in situ 100-300
|
$59.07 |
$59.07 |
$59.07 |
$225.00
|
|
Ghs hgb stability-thal
|
$33.33 |
$33.33 |
$33.33 |
$87.84
|
|
Ghs histoplasma antigen
|
$84.15 |
$84.15 |
$84.15 |
$138.00
|
|
Ghs inf midline insertion
|
$86.46 |
$86.46 |
$86.46 |
$1,241.85
|
|
Ghs inhibitor screen
|
$186.78 |
$186.78 |
$186.78 |
$191.88
|
|
Ghs intro needle/intracath vein - 36000
|
$122.43 |
$122.43 |
$122.43 |
$211.20
|
|
Ghs IV inf sq injection, on-body injector
|
$33.00 |
$33.00 |
$33.00 |
$108.00
|
|
Ghs low level laser therapy
|
$11.22 |
$11.22 |
$11.22 |
$77.70
|
|
Ghs mbp
|
$55.11 |
$55.11 |
$55.11 |
$74.19
|
|
Ghs musc test done w/n test comp
|
$156.42 |
$156.42 |
$156.42 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$104.28 |
$104.28 |
$104.28 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$58.08 |
$58.08 |
$58.08 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$76.23 |
$76.23 |
$76.23 |
$457.80
|
|
Ghs nerve block celiac plexus
|
$447.15 |
$447.15 |
$447.15 |
$1,556.40
|
|
Ghs ng placement w fluoro guidance
|
$226.05 |
$226.05 |
$226.05 |
$485.00
|
|
Ghs o2 saturation
|
$28.38 |
$28.38 |
$28.38 |
$72.45
|
|
Ghs ob unlisted IV or art inj or infusion
|
$33.00 |
$33.00 |
$33.00 |
$85.20
|
|
Ghs opcc repair cvp without subq port
|
$385.11 |
$385.11 |
$385.11 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$385.11 |
$385.11 |
$385.11 |
$2,194.40
|
|
Ghs ot group caregiver training
|
$86.13 |
$86.13 |
$86.13 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$16.50 |
$16.50 |
$16.50 |
$91.50
|
|
Ghs ot sensory integrative tech/15min
|
$16.50 |
$16.50 |
$16.50 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$37.29 |
$37.29 |
$37.29 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$334.29 |
$334.29 |
$334.29 |
$822.00
|
|
Ghs ppd (tb intradermal)
|
$31.35 |
$31.35 |
$31.35 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$15.18 |
$15.18 |
$15.18 |
$43.55
|
|
Ghs protoporphyrins fract
|
$13.53 |
$13.53 |
$13.53 |
$63.90
|
|
Ghs pr without cont pulse ox
|
$39.93 |
$39.93 |
$39.93 |
$147.69
|
|
Ghs pt - work hardening/int 2hrs
|
$74.91 |
$74.91 |
$74.91 |
$285.60
|
|
Ghs sensitivity (per antimicro)
|
$22.77 |
$22.77 |
$22.77 |
$57.60
|
|
Ghs somatosensory testing lower extremit
|
$372.90 |
$372.90 |
$372.90 |
$922.35
|
|
Ghs somatosensory testing upper & lower limbs
|
$744.48 |
$744.48 |
$744.48 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$46.86 |
$46.86 |
$46.86 |
$153.09
|
|
Ghs sp train/fitting sp device - kx
|
$55.11 |
$55.11 |
$55.11 |
$243.60
|
|
Ghs st - re-eval for alt comm
|
$60.06 |
$60.06 |
$60.06 |
$297.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$23.76 |
$23.76 |
$23.76 |
$99.98
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$107.58 |
$107.58 |
$107.58 |
$363.35
|
|
Ghs superficial wnd dehiscence simp12020
|
$373.89 |
$373.89 |
$373.89 |
$897.96
|
|
Ghs urine, porphyrins quant
|
$13.20 |
$13.20 |
$13.20 |
$74.20
|
|
Gi inhouse confirmation
|
$31.35 |
$31.35 |
$31.35 |
$83.70
|
|
Glassia injection
|
$0.74 |
$0.74 |
$0.74 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$315.80 |
$315.80 |
$315.80 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$284.17 |
$284.17 |
$284.17 |
$491.67
|
|
Glucagon plasma - sendout
|
$27.39 |
$27.39 |
$27.39 |
$63.00
|
|
Glucose 1 hr post dose
|
$15.84 |
$15.84 |
$15.84 |
$49.20
|
|
Glucose blood quantitative
|
$12.54 |
$12.54 |
$12.54 |
$41.40
|
|
Glucose body fluid
|
$13.20 |
$13.20 |
$13.20 |
$50.82
|
|
Glucose tolerance test (gtt) 3 specimens
|
$29.04 |
$29.04 |
$29.04 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$13.20 |
$13.20 |
$13.20 |
$35.70
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$35.54 |
$35.54 |
$35.54 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,248.37 |
$2,248.37 |
$2,248.37 |
$4,846.65
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$61.71 |
$61.71 |
$61.71 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$61.71 |
$61.71 |
$61.71 |
$129.89
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,264.04 |
$1,264.04 |
$1,264.04 |
$4,652.18
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$22,624.80 |
$22,624.80 |
$22,624.80 |
$23,253.65
|
|
Graft nerve adv 3-4x70mm
|
$19,800.00 |
$19,800.00 |
$19,800.00 |
$20,118.82
|
|
Graft patch felt ptfe 2x2
|
$33,541.20 |
$33,541.20 |
$33,541.20 |
$29,042.40
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$342.21 |
$342.21 |
$342.21 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$4,900.50 |
$4,900.50 |
$4,900.50 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$33,877.80 |
$33,877.80 |
$33,877.80 |
$28,666.90
|
|
Graft xenmtrx sft rect 15x20cm
|
$6,443.25 |
$6,443.25 |
$6,443.25 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,958.55 |
$1,958.55 |
$1,958.55 |
$3,095.45
|
|
Granisetron 1 mg tab
|
$19.49 |
$19.49 |
$19.49 |
$53.15
|
|
Granisetron hcl injection
|
$115.80 |
$115.80 |
$115.80 |
$45.03
|
|
G-tube reposition
|
$134.64 |
$134.64 |
$134.64 |
$748.86
|
|
Guided cath fluid drainage 10030
|
$358.05 |
$358.05 |
$358.05 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$990.99 |
$990.99 |
$990.99 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$4,950.00 |
$4,950.00 |
$4,950.00 |
$6,500.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$84.33 |
$84.33 |
$84.33 |
$86.71
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$13.85 |
$13.85 |
$13.85 |
$24.41
|
|
Hand X-ray
|
$144.54 |
$144.54 |
$144.54 |
$352.00
|
|
Haptoglobin quantitative
|
$41.91 |
$41.91 |
$41.91 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$235.62 |
$235.62 |
$235.62 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$256.74 |
$256.74 |
$256.74 |
$404.80
|
|
Hbb full gene sequence
|
$235.62 |
$235.62 |
$235.62 |
$633.25
|
|
Hbb gene dup/del variants
|
$231.00 |
$231.00 |
$231.00 |
$441.00
|
|
Hbot, full body chamber, 30m
|
$116.82 |
$116.82 |
$116.82 |
$526.90
|