|
Ghs sedimentation rate
|
$57.85 |
$57.85 |
$57.85 |
$36.57
|
|
Ghs semen analysis fert
|
$124.15 |
$124.15 |
$124.15 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$53.30 |
$53.30 |
$53.30 |
$55.12
|
|
Ghs sleep study unattended
|
$430.30 |
$430.30 |
$430.30 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$917.80 |
$917.80 |
$917.80 |
$917.80
|
|
Ghs sp train/fitting sp device - kx
|
$260.65 |
$260.65 |
$260.65 |
$240.80
|
|
Ghs st - re-eval for alt comm
|
$271.05 |
$271.05 |
$271.05 |
$321.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$122.20 |
$122.20 |
$122.20 |
$72.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$3,829.08 |
$3,829.08 |
$3,829.08 |
$1,016.25
|
|
Ghs urine, porphyrins quant
|
$86.45 |
$86.45 |
$86.45 |
$85.15
|
|
Ghs vaginal delivery only
|
$204.75 |
$204.75 |
$204.75 |
$3,341.93
|
|
Gi inhouse confirmation
|
$33.80 |
$33.80 |
$33.80 |
$79.50
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,098.85 |
$2,098.85 |
$2,098.85 |
$2,418.92
|
|
Glucagon 1 mg solution for injection
|
$864.50 |
$864.50 |
$864.50 |
$351.53
|
|
Glucagon plasma - sendout
|
$76.70 |
$76.70 |
$76.70 |
$67.50
|
|
Glucose 1 hr post dose
|
$53.30 |
$53.30 |
$53.30 |
$40.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$51.35 |
$51.35 |
$51.35 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$31.20 |
$31.20 |
$31.20 |
$20.00
|
|
Glucose blood quantitative
|
$14.30 |
$14.30 |
$14.30 |
$40.80
|
|
Glucose body fluid
|
$59.15 |
$59.15 |
$59.15 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$97.50 |
$97.50 |
$97.50 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$40.95 |
$40.95 |
$40.95 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$7.41 |
$7.41 |
$7.41 |
$11.60
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,554.67 |
$4,554.67 |
$4,554.67 |
$61.21
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$66.30 |
$66.30 |
$66.30 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$130.65 |
$130.65 |
$130.65 |
$117.65
|
|
Goserelin 10.8 mg subcutaneous implant
|
$7,315.87 |
$7,315.87 |
$7,315.87 |
$1,598.97
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$37.70 |
$37.70 |
$37.70 |
$56.71
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$2,516.80 |
$2,516.80 |
$2,516.80 |
$1,837.09
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$150.80 |
$150.80 |
$150.80 |
$3,735.34
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$585.00 |
$585.00 |
$585.00 |
$486.45
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$323.05 |
$323.05 |
$323.05 |
$1,123.34
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$1,550.90 |
$1,550.90 |
$1,550.90 |
$5,533.20
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$323.05 |
$323.05 |
$323.05 |
$543.12
|
|
Granisetron hcl injection
|
$578.57 |
$578.57 |
$578.57 |
$21.42
|
|
Gu dilat ureter/urethra s&i
|
$1,214.85 |
$1,214.85 |
$1,214.85 |
$1,585.00
|
|
Guid loc target vol rad tx
|
$19,784.70 |
$19,784.70 |
$19,784.70 |
$620.91
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$86.70 |
$86.70 |
$86.70 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$11.25
|
|
Hand X-ray
|
$323.70 |
$323.70 |
$323.70 |
$317.78
|
|
Haptoglobin quantitative
|
$123.50 |
$123.50 |
$123.50 |
$75.00
|
|
Hba1/hba2 full gene sequence
|
$533.00 |
$533.00 |
$533.00 |
$847.86
|
|
Hba1/hba2 gene dup/del vrnts
|
$393.25 |
$393.25 |
$393.25 |
$407.57
|
|
Hbb full gene sequence
|
$502.45 |
$502.45 |
$502.45 |
$633.25
|
|
Hbb gene dup/del variants
|
$538.85 |
$538.85 |
$538.85 |
$436.80
|
|
Hbot, full body chamber, 30m
|
$564.20 |
$564.20 |
$564.20 |
$524.17
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$545.35 |
$545.35 |
$545.35 |
$527.13
|
|
Hcg qualitative
|
$36.40 |
$36.40 |
$36.40 |
$72.50
|
|
Hcg quantitative
|
$53.95 |
$53.95 |
$53.95 |
$105.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$106.60 |
