|
Ghs bleeding time (ivy)
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
$55.90
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$17.24 |
$17.24 |
$17.24 |
$130.70
|
|
Ghs community re-entry 15 minutes
|
$242.22 |
$242.22 |
$242.22 |
$87.60
|
|
Ghs diphtheria toxoid ab igg
|
$10.00 |
$10.00 |
$10.00 |
$68.25
|
|
Ghs fish cytogen
|
$119.90 |
$119.90 |
$119.90 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$372.59 |
$372.59 |
$372.59 |
$229.45
|
|
Ghs flow volume loop
|
$607.05 |
$607.05 |
$607.05 |
$309.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$215.00 |
$215.00 |
$215.00 |
$462.60
|
|
Ghs immun0electrophoresis
|
$36.00 |
$36.00 |
$36.00 |
$106.47
|
|
Ghs musc test done w/n test comp
|
$1,242.09 |
$1,242.09 |
$1,242.09 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$682.03 |
$682.03 |
$682.03 |
$276.60
|
|
Ghs myocardial strain img spckl track
|
$535.61 |
$535.61 |
$535.61 |
$488.80
|
|
Ghs ob unlisted IV or art inj or infusion
|
$664.27 |
$664.27 |
$664.27 |
$93.75
|
|
Ghs ot work hardening-additional hours
|
$1,071.82 |
$1,071.82 |
$1,071.82 |
$115.01
|
|
Ghs pacing - transcutaneous
|
$5,161.99 |
$5,161.99 |
$5,161.99 |
$856.44
|
|
Ghs phenylketonurid
|
$19.43 |
$19.43 |
$19.43 |
$53.30
|
|
Ghs protoporphyrins fract
|
$7.63 |
$7.63 |
$7.63 |
$64.35
|
|
Ghs reticulocyte count
|
$802.87 |
$802.87 |
$802.87 |
$33.57
|
|
Ghs semen analysis fert
|
$1,963.65 |
$1,963.65 |
$1,963.65 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$1,666.38 |
$1,666.38 |
$1,666.38 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$5,130.48 |
$5,130.48 |
$5,130.48 |
$947.48
|
|
Ghs sp train/fitting sp device - kx
|
$672.16 |
$672.16 |
$672.16 |
$254.28
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$302.74 |
$302.74 |
$302.74 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$1,557.23 |
$1,557.23 |
$1,557.23 |
$342.40
|
|
Ghs urine, hydroxproline total
|
$32.81 |
$32.81 |
$32.81 |
$61.60
|
|
Giardia lamblia antibody
|
$2,681.57 |
$2,681.57 |
$2,681.57 |
$81.60
|
|
Gi inhouse confirmation
|
$2,881.57 |
$2,881.57 |
$2,881.57 |
$86.25
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$10,034.13 |
$10,034.13 |
$10,034.13 |
$2,418.92
|
|
Glassia injection
|
$29.00 |
$29.00 |
$29.00 |
$5.71
|
|
Glucagon 1 mg solution for injection
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,156.70 |
$1,156.70 |
$1,156.70 |
$509.06
|
|
Glucose blood quantitative
|
$1,159.18 |
$1,159.18 |
$1,159.18 |
$45.00
|
|
Granisetron hcl injection
|
$3,521.00 |
$3,521.00 |
$3,521.00 |
$40.33
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$167.85 |
$167.85 |
$167.85 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$52.00 |
$52.00 |
$52.00 |
$31.60
|
|
Hbot, full body chamber, 30m
|
$3,317.95 |
$3,317.95 |
$3,317.95 |
$479.75
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$5,181.69 |
$5,181.69 |
$5,181.69 |
$759.72
|
|
Hcg qualitative
|
$1,770.70 |
$1,770.70 |
$1,770.70 |
$77.50
|
|
Hc i-131 sodium iodide cap dx per mci
|
$947.01 |
$947.01 |
$947.01 |
$139.60
|
|
Head CT scan (with and without contrast)
|
$17,107.28 |
$17,107.28 |
$17,107.28 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$16,377.69 |
$16,377.69 |
$16,377.69 |
$1,543.10
|
|
Head CT scan (without contrast)
|
$15,207.65 |
$15,207.65 |
$15,207.65 |
$1,268.90
|
|
Heart infarct image
|
$10,884.46 |
$10,884.46 |
$10,884.46 |
$840.74
|
|
Hematopoietic nuclear tx
|
$8,913.71 |
$8,913.71 |
$8,913.71 |
$918.60
|
|
Hemodialysis one evaluation
|
$3,733.00 |
$3,733.00 |
$3,733.00 |
$1,273.95
|
|
Hemoglobin
|
$893.10 |
$893.10 |
$893.10 |
$32.50
|
|
Hemoglobin fetal qualitative
|
$183.80 |
$183.80 |
$183.80 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$33.61 |
$33.61 |
$33.61 |
$47.49
|
|
Hemoglobin-oxygen affinity
|
$37.80 |
$37.80 |
$37.80 |
$73.00
|
|
Hemolysins/agglutinins auto
|
$389.10 |
$389.10 |
$389.10 |
$53.90
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$19.00 |
$19.00 |
$19.00 |
