|
Glucose 1 hr post dose
|
$2.34 |
$2.34 |
$2.43 |
$49.00
|
|
Glucose body fluid
|
$9.52 |
$9.52 |
$9.88 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$6.08 |
$6.08 |
$6.32 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$1.87 |
$1.87 |
$1.94 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$0.42 |
$0.42 |
$0.42 |
$37.40
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$9.05 |
$9.05 |
$9.40 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$9.05 |
$9.05 |
$9.40 |
$129.03
|
|
Graft axiofill 1000mg
|
$14.57 |
$14.57 |
$15.56 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$59.50 |
$59.50 |
$62.03 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$20,381.27 |
$20,381.27 |
$21,248.56 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$16,675.79 |
$16,675.79 |
$17,385.40 |
$29,293.39
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$131.21 |
$131.21 |
$194.98 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$25.18 |
$25.18 |
$26.25 |
$28,894.71
|
|
Graft xenmtrx sft rect 15x20cm
|
$20,406.08 |
$20,406.08 |
$45,715.24 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,829.33 |
$1,829.33 |
$1,907.18 |
$2,905.40
|
|
Granulocyte pheresis ea unit
|
$910.07 |
$910.07 |
$1,502.42 |
$2,698.02
|
|
Growth stimulation gene 2
|
$37.26 |
$37.26 |
$37.26 |
$180.50
|
|
G-tube reposition
|
$372.08 |
$372.08 |
$540.18 |
$771.36
|
|
Gu dilat ureter/urethra s&i
|
$567.90 |
$567.90 |
$567.90 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$911.86 |
$911.86 |
$1,323.82 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$2,820.69 |
$2,820.69 |
$2,931.84 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,239.32 |
$1,239.32 |
$1,288.15 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$76.89 |
$76.89 |
$76.89 |
$535.60
|
|
Gw stiffened micro access kit
|
$2,931.84 |
$2,931.84 |
$3,112.80 |
$6,893.38
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$41.20 |
$41.20 |
$58.64 |
$105.30
|
|
Hand X-ray
|
$123.30 |
$123.30 |
$126.59 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$107.40 |
$107.40 |
$110.26 |
$294.90
|
|
Haptoglobin quantitative
|
$9.20 |
$9.20 |
$9.56 |
$92.80
|
|
Harvest allogeneic stem cell
|
$1,872.99 |
$1,872.99 |
$1,872.99 |
$3,766.50
|
|
Harvest auto stem cells
|
$1,407.25 |
$1,407.25 |
$1,407.25 |
$3,624.31
|
|
Hast w/i&r phys/qhp
|
$39.74 |
$39.74 |
$55.06 |
$301.95
|
|
Hast w/oxygen titrate
|
$54.34 |
$54.34 |
$75.28 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$307.80 |
$307.80 |
$437.40 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$147.74 |
$147.74 |
$147.74 |
$403.25
|
|
Hbb full gene sequence
|
$323.68 |
$323.68 |
$323.68 |
$633.25
|
|
Hc ea ha check monaural
|
$39.29 |
$39.29 |
$39.29 |
$57.00
|
|
Hcg qualitative
|
$21.06 |
$21.06 |
$21.87 |
$90.10
|
|
Hcg quantitative
|
$24.34 |
$24.34 |
$25.27 |
$139.20
|
|
Hc hearing aid chck binaurl
|
$81.25 |
$81.25 |
$81.25 |
$78.40
|
|
Hc hearing aid chck monarl
|
$77.26 |
$77.26 |
$77.26 |
$48.75
|
|
Hc hearing aid exam both ears
|
$359.31 |
$359.31 |
$359.31 |
$175.20
|
|
Hc hearing aid exam one ear
|
$341.33 |
$341.33 |
$341.33 |
$150.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$10.50 |
$10.50 |
$10.50 |
$113.12
|
|
Hc nm kidney imaging with flow
|
$518.98 |
$518.98 |
$518.98 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$325.62 |
$325.62 |
$546.72 |
$1,327.95
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$2,102.86 |
$2,102.86 |
$2,102.86 |
$3,780.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$692.46 |
$692.46 |
$692.46 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,232.20 |
$1,232.20 |