$106.60 |
$106.60 |
$184.20
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$545.35 |
$545.35 |
$545.35 |
$645.06
|
|
Hc nm kidney imaging with flow
|
$499.20 |
$499.20 |
$499.20 |
$917.40
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,160.90 |
$1,160.90 |
$1,160.90 |
$1,061.26
|
|
Hc pet myocardial imaging metabolic eval single study
|
$3,610.75 |
$3,610.75 |
$3,610.75 |
$3,549.60
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$2,430.35 |
$2,430.35 |
$2,430.35 |
$3,046.80
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,863.90 |
$2,863.90 |
$2,863.90 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,645.85 |
$3,645.85 |
$3,645.85 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$4,440.15 |
$4,440.15 |
$4,440.15 |
$3,111.55
|
|
Head CT scan (with and without contrast)
|
$1,688.70 |
$1,688.70 |
$1,688.70 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,402.70 |
$1,402.70 |
$1,402.70 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,075.10 |
$1,075.10 |
$1,075.10 |
$1,252.80
|
|
Heart infarct image
|
$1,160.90 |
$1,160.90 |
$1,160.90 |
$840.74
|
|
Helicobacter pylori antibody igm
|
$90.35 |
$90.35 |
$90.35 |
$84.80
|
|
Hematocrit
|
$28.60 |
$28.60 |
$28.60 |
$32.50
|
|
Hemin 350 mg intravenous powder for solution
|
$23,025.73 |
$23,025.73 |
$23,025.73 |
$37,212.55
|
|
Hemodialysis one evaluation
|
$1,400.10 |
$1,400.10 |
$1,400.10 |
$1,131.00
|
|
Hemoglobin
|
$10.40 |
$10.40 |
$10.40 |
$28.60
|
|
Hemoglobin fetal qualitative
|
$21.45 |
$21.45 |
$21.45 |
$54.60
|
|
Hemoglobin methemoglobin quantitative
|
$30.55 |
$30.55 |
$30.55 |
$43.01
|
|
Hemoglobin plasma
|
$43.55 |
$43.55 |
$43.55 |
$43.80
|
|
Hemophilus influenza antibdy
|
$114.40 |
$114.40 |
$114.40 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$4,664.19 |
$4,664.19 |
$4,664.19 |
$1,073.68
|
|
Heparin assay
|
$107.90 |
$107.90 |
$107.90 |
$107.50
|
|
Heparin bolus from bag
|
$50.95 |
$50.95 |
$50.95 |
$50.95
|
|
Heparin neutralization
|
$70.20 |
$70.20 |
$70.20 |
$56.55
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$27.79 |
$27.79 |
$27.79 |
$7.15
|
|
Hepatitis a antibody igm
|
$78.00 |
$78.00 |
$78.00 |
$80.60
|
|
Hepatitis b core antibody igm
|
$50.05 |
$50.05 |
$50.05 |
$85.80
|
|
Hepatitis b core antibody total
|
$42.90 |
$42.90 |
$42.90 |
$84.75
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,440.27 |
$2,440.27 |
$2,440.27 |
$468.80
|
|
Hepatitis b surface antibody
|
$60.45 |
$60.45 |
$60.45 |
$81.12
|
|
Hepatitis c antibody
|
$50.70 |
$50.70 |
$50.70 |
$106.50
|
|
Hepatobiliary system imaging
|
$1,192.10 |
$1,192.10 |
$1,192.10 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$2,748.85 |
$2,748.85 |
$2,748.85 |
$2,642.25
|
|
Hernia Repair (Inguinal)
|
$6,739.98 |
$6,739.98 |
$6,739.98 |
$5,870.15
|
|
Herpes simplex 1 ag if
|
$74.75 |
$74.75 |
$74.75 |
$49.40
|
|
Herpes simplex 2 ag if
|
$68.90 |
$68.90 |
$68.90 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$139.10 |
$139.10 |
$139.10 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$139.10 |
$139.10 |
$139.10 |
$96.20
|
|
Herpes simplex virus isolation
|
$110.50 |
$110.50 |
$110.50 |
$110.50
|
|
Heterophile antibodies screening
|
$18.20 |
$18.20 |
$18.20 |
$59.40
|
|
Hexa gene
|
$345.80 |
$345.80 |
$345.80 |
$230.75
|
|
Hip arthroscopy dx
|
$6,554.19 |
$6,554.19 |
$6,554.19 |
$7,589.85
|
|
Hip X-ray
|
$199.55 |
$199.55 |
$199.55 |
$262.64
|
|
Histamine
|
$168.35 |
$168.35 |
$168.35 |
$132.60
|
|
Histochemical stains add-on
|
$12,407.23 |
$12,407.23 |
$12,407.23 |
$179.04
|
|
Hla i typing high res 1 allele grp ea
|
$364.65 |
$364.65 |
$364.65 |
$340.00
|
|
Hla typing dr/dq
|
$275.60 |
$275.60 |
$275.60 |
$77.71
|
|
Hocm 250-299mg/ml iodine,1ml
|
$7.72 |
$7.72 |
$7.72 |
$49.12
|
|
Hocm 350-399mg/ml iodine,1ml
|
$140.44 |
$140.44 |
$140.44 |
$9.00
|
