|
Ghs alpha thalasemia, 7 deletions
|
$47.00 |
$47.00 |
$47.00 |
$437.58
|
|
Ghs bleeding time (ivy)
|
$1,079.27 |
$1,079.27 |
$1,079.27 |
$55.90
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$17.24 |
$17.24 |
$17.24 |
$130.70
|
|
Ghs community re-entry 15 minutes
|
$220.20 |
$220.20 |
$220.20 |
$87.60
|
|
Ghs diphtheria toxoid ab igg
|
$10.00 |
$10.00 |
$10.00 |
$80.08
|
|
Ghs fish cytogen
|
$109.00 |
$109.00 |
$109.00 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$338.72 |
$338.72 |
$338.72 |
$229.45
|
|
Ghs flow volume loop
|
$551.86 |
$551.86 |
$551.86 |
$308.69
|
|
Ghs hla-dr/dq, multiple antigens
|
$215.00 |
$215.00 |
$215.00 |
$462.60
|
|
Ghs immun0electrophoresis
|
$36.00 |
$36.00 |
$36.00 |
$102.70
|
|
Ghs musc test done w/n test comp
|
$1,129.17 |
$1,129.17 |
$1,129.17 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$620.03 |
$620.03 |
$620.03 |
$276.60
|
|
Ghs myocardial strain img spckl track
|
$486.92 |
$486.92 |
$486.92 |
$501.79
|
|
Ghs ob unlisted IV or art inj or infusion
|
$603.88 |
$603.88 |
$603.88 |
$95.16
|
|
Ghs ot work hardening-additional hours
|
$974.38 |
$974.38 |
$974.38 |
$113.77
|
|
Ghs pacing - transcutaneous
|
$4,692.72 |
$4,692.72 |
$4,692.72 |
$854.70
|
|
Ghs phenylketonurid
|
$19.43 |
$19.43 |
$19.43 |
$55.53
|
|
Ghs protoporphyrins fract
|
$7.63 |
$7.63 |
$7.63 |
$64.35
|
|
Ghs reticulocyte count
|
$729.88 |
$729.88 |
$729.88 |
$33.57
|
|
Ghs semen analysis fert
|
$1,785.14 |
$1,785.14 |
$1,785.14 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$1,514.89 |
$1,514.89 |
$1,514.89 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$4,664.07 |
$4,664.07 |
$4,664.07 |
$947.48
|
|
Ghs sp train/fitting sp device - kx
|
$611.05 |
$611.05 |
$611.05 |
$249.60
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$275.22 |
$275.22 |
$275.22 |
$90.40
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$1,415.66 |
$1,415.66 |
$1,415.66 |
$342.40
|
|
Ghs urine, hydroxproline total
|
$32.81 |
$32.81 |
$32.81 |
$61.60
|
|
Giardia lamblia antibody
|
$2,437.79 |
$2,437.79 |
$2,437.79 |
$81.60
|
|
Gi inhouse confirmation
|
$2,619.61 |
$2,619.61 |
$2,619.61 |
$83.85
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$9,121.94 |
$9,121.94 |
$9,121.94 |
$2,418.92
|
|
Glassia injection
|
$29.00 |
$29.00 |
$29.00 |
$5.58
|
|
Glucagon 1 mg solution for injection
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$592.05
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,156.70 |
$1,156.70 |
$1,156.70 |
$509.06
|
|
Glucose blood quantitative
|
$1,053.80 |
$1,053.80 |
$1,053.80 |
$44.76
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,833.53 |
$4,833.53 |
$4,833.53 |
$63.51
|
|
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 |
$27.12
|
|
Hbot, full body chamber, 30m
|
$3,016.32 |
$3,016.32 |
$3,016.32 |
$479.75
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$4,710.63 |
$4,710.63 |
$4,710.63 |
$757.08
|
|
Hcg qualitative
|
$1,609.73 |
$1,609.73 |
$1,609.73 |
$77.50
|
|
Hc i-131 sodium iodide cap dx per mci
|
$860.92 |
$860.92 |
$860.92 |
$142.49
|
|
Head CT scan (with and without contrast)
|
$16,645.46 |
$16,645.46 |
$16,645.46 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$15,935.57 |
$15,935.57 |
$15,935.57 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$14,797.11 |
$14,797.11 |
$14,797.11 |
$1,268.90
|
|
Heart infarct image
|
$9,894.96 |
$9,894.96 |
$9,894.96 |
$840.74
|
|
Hematopoietic nuclear tx
|
$8,103.37 |
$8,103.37 |
$8,103.37 |
$918.60
|
|
Hemodialysis one evaluation
|
$3,393.64 |
$3,393.64 |
$3,393.64 |
$1,261.20
|
|
Hemoglobin
|
$811.91 |
