|
Ghs strapping shoulder - 29240
|
$82.48 |
$82.48 |
$82.48 |
$217.60
|
|
Ghs urine, porphyrins quant
|
$29.14 |
$29.14 |
$29.14 |
$73.80
|
|
Giardia ag if
|
$28.85 |
$28.85 |
$28.85 |
$38.58
|
|
Giardia lamblia antibody
|
$24.52 |
$24.52 |
$24.52 |
$83.44
|
|
Gi inhouse confirmation
|
$29.80 |
$29.80 |
$29.80 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,144.25 |
$1,144.25 |
$1,144.25 |
$2,215.20
|
|
Glucagon plasma - sendout
|
$31.49 |
$31.49 |
$31.49 |
$64.35
|
|
Glucose 1 hr post dose
|
$7.05 |
$7.05 |
$7.05 |
$49.00
|
|
Glucose body fluid
|
$61.57 |
$61.57 |
$61.57 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$18.33 |
$18.33 |
$18.33 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$5.64 |
$5.64 |
$5.64 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$27.26 |
$27.26 |
$27.26 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$27.26 |
$27.26 |
$27.26 |
$129.03
|
|
Graft axiofill 1000mg
|
$27.89 |
$27.89 |
$27.89 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$68.93 |
$68.93 |
$68.93 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$36,498.37 |
$36,498.37 |
$36,498.37 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$29,862.67 |
$29,862.67 |
$29,862.67 |
$29,293.39
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$45.10 |
$45.10 |
$45.10 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$36,542.81 |
$36,542.81 |
$36,542.81 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,713.37 |
$2,713.37 |
$2,713.37 |
$2,905.40
|
|
Granisetron hcl injection
|
$15.15 |
$15.15 |
$15.15 |
$45.03
|
|
Granulocyte pheresis ea unit
|
$2,574.03 |
$2,574.03 |
$2,574.03 |
$2,698.02
|
|
G-tube reposition
|
$357.38 |
$357.38 |
$357.38 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$203.46 |
$203.46 |
$203.46 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$5,460.74 |
$5,460.74 |
$5,460.74 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,728.02 |
$1,728.02 |
$1,728.02 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$3,095.27 |
$3,095.27 |
$3,095.27 |
$6,893.38
|
|
Handpiece aquabeam hp2000
|
$6,886.93 |
$6,886.93 |
$6,886.93 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$19.34 |
$19.34 |
$19.34 |
$105.30
|
|
Hand X-ray
|
$121.90 |
$121.90 |
$121.90 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$99.64 |
$99.64 |
$99.64 |
$294.90
|
|
Haptoglobin quantitative
|
$27.73 |
$27.73 |
$27.73 |
$92.80
|
|
Hba1/hba2 full gene sequence
|
$806.40 |
$806.40 |
$806.40 |
$769.95
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,559.79 |
$1,559.79 |
$1,559.79 |
$726.00
|
|
Hcg qualitative
|
$10.81 |
$10.81 |
$10.81 |
$90.10
|
|
Hcg quantitative
|
$31.49 |
$31.49 |
$31.49 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$733.12 |
$733.12 |
$733.12 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$610.94 |
$610.94 |
$610.94 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$488.75 |
$488.75 |
$488.75 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$75.26 |
$75.26 |
$75.26 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$28.55 |
$28.55 |
$28.55 |
$92.00
|
|
Hematocrit
|
$3.95 |
$3.95 |
$3.95 |
$33.80
|
|
Hemoglobin
|
$3.95 |
$3.95 |
$3.95 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$27.73 |
$27.73 |
$27.73 |
$52.32
|
|
Hemoglobin plasma
|
$10.34 |
$10.34 |
$10.34 |
$41.40
|
|
Hemoglobin urine
|
$5.64 |
$5.64 |
$5.64 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$179.34 |
$179.34 |
$179.34 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$13.54 |
$13.54 |
$13.54 |
$61.79
|
|
Hemophilus influenza antibdy
|
$22.69 |
