|
Glucose tolerance test (gtt) >3 specimens each additional
|
$12.88 |
$12.88 |
$12.88 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$35.35 |
$35.35 |
$35.35 |
$49.20
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,391.75 |
$2,391.75 |
$2,391.75 |
$4,880.83
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$2.74 |
$2.74 |
$2.74 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$2.50 |
$2.50 |
$2.50 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,506.56 |
$2,506.56 |
$2,506.56 |
$3,358.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,859.19 |
$2,859.19 |
$2,859.19 |
$672.50
|
|
Graft axiofill 1000mg
|
$3,718.18 |
$3,718.18 |
$3,718.18 |
$3,591.00
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,300.13 |
$1,300.13 |
$1,300.13 |
$944.03
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$24,469.57 |
$24,469.57 |
$24,469.57 |
$27,279.40
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$2,859.19 |
$2,859.19 |
$2,859.19 |
$1,837.09
|
|
Graft nerve adv 3-4x70mm
|
$18,384.03 |
$18,384.03 |
$18,384.03 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$16,712.63 |
$16,712.63 |
$16,712.63 |
$25,515.36
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$13,812.34 |
$13,812.34 |
$13,812.34 |
$1,366.45
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$8,172.05 |
$8,172.05 |
$8,172.05 |
$1,057.31
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$13,812.34 |
$13,812.34 |
$13,812.34 |
$765.06
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$35,824.13 |
$35,824.13 |
$35,824.13 |
$35,824.13
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$4,834.73 |
$4,834.73 |
$4,834.73 |
$821.11
|
|
Graft xenmtrx sft rect 15x20cm
|
$24,469.57 |
$24,469.57 |
$24,469.57 |
$33,720.69
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,690.58 |
$1,690.58 |
$1,690.58 |
$2,677.50
|
|
Granisetron hcl injection
|
$13.70 |
$13.70 |
$13.70 |
$40.83
|
|
G-tube reposition
|
$155.36 |
$155.36 |
$155.36 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$875.98 |
$875.98 |
$875.98 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$1,037.37 |
$1,037.37 |
$1,037.37 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$22,244.69 |
$22,244.69 |
$22,244.69 |
$2,622.00
|
|
Guide worley csg 9fx50cm std
|
$2,198.85 |
$2,198.85 |
$2,198.85 |
$986.55
|
|
Gw stiffened micro access kit
|
$6,285.56 |
$6,285.56 |
$6,285.56 |
$6,500.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$289.35 |
$289.35 |
$289.35 |
$36.04
|
|
Haptoglobin quantitative
|
$94.53 |
$94.53 |
$94.53 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$128.10 |
$128.10 |
$128.10 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$95.90 |
$95.90 |
$95.90 |
$406.25
|
|
Hbb full gene sequence
|
$246.60 |
$246.60 |
$246.60 |
$633.25
|
|
Hbb gene dup/del variants
|
$126.26 |
$126.26 |
$126.26 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$273.73 |
$273.73 |
$273.73 |
$558.35
|
|
Hcg qualitative
|
$71.24 |
$71.24 |
$71.24 |
$77.50
|
|
Hcg quantitative
|
$139.20 |
$139.20 |
$139.20 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$14.80 |
$14.80 |
$14.80 |
$136.50
|
|
Hc nm kidney imaging with flow
|
$1,385.07 |
$1,385.07 |
$1,385.07 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,671.68 |
$1,671.68 |
$1,671.68 |
$1,186.80
|
|
Head CT scan (with and without contrast)
|
$1,945.13 |
$1,945.13 |
$1,945.13 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,945.13 |
$1,945.13 |
$1,945.13 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,296.85 |
$1,296.85 |
$1,296.85 |
$1,268.90
|
|
Heart image spect
|
$1,390.83 |
$1,390.83 |
$1,390.83 |
$566.74
|
|
Heinz bodies direct
|
$15.55 |
$15.55 |
$15.55 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$26.03 |
$26.03 |
$26.03 |
$84.80
|
|
Hematocrit
|
$34.25 |
$34.25 |
