|
Ghs urine, porphyrins quant
|
$4.87 |
$4.87 |
$4.87 |
$68.90
|
|
Gi inhouse confirmation
|
$1,873.69 |
$1,873.69 |
$1,873.69 |
$86.25
|
|
Glucagon 1 mg solution for injection
|
$655.35 |
$655.35 |
$655.35 |
$599.88
|
|
Glucagon plasma - sendout
|
$17.10 |
$17.10 |
$17.10 |
$58.20
|
|
Glucose 1 hr post dose
|
$720.45 |
$720.45 |
$720.45 |
$46.80
|
|
Glucose blood quantitative
|
$497.09 |
$497.09 |
$497.09 |
$45.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$3,961.02 |
$3,961.02 |
$3,961.02 |
$100.10
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$19.50 |
$19.50 |
$19.50 |
$53.38
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,833.53 |
$4,833.53 |
$4,833.53 |
$75.40
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$8,476.17 |
$8,476.17 |
$8,476.17 |
$2,274.83
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$44.07 |
$44.07 |
$44.07 |
$29.48
|
|
Hbot, full body chamber, 30m
|
$794.97 |
$794.97 |
$794.97 |
$479.05
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$5,804.37 |
$5,804.37 |
$5,804.37 |
$759.72
|
|
Hcg qualitative
|
$605.81 |
$605.81 |
$605.81 |
$78.97
|
|
Hc i-131 sodium iodide cap dx per mci
|
$6,202.46 |
$6,202.46 |
$6,202.46 |
$142.49
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$16,850.46 |
$16,850.46 |
$16,850.46 |
$817.05
|
|
Hc nm kidney imaging with flow
|
$7,175.30 |
$7,175.30 |
$7,175.30 |
$1,008.39
|
|
Head CT scan (with and without contrast)
|
$18,624.42 |
$18,624.42 |
$18,624.42 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$15,728.22 |
$15,728.22 |
$15,728.22 |
$1,554.80
|
|
Head CT scan (without contrast)
|
$16,594.38 |
$16,594.38 |
$16,594.38 |
$1,268.90
|
|
Heart infarct image
|
$11,934.23 |
$11,934.23 |
$11,934.23 |
$840.74
|
|
Hematocrit
|
$261.46 |
$261.46 |
$261.46 |
$33.57
|
|
Hemoglobin
|
$261.46 |
$261.46 |
$261.46 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$141.23 |
$141.23 |
$141.23 |
$48.06
|
|
Hemoglobin-oxygen affinity
|
$332.10 |
$332.10 |
$332.10 |
$73.00
|
|
Hemoglobin plasma
|
$8.28 |
$8.28 |
$8.28 |
$38.15
|
|
Hemophilus influenza antibdy
|
$57.02 |
$57.02 |
$57.02 |
$56.80
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$4.38 |
$4.38 |
$4.38 |
$27.79
|
|
Hepatobiliary system imaging
|
$16,977.51 |
$16,977.51 |
$16,977.51 |
$1,521.10
|
|
Heterophile antibodies screening
|
$906.17 |
$906.17 |
$906.17 |
$74.61
|
|
Hip X-ray
|
$2,184.05 |
$2,184.05 |
$2,184.05 |
$290.00
|
|
Hla typing a b or c
|
$77.38 |
$77.38 |
$77.38 |
$322.80
|
|
Homogenization tissue
|
$169.73 |
$169.73 |
$169.73 |
$40.36
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$5,792.00 |
$5,792.00 |
$5,792.00 |
$5,823.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$436.01 |
$436.01 |
$436.01 |
$161.00
|
|
Hydroxyzine pamoate 25 mg capsule
|
$10.94 |
$10.94 |
$10.94 |
$18.69
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$17.49 |
$17.49 |
$17.49 |
$73.45
|
|
Hysterosalpingography s&i
|
$6,985.33 |
$6,985.33 |
$6,985.33 |
$581.03
|
|
I-123 iobenguane diag
|
$13,692.36 |
$13,692.36 |
$13,692.36 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$1,154.34 |
$1,154.34 |
$1,154.34 |
$157.80
|
|
I-131 iobenguane sulf diag mibg
|
$6,854.65 |
$6,854.65 |
$6,854.65 |
$5,062.20
|
|
I131 iodide cap, rx
|
$4,658.50 |
$4,658.50 |
$4,658.50 |
$97.90
|
|
I131 iodide sol, rx
|
$6,202.46 |
$6,202.46 |
$6,202.46 |
$42.01
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,581.86 |
$1,581.86 |
$1,581.86 |
$938.19
|
|
Icatibant injection
|
$9,840.48 |
$9,840.48 |
$9,840.48 |
$3,939.88
|
|
Idarubicin hcl injection
|
$1,233.67 |
$1,233.67 |
$1,233.67 |
$530.27
|
|
Immunodiff gel qual ea antigen/ab
|
$39.45 |
$39.45 |
$39.45 |
$53.95
|
|
Immunodiffusion nes
|
$11.24 |
$11.24 |
$11.24 |
$58.07
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$109.44 |
$109.44 |
$109.44 |
$161.17
|
|
Immunofluorescence per specimen initial single antibody stain
|
$65.44 |
$65.44 |
$65.44 |
$250.00
|
|
Implant ureth bulk agent
