|
Galactose transferase test
|
$126.09 |
$126.09 |
$126.09 |
$22.18
|
|
Gallium ga-68 psma-11, ucla
|
$2,584.14 |
$2,584.14 |
$2,584.14 |
$372.17
|
|
Gallium illuccix 1 millicure
|
$3,588.41 |
$3,588.41 |
$3,588.41 |
$1,395.27
|
|
Gammaglobulin ige
|
$907.50 |
$907.50 |
$907.50 |
$85.00
|
|
Gamma glutamyltransferase
|
$862.49 |
$862.49 |
$862.49 |
$55.28
|
|
Gamunex-c/gammaked
|
$4,890.77 |
$4,890.77 |
$4,890.77 |
$7,372.04
|
|
Gastroesophageal reflux test
|
$1,778.86 |
$1,778.86 |
$1,778.86 |
$1,115.40
|
|
Gated heart multiple
|
$1,325.77 |
$1,325.77 |
$1,325.77 |
$1,368.90
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$20,893.87 |
$20,893.87 |
$20,893.87 |
$21,306.71
|
|
General health panel
|
$4,742.16 |
$4,742.16 |
$4,742.16 |
$280.00
|
|
G-esoph reflx tst w/electrod
|
$1,705.43 |
$1,705.43 |
$1,705.43 |
$1,352.03
|
|
Ghs acetylcholinesterase, rbc
|
$2,275.86 |
$2,275.86 |
$2,275.86 |
$39.60
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$622.23 |
$622.23 |
$622.23 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$4,894.53 |
$4,894.53 |
$4,894.53 |
$433.58
|
|
Ghs chemo >8 hrs
|
$1,334.22 |
$1,334.22 |
$1,334.22 |
$710.00
|
|
Ghs chemo IV push, ea addtl
|
$457.61 |
$457.61 |
$457.61 |
$291.87
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$1,598.84 |
$1,598.84 |
$1,598.84 |
$130.70
|
|
Ghs diphtheria toxoid ab igg
|
$1,801.78 |
$1,801.78 |
$1,801.78 |
$74.53
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,114.08 |
$1,114.08 |
$1,114.08 |
$547.20
|
|
Ghs hcv amplificaiton
|
$937.54 |
$937.54 |
$937.54 |
$195.60
|
|
Ghs hepatitis c virus (hcv riba)
|
$1,680.03 |
$1,680.03 |
$1,680.03 |
$105.00
|
|
Ghs histoplasma antigen
|
$1,103.14 |
$1,103.14 |
$1,103.14 |
$144.50
|
|
Ghs HIV antibody
|
$1,801.78 |
$1,801.78 |
$1,801.78 |
$93.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$7,259.41 |
$7,259.41 |
$7,259.41 |
$462.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$1,049.51 |
$1,049.51 |
$1,049.51 |
$59.40
|
|
Ghs mbp
|
$929.17 |
$929.17 |
$929.17 |
$77.35
|
|
Ghs ot prosthetic training/15 min
|
$352.50 |
$352.50 |
$352.50 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$5,097.37 |
$5,097.37 |
$5,097.37 |
$842.40
|
|
Ghs phenylketonurid
|
$126.09 |
$126.09 |
$126.09 |
$55.53
|
|
Ghs plt ct-manual
|
$498.67 |
$498.67 |
$498.67 |
$39.20
|
|
Ghs ppd (tb intradermal)
|
$532.64 |
$532.64 |
$532.64 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$1,757.97 |
$1,757.97 |
$1,757.97 |
$41.40
|
|
Ghs protoporphyrins fract
|
$2,287.51 |
$2,287.51 |
$2,287.51 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$891.84 |
$891.84 |
$891.84 |
$149.60
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$1,106.06 |
$1,106.06 |
$1,106.06 |
$45.05
|
|
Ghs quinidine
|
$1,348.15 |
$1,348.15 |
$1,348.15 |
$68.40
|
|
Ghs respiratory syncytical virus igg/m
|
$2,187.36 |
$2,187.36 |
$2,187.36 |
$42.40
|
|
Ghs reticulocyte count
|
$1,326.33 |
$1,326.33 |
$1,326.33 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$2,309.15 |
$2,309.15 |
$2,309.15 |
$101.15
|
|
Ghs sedimentation rate
|
$542.16 |
$542.16 |
$542.16 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$1,135.01 |
$1,135.01 |
$1,135.01 |
$59.90
|
|
Ghs sleep study unattended
|
$1,807.34 |
$1,807.34 |
$1,807.34 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$365.15 |
$365.15 |
$365.15 |
$118.20
|
|
Ghs sp train/fitting sp device - kx
|
$425.04 |
$425.04 |
$425.04 |
$249.60
|
|
Ghs urine, hydroxproline total
|
$2,110.60 |
$2,110.60 |
$2,110.60 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$1,735.16 |
$1,735.16 |
$1,735.16 |
$72.60
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,750.98 |
$1,750.98 |
$1,750.98 |
$1,843.00
|
|
Giardia lamblia antibody
|
$2,287.51 |
$2,287.51 |
$2,287.51 |
$81.60
|
|
Gi inhouse confirmation
|
$1,291.64 |
$1,291.64 |
$1,291.64 |
$83.85
|
|
Gi trc img intral colon i&r
