|
Glucose blood quantitative
|
$523.93 |
$523.93 |
$523.93 |
$45.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$1,581.47 |
$1,581.47 |
$1,581.47 |
$100.10
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$16.94 |
$16.94 |
$16.94 |
$107.55
|
|
Goserelin 10.8 mg subcutaneous implant
|
$619.91 |
$619.91 |
$619.91 |
$2,569.86
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,833.53 |
$4,833.53 |
$4,833.53 |
$79.30
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$4,640.18 |
$4,640.18 |
$4,640.18 |
$3,645.60
|
|
Growth hormone antibody
|
$150.00 |
$150.00 |
$150.00 |
$40.00
|
|
Gu dilat ureter/urethra s&i
|
$10,541.52 |
$10,541.52 |
$10,541.52 |
$1,712.25
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$8.25 |
$8.25 |
$8.25 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$9.28 |
$9.28 |
$9.28 |
$31.60
|
|
Haptoglobin quantitative
|
$50.82 |
$50.82 |
$50.82 |
$88.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$6,232.71 |
$6,232.71 |
$6,232.71 |
$759.72
|
|
Hc nm kidney imaging with flow
|
$5,180.01 |
$5,180.01 |
$5,180.01 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$4,716.58 |
$4,716.58 |
$4,716.58 |
$1,186.80
|
|
Heart infarct image
|
$3,011.69 |
$3,011.69 |
$3,011.69 |
$840.74
|
|
Heart infarct image (ef)
|
$5,302.22 |
$5,302.22 |
$5,302.22 |
$636.97
|
|
Heinz bodies direct
|
$154.00 |
$154.00 |
$154.00 |
$31.22
|
|
Hemoglobin
|
$341.22 |
$341.22 |
$341.22 |
$32.50
|
|
Hemoglobin-oxygen affinity
|
$248.05 |
$248.05 |
$248.05 |
$73.00
|
|
Hemoglobin plasma
|
$8.28 |
$8.28 |
$8.28 |
$38.15
|
|
Hemolysin acid
|
$7.83 |
$7.83 |
$7.83 |
$29.49
|
|
Hemolysins/agglutinins auto
|
$7.83 |
$7.83 |
$7.83 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$105.00 |
$105.00 |
$105.00 |
$62.48
|
|
Hemophilus influenza antibdy
|
$57.02 |
$57.02 |
$57.02 |
$56.80
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$62.57 |
$62.57 |
$62.57 |
$28.84
|
|
Hepatitis a antibody igm
|
$55.66 |
$55.66 |
$55.66 |
$84.00
|
|
Hepatitis b core antibody igm
|
$29.04 |
$29.04 |
$29.04 |
$86.40
|
|
Hepatitis b core antibody total
|
$76.23 |
$76.23 |
$76.23 |
$83.20
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,398.12 |
$2,398.12 |
$2,398.12 |
$888.86
|
|
Hepatitis b surface antibody
|
$30.25 |
$30.25 |
$30.25 |
$82.55
|
|
Hepatitis c antibody
|
$54.45 |
$54.45 |
$54.45 |
$108.00
|
|
Hepatobiliary system imaging
|
$6,696.14 |
$6,696.14 |
$6,696.14 |
$1,522.95
|
|
Herpes simplex 1 ag if
|
$18.05 |
$18.05 |
$18.05 |
$40.28
|
|
Herpes simplex virus isolation
|
$27.60 |
$27.60 |
$27.60 |
$93.32
|
|
Heterophile antibodies screening
|
$1,305.59 |
$1,305.59 |
$1,305.59 |
$74.10
|
|
Hla ii typing 1 loc hr
|
$77.38 |
$77.38 |
$77.38 |
$312.51
|
|
Hla typing a b or c
|
$236.25 |
$236.25 |
$236.25 |
$309.40
|
|
Homovanillic acid (hva)
|
$10.06 |
$10.06 |
$10.06 |
$56.00
|
|
H pylori (c-13) breath
|
$73.31 |
$73.31 |
$73.31 |
$213.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$415.25 |
$415.25 |
$415.25 |
$161.00
|
|
Hydralazine 20 mg/ml injection solution
|
$140.63 |
$140.63 |
$140.63 |
$54.51
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$16.75 |
$16.75 |
$16.75 |
$73.45
|
|
I-123 sod iodide diag per 100 uci
|
$294.03 |
$294.03 |
$294.03 |
$157.80
|
|
Iaadi respiratory synctial virus
|
$61.70 |
$61.70 |
$61.70 |
$42.35
|
|
Iadna legionella pneumophila amplified probe tq
|
$105.00 |
$105.00 |
$105.00 |
$119.60
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$3,796.39 |
$3,796.39 |
$3,796.39 |
$918.69
|
|
Ifosfamide 1 gram intravenous solution
|
$65.32 |
$65.32 |
$65.32 |
$286.10
|
|
Igh gene rearrange amp meth
|
$160.00 |
$160.00 |
$160.00 |
$464.25
|
|
Igk rearrangeabn clonal pop
|
$130.00 |
$130.00 |
$130.00 |
$372.00
|
|
Immune complex assay
|
$13.11 |
$13.11 |
$13.11 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$2,077.69 |
$2,077.69 |
$2,077.69 |
$4,669.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$2,145.60 |