$28.84
|
|
Hepatitis c rna dir probe
|
$325.50 |
$325.50 |
$325.50 |
$34.34
|
|
Hepatobiliary system imaging
|
$12,879.39 |
$12,879.39 |
$12,879.39 |
$1,522.95
|
|
Heterophile antibodies screening
|
$1,829.74 |
$1,829.74 |
$1,829.74 |
$74.10
|
|
Hhv-6 dna quant
|
$343.35 |
$343.35 |
$343.35 |
$200.25
|
|
Hip X-ray
|
$4,182.05 |
$4,182.05 |
$4,182.05 |
$290.35
|
|
Hla i low res one antigen equiv ea
|
$153.18 |
$153.18 |
$153.18 |
$163.50
|
|
Homovanillic acid (hva)
|
$32.00 |
$32.00 |
$32.00 |
$56.00
|
|
H pylori ag ia
|
$1,559.61 |
$1,559.61 |
$1,559.61 |
$35.20
|
|
H pylori (c-13) breath
|
$73.31 |
$73.31 |
$73.31 |
$213.00
|
|
Human epididymis protein 4 (he4)
|
$180.00 |
$180.00 |
$180.00 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$268.00 |
$268.00 |
$268.00 |
$161.00
|
|
Hyaluronidase 200 units/ml inj
|
$909.90 |
$909.90 |
$909.90 |
$203.80
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$697.95 |
$697.95 |
$697.95 |
$188.21
|
|
Hydralazine 20 mg/ml injection solution
|
$77.00 |
$77.00 |
$77.00 |
$54.51
|
|
Hysterosalpingography s&i
|
$8,613.09 |
$8,613.09 |
$8,613.09 |
$585.20
|
|
I-123 ioflupane diag
|
$7,865.00 |
$7,865.00 |
$7,865.00 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$4,728.89 |
$4,728.89 |
$4,728.89 |
$157.80
|
|
I-131 iobenguane sulf diag mibg
|
$29,526.71 |
$29,526.71 |
$29,526.71 |
$5,062.20
|
|
I131 iodide cap, rx
|
$797.15 |
$797.15 |
$797.15 |
$97.90
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$6,378.00 |
$6,378.00 |
$6,378.00 |
$918.69
|
|
Ifosfamide 1 gram intravenous solution
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$286.10
|
|
Immobilizer shldr dlx str 24-36in med
|
$142.16 |
$142.16 |
$142.16 |
$69.60
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3,030.00 |
$3,030.00 |
$3,030.00 |
$5,702.80
|
|
Immunodiff gel qual ea antigen/ab
|
$25.67 |
$25.67 |
$25.67 |
$52.80
|
|
Immunofluorescence per specimen initial single antibody stain
|
$74.50 |
$74.50 |
$74.50 |
$250.00
|
|
In-111 autol wbc diag per dose
|
$19,187.19 |
$19,187.19 |
$19,187.19 |
$3,704.00
|
|
In-111 capromab pendet
|
$21,182.14 |
$21,182.14 |
$21,182.14 |
$3,941.34
|
|
In-111 oxyquinolin per 0.5 mci
|
$21,182.14 |
$21,182.14 |
$21,182.14 |
$2,703.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$19,187.19 |
$19,187.19 |
$19,187.19 |
$2,106.00
|
|
In-111 pentetreotide
|
$63,598.85 |
$63,598.85 |
$63,598.85 |
$6,610.16
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$1,765.85 |
$1,765.85 |
$1,765.85 |
$1,099.05
|
|
Infect ag drug suscept pheno predict
|
$200.00 |
$200.00 |
$200.00 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$136.05 |
$136.05 |
$136.05 |
$301.50
|
|
Infect ag if ea plyvlnt antsrm
|
$194.96 |
$194.96 |
$194.96 |
$36.00
|
|
Infect ag if influenza a
|
$124.48 |
$124.48 |
$124.48 |
$40.61
|
|
Infect ag if influenza b
|
$124.48 |
$124.48 |
$124.48 |
$33.60
|
|
Infect ag if legionella pneumophila
|
$124.48 |
$124.48 |
$124.48 |
$75.75
|
|
Infect ag if pneumocystis carinii
|
$2,100.45 |
$2,100.45 |
$2,100.45 |
$57.00
|
|
Infect ag na hpv high-risk types
|
$29.00 |
$29.00 |
$29.00 |
$139.20
|
|
Infect ag na influenza revr/amp ea type
|
$23.98 |
$23.98 |
$23.98 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$77.00 |
$77.00 |
$77.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$218.83 |
$218.83 |
$218.83 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$12.67 |
$12.67 |
$12.67 |
$93.60
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$1,307.02 |
$1,307.02 |
$1,307.02 |
$60.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$80.00 |
$80.00 |
$80.00 |
$173.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$52.00 |
$52.00 |
$52.00 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$98.85 |
$98.85 |
$98.85 |
$102.87
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$36.65 |
$36.65 |
$36.65 |
$110.40
|
|
Infliximab 100 mg intravenous solution
|
$4,737.00 |
$4,737.00 |
$4,737.00 |
$2,414.09
|
