|
Gamma glutamyltransferase
|
$1,299.60 |
$1,299.60 |
$1,299.60 |
$55.28
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$406.00 |
$406.00 |
$406.00 |
$211.20
|
|
G-esoph reflx tst w/electrod
|
$18,908.55 |
$18,908.55 |
$18,908.55 |
$1,352.03
|
|
Ghs acetylcholinesterase, rbc
|
$10.95 |
$10.95 |
$10.95 |
$39.60
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$30.40 |
$30.40 |
$30.40 |
$103.14
|
|
Ghs bleeding time (ivy)
|
$1,067.40 |
$1,067.40 |
$1,067.40 |
$55.90
|
|
Ghs fish hybrid in situ 100-300
|
$231.90 |
$231.90 |
$231.90 |
$229.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$106.05 |
$106.05 |
$106.05 |
$108.46
|
|
Ghs histoplasma antigen
|
$101.45 |
$101.45 |
$101.45 |
$144.50
|
|
Ghs HIV antibody
|
$553.35 |
$553.35 |
$553.35 |
$93.00
|
|
Ghs inhibitor screen
|
$254.55 |
$254.55 |
$254.55 |
$154.58
|
|
Ghs leukocyte alkaline phos (mayo)
|
$2.65 |
$2.65 |
$2.65 |
$59.40
|
|
Ghs mbp
|
$18.60 |
$18.60 |
$18.60 |
$77.35
|
|
Ghs o2 saturation
|
$115.30 |
$115.30 |
$115.30 |
$72.45
|
|
Ghs ot prosthetic training/15 min
|
$849.75 |
$849.75 |
$849.75 |
$92.35
|
|
Ghs phenylketonurid
|
$28.30 |
$28.30 |
$28.30 |
$55.50
|
|
Ghs ppd (tb intradermal)
|
$47.40 |
$47.40 |
$47.40 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$9.45 |
$9.45 |
$9.45 |
$40.56
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$16.45 |
$16.45 |
$16.45 |
$45.05
|
|
Ghs quinidine
|
$14.00 |
$14.00 |
$14.00 |
$68.40
|
|
Ghs reticulocyte count
|
$745.45 |
$745.45 |
$745.45 |
$33.57
|
|
Ghs sedimentation rate
|
$858.90 |
$858.90 |
$858.90 |
$45.50
|
|
Ghs somatosensory testing lower extremit
|
$4,909.05 |
$4,909.05 |
$4,909.05 |
$947.48
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$160.10 |
$160.10 |
$160.10 |
$90.40
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$780.70 |
$780.70 |
$780.70 |
$342.40
|
|
Ghs urine, hydroxproline total
|
$21.05 |
$21.05 |
$21.05 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$6.85 |
$6.85 |
$6.85 |
$70.20
|
|
Gi inhouse confirmation
|
$2,409.35 |
$2,409.35 |
$2,409.35 |
$84.60
|
|
Glucagon 1 mg solution for injection
|
$530.00 |
$530.00 |
$530.00 |
$594.00
|
|
Glucagon plasma - sendout
|
$24.20 |
$24.20 |
$24.20 |
$58.20
|
|
Glucose-6-phosphate dhydrogenase screen
|
$21.50 |
$21.50 |
$21.50 |
$39.00
|
|
Glucose blood quantitative
|
$1,020.05 |
$1,020.05 |
$1,020.05 |
$44.80
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$479.71 |
$479.71 |
$479.71 |
$1,017.82
|
|
Granisetron 1 mg tab
|
$24.50 |
$24.50 |
$24.50 |
$10.04
|
|
Granisetron hcl injection
|
$72.00 |
$72.00 |
$72.00 |
$40.33
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$67.00 |
$67.00 |
$67.00 |
$28.23
|
|
Hcg qualitative
|
$1,407.25 |
$1,407.25 |
$1,407.25 |
$77.50
|
|
Hcg quantitative
|
$2,813.05 |
$2,813.05 |
$2,813.05 |
$125.40
|
|
Hc i-131 sodium iodide cap dx per mci
|
$2,923.45 |
$2,923.45 |
$2,923.45 |
$142.49
|
|
Heart infarct image
|
$7,766.75 |
$7,766.75 |
$7,766.75 |
$840.74
|
|
Hematocrit
|
$303.20 |
$303.20 |
$303.20 |
$33.60
|
|
Hemoglobin
|
$158.90 |
$158.90 |
$158.90 |
$33.15
|
|
Hemoglobin f (fetal) chemical
|
$70.75 |
$70.75 |
$70.75 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$25.45 |
$25.45 |
$25.45 |
$48.60
|
|
Hemoglobin-oxygen affinity
|
$115.30 |
$115.30 |
$115.30 |
$73.00
|
|
Hemoglobin plasma
|
$11.70 |
$11.70 |
$11.70 |
$38.15
|
|
Hemophilus influenza antibdy
|
$240.80 |
$240.80 |
$240.80 |
$56.80
|
|
Heparin neutralization
|
$29.70 |
$29.70 |
$29.70 |
$45.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$48.25 |
$48.25 |
$48.25 |
$26.68
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$776.50 |
$776.50 |
$776.50 |
$777.60
|
|
Hepatobiliary system imaging
|
$12,542.40 |
$12,542.40 |
$12,542.40 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$29.70 |
$29.70 |
$29.70 |
$40.28
|
|
Herpes simplex 2 ag if