$2,145.60 |
$2,145.60 |
$5,702.80
|
|
Immunoassay tumor antigen quantitative ca 125
|
$56.87 |
$56.87 |
$56.87 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$56.87 |
$56.87 |
$56.87 |
$116.40
|
|
Immunodiffusion nes
|
$11.24 |
$11.24 |
$11.24 |
$56.71
|
|
Immunofixation electrophoresis serum
|
$123.42 |
$123.42 |
$123.42 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$51.87 |
$51.87 |
$51.87 |
$161.85
|
|
Immunofluorescence per specimen initial single antibody stain
|
$51.87 |
$51.87 |
$51.87 |
$250.00
|
|
Implant ureth bulk agent
|
$796.11 |
$796.11 |
$796.11 |
$1,708.88
|
|
In-111 autol wbc diag per dose
|
$2,712.82 |
$2,712.82 |
$2,712.82 |
$3,704.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$12,460.58 |
$12,460.58 |
$12,460.58 |
$2,703.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$9,346.04 |
$9,346.04 |
$9,346.04 |
$2,106.00
|
|
In-111 pentetreotide
|
$6,047.58 |
$6,047.58 |
$6,047.58 |
$6,610.16
|
|
Infect ag drug suscept pheno predict
|
$41.05 |
$41.05 |
$41.05 |
$325.00
|
|
Infect ag eia chlamydia trachomatis
|
$40.00 |
$40.00 |
$40.00 |
$16.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$81.12 |
$81.12 |
$81.12 |
$558.00
|
|
Infect ag if legionella pneumophila
|
$119.79 |
$119.79 |
$119.79 |
$75.75
|
|
Infect ag if pneumocystis carinii
|
$49.61 |
$49.61 |
$49.61 |
$57.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$251.68 |
$251.68 |
$251.68 |
$227.50
|
|
Infect ag na influenza revr/amp ea type
|
$91.63 |
$91.63 |
$91.63 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$77.00 |
$77.00 |
$77.00 |
$101.00
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$630.00 |
$630.00 |
$630.00 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$8.00 |
$8.00 |
$8.00 |
$75.63
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$965.58 |
$965.58 |
$965.58 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$107.69 |
$107.69 |
$107.69 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$16.94 |
$16.94 |
$16.94 |
$78.51
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$8.77 |
$8.77 |
$8.77 |
$55.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$72.60 |
$72.60 |
$72.60 |
$99.75
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$254.10 |
$254.10 |
$254.10 |
$60.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$32.58 |
$32.58 |
$32.58 |
$173.55
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$81.45 |
$81.45 |
$81.45 |
$208.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$68.97 |
$68.97 |
$68.97 |
$102.87
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$195.00 |
$195.00 |
$195.00 |
$496.28
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$73.31 |
$73.31 |
$73.31 |
$214.40
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$416.24 |
$416.24 |
$416.24 |
$272.91
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$421.08 |
$421.08 |
$421.08 |
$359.64
|
|
Inj allopurinol sodium 1 mg
|
$5,610.86 |
$5,610.86 |
$5,610.86 |
$5,937.23
|
|
Inj, bupivacaine liposome
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,040.36
|
|
Inj calcitriol per 0.1 mcg
|
$282.62 |
$282.62 |
$282.62 |
$31.80
|
|
Inj cefazolin sodium, hikma
|
$32.59 |
$32.59 |
$32.59 |
$54.91
|
|
Inj, cefiderocol, 10 mg
|
$768.94 |
$768.94 |
$768.94 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$469.58 |
$469.58 |
$469.58 |
$422.69
|
|
Inj crotalidae im f(ab')2 eq
|
$2,750.44 |
$2,750.44 |
$2,750.44 |
$2,836.95
|
|
Injection,onabotulinumtoxina
|
$4,039.82 |
$4,039.82 |
$4,039.82 |
$2,154.07
|
|
Inj hydroxocobalamin IV 25mg
|
$3,392.48 |
$3,392.48 |
$3,392.48 |
$3,180.35
|
|
Inj., meropenem, vaborbactam
|
$400.95 |
$400.95 |
$400.95 |
$618.43
|
|
Inj. mycophenolate mofetil
|
$146.51 |
$146.51 |
$146.51 |
$344.84
|
|
Inj, nithiodote, 3mg / 125mg
|
$712.50 |
$712.50 |
$712.50 |
$638.28
|
|
Insitu hybridization auto
|
$260.00 |
$260.00 |
$260.00 |
$393.16
|
|
Insitu hybridization (fish)
|
$943.80 |
$943.80 |
$943.80 |
$481.60
|