$34.25 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,242.59 |
$1,242.59 |
$1,242.59 |
$1,329.90
|
|
Hemoglobin
|
$29.05 |
$29.05 |
$29.05 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$1.78 |
$1.78 |
$1.78 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$43.02 |
$43.02 |
$43.02 |
$49.40
|
|
Hemoglobin plasma
|
$3.84 |
$3.84 |
$3.84 |
$40.56
|
|
Hemoglobin urine
|
$4.20 |
$4.20 |
$4.20 |
$23.31
|
|
Hemolysins/agglutinins auto
|
$27.40 |
$27.40 |
$27.40 |
$53.90
|
|
Heparin assay
|
$174.54 |
$174.54 |
$174.54 |
$130.20
|
|
Heparin bolus from bag
|
$72.61 |
$72.61 |
$72.61 |
$72.61
|
|
Heparin neutralization
|
$8.44 |
$8.44 |
$8.44 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$13.70 |
$13.70 |
$13.70 |
$22.75
|
|
Hepatitis a antibody igm
|
$35.35 |
$35.35 |
$35.35 |
$85.15
|
|
Hepatitis b core antibody igm
|
$36.99 |
$36.99 |
$36.99 |
$87.98
|
|
Hepatitis b core antibody total
|
$33.98 |
$33.98 |
$33.98 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$888.86 |
$888.86 |
$888.86 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$33.98 |
$33.98 |
$33.98 |
$83.79
|
|
Hepatitis c antibody
|
$43.02 |
$43.02 |
$43.02 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,209.99 |
$1,209.99 |
$1,209.99 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$30.97 |
$30.97 |
$30.97 |
$40.28
|
|
Herpes simplex 2 ag if
|
$34.25 |
$34.25 |
$34.25 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$6.06 |
$6.06 |
$6.06 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$4.74 |
$4.74 |
$4.74 |
$87.10
|
|
Herpes simplex virus isolation
|
$6.85 |
$6.85 |
$6.85 |
$93.32
|
|
Heterophile antibodies screening
|
$47.41 |
$47.41 |
$47.41 |
$73.60
|
|
Heterophile antibodies titer
|
$1.94 |
$1.94 |
$1.94 |
$16.80
|
|
Hhv-6 dna quant
|
$20.55 |
$20.55 |
$20.55 |
$200.25
|
|
Histamine
|
$6.85 |
$6.85 |
$6.85 |
$125.40
|
|
Histochemical stains add-on
|
$46.86 |
$46.86 |
$46.86 |
$169.65
|
|
Hla class i/ii antibody qual
|
$30.14 |
$30.14 |
$30.14 |
$88.58
|
|
Hla ii typing 1 loc hr
|
$57.54 |
$57.54 |
$57.54 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$16.44 |
$16.44 |
$16.44 |
$164.00
|
|
Hla i typing complete hr
|
$172.62 |
$172.62 |
$172.62 |
$462.82
|
|
Hla i typing high res 1 allele grp ea
|
$9.94 |
$9.94 |
$9.94 |
$307.53
|
|
Hla typing a b or c
|
$64.39 |
$64.39 |
$64.39 |
$309.40
|
|
Hlth bhv assmt/reassessment
|
$58.91 |
$58.91 |
$58.91 |
$180.70
|
|
Hlth bhv ivntj fam 1st 30
|
$105.77 |
$105.77 |
$105.77 |
$151.00
|
|
Hlth bhv ivntj grp 1st 30
|
$26.58 |
$26.58 |
$26.58 |
$78.50
|
|
Hlth bhv ivntj indiv 1st 30
|
$82.75 |
$82.75 |
$82.75 |
$190.13
|
|
Hocm 350-399mg/ml iodine,1ml
|
$275.10 |
$275.10 |
$275.10 |
$79.78
|
|
Homocysteine
|
$4.18 |
$4.18 |
$4.18 |
$113.10
|
|
Homogenization tissue
|
$32.34 |
$32.34 |
$32.34 |
$39.00
|
|
Homovanillic acid (hva)
|
$4.03 |
$4.03 |
$4.03 |
$56.00
|
|
H pylori drug admin
|
$12.06 |
$12.06 |
$12.06 |
$31.99
|
|
Htt gene detc abnor alleles
|
$51.66 |
$51.66 |
$51.66 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$6.21 |
$6.21 |
$6.21 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$105.22 |
$105.22 |
$105.22 |
$130.57
|
|
Hydralazine 20 mg/ml injection solution
|
$140.02 |
$140.02 |
$140.02 |
$63.91
|
|
Hydration IV infusion each additional hour
|
$121.39 |
$121.39 |
$121.39 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$319.76 |
$319.76 |
$319.76 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$32.34 |
$32.34 |
$32.34 |
$120.06
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$48.78 |
$48.78 |
$48.78 |
$136.93
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$219.20 |
$219.20 |
$219.20 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$13.70 |
$13.70 |
$13.70 |
$80.11
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$12.24 |
$12.24 |
$12.24 |
$76.13
|