|
$2,854.98 |
$2,854.98 |
$2,854.98 |
$2,124.80
|
|
Glucagon 1 mg solution for injection
|
$865.55 |
$865.55 |
$865.55 |
$591.50
|
|
Glucagon plasma - sendout
|
$1,900.38 |
$1,900.38 |
$1,900.38 |
$58.00
|
|
Glucose blood quantitative
|
$410.27 |
$410.27 |
$410.27 |
$44.40
|
|
Glucose body fluid
|
$752.30 |
$752.30 |
$752.30 |
$50.04
|
|
Glucose tolerance test (gtt) 3 specimens
|
$1,249.61 |
$1,249.61 |
$1,249.61 |
$97.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$487.05 |
$487.05 |
$487.05 |
$33.57
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$2,000.45 |
$2,000.45 |
$2,000.45 |
$107.55
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$373.00 |
$373.00 |
$373.00 |
$336.78
|
|
Granisetron 1 mg tab
|
$1,053.43 |
$1,053.43 |
$1,053.43 |
$10.04
|
|
Granisetron hcl injection
|
$4,498.04 |
$4,498.04 |
$4,498.04 |
$36.78
|
|
Gu dilat ureter/urethra s&i
|
$13,839.95 |
$13,839.95 |
$13,839.95 |
$1,712.25
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$308.59 |
$308.59 |
$308.59 |
$27.12
|
|
Haptoglobin quantitative
|
$1,304.62 |
$1,304.62 |
$1,304.62 |
$80.24
|
|
Hbot, full body chamber, 30m
|
$2,475.92 |
$2,475.92 |
$2,475.92 |
$479.75
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,699.78 |
$1,699.78 |
$1,699.78 |
$817.05
|
|
Hc pet myocardial imaging metabolic eval single study
|
$4,719.08 |
$4,719.08 |
$4,719.08 |
$2,783.56
|
|
Heart first pass add-on
|
$1,660.31 |
$1,660.31 |
$1,660.31 |
$445.54
|
|
Heinz bodies direct
|
$785.70 |
$785.70 |
$785.70 |
$31.22
|
|
Hematocrit
|
$233.42 |
$233.42 |
$233.42 |
$33.57
|
|
Hematopoietic nuclear tx
|
$854.96 |
$854.96 |
$854.96 |
$918.60
|
|
Hemoglobin
|
$233.42 |
$233.42 |
$233.42 |
$32.50
|
|
Hemoglobin fetal qualitative
|
$542.16 |
$542.16 |
$542.16 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$907.50 |
$907.50 |
$907.50 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$1,271.25 |
$1,271.25 |
$1,271.25 |
$47.49
|
|
Hemoglobin plasma
|
$2,320.77 |
$2,320.77 |
$2,320.77 |
$38.20
|
|
Hemophilus influenza antibdy
|
$657.46 |
$657.46 |
$657.46 |
$56.80
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$235.04 |
$235.04 |
$235.04 |
$24.26
|
|
Hepatitis a antibody igm
|
$1,226.32 |
$1,226.32 |
$1,226.32 |
$83.91
|
|
Hepatitis b core antibody igm
|
$608.83 |
$608.83 |
$608.83 |
$83.91
|
|
Hepatitis b core antibody total
|
$785.70 |
$785.70 |
$785.70 |
$79.34
|
|
Hepatitis b surface antibody
|
$785.70 |
$785.70 |
$785.70 |
$81.12
|
|
Hepatitis c antibody
|
$907.50 |
$907.50 |
$907.50 |
$108.00
|
|
Hepatitis c rna dir probe
|
$919.11 |
$919.11 |
$919.11 |
$34.34
|
|
Heterophile antibodies screening
|
$697.21 |
$697.21 |
$697.21 |
$72.00
|
|
Histochemical stains add-on
|
$2,464.26 |
$2,464.26 |
$2,464.26 |
$169.65
|
|
Hiv-1 ag ia
|
$1,735.16 |
$1,735.16 |
$1,735.16 |
$77.95
|
|
Hla class i high defin qual
|
$1,689.06 |
$1,689.06 |
$1,689.06 |
$574.86
|
|
Hla class ii high defin qual
|
$2,034.21 |
$2,034.21 |
$2,034.21 |
$568.50
|
|
Hla i & ii typing hr
|
$24,263.14 |
$24,263.14 |
$24,263.14 |
$749.40
|
|
Hla ii typing 1 loc hr
|
$1,296.28 |
$1,296.28 |
$1,296.28 |
$330.60
|
|
Hla i low res one antigen equiv ea
|
$3,577.51 |
$3,577.51 |
$3,577.51 |
$164.00
|
|
Hla i typing complete lr
|
$16,180.27 |
$16,180.27 |
$16,180.27 |
$588.55
|
|
Hla i typing high res 1 allele grp ea
|
$1,983.71 |
$1,983.71 |
$1,983.71 |
$314.05
|
|
Hla typing dr/dq
|
$5,335.86 |
$5,335.86 |
$5,335.86 |
$134.38
|
|
Home sleep test/type 2 porta
|
$1,409.73 |
$1,409.73 |
$1,409.73 |
$347.75
|
|
Home sleep test/type 3 porta
|
$1,409.73 |
$1,409.73 |
$1,409.73 |
$632.40
|
|
Home sleep test/type 4 porta
|
$1,409.73 |
$1,409.73 |
$1,409.73 |
$368.50
|
|
Homocysteine
|
$1,117.59 |
$1,117.59 |
$1,117.59 |
$108.49
|
|
Homogenization tissue
|
$107.35 |
$107.35 |
$107.35 |
$40.30
|
|
Homovanillic acid (hva)
|
$2,354.12 |
$2,354.12 |
$2,354.12 |
$57.00
|