|
Glucose tolerance test (gtt) >3 specimens each additional
|
$1.01 |
$1.52 |
$33.10 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$144.50 |
$144.50 |
$144.50 |
$37.40
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$4.87 |
$7.37 |
$82.50 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$4.87 |
$7.37 |
$83.24 |
$129.03
|
|
Graft axiofill 1000mg
|
$12.43 |
$13.06 |
$15.86 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$32.90 |
$37.13 |
$55.70 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$9,487.77 |
$17,418.03 |
$25,440.10 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$14,251.29 |
$15,611.38 |
$16,084.45 |
$29,293.39
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$175.08 |
$175.08 |
$180.39 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$21.52 |
$24.95 |
$7,441.62 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$14,012.07 |
$17,439.24 |
$48,251.17 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$172.16 |
$1,294.89 |
$1,764.46 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$807.75 |
$807.75 |
$1,497.03 |
$2,698.02
|
|
G-tube reposition
|
$379.50 |
$458.62 |
$474.71 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$717.36 |
$737.86 |
$1,063.23 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$730.99 |
$883.39 |
$914.38 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$332.71 |
$2,153.72 |
$3,237.54 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$946.28 |
$1,013.43 |
$1,422.47 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$166.82 |
$166.82 |
$166.82 |
$535.60
|
|
Gw stiffened micro access kit
|
$291.96 |
$2,277.53 |
$2,545.44 |
$6,893.38
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$20.26 |
$20.26 |
$20.26 |
$24.30
|
|
Handpiece aquabeam hp2000
|
$4,083.09 |
$4,083.09 |
$4,083.09 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$21.63 |
$25.35 |
$48.91 |
$105.30
|
|
Hand X-ray
|
$100.80 |
$103.68 |
$345.80 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$91.28 |
$93.89 |
$293.44 |
$294.90
|
|
Haptoglobin quantitative
|
$4.96 |
$7.49 |
$51.13 |
$92.80
|
|
Harvest allogeneic stem cell
|
$1,610.87 |
$1,610.87 |
$1,610.87 |
$3,766.50
|
|
Harvest auto stem cells
|
$1,610.87 |
$1,610.87 |
$1,610.87 |
$3,624.31
|
|
Hba1/hba2 full gene sequence
|
$193.70 |
$346.55 |
$1,272.04 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$267.52 |
$267.52 |
$319.62 |
$403.25
|
|
Hbb full gene sequence
|
$688.16 |
$688.16 |
$889.20 |
$633.25
|
|
Hbb gene dup/del variants
|
$321.64 |
$321.64 |
$498.70 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$264.52 |
$264.52 |
$264.52 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$553.28 |
$569.09 |
$820.04 |
$726.00
|
|
Hcg qualitative
|
$21.00 |
$31.75 |
$68.67 |
$90.10
|
|
Hcg quantitative
|
$25.62 |
$38.74 |
$83.24 |
$139.20
|
|
Hc hearing aid exam both ears
|
$82.19 |
$82.19 |
$82.19 |
$175.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$35.98 |
$66.24 |
$113.44 |
$113.12
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$192.56 |
$402.36 |
$451.22 |
$1,070.00
|
|
Hc nm kidney imaging with flow
|
$757.40 |
$757.40 |
$757.40 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$252.72 |
$528.08 |
$592.20 |
$1,327.95
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,204.56 |
$1,204.56 |
$1,204.56 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,150.52 |
$2,150.52 |
$2,150.52 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,865.11 |
$3,865.11 |
$3,865.11 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$1,484.19 |
$1,484.19 |
$1,484.19 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$2,228.91 |
$2,228.91 |
$2,228.91 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$282.92 |
