|
Glucose blood by monitoring device cleared by fda for home use
|
$47.25 |
$47.25 |
$47.25 |
$22.00
|
|
Glucose blood quantitative
|
$247.50 |
$247.50 |
$247.50 |
$44.76
|
|
Glucose body fluid
|
$236.25 |
$236.25 |
$236.25 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$526.50 |
$526.50 |
$526.50 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$72.45 |
$72.45 |
$72.45 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$58.50 |
$58.50 |
$58.50 |
$50.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$1,367.10 |
$1,367.10 |
$1,367.10 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$4.50 |
$4.50 |
$4.50 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$3.71 |
$3.71 |
$3.71 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$3,099.30
|
|
Graft axiofill 1000mg
|
$3,249.45 |
$3,249.45 |
$3,249.45 |
$5,278.73
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$38,059.65 |
$38,059.65 |
$38,059.65 |
$23,253.65
|
|
Graft nerve adv 3-4x70mm
|
$42,027.75 |
$42,027.75 |
$42,027.75 |
$24,646.06
|
|
Graft patch felt ptfe 2x2
|
$81,895.50 |
$81,895.50 |
$81,895.50 |
$31,613.05
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$5,380.65 |
$5,380.65 |
$5,380.65 |
$2,369.10
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$6,996.60 |
$6,996.60 |
$6,996.60 |
$349.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$15,373.35 |
$15,373.35 |
$15,373.35 |
$35,824.13
|
|
Graft xenmtrx sft rect 15x20cm
|
$55,937.70 |
$55,937.70 |
$55,937.70 |
$39,602.30
|
|
Graft xenmtrx sft rect 19x28cm
|
$3,182.40 |
$3,182.40 |
$3,182.40 |
$2,653.10
|
|
G-tube reposition
|
$1,273.05 |
$1,273.05 |
$1,273.05 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$2,123.10 |
$2,123.10 |
$2,123.10 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$380.25 |
$380.25 |
$380.25 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$1,882.80 |
$1,882.80 |
$1,882.80 |
$3,154.46
|
|
Guide worley csg 9fx50cm std
|
$657.00 |
$657.00 |
$657.00 |
$945.75
|
|
Gw stiffened micro access kit
|
$9,096.30 |
$9,096.30 |
$9,096.30 |
$6,606.72
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$171.08 |
$171.08 |
$171.08 |
$32.29
|
|
Haptoglobin quantitative
|
$3.60 |
$3.60 |
$3.60 |
$89.95
|
|
Hast w/i&r phys/qhp
|
$230.40 |
$230.40 |
$230.40 |
$301.95
|
|
Hast w/oxygen titrate
|
$264.60 |
$264.60 |
$264.60 |
$310.40
|
|
Hba1/hba2 full gene sequence
|
$210.38 |
$210.38 |
$210.38 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$157.50 |
$157.50 |
$157.50 |
$406.25
|
|
Hbb full gene sequence
|
$405.00 |
$405.00 |
$405.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$207.36 |
$207.36 |
$207.36 |
$404.80
|
|
Hcg qualitative
|
$343.35 |
$343.35 |
$343.35 |
$77.50
|
|
Hcg quantitative
|
$531.45 |
$531.45 |
$531.45 |
$124.80
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$2,394.00 |
$2,394.00 |
$2,394.00 |
$839.65
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$2,151.45 |
$2,151.45 |
$2,151.45 |
$1,186.80
|
|
Head CT scan (with and without contrast)
|
$4,943.25 |
$4,943.25 |
$4,943.25 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$4,129.20 |
$4,129.20 |
$4,129.20 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$3,014.10 |
$3,014.10 |
$3,014.10 |
$1,268.90
|
|
Heart infarct image
|
$1,540.80 |
$1,540.80 |
$1,540.80 |
$840.74
|
|
Heinz bodies direct
|
$22.48 |
$22.48 |
$22.48 |
$31.22
|
|
Hematocrit
|
$11.70 |
$11.70 |
$11.70 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,273.95 |
$1,273.95 |
$1,273.95 |
$1,329.90
|
|
Hemoglobin
|
$34.65 |
$34.65 |
$34.65 |
$31.75
|
|
Hemoglobin plasma
|
$6.30 |
$6.30 |
$6.30 |
$40.56
|
|
Heparin assay
|
$244.80 |
$244.80 |
$244.80 |
$130.20
|
|
Heparin bolus from bag
|
$753.99 |
$753.99 |
$753.99 |
$79.78
|
|
Heparin neutralization
|
$13.86 |
$13.86 |
$13.86 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$13.36 |
