|
Ghs protoporphyrins fract
|
$1.63 |
$1.63 |
$1.63 |
$64.28
|
|
Ghs reticulocyte count
|
$74.90 |
$74.90 |
$74.90 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$91.84 |
$91.84 |
$91.84 |
$96.60
|
|
Ghs sedimentation rate
|
$48.02 |
$48.02 |
$48.02 |
$45.50
|
|
Ghs semen analysis fert
|
$18.97 |
$18.97 |
$18.97 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$20.02 |
$20.02 |
$20.02 |
$57.60
|
|
Ghs somatosensory testing lower extremit
|
$34.65 |
$34.65 |
$34.65 |
$922.35
|
|
Ghs somatosensory testing upper & lower limbs
|
$60.76 |
$60.76 |
$60.76 |
$1,290.02
|
|
Ghs urine, porphyrins quant
|
$0.98 |
$0.98 |
$0.98 |
$75.00
|
|
Gi inhouse confirmation
|
$110.81 |
$110.81 |
$110.81 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$51.03 |
$51.03 |
$51.03 |
$601.79
|
|
Glucagon plasma - sendout
|
$2.45 |
$2.45 |
$2.45 |
$63.00
|
|
Glucose 1 hr post dose
|
$4.27 |
$4.27 |
$4.27 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$10.99 |
$10.99 |
$10.99 |
$23.86
|
|
Glucose blood quantitative
|
$43.40 |
$43.40 |
$43.40 |
$40.00
|
|
Glucose body fluid
|
$43.40 |
$43.40 |
$43.40 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$11.27 |
$11.27 |
$11.27 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$2.87 |
$2.87 |
$2.87 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$0.77 |
$0.77 |
$0.77 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$19.95 |
$19.95 |
$19.95 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$11.06 |
$11.06 |
$11.06 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$15.82 |
$15.82 |
$15.82 |
$672.50
|
|
Graft axiofill 1000mg
|
$627.69 |
$627.69 |
$627.69 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$25.62 |
$25.62 |
$25.62 |
$24,469.57
|
|
Graft nerve adv 3-4x70mm
|
$3,079.79 |
$3,079.79 |
$3,079.79 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$3,247.65 |
$3,247.65 |
$3,247.65 |
$27,300.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$40.67 |
$40.67 |
$40.67 |
$1,181.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$22.47 |
$22.47 |
$22.47 |
$27,367.40
|
|
Graft xenmtrx sft rect 15x20cm
|
$3,117.73 |
$3,117.73 |
$3,117.73 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$819.63 |
$819.63 |
$819.63 |
$2,701.58
|
|
Gu dilat ureter/urethra s&i
|
$349.02 |
$349.02 |
$349.02 |
$1,923.60
|
|
Guide wire threaded 1.4x150mm
|
$147.35 |
$147.35 |
$147.35 |
$3,284.50
|
|
Gw stiffened micro access kit
|
$117.39 |
$117.39 |
$117.39 |
$6,696.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$55.51 |
$55.51 |
$55.51 |
$23.06
|
|
Hand X-ray
|
$129.64 |
$129.64 |
$129.64 |
$356.00
|
|
Haptoglobin quantitative
|
$21.98 |
$21.98 |
$21.98 |
$91.14
|
|
Hbb full gene sequence
|
$47.25 |
$47.25 |
$47.25 |
$633.25
|
|
Hcg qualitative
|
$66.22 |
$66.22 |
$66.22 |
$89.70
|
|
Hcg quantitative
|
$119.14 |
$119.14 |
$119.14 |
$139.20
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$604.80 |
$604.80 |
$604.80 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$612.36 |
$612.36 |
$612.36 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$596.96 |
$596.96 |
$596.96 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$631.12 |
$631.12 |
$631.12 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$17.85 |
$17.85 |
$17.85 |
$91.98
|
|
Hematocrit
|
$0.35 |
$0.35 |
$0.35 |
$33.57
|
|
Hemodialysis one evaluation
|
$461.58 |
$461.58 |
$461.58 |
$1,319.44
|
|
Hemoglobin
|
$13.44 |
$13.44 |
$13.44 |
$31.80
|
|
Hemolysins/agglutinins auto
|
$6.30 |
$6.30 |
$6.30 |
$57.14
|
|
Heparin assay
|
$45.64 |
$45.64 |
$45.64 |
$140.10
|
|
Heparin bolus from bag
|
$0.35 |
$0.35 |
$0.35 |
$66.47
|
|
Hepatitis a antibody igm
|