$22.69 |
$22.69 |
$62.70
|
|
Heparin assay
|
$32.11 |
$32.11 |
$32.11 |
$139.15
|
|
Heparin neutralization
|
$17.78 |
$17.78 |
$17.78 |
$37.10
|
|
Heparin-protamine tolerance
|
$19.76 |
$19.76 |
$19.76 |
$37.75
|
|
Hepatitis a antibody igm
|
$20.13 |
$20.13 |
$20.13 |
$89.44
|
|
Hepatitis b core antibody igm
|
$20.13 |
$20.13 |
$20.13 |
$89.60
|
|
Hepatitis b core antibody total
|
$20.13 |
$20.13 |
$20.13 |
$77.50
|
|
Hepatitis b surface antibody
|
$20.13 |
$20.13 |
$20.13 |
$82.32
|
|
Hepatitis c antibody
|
$18.67 |
$18.67 |
$18.67 |
$108.25
|
|
Herpes simplex 1 ag if
|
$28.38 |
$28.38 |
$28.38 |
$38.58
|
|
Herpes simplex 2 ag if
|
$28.38 |
$28.38 |
$28.38 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$19.40 |
$19.40 |
$19.40 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$21.59 |
$21.59 |
$21.59 |
$87.36
|
|
Herpes simplex virus isolation
|
$48.25 |
$48.25 |
$48.25 |
$110.00
|
|
Heterophile antibodies screening
|
$5.86 |
$5.86 |
$5.86 |
$73.87
|
|
Hhv-6 dna quant
|
$59.60 |
$59.60 |
$59.60 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$119.25 |
$119.25 |
$119.25 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$155.82 |
$155.82 |
$155.82 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$95.40 |
$95.40 |
$95.40 |
$233.50
|
|
Hip X-ray
|
$133.03 |
$133.03 |
$133.03 |
$294.75
|
|
Histamine
|
$41.83 |
$41.83 |
$41.83 |
$115.00
|
|
Histochemical stains add-on
|
$46.09 |
$46.09 |
$46.09 |
$152.75
|
|
Hla class i high defin qual
|
$355.75 |
$355.75 |
$355.75 |
$631.15
|
|
Hla class ii high defin qual
|
$357.95 |
$357.95 |
$357.95 |
$569.25
|
|
Hla class i&ii antibody qual
|
$70.64 |
$70.64 |
$70.64 |
$255.00
|
|
Hla class ii phenotype qual
|
$90.04 |
$90.04 |
$90.04 |
$313.60
|
|
Hla class i phenotype qual
|
$105.04 |
$105.04 |
$105.04 |
$397.20
|
|
Hla i & ii type verify lr
|
$543.87 |
$543.87 |
$543.87 |
$742.50
|
|
Hla i & ii typing hr
|
$464.58 |
$464.58 |
$464.58 |
$804.00
|
|
Hla i & ii typing lr
|
$540.74 |
$540.74 |
$540.74 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$166.66 |
$166.66 |
$166.66 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$99.90 |
$99.90 |
$99.90 |
$164.00
|
|
Hla i typing 1 locus hr
|
$238.34 |
$238.34 |
$238.34 |
$439.20
|
|
Hla i typing complete hr
|
$451.14 |
$451.14 |
$451.14 |
$607.86
|
|
Hla i typing complete lr
|
$542.53 |
$542.53 |
$542.53 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$228.48 |
$228.48 |
$228.48 |
$304.20
|
|
Hla i typing low res one locus ea
|
$171.58 |
$171.58 |
$171.58 |
$340.00
|
|
Hla typing dr/dq
|
$33.31 |
$33.31 |
$33.31 |
$135.20
|
|
Hla x-math non-cytotoxic
|
$120.41 |
$120.41 |
$120.41 |
$364.80
|
|
Homocysteine
|
$27.26 |
$27.26 |
$27.26 |
$125.40
|
|
Homogenization tissue
|
$8.51 |
$8.51 |
$8.51 |
$41.30
|
|
Homovanillic acid (hva)
|
$31.96 |
$31.96 |
$31.96 |
$59.95
|
|
Hpv types 16 & 18 only
|
$57.71 |
$57.71 |
$57.71 |
$112.00
|
|
H pylori (c-13) breath
|
$95.41 |
$95.41 |
$95.41 |
$212.25
|
|
Human epididymis protein 4 (he4)
|
$35.50 |
$35.50 |
$35.50 |
$157.32
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$4.27 |
$4.27 |
$4.27 |
$72.65
|
|
Hysterosalpingography s&i
|
$228.96 |
$228.96 |
$228.96 |
$669.12
|
|
I-123 sod iodide diag per 100 uci
|
$400.48 |
$400.48 |
$400.48 |
$147.46
|
|
Iaadi respiratory synctial virus
|
$28.38 |
$28.38 |
$28.38 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$50.14 |
$50.14 |
$50.14 |
$109.80
|
|
Ia nfct ab sarscov2 covid19
|
$49.78 |
$49.78 |
$49.78 |
$62.49
|
|
Icd cobalt xt dr MRI is1 df1
|
$63,468.13 |
$63,468.13 |
$63,468.13 |
$34,093.09
|