|
Glucose tolerance test (gtt) 3 specimens
|
$132.33 |
$132.33 |
$132.33 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$36.51 |
$36.51 |
$36.51 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$157.17 |
$157.17 |
$157.17 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$5.07 |
$5.07 |
$5.07 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$4.18 |
$4.18 |
$4.18 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,518.78 |
$2,518.78 |
$2,518.78 |
$2,648.81
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$20,663.30 |
$20,663.30 |
$20,663.30 |
$25,762.70
|
|
Graft nerve adv 3-4x70mm
|
$22,729.83 |
$22,729.83 |
$22,729.83 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$15,826.01 |
$15,826.01 |
$15,826.01 |
$25,728.84
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$12,173.07 |
$12,173.07 |
$12,173.07 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$5,538.98 |
$5,538.98 |
$5,538.98 |
$2,369.10
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$1,145.32 |
$1,145.32 |
$1,145.32 |
$3,431.03
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$25,002.71 |
$25,002.71 |
$25,002.71 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$2,518.78 |
$2,518.78 |
$2,518.78 |
$3,070.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$40,265.94 |
$40,265.94 |
$40,265.94 |
$43,312.93
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,145.32 |
$1,145.32 |
$1,145.32 |
$2,653.10
|
|
Granisetron hcl injection
|
$177.45 |
$177.45 |
$177.45 |
$41.65
|
|
Granulocyte pheresis ea unit
|
$2,920.32 |
$2,920.32 |
$2,920.32 |
$2,950.30
|
|
Growth hormone antibody
|
$60.39 |
$60.39 |
$60.39 |
$40.00
|
|
G-tube reposition
|
$882.18 |
$882.18 |
$882.18 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$325.50 |
$325.50 |
$325.50 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$4,259.82 |
$4,259.82 |
$4,259.82 |
$3,474.86
|
|
Guide worley csg 9fx50cm std
|
$1,489.57 |
$1,489.57 |
$1,489.57 |
$2,229.99
|
|
Gw stiffened micro access kit
|
$3,275.73 |
$3,275.73 |
$3,275.73 |
$6,285.56
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$47.16 |
$47.16 |
$47.16 |
$35.40
|
|
Haptoglobin quantitative
|
$23.98 |
$23.98 |
$23.98 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$237.03 |
$237.03 |
$237.03 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$177.45 |
$177.45 |
$177.45 |
$406.25
|
|
Hbb full gene sequence
|
$456.30 |
$456.30 |
$456.30 |
$633.25
|
|
Hbb gene dup/del variants
|
$233.63 |
$233.63 |
$233.63 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$402.56 |
$402.56 |
$402.56 |
$494.40
|
|
Hcg qualitative
|
$205.85 |
$205.85 |
$205.85 |
$77.50
|
|
Hcg quantitative
|
$258.07 |
$258.07 |
$258.07 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$26.88 |
$26.88 |
$26.88 |
$136.50
|
|
Head CT scan (with and without contrast)
|
$4,158.42 |
$4,158.42 |
$4,158.42 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$3,473.97 |
$3,473.97 |
$3,473.97 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$2,535.51 |
$2,535.51 |
$2,535.51 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$8.55 |
$8.55 |
$8.55 |
$84.80
|
|
Hematocrit
|
$60.34 |
$60.34 |
$60.34 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$7,860.53 |
$7,860.53 |
$7,860.53 |
$23,025.73
|
|
Hemodialysis one evaluation
|
$1,110.84 |
$1,110.84 |
$1,110.84 |
$1,329.90
|
|
Hemoglobin
|
$63.38 |
$63.38 |
$63.38 |
$31.75
|
|
Hemoglobin plasma
|
$7.10 |
$7.10 |
$7.10 |
$40.56
|
|
Hemoglobin urine
|
$7.77 |
$7.77 |
$7.77 |
$23.31
|
|
Hemolysins/agglutinins auto
|
$47.92 |
$47.92 |
$47.92 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$32.19 |
$32.19 |
$32.19 |
$67.50
|
|
Heparin assay
|
$138.42 |
$138.42 |
$138.42 |