$24.71 |
$24.71 |
$24.71 |
$87.75
|
|
Hepatitis b core antibody igm
|
$27.58 |
$27.58 |
$27.58 |
$87.98
|
|
Hepatitis b core antibody total
|
$1.22 |
$1.22 |
$1.22 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$480.06 |
$480.06 |
$480.06 |
$1,116.61
|
|
Hepatitis b surface ag quan
|
$28.42 |
$28.42 |
$28.42 |
$54.88
|
|
Hepatitis b surface antibody
|
$28.42 |
$28.42 |
$28.42 |
$82.05
|
|
Hepatitis c antibody
|
$29.61 |
$29.61 |
$29.61 |
$108.00
|
|
Hepatobiliary system imaging
|
$208.32 |
$208.32 |
$208.32 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$0.63 |
$0.63 |
$0.63 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$0.70 |
$0.70 |
$0.70 |
$87.10
|
|
Heterophile antibodies screening
|
$78.82 |
$78.82 |
$78.82 |
$74.00
|
|
Hgb methemoglobin qual
|
$9.87 |
$9.87 |
$9.87 |
$15.21
|
|
Hip X-ray
|
$107.73 |
$107.73 |
$107.73 |
$292.05
|
|
Histamine
|
$8.75 |
$8.75 |
$8.75 |
$115.00
|
|
Hla i low res one antigen equiv ea
|
$1.96 |
$1.96 |
$1.96 |
$161.70
|
|
Hocm 250-299mg/ml iodine,1ml
|
$0.21 |
$0.21 |
$0.21 |
$36.41
|
|
Hocm 350-399mg/ml iodine,1ml
|
$0.70 |
$0.70 |
$0.70 |
$79.78
|
|
Homocysteine
|
$0.56 |
$0.56 |
$0.56 |
$121.92
|
|
Homogenization tissue
|
$4.48 |
$4.48 |
$4.48 |
$39.20
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$1.89 |
$1.89 |
$1.89 |
$5,836.20
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$0.21 |
$0.21 |
$0.21 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$42.28 |
$42.28 |
$42.28 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$65.45 |
$65.45 |
$65.45 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$119.84 |
$119.84 |
$119.84 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$40.81 |
$40.81 |
$40.81 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$0.21 |
$0.21 |
$0.21 |
$131.47
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$30.80 |
$30.80 |
$30.80 |
$294.92
|
|
#hypersens-actinomyces ab
|
$1.09 |
$1.09 |
$1.09 |
$31.74
|
|
I-123 iobenguane diag
|
$1,128.26 |
$1,128.26 |
$1,128.26 |
$5,256.50
|
|
I-123 sod iodide diag per 100 uci
|
$33.95 |
$33.95 |
$33.95 |
$139.20
|
|
I131 iodide cap, rx
|
$42.70 |
$42.70 |
$42.70 |
$78.75
|
|
Ifosfamide 1 gram intravenous solution
|
$211.61 |
$211.61 |
$211.61 |
$243.78
|
|
Ihc/icc per specimen each additional single antibody stain
|
$5.51 |
$5.51 |
$5.51 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$10.76 |
$10.76 |
$10.76 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$6.27 |
$6.27 |
$6.27 |
$274.86
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$53.06 |
$53.06 |
$53.06 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$51.87 |
$51.87 |
$51.87 |
$3,593.90
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$25.20 |
$25.20 |
$25.20 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$39.62 |
$39.62 |
$39.62 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$0.46 |
$0.46 |
$0.46 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$1.09 |
$1.09 |
$1.09 |
$48.50
|
|
Immunodiffusion nes
|
$3.71 |
$3.71 |
$3.71 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$0.21 |
$0.21 |
$0.21 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$10.50 |
$10.50 |
$10.50 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$10.50 |
$10.50 |
$10.50 |
$232.05
|
|
Implant cartilage 10mm synthetic
|
$4,835.18 |
$4,835.18 |
$4,835.18 |
$10,050.00
|
|
Implant ureth bulk agent
|
$98.56 |
$98.56 |
$98.56 |
$2,139.62
|
|
In-111 pentetate dtpa / 0.5 mci
|
$276.22 |
$276.22 |
$276.22 |
$2,550.60
|
|
In-111 pentetreotide
|
$1,117.69 |
$1,117.69 |
$1,117.69 |
$4,944.55
|
|
Infect ag drug suscept pheno predict
|
$5.77 |
$5.77 |
$5.77 |
$320.00
|
