|
Glucose 1 hr post dose
|
$50.83 |
$50.83 |
$50.83 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$35.10 |
$35.10 |
$35.10 |
$22.00
|
|
Glucose blood quantitative
|
$94.56 |
$94.56 |
$94.56 |
$44.76
|
|
Glucose body fluid
|
$42.05 |
$42.05 |
$42.05 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$137.71 |
$137.71 |
$137.71 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$41.94 |
$41.94 |
$41.94 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$116.54 |
$116.54 |
$116.54 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,943.84 |
$4,943.84 |
$4,943.84 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$65.03 |
$65.03 |
$65.03 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$64.82 |
$64.82 |
$64.82 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$192.88 |
$192.88 |
$192.88 |
$2,648.81
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$516.65 |
$516.65 |
$516.65 |
$1,679.75
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$826.64 |
$826.64 |
$826.64 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$702.64 |
$702.64 |
$702.64 |
$2,369.10
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$199.78 |
$199.78 |
$199.78 |
$336.78
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$743.97 |
$743.97 |
$743.97 |
$3,070.00
|
|
Guided cath fluid drainage 10030
|
$8,218.86 |
$8,218.86 |
$8,218.86 |
$1,461.15
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$193.34 |
$193.34 |
$193.34 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$33.51 |
$33.51 |
$33.51 |
$35.40
|
|
Hand X-ray
|
$1,794.21 |
$1,794.21 |
$1,794.21 |
$338.58
|
|
Haptoglobin quantitative
|
$134.61 |
$134.61 |
$134.61 |
$89.95
|
|
Hcg qualitative
|
$80.46 |
$80.46 |
$80.46 |
$77.50
|
|
Hcg quantitative
|
$314.32 |
$314.32 |
$314.32 |
$124.80
|
|
Hc metata joint dislocation anes
|
$18,750.12 |
$18,750.12 |
$18,750.12 |
$2,423.85
|
|
Head CT scan (with and without contrast)
|
$10,660.80 |
$10,660.80 |
$10,660.80 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$8,773.41 |
$8,773.41 |
$8,773.41 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$7,679.23 |
$7,679.23 |
$7,679.23 |
$1,268.90
|
|
Heart first pass add-on
|
$1,180.30 |
$1,180.30 |
$1,180.30 |
$445.54
|
|
Hematocrit
|
$70.52 |
$70.52 |
$70.52 |
$33.57
|
|
Hemodialysis one evaluation
|
$2,237.43 |
$2,237.43 |
$2,237.43 |
$1,329.90
|
|
Hemoglobin
|
$69.29 |
$69.29 |
$69.29 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$87.74 |
$87.74 |
$87.74 |
$49.40
|
|
Heparin assay
|
$140.06 |
$140.06 |
$140.06 |
$130.20
|
|
Heparin bolus from bag
|
$285.28 |
$285.28 |
$285.28 |
$79.04
|
|
Heparin neutralization
|
$126.69 |
$126.69 |
$126.69 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$48.31 |
$48.31 |
$48.31 |
$32.27
|
|
Hepatitis a antibody igm
|
$120.48 |
$120.48 |
$120.48 |
$85.15
|
|
Hepatitis b core antibody igm
|
$42.25 |
$42.25 |
$42.25 |
$87.98
|
|
Hepatitis b core antibody total
|
$128.94 |
$128.94 |
$128.94 |
$83.29
|
|
Hepatitis b surface antibody
|
$115.25 |
$115.25 |
$115.25 |
$83.79
|
|
Hepatitis c antibody
|
$152.69 |
$152.69 |
$152.69 |
$108.00
|
|
Hepatobiliary system imaging
|
$5,274.43 |
$5,274.43 |
$5,274.43 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$141.13 |
$141.13 |
$141.13 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$67.73 |
$67.73 |
$67.73 |
$87.10
|
|
Herpes simplex virus isolation
|
$118.51 |
$118.51 |
$118.51 |
$93.32
|
|
Heterophile antibodies screening
|
$214.76 |
$214.76 |
$214.76 |
$73.60
|
|
Hhv-6 dna quant
|
$446.83 |
$446.83 |
$446.83 |
$200.25
|
|
Hip X-ray
|
$1,640.89 |
$1,640.89 |
$1,640.89 |
$292.05
|
|
Histamine
|
$315.97 |
$315.97 |
$315.97 |
$125.40
|
|
Hla class i high defin qual
|
$3,464.13 |
$3,464.13 |
$3,464.13 |
$574.86
|
|
Hla class ii high defin qual
|
$3,486.06 |
$3,486.06 |
$3,486.06 |
$568.50
|
|
Hla i low res one antigen equiv ea