|
$796.11 |
$796.11 |
$796.11 |
$1,706.25
|
|
In-111 autol wbc diag per dose
|
$3,250.06 |
$3,250.06 |
$3,250.06 |
$3,704.00
|
|
In-111 pentetreotide
|
$62,478.35 |
$62,478.35 |
$62,478.35 |
$6,610.16
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,191.00 |
$1,191.00 |
$1,191.00 |
$1,099.05
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$200.00 |
$200.00 |
$200.00 |
$576.35
|
|
Infect ag if influenza a
|
$798.30 |
$798.30 |
$798.30 |
$40.61
|
|
Infect ag if influenza b
|
$798.30 |
$798.30 |
$798.30 |
$33.60
|
|
Infect ag if legionella pneumophila
|
$32.90 |
$32.90 |
$32.90 |
$75.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$360.37 |
$360.37 |
$360.37 |
$227.96
|
|
Infect ag na influenza revr/amp ea type
|
$225.00 |
$225.00 |
$225.00 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$77.00 |
$77.00 |
$77.00 |
$101.00
|
|
Infect ag na resp virus 12-25 targets
|
$2,821.32 |
$2,821.32 |
$2,821.32 |
$870.00
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$718.00 |
$718.00 |
$718.00 |
$718.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$529.24 |
$529.24 |
$529.24 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$695.50 |
$695.50 |
$695.50 |
$63.70
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$529.24 |
$529.24 |
$529.24 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$529.24 |
$529.24 |
$529.24 |
$79.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$2.50 |
$2.50 |
$2.50 |
$56.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$504.70 |
$504.70 |
$504.70 |
$93.60
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$128.18 |
$128.18 |
$128.18 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$6.06 |
$6.06 |
$6.06 |
$143.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$820.72 |
$820.72 |
$820.72 |
$172.15
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$32.58 |
$32.58 |
$32.58 |
$173.55
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$6.06 |
$6.06 |
$6.06 |
$135.85
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$73.31 |
$73.31 |
$73.31 |
$226.35
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$759.88 |
$759.88 |
$759.88 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$1,124.09 |
$1,124.09 |
$1,124.09 |
$627.00
|
|
Inj calcitriol per 0.1 mcg
|
$586.13 |
$586.13 |
$586.13 |
$31.69
|
|
Inj crotalidae im f(ab')2 eq
|
$2,735.85 |
$2,735.85 |
$2,735.85 |
$2,836.95
|
|
Injection, fulvestrant
|
$4,008.39 |
$4,008.39 |
$4,008.39 |
$2,744.26
|
|
Inj, levothyroxine, freskabi
|
$443.07 |
$443.07 |
$443.07 |
$250.28
|
|
Inj mepivacaine hcl/10 ml
|
$38.05 |
$38.05 |
$38.05 |
$23.93
|
|
Inj testostero enanthate 1mg
|
$12.51 |
$12.51 |
$12.51 |
$54.60
|
|
Inj testosterone cypionate
|
$12.51 |
$12.51 |
$12.51 |
$80.28
|
|
Inj thiotepa nos 1 mg
|
$600.00 |
$600.00 |
$600.00 |
$3,600.00
|
|
Insitu hybridization auto
|
$109.44 |
$109.44 |
$109.44 |
$398.16
|
|
Insitu hybridization (fish)
|
$389.82 |
$389.82 |
$389.82 |
$481.60
|
|
Insitu hybridization manual
|
$130.00 |
$130.00 |
$130.00 |
$411.33
|
|
In situ hybridization per specimen initial single probe stain
|
$98.23 |
$98.23 |
$98.23 |
$340.00
|
|
Insulin total
|
$4.89 |
$4.89 |
$4.89 |
$67.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$16,362.45 |
$16,362.45 |
$16,362.45 |
$9,463.86
|
|
Interferon beta-1a inj
|
$270.05 |
$270.05 |
$270.05 |
$2,203.14
|
|
Intra-atrial pacing
|
$9,810.15 |
$9,810.15 |
$9,810.15 |
$4,967.24
|
|
Intracard echo interv w/s&i
|
$34,711.23 |
$34,711.23 |
$34,711.23 |
$4,013.16
|
|
Intracranial complete study
|
$4,571.38 |
$4,571.38 |
$4,571.38 |
$841.73
|
|
Intracranial limited study
|
$3,119.38 |
$3,119.38 |
$3,119.38 |
$418.44
|
|
Intrapul surf admin endo tube
|
$815.54 |
$815.54 |
$815.54 |
$240.68
|
|
Intraventricular pacing
|
$9,810.15 |
$9,810.15 |
$9,810.15 |
$5,676.98
|
|
Intrinsic factor antibody
|
$5.00 |
$5.00 |
$5.00 |
$59.95
|
|
Intro long gi tube w/mult fluo
|
$2,130.81 |
$2,130.81 |
$2,130.81 |
$477.85
|
