|
Fresh frozen plasma thawing ea un
|
$165.50 |
$165.50 |
$165.50 |
$130.98
|
|
Frozen blood thaw
|
$116.50 |
$116.50 |
$116.50 |
$209.50
|
|
Frozen plasma, pooled, sd
|
$159.00 |
$159.00 |
$159.00 |
$170.00
|
|
Fructosamine glycated protein
|
$13.00 |
$13.00 |
$13.00 |
$61.75
|
|
Ftl cgen abnor four anal
|
$94.00 |
$94.00 |
$94.00 |
$205.80
|
|
Ftl cgen abnor two proteins
|
$64.00 |
$64.00 |
$64.00 |
$109.00
|
|
Furosemide 10 mg/ml injection solution
|
$238.00 |
$238.00 |
$238.00 |
$19.53
|
|
G6pc gene
|
$35.50 |
$35.50 |
$35.50 |
$138.40
|
|
G6pd full gene sequence
|
$675.00 |
$675.00 |
$675.00 |
$1,320.00
|
|
Ga-68 gallium 68 dotatate
|
$5,167.75 |
$5,167.75 |
$5,167.75 |
$139.70
|
|
Gabapentin non-blood
|
$105.50 |
$105.50 |
$105.50 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$308.87 |
$308.87 |
$308.87 |
$121.12
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$87.50 |
$87.50 |
$87.50 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$264.12 |
$264.12 |
$264.12 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$220.50 |
$220.50 |
$220.50 |
$100.00
|
|
Galectin-3
|
$157.00 |
$157.00 |
$157.00 |
$111.60
|
|
Gammaglobulin iga
|
$15.00 |
$15.00 |
$15.00 |
$69.42
|
|
Gammaglobulin ige
|
$11.50 |
$11.50 |
$11.50 |
$83.40
|
|
Gamma glutamyltransferase
|
$188.00 |
$188.00 |
$188.00 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$181.00 |
$181.00 |
$181.00 |
$197.40
|
|
Gastroesophageal reflux test
|
$2,012.00 |
$2,012.00 |
$2,012.00 |
$1,352.00
|
|
Gba gene
|
$238.00 |
$238.00 |
$238.00 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$90.25 |
$90.25 |
$90.25 |
$208.92
|
|
Genetic tstg severe inh cond
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$14,218.20 |
$14,218.20 |
$14,218.20 |
$40,800.00
|
|
Genome sequence analysis
|
$2,516.50 |
$2,516.50 |
$2,516.50 |
$5,031.20
|
|
Genome sequence analysis
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$13.12 |
$13.12 |
$13.12 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$275.00 |
$275.00 |
$275.00 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$2,104.50 |
$2,104.50 |
$2,104.50 |
$1,500.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$115.00 |
$115.00 |
$115.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$94.00 |
$94.00 |
$94.00 |
$403.38
|
|
Ghs antibodies (torch) igm
|
$14.00 |
$14.00 |
$14.00 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$291.50 |
$291.50 |
$291.50 |
$343.68
|
|
Ghs chemo >8 hrs
|
$547.50 |
$547.50 |
$547.50 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$211.00 |
$211.00 |
$211.00 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$200.00 |
$200.00 |
$200.00 |
$133.00
|
|
Ghs community re-entry 15 minutes
|
$112.00 |
$112.00 |
$112.00 |
$89.00
|
|
Ghs diphtheria toxoid ab igg
|
$80.50 |
$80.50 |
$80.50 |
$55.02
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$335.00 |
$335.00 |
$335.00 |
$560.00
|
|
Ghs febrile agglutinns(mayo)
|
$22.50 |
$22.50 |
$22.50 |
$48.10
|
|
Ghs fish cytogen
|
$167.00 |
$167.00 |
$167.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$140.50 |
$140.50 |
$140.50 |
$225.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$263.00 |
$263.00 |
$263.00 |
$144.60
|
|
Ghs hgb stability-thal
|
$62.50 |
$62.50 |
$62.50 |
$89.91
|
|
Ghs histoplasma antigen
|
$85.50 |
$85.50 |
$85.50 |
$141.00
|
|
Ghs HIV antibody
|
$172.00 |
$172.00 |
$172.00 |
$90.00
|
|
Ghs inhibitor screen
|
$146.50 |
$146.50 |
$146.50 |
$191.88
|
|
Ghs IV inf sq injection, on-body injector
|
$168.50 |
$168.50 |
$168.50 |
$108.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$45.00 |
$45.00 |
$45.00 |
$73.50
|
|
Ghs mbp