$407.31 |
$1,455.82 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$235.83 |
$339.51 |
$1,204.13 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$188.62 |
$271.54 |
$898.59 |
$1,268.90
|
|
Heart first pass add-on
|
$168.84 |
$352.80 |
$395.64 |
$485.27
|
|
Heart image spect
|
$168.04 |
$351.12 |
$393.76 |
$1,135.68
|
|
Heart infarct image
|
$227.40 |
$475.16 |
$532.86 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$80.36 |
$82.66 |
$210.94 |
$276.00
|
|
Heinz bodies direct
|
$6.18 |
$6.18 |
$6.18 |
$43.15
|
|
Heinz bodies induced
|
$6.18 |
$6.18 |
$6.18 |
$53.54
|
|
Helicobacter pylori antibody igm
|
$13.10 |
$14.43 |
$20.36 |
$92.00
|
|
Hematocrit
|
$0.51 |
$1.51 |
$26.93 |
$33.80
|
|
Hematopoietic nuclear tx
|
$353.22 |
$668.17 |
$895.66 |
$928.98
|
|
Hemodialysis one evaluation
|
$394.27 |
$418.64 |
$666.41 |
$1,364.27
|
|
Hemoglobin
|
$3.58 |
$10.58 |
$25.20 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$43.48 |
$43.48 |
$43.48 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$4.96 |
$7.49 |
$13.59 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$34.35 |
$34.35 |
$34.35 |
$89.13
|
|
Hemoglobin plasma
|
$4.96 |
$7.49 |
$25.94 |
$41.40
|
|
Hemoglobin urine
|
$1.01 |
$1.52 |
$1.80 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$82.32 |
$90.65 |
$127.89 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$6.22 |
$6.84 |
$9.66 |
$61.79
|
|
Hemophilus influenza antibdy
|
$10.42 |
$11.47 |
$16.18 |
$62.70
|
|
Heparin assay
|
$22.40 |
$66.15 |
$176.86 |
$139.15
|
|
Heparin bolus from bag
|
$86.45 |
$86.45 |
$86.45 |
$66.06
|
|
Heparin neutralization
|
$2.30 |
$6.80 |
$77.07 |
$37.10
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.49 |
$1.49 |
$1.49 |
$12.00
|
|
Heparin-protamine tolerance
|
$2.56 |
$2.56 |
$7.56 |
$37.75
|
|
Hepatitis a antibody igm
|
$28.22 |
$31.08 |
$65.71 |
$89.44
|
|
Hepatitis b core antibody igm
|
$29.74 |
$32.74 |
$68.18 |
$89.60
|
|
Hepatitis b core antibody total
|
$7.66 |
$9.24 |
$14.36 |
$77.50
|
|
Hepatitis b surface antibody
|
$9.24 |
$10.18 |
$54.84 |
$82.32
|
|
Hepatitis c antibody
|
$31.08 |
$34.23 |
$76.33 |
$108.25
|
|
Herpes simplex 1 ag if
|
$9.84 |
$12.11 |
$14.64 |
$38.58
|
|
Herpes simplex 2 ag if
|
$9.84 |
$13.38 |
$43.97 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$8.90 |
$9.80 |
$39.28 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$9.91 |
$10.91 |
$20.51 |
$87.36
|
|
Herpes simplex virus isolation
|
$16.73 |
$22.75 |
$106.21 |
$110.00
|
|
Heterophile antibodies screening
|
$2.69 |
$2.96 |
$57.80 |
$73.87
|
|
Hhv-6 dna quant
|
$20.66 |
$28.10 |
$324.56 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$91.28 |
$93.89 |
$233.42 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$105.56 |
$108.58 |
$233.42 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$73.08 |
$75.17 |
$141.54 |
$233.50
|
|
Hip X-ray
|
$88.76 |
$91.30 |
$141.54 |
$294.75
|
|
Histamine
|
$7.48 |
$11.30 |
$44.96 |
$115.00
|
|
Histochemical stains add-on
|
$37.24 |
$56.32 |
$91.18 |
$152.75
|
|
Hla class i high defin qual
|
$163.30 |
$179.82 |
$411.51 |
$631.15
|
|
Hla class ii high defin qual
|
$164.30 |
$180.93 |
$255.26 |
$569.25
|
|
Hla class i&ii antibody qual
|
$32.42 |
$35.70 |
$179.33 |
$255.00
|
|
Hla class ii phenotype qual
|
$41.33 |
$45.51 |
$136.35 |
$313.60
|
|
Hla class ii semiquant panel
|
$226.26 |
$226.26 |
$226.26 |
$775.20
|
|
Hla class i phenotype qual
|
$48.22 |
$53.09 |
$74.91 |
$397.20
|
|
Hla i & ii type verify lr
|
$130.58 |
$346.30 |
$857.56 |
$742.50
|
|
Hla i & ii typing hr
|
$69.48 |
$226.07 |
$506.60 |
$804.00
|
|
Hla i & ii typing lr
|
$129.85 |
$422.48 |
$852.72 |
$1,407.51
|