$1,232.20 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,862.26 |
$1,862.26 |
$1,862.26 |
$3,706.29
|
|
Hdr rdncl skn surf brachytx
|
$692.46 |
$692.46 |
$692.46 |
$911.04
|
|
Hdr rdncl skn surf brachytx
|
$1,038.38 |
$1,038.38 |
$1,038.38 |
$1,179.75
|
|
Head CT scan (with and without contrast)
|
$318.21 |
$318.21 |
$370.41 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$265.22 |
$265.22 |
$308.73 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$212.10 |
$212.10 |
$246.89 |
$1,268.90
|
|
Hearing loss dup/del analys
|
$495.48 |
$495.48 |
$495.48 |
$872.10
|
|
Hearing loss sequence analys
|
$1,184.62 |
$1,184.62 |
$1,184.62 |
$2,687.40
|
|
Heart first pass add-on
|
$477.09 |
$477.09 |
$477.09 |
$485.27
|
|
Heart image spect
|
$574.46 |
$574.46 |
$574.46 |
$1,135.68
|
|
Heart infarct image
|
$492.32 |
$492.32 |
$492.32 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$103.80 |
$103.80 |
$106.57 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$10.61 |
$10.61 |
$16.77 |
$92.00
|
|
Hematocrit
|
$1.04 |
$1.04 |
$1.10 |
$33.80
|
|
Hematopoietic nuclear tx
|
$667.28 |
$667.28 |
$667.28 |
$928.98
|
|
Hemodialysis one evaluation
|
$387.62 |
$387.62 |
$527.17 |
$1,364.27
|
|
Hemoglobin
|
$4.16 |
$4.16 |
$4.38 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$9.20 |
$9.20 |
$9.56 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$37.10 |
$37.10 |
$37.10 |
$89.13
|
|
Hemoglobin plasma
|
$9.20 |
$9.20 |
$9.56 |
$41.40
|
|
Hemoglobin urine
|
$1.87 |
$1.87 |
$1.94 |
$17.50
|
|
Hemolysins/agglutinins auto
|
$66.64 |
$66.64 |
$105.35 |
$62.48
|
|
Hemolysins and agglutinins incubated
|
$5.03 |
$5.03 |
$7.96 |
$61.79
|
|
Hemophilus influenza antibdy
|
$8.43 |
$8.43 |
$13.33 |
$62.70
|
|
Heparin assay
|
$49.79 |
$49.79 |
$52.47 |
$139.15
|
|
Heparin neutralization
|
$4.68 |
$4.68 |
$4.93 |
$37.10
|
|
Heparin-protamine tolerance
|
$5.20 |
$5.20 |
$5.48 |
$37.75
|
|
Hepatitis a antibody igm
|
$11.02 |
$11.02 |
$17.41 |
$89.44
|
|
Hepatitis b core antibody igm
|
$12.24 |
$12.24 |
$19.35 |
$89.60
|
|
Hepatitis b core antibody total
|
$7.48 |
$7.48 |
$11.82 |
$77.50
|
|
Hepatitis b surface antibody
|
$7.48 |
$7.48 |
$11.82 |
$82.32
|
|
Hepatitis c antibody
|
$34.68 |
$34.68 |
$54.82 |
$108.25
|
|
Hepatitis d quantification
|
$161.46 |
$161.46 |
$161.46 |
$91.28
|
|
Herpes simplex 1 ag if
|
$10.02 |
$10.02 |
$14.04 |
$38.58
|
|
Herpes simplex 2 ag if
|
$10.02 |
$10.02 |
$14.04 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$7.21 |
$7.21 |
$11.39 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$8.02 |
$8.02 |
$12.69 |
$87.36
|
|
Herpes simplex virus isolation
|
$17.03 |
$17.03 |
$23.87 |
$110.00
|
|
Heterophile antibodies screening
|
$2.18 |
$2.18 |
$3.44 |
$73.87
|
|
Hhv-6 dna quant
|
$21.04 |
$21.04 |
$29.48 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$127.50 |
$127.50 |
$130.90 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$153.90 |
$153.90 |
$158.00 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$101.40 |
$101.40 |
$104.10 |
$233.50
|
|
Hip X-ray
|
$120.00 |
$120.00 |
$123.20 |
$294.75
|
|
Histamine
|
$13.88 |
$13.88 |
$14.42 |
$115.00
|
|
Histochemical stains add-on
|
$68.64 |
$68.64 |
$72.78 |
$152.75
|
|
Hla class i high defin qual
|
$132.19 |
$132.19 |
$208.98 |
$631.15
|
|
Hla class ii high defin qual
|
$133.01 |
$133.01 |
$210.27 |
$569.25
|
|
Hla class i&ii antibody qual
|
$26.25 |
$26.25 |
$41.49 |
$255.00
|
|
Hla class ii phenotype qual
|
$33.46 |
$33.46 |
$52.89 |
$313.60
|
|
Hla class i phenotype qual
|
$39.03 |
$39.03 |
$61.70 |
$397.20
|
|
Hla i & ii type verify lr
|
$207.59 |
$207.59 |
$295.00 |
$742.50
|