|
$14.50 |
$14.50 |
$14.50 |
$75.50
|
|
Ghs musc test done w/n test comp
|
$346.00 |
$346.00 |
$346.00 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$344.00 |
$344.00 |
$344.00 |
$272.25
|
|
Ghs myocardial strain img spckl track
|
$320.50 |
$320.50 |
$320.50 |
$444.60
|
|
Ghs o2 saturation
|
$224.50 |
$224.50 |
$224.50 |
$69.50
|
|
Ghs ot dds rom
|
$73.50 |
$73.50 |
$73.50 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$112.00 |
$112.00 |
$112.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$112.00 |
$112.00 |
$112.00 |
$96.00
|
|
Ghs ot work hardening-additional hours
|
$335.00 |
$335.00 |
$335.00 |
$126.40
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$16.00 |
$16.00 |
$16.00 |
$75.00
|
|
Ghs ppd (tb intradermal)
|
$21.00 |
$21.00 |
$21.00 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$10.00 |
$10.00 |
$10.00 |
$43.55
|
|
Ghs protein, misc fluid
|
$7.00 |
$7.00 |
$7.00 |
$24.60
|
|
Ghs pr without cont pulse ox
|
$64.50 |
$64.50 |
$64.50 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$8.00 |
$8.00 |
$8.00 |
$47.55
|
|
Ghs pt - work hardening/int 2hrs
|
$666.00 |
$666.00 |
$666.00 |
$285.60
|
|
Ghs sedimentation rate
|
$72.00 |
$72.00 |
$72.00 |
$45.50
|
|
Ghs semen analysis fert
|
$10.00 |
$10.00 |
$10.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$28.00 |
$28.00 |
$28.00 |
$56.40
|
|
Ghs somatosensory testing lower extremit
|
$1,439.50 |
$1,439.50 |
$1,439.50 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$323.00 |
$323.00 |
$323.00 |
$161.76
|
|
Ghs sp train/fitting sp device - kx
|
$324.00 |
$324.00 |
$324.00 |
$249.60
|
|
Ghs st - eval for alt comm
|
$33.00 |
$33.00 |
$33.00 |
$94.60
|
|
Ghs st - re-eval for alt comm
|
$433.00 |
$433.00 |
$433.00 |
$309.00
|
|
Ghs urine, porphyrins quant
|
$22.00 |
$22.00 |
$22.00 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$553.50 |
$553.50 |
$553.50 |
$1,932.00
|
|
Giardia ag if
|
$35.50 |
$35.50 |
$35.50 |
$38.58
|
|
Giardia lamblia antibody
|
$32.50 |
$32.50 |
$32.50 |
$83.44
|
|
Gi inhouse confirmation
|
$204.00 |
$204.00 |
$204.00 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,989.00 |
$2,989.00 |
$2,989.00 |
$2,195.76
|
|
Gjb2 gene full sequence
|
$755.00 |
$755.00 |
$755.00 |
$502.80
|
|
Glucagon plasma - sendout
|
$48.50 |
$48.50 |
$48.50 |
$63.20
|
|
Glucose 1 hr post dose
|
$150.50 |
$150.50 |
$150.50 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$21.00 |
$21.00 |
$21.00 |
$22.75
|
|
Glucose blood quantitative
|
$106.00 |
$106.00 |
$106.00 |
$41.40
|
|
Glucose body fluid
|
$117.00 |
$117.00 |
$117.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$380.00 |
$380.00 |
$380.00 |
$104.50
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$6.50 |
$6.50 |
$6.50 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$41.50 |
$41.50 |
$41.50 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$22.92 |
$22.92 |
$22.92 |
$143.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$187.50 |
$187.50 |
$187.50 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$25.21 |
$25.21 |
$25.21 |
$23,288.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$143.57 |
$143.57 |
$143.57 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$98.44 |
$98.44 |
$98.44 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$167.06 |
$167.06 |
$167.06 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$242.70 |
$242.70 |
$242.70 |
$427.89
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$21.56 |
$21.56 |
$21.56 |
$29,056.92
|
|
Granisetron hcl injection
|
$19.00 |
$19.00 |
$19.00 |
$47.04
|
|
Growth hormone antibody
|
$103.50 |
$103.50 |
$103.50 |
$73.10
|