|
$795.33 |
$795.33 |
$795.33 |
$164.00
|
|
Hla typing a b or c
|
$620.60 |
$620.60 |
$620.60 |
$309.40
|
|
Hla typing dr/dq
|
$322.82 |
$322.82 |
$322.82 |
$135.20
|
|
Hocm 350-399mg/ml iodine,1ml
|
$27.02 |
$27.02 |
$27.02 |
$68.86
|
|
Homocysteine
|
$191.74 |
$191.74 |
$191.74 |
$113.10
|
|
Homogenization tissue
|
$20.58 |
$20.58 |
$20.58 |
$39.00
|
|
H pylori (c-13) breath
|
$720.75 |
$720.75 |
$720.75 |
$219.05
|
|
H pylori drug admin
|
$27.51 |
$27.51 |
$27.51 |
$31.99
|
|
Human epididymis protein 4 (he4)
|
$222.67 |
$222.67 |
$222.67 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$271.35 |
$271.35 |
$271.35 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$190.36 |
$190.36 |
$190.36 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$741.29 |
$741.29 |
$741.29 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$972.77 |
$972.77 |
$972.77 |
$394.40
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$1,032.45 |
$1,032.45 |
$1,032.45 |
$112.22
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$346.01 |
$346.01 |
$346.01 |
$86.47
|
|
Hyoscyamine sulfate inj
|
$1,280.51 |
$1,280.51 |
$1,280.51 |
$215.75
|
|
Iaadi respiratory synctial virus
|
$143.59 |
$143.59 |
$143.59 |
$42.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$125.25 |
$125.25 |
$125.25 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,464.19 |
$1,464.19 |
$1,464.19 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,403.90 |
$1,403.90 |
$1,403.90 |
$891.89
|
|
Igh gene rearrange amp meth
|
$2,118.49 |
$2,118.49 |
$2,118.49 |
$464.25
|
|
Igk rearrangeabn clonal pop
|
$1,848.21 |
$1,848.21 |
$1,848.21 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$111.55 |
$111.55 |
$111.55 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,058.89 |
$1,058.89 |
$1,058.89 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$1,911.37 |
$1,911.37 |
$1,911.37 |
$266.76
|
|
Iliac/fem angio cath insert
|
$3,702.91 |
$3,702.91 |
$3,702.91 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$10,987.33 |
$10,987.33 |
$10,987.33 |
$6,513.10
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$14,241.38 |
$14,241.38 |
$14,241.38 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$36,448.10 |
$36,448.10 |
$36,448.10 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$222.67 |
$222.67 |
$222.67 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$222.67 |
$222.67 |
$222.67 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$135.07 |
$135.07 |
$135.07 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$301.40 |
$301.40 |
$301.40 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$3,772.53 |
$3,772.53 |
$3,772.53 |
$250.00
|
|
Immunology procedure
|
$298.07 |
$298.07 |
$298.07 |
$281.45
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,146.37 |
$5,146.37 |
$5,146.37 |
$2,261.20
|
|
Infect ag genotype na dna hepatitis b
|
$2,754.72 |
$2,754.72 |
$2,754.72 |
$500.40
|
|
Infect ag ia direct hiv-1 antgn
|
$130.22 |
$130.22 |
$130.22 |
$95.55
|
|
Infect ag if influenza a
|
$171.95 |
$171.95 |
$171.95 |
$40.61
|
|
Infect ag if influenza b
|
$131.08 |
$131.08 |
$131.08 |
$34.67
|
|
Infect ag if nos ea
|
$172.27 |
$172.27 |
$172.27 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$128.19 |
$128.19 |
$128.19 |
$62.29
|
|
Infect ag na influenza r/amp 1st 2 types
|
$849.09 |
$849.09 |
$849.09 |
$227.96
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$270.73 |
$270.73 |
$270.73 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$48.37 |
$48.37 |
$48.37 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$45.86 |
$45.86 |
$45.86 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$107.09 |
$107.09 |
$107.09 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$110.53 |
$110.53 |
$110.53 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$37.74 |
$37.74 |
$37.74 |
$55.00
|