$811.91 |
$811.91 |
$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
|
$34.36 |
$34.36 |
$34.36 |
$73.00
|
|
Hemolysins/agglutinins auto
|
$353.73 |
$353.73 |
$353.73 |
$53.96
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$19.00 |
$19.00 |
$19.00 |
$24.39
|
|
Hepatitis c rna dir probe
|
$325.50 |
$325.50 |
$325.50 |
$34.34
|
|
Hepatobiliary system imaging
|
$11,708.54 |
$11,708.54 |
$11,708.54 |
$1,521.10
|
|
Heterophile antibodies screening
|
$1,663.40 |
$1,663.40 |
$1,663.40 |
$72.00
|
|
Hhv-6 dna quant
|
$343.35 |
$343.35 |
$343.35 |
$200.25
|
|
Hip X-ray
|
$3,801.86 |
$3,801.86 |
$3,801.86 |
$283.80
|
|
Hla i low res one antigen equiv ea
|
$139.25 |
$139.25 |
$139.25 |
$164.00
|
|
Homovanillic acid (hva)
|
$32.00 |
$32.00 |
$32.00 |
$57.00
|
|
H pylori ag ia
|
$1,417.83 |
$1,417.83 |
$1,417.83 |
$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 |
$135.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$268.00 |
$268.00 |
$268.00 |
$183.12
|
|
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 |
$180.48
|
|
Hydralazine 20 mg/ml injection solution
|
$77.00 |
$77.00 |
$77.00 |
$52.61
|
|
Hysterosalpingography s&i
|
$7,830.08 |
$7,830.08 |
$7,830.08 |
$557.40
|
|
I-123 ioflupane diag
|
$7,150.00 |
$7,150.00 |
$7,150.00 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$4,298.99 |
$4,298.99 |
$4,298.99 |
$157.80
|
|
I-131 iobenguane sulf diag mibg
|
$26,842.46 |
$26,842.46 |
$26,842.46 |
$5,062.20
|
|
I131 iodide cap, rx
|
$724.68 |
$724.68 |
$724.68 |
$97.90
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$6,378.00 |
$6,378.00 |
$6,378.00 |
$990.35
|
|
Ifosfamide 1 gram intravenous solution
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$278.13
|
|
Immobilizer shldr dlx str 24-36in med
|
$268.71 |
$268.71 |
$268.71 |
$67.77
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3,030.00 |
$3,030.00 |
$3,030.00 |
$5,956.68
|
|
Immunodiff gel qual ea antigen/ab
|
$25.67 |
$25.67 |
$25.67 |
$53.95
|
|
Immunofluorescence per specimen initial single antibody stain
|
$74.50 |
$74.50 |
$74.50 |
$248.64
|
|
Implant ureth bulk agent
|
$796.11 |
$796.11 |
$796.11 |
$1,524.80
|
|
In-111 autol wbc diag per dose
|
$17,442.90 |
$17,442.90 |
$17,442.90 |
$3,704.00
|
|
In-111 capromab pendet
|
$19,256.49 |
$19,256.49 |
$19,256.49 |
$3,941.34
|
|
In-111 oxyquinolin per 0.5 mci
|
$19,256.49 |
$19,256.49 |
$19,256.49 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$17,442.90 |
$17,442.90 |
$17,442.90 |
$2,106.00
|
|
In-111 pentetreotide
|
$57,817.14 |
$57,817.14 |
$57,817.14 |
$6,269.30
|
|
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 |
$369.85
|
|
Infect ag genotype na hiv-1 other region
|
$136.05 |
$136.05 |
$136.05 |
$301.50
|
|
Infect ag if ea plyvlnt antsrm
|
$177.24 |
$177.24 |
$177.24 |
$38.40
|
|
Infect ag if influenza a
|
$113.16 |
$113.16 |
$113.16 |
$40.61
|
|
Infect ag if influenza b
|
$113.16 |
$113.16 |
$113.16 |
$35.25
|
|
Infect ag if legionella pneumophila
|
$113.16 |
$113.16 |
$113.16 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$1,909.50 |
$1,909.50 |
$1,909.50 |
$56.15
|
|
Infect ag na hpv high-risk types
|
$29.00 |
$29.00 |
$29.00 |
$139.75
|
|
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 |
$102.87
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$198.94 |
$198.94 |
$198.94 |
$57.00
|
|
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
|
$1,188.20 |
$1,188.20 |
$1,188.20 |
$60.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$80.00 |
$80.00 |
$80.00 |
$175.00
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$52.00 |
$52.00 |
$52.00 |
$208.00
|
