|
Ghs mbp
|
$252.00 |
$252.00 |
$252.00 |
$77.35
|
|
Ghs o2 saturation
|
$175.00 |
$175.00 |
$175.00 |
$72.45
|
|
Ghs phenylketonurid
|
$422.00 |
$422.00 |
$422.00 |
$54.60
|
|
Ghs plt ct-manual
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$39.20
|
|
Ghs ppd (tb intradermal)
|
$31.00 |
$31.00 |
$31.00 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$128.00 |
$128.00 |
$128.00 |
$40.56
|
|
Ghs protoporphyrins fract
|
$153.00 |
$153.00 |
$153.00 |
$64.35
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$240.00 |
$240.00 |
$240.00 |
$45.05
|
|
Ghs quinidine
|
$678.00 |
$678.00 |
$678.00 |
$68.40
|
|
Ghs refill of implantable pump
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$517.60
|
|
Ghs respiratory syncytical virus igg/m
|
$156.00 |
$156.00 |
$156.00 |
$42.40
|
|
Ghs reticulocyte count
|
$832.00 |
$832.00 |
$832.00 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$548.00 |
$548.00 |
$548.00 |
$105.60
|
|
Ghs sedimentation rate
|
$932.00 |
$932.00 |
$932.00 |
$46.80
|
|
Ghs semen analysis fert
|
$1,802.00 |
$1,802.00 |
$1,802.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$59.90
|
|
Ghs sp train/fitting sp device - kx
|
$1,469.00 |
$1,469.00 |
$1,469.00 |
$251.16
|
|
Ghs urine, hydroxproline total
|
$543.00 |
$543.00 |
$543.00 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$1,604.00 |
$1,604.00 |
$1,604.00 |
$68.90
|
|
Gi inhouse confirmation
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$86.25
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$6,803.00 |
$6,803.00 |
$6,803.00 |
$2,418.92
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$2,188.00 |
$2,188.00 |
$2,188.00 |
$509.06
|
|
Glucose 1 hr post dose
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$46.80
|
|
Glucose-6-phosphate dhydrogenase screen
|
$178.00 |
$178.00 |
$178.00 |
$39.00
|
|
Glucose blood quantitative
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$45.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$100.10
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$102.00 |
$102.00 |
$102.00 |
$53.38
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$352.00 |
$352.00 |
$352.00 |
$110.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$272.00 |
$272.00 |
$272.00 |
$125.00
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$10,063.00 |
$10,063.00 |
$10,063.00 |
$989.87
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$35,910.00 |
$35,910.00 |
$35,910.00 |
$803.54
|
|
Granisetron hcl injection
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$40.33
|
|
Growth hormone antibody
|
$352.00 |
$352.00 |
$352.00 |
$40.00
|
|
Gu dilat ureter/urethra s&i
|
$2,852.00 |
$2,852.00 |
$2,852.00 |
$1,712.25
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$68.00 |
$68.00 |
$68.00 |
$29.48
|
|
Haptoglobin quantitative
|
$155.00 |
$155.00 |
$155.00 |
$88.40
|
|
Hcg qualitative
|
$1,493.00 |
$1,493.00 |
$1,493.00 |
$78.97
|
|
Hc i-131 sodium iodide cap dx per mci
|
$714.00 |
$714.00 |
$714.00 |
$142.49
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$4,104.00 |
$4,104.00 |
$4,104.00 |
$1,186.80
|
|
Hc pet myocardial imaging metabolic eval single study
|
$14,463.00 |
$14,463.00 |
$14,463.00 |
$2,979.90
|
|
Head CT scan (with and without contrast)
|
$8,858.00 |
$8,858.00 |
$8,858.00 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$6,888.00 |
$6,888.00 |
$6,888.00 |
$1,554.80
|
|
Head CT scan (without contrast)
|
$6,467.00 |
$6,467.00 |
$6,467.00 |
$1,268.90
|
|
Heart infarct image
|
$6,735.00 |
$6,735.00 |
$6,735.00 |
$840.74
|
|
Heinz bodies direct
|
$293.00 |
$293.00 |
$293.00 |
$31.22
|
|
Hematocrit
|
$592.00 |
$592.00 |
$592.00 |
$33.57
|
|
Hemoglobin
|
$592.00 |
$592.00 |
$592.00 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$611.00 |
$611.00 |
$611.00 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$45.82
