|
Frozen plasma, pooled, sd
|
$122.15 |
$122.15 |
$122.15 |
$122.15
|
|
Fructosamine glycated protein
|
$19.60 |
$19.60 |
$773.02 |
$60.42
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$54.30 |
$54.30 |
$54.30 |
$26.40
|
|
Ga-67 gallium 0.1 mci
|
$77.00 |
$77.00 |
$3,117.88 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$140.35 |
$140.35 |
$140.35 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$48.79 |
$48.79 |
$48.79 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$107.12 |
$107.12 |
$107.12 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$86.54 |
$86.54 |
$86.54 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$210.50 |
$210.50 |
$210.50 |
$210.50
|
|
Gallium locametz 1 millicuri
|
$2,517.90 |
$2,517.90 |
$2,517.90 |
$873.44
|
|
Gamma globulin > 10 cc inj
|
$1,233.73 |
$1,233.73 |
$1,233.73 |
$498.52
|
|
Gammaglobulin iga
|
$158.90 |
$158.90 |
$158.90 |
$75.30
|
|
Gammaglobulin ige
|
$150.50 |
$150.50 |
$150.50 |
$85.00
|
|
Gamma glutamyltransferase
|
$73.15 |
$73.15 |
$1,569.60 |
$55.28
|
|
Gamunex-c/gammaked
|
$7,978.45 |
$7,978.45 |
$7,978.45 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$86.54 |
$86.54 |
$86.54 |
$209.07
|
|
Gastric emptying imag study
|
$1,270.50 |
$1,270.50 |
$1,270.50 |
$1,270.50
|
|
Gastroesophageal reflux study
|
$1,093.40 |
$1,093.40 |
$1,093.40 |
$957.25
|
|
Gastroesophageal reflux test
|
$3,611.39 |
$3,611.39 |
$3,611.39 |
$1,129.63
|
|
Gemcitabine 1 gram intravenous solution
|
$1,678.16 |
$1,678.16 |
$1,678.16 |
$252.84
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$25,193.74 |
$25,193.74 |
$25,193.74 |
$23,897.53
|
|
Generator barostim neo2 2014
|
$143,857.88 |
$143,857.88 |
$143,857.88 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$73,500.00 |
$73,500.00 |
$73,500.00 |
$35,824.13
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$102,900.00 |
$102,900.00 |
$102,900.00 |
$40,028.69
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$32.48 |
$32.48 |
$32.48 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$79.10 |
$79.10 |
$79.10 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$6,107.90 |
$6,107.90 |
$6,107.90 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$590.10 |
$590.10 |
$590.10 |
$1,530.50
|
|
Ghs acetylcholinesterase, rbc
|
$74.64 |
$74.64 |
$74.64 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$151.12 |
$151.12 |
$151.12 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$752.93 |
$752.93 |
$752.93 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$36.05 |
$36.05 |
$1,535.84 |
$73.70
|
|
Ghs aspiration bladder - needle
|
$820.40 |
$820.40 |
$820.40 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$385.00 |
$385.00 |
$385.00 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$570.15 |
$570.15 |
$570.15 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$1,334.55 |
$1,334.55 |
$1,334.55 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$221.90 |
$221.90 |
$221.90 |
$699.60
|
|
Ghs chemo >8 hrs
|
$534.45 |
$534.45 |
$534.45 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$299.60 |
$299.60 |
$299.60 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$86.80 |
$86.80 |
$353.08 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$280.35 |
$280.35 |
$280.35 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$230.30 |
$230.30 |
$230.30 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$609.00 |
$609.00 |
$609.00 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$128.10 |
$128.10 |
$128.10 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$1,325.10 |
$1,325.10 |
$1,325.10 |
$2,621.64
|
|
Ghs clsd red med malleolus fx without manip
|
$128.10 |
$128.10 |
$128.10 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$1,325.10 |
$1,325.10 |
$1,325.10 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$793.45 |
$793.45 |
$793.45 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$128.10 |
$128.10 |
$128.10 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$97.30 |
$97.30 |
$97.30 |
$547.94
|
|
Ghs conjunctiva foreign body-embed bil
|
$319.90 |
$319.90 |
$319.90 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$63.00 |
$63.00 |
$63.00 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$419.65 |
$419.65 |
$419.65 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$512.40 |
$512.40 |
$512.40 |
$368.16
|
|
Ghs dislocation elbow closed treatment
|
$95.90 |
$95.90 |
$95.90 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$221.55 |
$221.55 |
$221.55 |
$351.46
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$354.20 |
$354.20 |
$354.20 |
$586.80
|
|
Ghs excision ingrown nail
|
$295.40 |
$295.40 |
$295.40 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$354.20 |
$354.20 |
$354.20 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$816.55 |
$816.55 |
$816.55 |
$2,880.30
|
|
Ghs fb removal - non-incisional
|
$547.75 |
$547.75 |
$547.75 |
$1,794.93
|
|
Ghs fish cytogen
|
$304.15 |
$304.15 |
$774.47 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$26.60 |
$26.60 |
$1,550.37 |
$229.45
|
|
Ghs flow volume loop
|
$1,718.14 |
$1,718.14 |
$1,718.14 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$258.65 |
$258.65 |
$258.65 |
$403.20
|
|
Ghs hcv amplificaiton
|
$178.15 |
$178.15 |
$1,505.32 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$113.75 |
$113.75 |
$113.75 |
$106.05
|
|
Ghs histoplasma antigen
|
$103.25 |
$103.25 |
$629.17 |
$137.80
|
|
Ghs HIV antibody
|
$131.25 |
$131.25 |
$2,988.78 |
$91.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$262.85 |
$262.85 |
$262.85 |
$462.60
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,547.35 |
$1,547.35 |
$1,547.35 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$830.20 |
$830.20 |
$830.20 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$882.00 |
$882.00 |
$882.00 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$264.25 |
$264.25 |
$264.25 |
$794.82
|
|
Ghs immun0electrophoresis
|
$725.06 |
$725.06 |
$725.06 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$96.60 |
$96.60 |
$96.60 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$111.30 |
$111.30 |
$111.30 |
$293.58
|
|
Ghs inf midline insertion
|
$1,161.65 |
$1,161.65 |
$1,161.65 |
$1,234.20
|
|
Ghs inhibitor screen
|
$229.60 |
$229.60 |
$310.94 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$83.30 |
$83.30 |
$83.30 |
$300.30
|
|
Ghs inj tendon origin/insertion
|
$184.80 |
$184.80 |
$184.80 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$896.35 |
$896.35 |
$896.35 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$514.15 |
$514.15 |
$514.15 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$339.15 |
$339.15 |
$339.15 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,340.10 |
$2,340.10 |
$2,340.10 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,175.90 |
$3,175.90 |
$3,175.90 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$218.05 |
$218.05 |
$218.05 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$316.40 |
$316.40 |
$316.40 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$100.80 |
$100.80 |
$100.80 |
$117.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$497.22 |
$497.22 |
$497.22 |
$576.40
|
|
Ghs IV thrombolytics - cerebral
|
$159.25 |
$159.25 |
$159.25 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$328.65 |
$328.65 |
$328.65 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,485.75 |
$1,485.75 |
$1,485.75 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$134.40 |
$134.40 |
$134.40 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$998.90 |
$998.90 |
$998.90 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,174.95 |
$1,174.95 |
$1,174.95 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$186.20 |
$186.20 |
$186.20 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,269.10 |
$1,269.10 |
$1,269.10 |
$779.35
|