$13.36 |
$13.36 |
$28.84
|
|
Hepatitis a antibody igm
|
$116.10 |
$116.10 |
$116.10 |
$85.15
|
|
Hepatitis b core antibody igm
|
$4.50 |
$4.50 |
$4.50 |
$87.98
|
|
Hepatitis b core antibody total
|
$2.70 |
$2.70 |
$2.70 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,919.17 |
$2,919.17 |
$2,919.17 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$417.15 |
$417.15 |
$417.15 |
$83.79
|
|
Hepatitis c antibody
|
$397.80 |
$397.80 |
$397.80 |
$108.00
|
|
Hepatobiliary system imaging
|
$3,719.70 |
$3,719.70 |
$3,719.70 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$6.08 |
$6.08 |
$6.08 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$6.08 |
$6.08 |
$6.08 |
$87.10
|
|
Herpes simplex virus isolation
|
$11.24 |
$11.24 |
$11.24 |
$93.32
|
|
Heterophile antibodies screening
|
$211.05 |
$211.05 |
$211.05 |
$73.60
|
|
Histamine
|
$11.25 |
$11.25 |
$11.25 |
$125.40
|
|
Homocysteine
|
$5.85 |
$5.85 |
$5.85 |
$113.10
|
|
Homogenization tissue
|
$45.45 |
$45.45 |
$45.45 |
$39.00
|
|
Homovanillic acid (hva)
|
$6.62 |
$6.62 |
$6.62 |
$56.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$287.67 |
$287.67 |
$287.67 |
$154.70
|
|
Hydralazine 20 mg/ml injection solution
|
$51.84 |
$51.84 |
$51.84 |
$56.70
|
|
Hydration IV infusion each additional hour
|
$291.60 |
$291.60 |
$291.60 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$466.65 |
$466.65 |
$466.65 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$105.47 |
$105.47 |
$105.47 |
$120.06
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$117.00 |
$117.00 |
$117.00 |
$139.25
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$1,384.65 |
$1,384.65 |
$1,384.65 |
$277.32
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$14.85 |
$14.85 |
$14.85 |
$87.60
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$20.10 |
$20.10 |
$20.10 |
$76.13
|
|
I-123 sod iodide diag per 100 uci
|
$112.95 |
$112.95 |
$112.95 |
$158.05
|
|
Iadna legionella pneumophila amplified probe tq
|
$14.63 |
$14.63 |
$14.63 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,953.72 |
$1,953.72 |
$1,953.72 |
$990.35
|
|
Icatibant injection
|
$15,049.09 |
$15,049.09 |
$15,049.09 |
$4,000.00
|
|
Icd cobalt xt dr MRI is1 df1
|
$61,531.20 |
$61,531.20 |
$61,531.20 |
$32,070.50
|
|
Icd crtd cobalt hf MRI is1 df1
|
$61,531.20 |
$61,531.20 |
$61,531.20 |
$34,585.61
|
|
Icd crtp serena MRI
|
$38,207.25 |
$38,207.25 |
$38,207.25 |
$12,663.00
|
|
Icd reliance df4 ib 64cm
|
$9,096.30 |
$9,096.30 |
$9,096.30 |
$7,830.01
|
|
Ifosfamide 1 gram intravenous solution
|
$604.80 |
$604.80 |
$604.80 |
$294.81
|
|
Ihc/icc per specimen each additional single antibody stain
|
$42.75 |
$42.75 |
$42.75 |
$191.75
|
|
Ihc/icc per specimen initial single antibody stain
|
$42.75 |
$42.75 |
$42.75 |
$266.76
|
|
Iliac/fem angio cath insert
|
$217.80 |
$217.80 |
$217.80 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$4,376.70 |
$4,376.70 |
$4,376.70 |
$6,513.10
|
|
Immob elbow child sm
|
$228.60 |
$228.60 |
$228.60 |
$63.42
|
|
Immobilizer shldr cntor adlt
|
$132.30 |
$132.30 |
$132.30 |
$134.01
|
|
Immobilizer shldr dlx str 24-36in med
|
$45.00 |
$45.00 |
$45.00 |
$87.00
|
|
Immune complex assay
|
$58.22 |
$58.22 |
$58.22 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$5,978.06
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$2,778.42
|
|
Immunoassay tumor antigen quantitative ca 125
|
$4.95 |
$4.95 |
$4.95 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$3.15 |
$3.15 |
$3.15 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$6.75 |
$6.75 |
$6.75 |
$133.38
|
|
Immunoglobulin assay
|
$11.40 |
$11.40 |
$11.40 |
$74.00
|
|
Implant cartilage 10mm synthetic
|
$55,937.70 |
$55,937.70 |
$55,937.70 |
$10,050.00
|
|
Implant tcat pulm vlv perq
|
$2,069.10 |
$2,069.10 |
$2,069.10 |
$18,494.40
|