$130.20
|
|
Heparin bolus from bag
|
$416.25 |
$416.25 |
$416.25 |
$79.04
|
|
Heparin neutralization
|
$15.62 |
$15.62 |
$15.62 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$39.55 |
$39.55 |
$39.55 |
$32.27
|
|
Hepatitis a antibody igm
|
$4.06 |
$4.06 |
$4.06 |
$85.15
|
|
Hepatitis b core antibody igm
|
$5.07 |
$5.07 |
$5.07 |
$87.98
|
|
Hepatitis b core antibody total
|
$3.05 |
$3.05 |
$3.05 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,850.05 |
$1,850.05 |
$1,850.05 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$5.07 |
$5.07 |
$5.07 |
$83.79
|
|
Hepatitis c antibody
|
$290.52 |
$290.52 |
$290.52 |
$108.00
|
|
Hepatitis d quantification
|
$100.39 |
$100.39 |
$100.39 |
$145.06
|
|
Hepatobiliary system imaging
|
$928.83 |
$928.83 |
$928.83 |
$1,521.10
|
|
Hereditary colon ca dsordrs
|
$1,136.95 |
$1,136.95 |
$1,136.95 |
$1,956.00
|
|
Herpes simplex 1 ag if
|
$18.39 |
$18.39 |
$18.39 |
$40.28
|
|
Herpes simplex 2 ag if
|
$18.39 |
$18.39 |
$18.39 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$11.21 |
$11.21 |
$11.21 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$11.21 |
$11.21 |
$11.21 |
$87.10
|
|
Herpes simplex virus isolation
|
$12.66 |
$12.66 |
$12.66 |
$93.32
|
|
Heterophile antibodies screening
|
$113.07 |
$113.07 |
$113.07 |
$73.60
|
|
Hexa gene
|
$115.73 |
$115.73 |
$115.73 |
$179.04
|
|
Hhv-6 dna quant
|
$38.03 |
$38.03 |
$38.03 |
$200.25
|
|
Histamine
|
$12.23 |
$12.23 |
$12.23 |
$125.40
|
|
Histochemical stains add-on
|
$177.66 |
$177.66 |
$177.66 |
$169.65
|
|
Hla class i high defin qual
|
$164.78 |
$164.78 |
$164.78 |
$574.86
|
|
Hla class i&ii antibody qual
|
$134.36 |
$134.36 |
$134.36 |
$207.60
|
|
Hla class i semiquant panel
|
$126.75 |
$126.75 |
$126.75 |
$697.50
|
|
Hla ii typing 1 loc hr
|
$124.22 |
$124.22 |
$124.22 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$98.87 |
$98.87 |
$98.87 |
$164.00
|
|
Hla i typing 1 locus hr
|
$124.22 |
$124.22 |
$124.22 |
$398.40
|
|
Hla i typing complete hr
|
$319.41 |
$319.41 |
$319.41 |
$462.82
|
|
Hla i typing complete lr
|
$202.80 |
$202.80 |
$202.80 |
$588.55
|
|
Hla i typing high res 1 allele grp ea
|
$73.52 |
$73.52 |
$73.52 |
$307.53
|
|
Hocm 350-399mg/ml iodine,1ml
|
$572.41 |
$572.41 |
$572.41 |
$68.86
|
|
Homocysteine
|
$111.06 |
$111.06 |
$111.06 |
$113.10
|
|
Homogenization tissue
|
$73.01 |
$73.01 |
$73.01 |
$39.00
|
|
Homovanillic acid (hva)
|
$7.53 |
$7.53 |
$7.53 |
$56.00
|
|
H pylori (c-13) breath
|
$31.24 |
$31.24 |
$31.24 |
$219.05
|
|
Hrdtry cardmypy gene panel
|
$897.39 |
$897.39 |
$897.39 |
$1,276.00
|
|
Htt gene detc abnor alleles
|
$95.59 |
$95.59 |
$95.59 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$25.35 |
$25.35 |
$25.35 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$219.03 |
$219.03 |
$219.03 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$291.53 |
$291.53 |
$291.53 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$416.76 |
$416.76 |
$416.76 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$1,647.75 |
$1,647.75 |
$1,647.75 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$66.93 |
$66.93 |
$66.93 |
$111.52
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$586.60 |
$586.60 |
$586.60 |
$112.22
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$819.32 |
$819.32 |
$819.32 |
$360.99
|
|
Hydroxocobalamin im 10mcg
|
$13.19 |
$13.19 |
$13.19 |
$7.15
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$13.19 |
$13.19 |
$13.19 |
$86.47
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$22.65 |
$22.65 |
$22.65 |
$76.13
|
|
Hysterosalpingography s&i
|
$539.96 |
$539.96 |
$539.96 |
$629.46
|
|
I-123 ioflupane diag
|
$6,817.13 |
$6,817.13 |
$6,817.13 |
$3,887.10
|