|
Foscarnet sodium injection
|
$1,577.83 |
$1,577.83 |
$1,577.83 |
$714.25
|
|
_fragile x methylation-sendout
|
$211.38 |
$211.38 |
$211.38 |
$175.75
|
|
Ga-67 gallium 0.1 mci
|
$345.08 |
$345.08 |
$345.08 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$674.49 |
$674.49 |
$674.49 |
$119.90
|
|
Gammaglobulin ige
|
$11.77 |
$11.77 |
$11.77 |
$85.00
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$527.59 |
$527.59 |
$527.59 |
$211.20
|
|
Gastric analy w/ph ea spec
|
$118.62 |
$118.62 |
$118.62 |
$23.01
|
|
Gastric emptying imag study
|
$2,055.80 |
$2,055.80 |
$2,055.80 |
$1,665.50
|
|
G-esoph reflx tst w/electrod
|
$7,407.78 |
$7,407.78 |
$7,407.78 |
$1,352.03
|
|
Ghs acetylcholinesterase, rbc
|
$12.86 |
$12.86 |
$12.86 |
$39.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$165.23 |
$165.23 |
$165.23 |
$130.70
|
|
Ghs diphtheria toxoid ab igg
|
$11.77 |
$11.77 |
$11.77 |
$74.53
|
|
Ghs fish cytogen
|
$197.77 |
$197.77 |
$197.77 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$321.97 |
$321.97 |
$321.97 |
$229.45
|
|
Ghs histoplasma antigen
|
$141.26 |
$141.26 |
$141.26 |
$144.50
|
|
Ghs HIV antibody
|
$5.53 |
$5.53 |
$5.53 |
$93.00
|
|
Ghs myocardial strain img spckl track
|
$2,309.15 |
$2,309.15 |
$2,309.15 |
$500.00
|
|
Ghs ob unlisted IV or art inj or infusion
|
$261.85 |
$261.85 |
$261.85 |
$95.16
|
|
Ghs phenylketonurid
|
$23.54 |
$23.54 |
$23.54 |
$55.53
|
|
Ghs polysom <6 yrs 4/> parameters
|
$6,569.80 |
$6,569.80 |
$6,569.80 |
$3,705.80
|
|
Ghs prostatic acid phosphatase (mayo)
|
$8.42 |
$8.42 |
$8.42 |
$41.40
|
|
Ghs protoporphyrins fract
|
$9.42 |
$9.42 |
$9.42 |
$64.35
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$5.81 |
$5.81 |
$5.81 |
$45.05
|
|
Ghs urine, porphyrins quant
|
$6.10 |
$6.10 |
$6.10 |
$72.60
|
|
Glucagon 1 mg solution for injection
|
$860.68 |
$860.68 |
$860.68 |
$591.50
|
|
Glucagon plasma - sendout
|
$24.72 |
$24.72 |
$24.72 |
$58.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$60.60 |
$60.60 |
$60.60 |
$97.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$29.43 |
$29.43 |
$29.43 |
$33.57
|
|
Goserelin 10.8 mg subcutaneous implant
|
$16,327.00 |
$16,327.00 |
$16,327.00 |
$2,506.56
|
|
Graft bone flex 2.5cm x 5cm grafton-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$127.14
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$2,114.00
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$2,011.42
|
|
Graft viashield 2layer amnion patch 2x2cm-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$127.14
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$821.11
|
|
Granisetron 1 mg tab
|
$433.90 |
$433.90 |
$433.90 |
$10.04
|
|
Granisetron hcl injection
|
$2,461.24 |
$2,461.24 |
$2,461.24 |
$36.78
|
|
Gu dilat ureter/urethra s&i
|
$3,487.44 |
$3,487.44 |
$3,487.44 |
$1,712.25
|
|
Guid loc target vol rad tx
|
$951.53 |
$951.53 |
$951.53 |
$500.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$56.43 |
$56.43 |
$56.43 |
$27.12
|
|
Hbot, full body chamber, 30m
|
$1,297.86 |
$1,297.86 |
$1,297.86 |
$479.75
|
|
Hc nm fusion spect CT unlisted
|
$9,357.06 |
$9,357.06 |
$9,357.06 |
$463.68
|
|
Hemin 350 mg intravenous powder for solution
|
$40,350.16 |
$40,350.16 |
$40,350.16 |
$17,137.44
|
|
Hemoglobin methemoglobin quantitative
|
$37.67 |
$37.67 |
$37.67 |
$47.49
|
|
Hemoglobin plasma
|
$11.98 |
$11.98 |
$11.98 |
$38.20
|
|
Hemolysin acid
|
$91.24 |
$91.24 |
$91.24 |
$29.49
|
|
Hemolysins and agglutinins incubated
|
$57.02 |
$57.02 |
$57.02 |
$67.50
|
|
Hepatitis a antibody igm
|
$5.89 |
$5.89 |
$5.89 |
$83.91
|
|
Hepatitis b core antibody igm
|
$3.53 |
$3.53 |
$3.53 |
$83.91
|
|
Herpes simplex type 1 antibody igg
|
$17.37 |
$17.37 |
$17.37 |
$71.20
|
|
Herpes simplex type 2 antibody igg
|
$3.92 |
$3.92 |
$3.92 |
$87.10
|
|
Herpes simplex virus isolation
|
$164.41 |
$164.41 |
$164.41 |
