|
Ghs quinidine
|
$23.52 |
$23.52 |
$23.52 |
$68.40
|
|
Ghs reticulocyte count
|
$21.60 |
$21.60 |
$21.60 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$74.36 |
$74.36 |
$74.36 |
$101.15
|
|
Ghs sedimentation rate
|
$20.40 |
$20.40 |
$20.40 |
$45.50
|
|
Ghs semen analysis fert
|
$11.52 |
$11.52 |
$11.52 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$70.60 |
$70.60 |
$70.60 |
$59.90
|
|
Ghs sp train/fitting sp device - kx
|
$208.00 |
$208.00 |
$208.00 |
$261.95
|
|
Ghs st - re-eval for alt comm
|
$156.40 |
$156.40 |
$156.40 |
$309.00
|
|
Ghs trypsin (fecal)
|
$17.04 |
$17.04 |
$17.04 |
$21.84
|
|
Ghs urine, hydroxproline total
|
$71.00 |
$71.00 |
$71.00 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$27.36 |
$27.36 |
$27.36 |
$70.20
|
|
Gi inhouse confirmation
|
$65.00 |
$65.00 |
$65.00 |
$87.00
|
|
Gjb2 gene full sequence
|
$208.00 |
$208.00 |
$208.00 |
$386.10
|
|
Glassia injection
|
$5.14 |
$5.14 |
$5.14 |
$1,023.81
|
|
Glucagon 1 mg solution for injection
|
$522.80 |
$522.80 |
$522.80 |
$613.00
|
|
Glucagon plasma - sendout
|
$7.44 |
$7.44 |
$7.44 |
$58.56
|
|
Glucose 1 hr post dose
|
$16.36 |
$16.36 |
$16.36 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$7.52 |
$7.52 |
$7.52 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$11.32 |
$11.32 |
$11.32 |
$22.00
|
|
Glucose blood quantitative
|
$16.96 |
$16.96 |
$16.96 |
$44.76
|
|
Glucose body fluid
|
$49.12 |
$49.12 |
$49.12 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$34.96 |
$34.96 |
$34.96 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$11.24 |
$11.24 |
$11.24 |
$34.45
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$27.48 |
$27.48 |
$27.48 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$35.48 |
$35.48 |
$35.48 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$37.12 |
$37.12 |
$37.12 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$498.40 |
$498.40 |
$498.40 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$45.80 |
$45.80 |
$45.80 |
$2,648.81
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,946.56 |
$1,946.56 |
$1,946.56 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$7,883.32 |
$7,883.32 |
$7,883.32 |
$25,762.70
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$7,033.84 |
$7,033.84 |
$7,033.84 |
$10,989.38
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$311.20 |
$311.20 |
$311.20 |
$1,560.21
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$7,459.48 |
$7,459.48 |
$7,459.48 |
$336.78
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$518.08 |
$518.08 |
$518.08 |
$3,070.00
|
|
Granisetron hcl injection
|
$20.08 |
$20.08 |
$20.08 |
$41.65
|
|
Gu dilat ureter/urethra s&i
|
$1,062.40 |
$1,062.40 |
$1,062.40 |
$1,793.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$11.48 |
$11.48 |
$11.48 |
$35.40
|
|
Handle/convey/speciman/office-lab 99000
|
$9.20 |
$9.20 |
$9.20 |
$30.36
|
|
Hand X-ray
|
$806.00 |
$806.00 |
$806.00 |
$338.58
|
|
Haptoglobin quantitative
|
$80.24 |
$80.24 |
$80.24 |
$89.95
|
|
Hcg qualitative
|
$23.12 |
$23.12 |
$23.12 |
$77.50
|
|
Hcg quantitative
|
$907.44 |
$907.44 |
$907.44 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$139.60 |
$139.60 |
$139.60 |
$136.50
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,445.60 |
$2,445.60 |
$2,445.60 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,445.60 |
$2,445.60 |
$2,445.60 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,445.60 |
$2,445.60 |
$2,445.60 |
$3,410.55
|
|
Head CT scan (with and without contrast)
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,103.20 |
$1,103.20 |
$1,103.20 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$855.60 |