|
|
Hemoglobin plasma
|
$46.00 |
$46.00 |
$46.00 |
$38.15
|
|
Hemolysin acid
|
$483.00 |
$483.00 |
$483.00 |
$29.49
|
|
Hemolysins and agglutinins incubated
|
$188.00 |
$188.00 |
$188.00 |
$64.97
|
|
Hemophilus influenza antibdy
|
$352.00 |
$352.00 |
$352.00 |
$56.80
|
|
Heparin assay
|
$298.00 |
$298.00 |
$298.00 |
$130.20
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$12.00 |
$12.00 |
$12.00 |
$27.79
|
|
Hepatitis a antibody igm
|
$286.00 |
$286.00 |
$286.00 |
$84.00
|
|
Hepatitis b core antibody igm
|
$144.00 |
$144.00 |
$144.00 |
$85.80
|
|
Hepatitis b core antibody total
|
$382.00 |
$382.00 |
$382.00 |
$83.29
|
|
Hepatitis b surface antibody
|
$139.00 |
$139.00 |
$139.00 |
$81.12
|
|
Hepatitis c antibody
|
$436.00 |
$436.00 |
$436.00 |
$108.00
|
|
Hepatitis c rna dir probe
|
$219.00 |
$219.00 |
$219.00 |
$34.34
|
|
Hepatobiliary system imaging
|
$6,833.00 |
$6,833.00 |
$6,833.00 |
$1,521.10
|
|
Heterophile antibodies screening
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$74.61
|
|
Hip X-ray
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$290.00
|
|
Histamine
|
$482.00 |
$482.00 |
$482.00 |
$125.40
|
|
Histochemical stains add-on
|
$215.00 |
$215.00 |
$215.00 |
$170.00
|
|
Hla class i&ii antibody qual
|
$744.00 |
$744.00 |
$744.00 |
$206.21
|
|
Hla class i/ii antibody qual
|
$3,498.00 |
$3,498.00 |
$3,498.00 |
$88.58
|
|
Hla ii typing ag equiv lr
|
$2,024.00 |
$2,024.00 |
$2,024.00 |
$325.13
|
|
Hla i typing complete lr
|
$614.00 |
$614.00 |
$614.00 |
$588.55
|
|
Hla i typing high res 1 allele grp ea
|
$948.00 |
$948.00 |
$948.00 |
$306.80
|
|
Hla typing a b or c
|
$4,553.00 |
$4,553.00 |
$4,553.00 |
$322.80
|
|
Homocysteine
|
$206.00 |
$206.00 |
$206.00 |
$108.54
|
|
Homogenization tissue
|
$51.00 |
$51.00 |
$51.00 |
$40.36
|
|
Homovanillic acid (hva)
|
$454.00 |
$454.00 |
$454.00 |
$56.00
|
|
Hpa-1 genotyping
|
$635.00 |
$635.00 |
$635.00 |
$147.17
|
|
H pylori (c-13) breath
|
$617.00 |
$617.00 |
$617.00 |
$213.00
|
|
Htt gene detc abnor alleles
|
$362.00 |
$362.00 |
$362.00 |
$246.75
|
|
Human epididymis protein 4 (he4)
|
$329.00 |
$329.00 |
$329.00 |
$135.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$473.00 |
$473.00 |
$473.00 |
$161.00
|
|
Hyaluronidase 200 units/ml inj
|
$245.00 |
$245.00 |
$245.00 |
$203.80
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$508.00 |
$508.00 |
$508.00 |
$181.35
|
|
Hydralazine 20 mg/ml injection solution
|
$89.00 |
$89.00 |
$89.00 |
$52.61
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$231.00 |
$231.00 |
$231.00 |
$80.11
|
|
Hydroxyzine pamoate 25 mg capsule
|
$30.00 |
$30.00 |
$30.00 |
$18.69
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$807.00 |
$807.00 |
$807.00 |
$73.45
|
|
I-123 iobenguane diag
|
$31,721.00 |
$31,721.00 |
$31,721.00 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$714.00 |
$714.00 |
$714.00 |
$157.80
|
|
I-131 iobenguane sulf diag mibg
|
$16,440.00 |
$16,440.00 |
$16,440.00 |
$5,062.20
|
|
Iaadi respiratory synctial virus
|
$396.00 |
$396.00 |
$396.00 |
$42.35
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$938.19
|
|
Ifosfamide 1 gram intravenous solution
|
$394.00 |
$394.00 |
$394.00 |
$288.64
|
|
Immune complex assay
|
$477.00 |
$477.00 |
$477.00 |
$89.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$240.00 |
$240.00 |
$240.00 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$240.00 |
$240.00 |
$240.00 |
$116.40
|
|
Immunodiffusion nes
|
$143.00 |
$143.00 |
$143.00 |
$58.07
|
|
Immunofixation electrophoresis serum
|
$869.00 |
$869.00 |
$869.00 |
$133.38
|
|
In-111 autol wbc diag per dose
|
$34,486.00 |
$34,486.00 |
$34,486.00 |
$3,704.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$34,486.00 |
$34,486.00 |
$34,486.00 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$66,202.00 |
$66,202.00 |
$66,202.00 |
$2,106.00
|