|
$26.30 |
$26.30 |
$26.30 |
$40.77
|
|
Heterophile antibodies screening
|
$1,358.80 |
$1,358.80 |
$1,358.80 |
$74.00
|
|
Heterophile antibodies titer
|
$35.60 |
$35.60 |
$35.60 |
$16.80
|
|
Hla i low res one antigen equiv ea
|
$25.35 |
$25.35 |
$25.35 |
$164.00
|
|
Homovanillic acid (hva)
|
$15.35 |
$15.35 |
$15.35 |
$57.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$57.50 |
$57.50 |
$57.50 |
$183.12
|
|
Hydralazine 20 mg/ml injection solution
|
$97.00 |
$97.00 |
$97.00 |
$54.51
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$142.85 |
$142.85 |
$142.85 |
$73.45
|
|
I-123 sod iodide diag per 100 uci
|
$1,951.30 |
$1,951.30 |
$1,951.30 |
$157.80
|
|
Ibuprofen injection
|
$58.00 |
$58.00 |
$58.00 |
$90.23
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$798.50 |
$798.50 |
$798.50 |
$966.00
|
|
Idarubicin hcl injection
|
$1,924.25 |
$1,924.25 |
$1,924.25 |
$463.25
|
|
Ifosfamide 1 gram intravenous solution
|
$263.75 |
$263.75 |
$263.75 |
$286.10
|
|
Immune complex assay
|
$18.55 |
$18.55 |
$18.55 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$2,106.25 |
$2,106.25 |
$2,106.25 |
$4,379.68
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$8,000.00 |
$8,000.00 |
$8,000.00 |
$5,956.68
|
|
Implant ureth bulk agent
|
$1,524.80 |
$1,524.80 |
$1,524.80 |
$1,661.13
|
|
In-111 autol wbc diag per dose
|
$10,709.95 |
$10,709.95 |
$10,709.95 |
$3,704.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$4,654.00 |
$4,654.00 |
$4,654.00 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,153.35 |
$1,153.35 |
$1,153.35 |
$2,106.00
|
|
Infect ag eia chlamydia trachomatis
|
$824.85 |
$824.85 |
$824.85 |
$16.50
|
|
Infect ag eia influenza a or b ea
|
$54.50 |
$54.50 |
$54.50 |
$66.60
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$105.95 |
$105.95 |
$105.95 |
$589.55
|
|
Infect ag if ea plyvlnt antsrm
|
$21.90 |
$21.90 |
$21.90 |
$36.60
|
|
Infect ag if varicella zoster
|
$29.70 |
$29.70 |
$29.70 |
$66.00
|
|
Infect ag na hep b amp
|
$162.70 |
$162.70 |
$162.70 |
$108.44
|
|
Infect ag na influenza r/amp 1st 2 types
|
$244.40 |
$244.40 |
$244.40 |
$228.15
|
|
Infect ag na influenza revr/amp ea type
|
$261.65 |
$261.65 |
$261.65 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$250.00 |
$250.00 |
$250.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$994.85 |
$994.85 |
$994.85 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$1,169.35 |
$1,169.35 |
$1,169.35 |
$93.60
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$99.05 |
$99.05 |
$99.05 |
$171.60
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$188.65 |
$188.65 |
$188.65 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$141.45 |
$141.45 |
$141.45 |
$210.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$103.70 |
$103.70 |
$103.70 |
$226.35
|
|
Infliximab 100 mg intravenous solution
|
$4,133.50 |
$4,133.50 |
$4,133.50 |
$1,873.71
|
|
Influenza virus vaccine, live trivalent intranasal
|
$164.25 |
$164.25 |
$164.25 |
$40.89
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$486.20 |
$486.20 |
$486.20 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$2,346.85 |
$2,346.85 |
$2,346.85 |
$627.00
|
|
Inj allopurinol sodium 1 mg
|
$5,657.05 |
$5,657.05 |
$5,657.05 |
$5,937.23
|
|
Inj calcitriol per 0.1 mcg
|
$105.50 |
$105.50 |
$105.50 |
$31.69
|
|
Inj, cefiderocol, 10 mg
|
$1,094.75 |
$1,094.75 |
$1,094.75 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$743.30 |
$743.30 |
$743.30 |
$344.08
|
|
Inj crotalidae im f(ab')2 eq
|
$2,291.90 |
$2,291.90 |
$2,291.90 |
$2,759.76
|
|
Injection, doxercalciferol
|
$28.25 |
$28.25 |
$28.25 |
$29.13
|
|
Injection,onabotulinumtoxina
|
$2,745.00 |
$2,745.00 |
$2,745.00 |
$2,154.07
|
|
Inj hydroxocobalamin IV 25mg
|
$2,849.70 |
$2,849.70 |
$2,849.70 |
$3,180.35
|
|
Inj levocarnitine per 1 gm
|
$274.00 |
$274.00 |
$274.00 |
$122.28
|