$97.06
|
|
Histochemical stains add-on
|
$549.78 |
$549.78 |
$549.78 |
$169.65
|
|
Hla class i high defin qual
|
$470.88 |
$470.88 |
$470.88 |
$574.86
|
|
Hla class ii high defin qual
|
$470.88 |
$470.88 |
$470.88 |
$568.50
|
|
Hla class i/ii antibody qual
|
$176.58 |
$176.58 |
$176.58 |
$88.58
|
|
Hla i & ii type verify lr
|
$488.54 |
$488.54 |
$488.54 |
$558.24
|
|
Hla i & ii typing hr
|
$488.54 |
$488.54 |
$488.54 |
$749.40
|
|
Hla i low res one antigen equiv ea
|
$21.09 |
$21.09 |
$21.09 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$91.09 |
$91.09 |
$91.09 |
$314.05
|
|
Hla i typing low res one locus ea
|
$176.58 |
$176.58 |
$176.58 |
$339.35
|
|
Homovanillic acid (hva)
|
$11.85 |
$11.85 |
$11.85 |
$57.00
|
|
Htt gene detc abnor alleles
|
$645.11 |
$645.11 |
$645.11 |
$246.75
|
|
Human epididymis protein 4 (he4)
|
$218.14 |
$218.14 |
$218.14 |
$135.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$857.75 |
$857.75 |
$857.75 |
$5,860.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$258.04 |
$258.04 |
$258.04 |
$183.12
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$258.04 |
$258.04 |
$258.04 |
$180.48
|
|
Hydralazine 20 mg/ml injection solution
|
$99.44 |
$99.44 |
$99.44 |
$54.51
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$166.27 |
$166.27 |
$166.27 |
$80.11
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$130.62 |
$130.62 |
$130.62 |
$73.45
|
|
I-123 sod iodide diag per 100 uci
|
$17.57 |
$17.57 |
$17.57 |
$157.80
|
|
I131 iodide cap, rx
|
$98.98 |
$98.98 |
$98.98 |
$97.90
|
|
Iadna legionella pneumophila amplified probe tq
|
$122.79 |
$122.79 |
$122.79 |
$117.02
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$2,652.45 |
$2,652.45 |
$2,652.45 |
$966.00
|
|
Idecabtagene vicleucel car
|
$9,335,877.70 |
$9,335,877.70 |
$9,335,877.70 |
$526,587.59
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,612.67 |
$1,612.67 |
$1,612.67 |
$339.73
|
|
Immobilizer shldr cntor adlt
|
$164.00 |
$164.00 |
$164.00 |
$112.45
|
|
Immune complex assay
|
$15.43 |
$15.43 |
$15.43 |
$89.25
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$4.71 |
$4.71 |
$4.71 |
$111.07
|
|
Immunology procedure
|
$35.95 |
$35.95 |
$35.95 |
$289.39
|
|
In-111 pentetate dtpa / 0.5 mci
|
$12,586.52 |
$12,586.52 |
$12,586.52 |
$2,106.00
|
|
In-111 pentetreotide
|
$22,553.08 |
$22,553.08 |
$22,553.08 |
$6,269.30
|
|
Infect ag drug suscept pheno predict
|
$232.03 |
$232.03 |
$232.03 |
$373.63
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$232.03 |
$232.03 |
$232.03 |
$603.75
|
|
Infect ag ia direct hiv-1 antgn
|
$108.48 |
$108.48 |
$108.48 |
$95.55
|
|
Infect ag if legionella pneumophila
|
$73.46 |
$73.46 |
$73.46 |
$75.79
|
|
Infect ag if varicella zoster
|
$175.20 |
$175.20 |
$175.20 |
$64.63
|
|
Infect ag na hep b amp
|
$135.38 |
$135.38 |
$135.38 |
$108.44
|
|
Infect ag na herpes simplex quant
|
$206.01 |
$206.01 |
$206.01 |
$162.00
|
|
Infect ag na orthopoxvirus amp prb each
|
$90.64 |
$90.64 |
$90.64 |
$103.50
|
|
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 hepatitis b surface agn neutralization
|
$35.08 |
$35.08 |
$35.08 |
$56.78
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$351.05 |
$351.05 |
$351.05 |
$855.45
|
|
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
|
$196.26 |
$196.26 |
$196.26 |
$208.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$165.23 |
$165.23 |
$165.23 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$291.15 |
$291.15 |
$291.15 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$229.55 |
$229.55 |
$229.55 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$105.95 |
$105.95 |
$105.95 |
$228.38
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$78.62 |
$78.62 |
$78.62 |
$278.78
|
|
Infliximab 100 mg intravenous solution
|
$8,946.77 |
$8,946.77 |
$8,946.77 |
$1,702.78
|