$855.60 |
$855.60 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$45.04 |
$45.04 |
$45.04 |
$84.80
|
|
Hematocrit
|
$16.88 |
$16.88 |
$16.88 |
$33.57
|
|
Hematopoietic nuclear tx
|
$3,877.60 |
$3,877.60 |
$3,877.60 |
$918.60
|
|
Hemoglobin
|
$6.60 |
$6.60 |
$6.60 |
$31.75
|
|
Hemoglobin fetal qualitative
|
$45.80 |
$45.80 |
$45.80 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$10.68 |
$10.68 |
$10.68 |
$49.40
|
|
Hemoglobin plasma
|
$6.32 |
$6.32 |
$6.32 |
$40.56
|
|
Heparin assay
|
$214.32 |
$214.32 |
$214.32 |
$130.20
|
|
Heparin bolus from bag
|
$14.97 |
$14.97 |
$14.97 |
$79.04
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$13.20 |
$13.20 |
$13.20 |
$32.27
|
|
Hepatitis a antibody igm
|
$40.00 |
$40.00 |
$40.00 |
$85.15
|
|
Hepatitis b core antibody igm
|
$53.40 |
$53.40 |
$53.40 |
$87.98
|
|
Hepatitis b core antibody total
|
$60.08 |
$60.08 |
$60.08 |
$83.29
|
|
Hepatitis b surface antibody
|
$46.04 |
$46.04 |
$46.04 |
$83.79
|
|
Hepatitis c antibody
|
$24.36 |
$24.36 |
$24.36 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,621.20 |
$2,621.20 |
$2,621.20 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$42.36 |
$42.36 |
$42.36 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$43.44 |
$43.44 |
$43.44 |
$87.10
|
|
Herpes simplex virus isolation
|
$63.36 |
$63.36 |
$63.36 |
$93.32
|
|
Heterophile antibodies screening
|
$22.04 |
$22.04 |
$22.04 |
$73.60
|
|
Hhv-6 dna quant
|
$28.97 |
$28.97 |
$28.97 |
$200.25
|
|
Hip X-ray
|
$179.60 |
$179.60 |
$179.60 |
$292.05
|
|
Histoplasmosis skin test
|
$9.00 |
$9.00 |
$9.00 |
$46.22
|
|
Hizentra injection
|
$10.48 |
$10.48 |
$10.48 |
$13.23
|
|
Hla class i high defin qual
|
$174.82 |
$174.82 |
$174.82 |
$574.86
|
|
Hla class ii high defin qual
|
$175.93 |
$175.93 |
$175.93 |
$568.50
|
|
Hla class i&ii antibody qual
|
$190.80 |
$190.80 |
$190.80 |
$207.60
|
|
Hla class i/ii antibody qual
|
$34.66 |
$34.66 |
$34.66 |
$88.58
|
|
Hla i typing low res one locus ea
|
$50.97 |
$50.97 |
$50.97 |
$340.00
|
|
Hla x-match noncytotoxc addl
|
$19.73 |
$19.73 |
$19.73 |
$135.63
|
|
Hla x-math non-cytotoxic
|
$59.12 |
$59.12 |
$59.12 |
$265.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$0.96 |
$0.96 |
$0.96 |
$68.86
|
|
Homocysteine
|
$82.72 |
$82.72 |
$82.72 |
$113.10
|
|
Homogenization tissue
|
$14.56 |
$14.56 |
$14.56 |
$39.00
|
|
Homovanillic acid (hva)
|
$57.00 |
$57.00 |
$57.00 |
$56.00
|
|
H pylori (c-13) breath
|
$27.98 |
$27.98 |
$27.98 |
$219.05
|
|
H pylori drug admin
|
$10.52 |
$10.52 |
$10.52 |
$31.99
|
|
Human epididymis protein 4 (he4)
|
$35.72 |
$35.72 |
$35.72 |
$131.84
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$2.48 |
$2.48 |
$2.48 |
$4,652.48
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$0.40 |
$0.40 |
$0.40 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$28.68 |
$28.68 |
$28.68 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$73.60 |
$73.60 |
$73.60 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$452.00 |
$452.00 |
$452.00 |
$394.40
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$41.28 |
$41.28 |
$41.28 |
$111.52
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$0.68 |
$0.68 |
$0.68 |
$112.22
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$9.40 |
$9.40 |
$9.40 |
$86.47
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$18.48 |
$18.48 |
$18.48 |
$76.13
|
|
#hypersens-actinomyces ab
|
$69.08 |
$69.08 |
$69.08 |
$19.60
|
|
Hyqvia 100mg immuneglobulin
|
$30.80 |
$30.80 |
$30.80 |
$17.50
|
|
Hysterosalpingography s&i
|
$825.60 |
$825.60 |
$825.60 |
$629.46
|
|
I-123 iobenguane diag
|
$4,510.40 |
$4,510.40 |
$4,510.40 |
$5,730.40
|
