|
Glucose blood quantitative
|
$122.40 |
$122.40 |
$122.40 |
$40.00
|
|
Glucose body fluid
|
$183.20 |
$183.20 |
$183.20 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$520.00 |
$520.00 |
$520.00 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$97.60 |
$97.60 |
$97.60 |
$35.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$312.00 |
$312.00 |
$312.00 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$511.20 |
$511.20 |
$511.20 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$167.20 |
$167.20 |
$167.20 |
$672.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$130.40 |
$130.40 |
$130.40 |
$24,469.57
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$244.00 |
$244.00 |
$244.00 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$402.40 |
$402.40 |
$402.40 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$781.60 |
$781.60 |
$781.60 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$103.20 |
$103.20 |
$103.20 |
$27,367.40
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$379.20 |
$379.20 |
$379.20 |
$1,132.47
|
|
Great toe with reduction 28495
|
$857.60 |
$857.60 |
$857.60 |
$482.40
|
|
Hand X-ray
|
$983.20 |
$983.20 |
$983.20 |
$356.00
|
|
Haptoglobin quantitative
|
$266.40 |
$266.40 |
$266.40 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$1,343.20 |
$1,343.20 |
$1,343.20 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$404.80
|
|
Hbb full gene sequence
|
$1,343.20 |
$1,343.20 |
$1,343.20 |
$633.25
|
|
Hbb gene dup/del variants
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$455.00
|
|
Hbot, full body chamber, 30m
|
$956.00 |
$956.00 |
$956.00 |
$526.90
|
|
Hcg qualitative
|
$198.40 |
$198.40 |
$198.40 |
$89.70
|
|
Hcg quantitative
|
$311.20 |
$311.20 |
$311.20 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,723.20 |
$2,723.20 |
$2,723.20 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$2,445.60 |
$2,445.60 |
$2,445.60 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$314.40 |
$314.40 |
$314.40 |
$91.98
|
|
Hematocrit
|
$106.40 |
$106.40 |
$106.40 |
$33.57
|
|
Hemoglobin
|
$82.40 |
$82.40 |
$82.40 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$149.60 |
$149.60 |
$149.60 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$381.60 |
$381.60 |
$381.60 |
$53.60
|
|
Hemoglobin-oxygen affinity
|
$456.00 |
$456.00 |
$456.00 |
$84.76
|
|
Hemoglobin plasma
|
$236.00 |
$236.00 |
$236.00 |
$41.25
|
|
Hemophilus influenza antibdy
|
$69.60 |
$69.60 |
$69.60 |
$62.70
|
|
Heparin assay
|
$637.60 |
$637.60 |
$637.60 |
$140.10
|
|
Hepatitis a antibody igm
|
$432.80 |
$432.80 |
$432.80 |
$87.75
|
|
Hepatitis b core antibody igm
|
$190.40 |
$190.40 |
$190.40 |
$87.98
|
|
Hepatitis b core antibody total
|
$324.00 |
$324.00 |
$324.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$415.20 |
$415.20 |
$415.20 |
$82.05
|
|
Hepatitis c antibody
|
$434.40 |
$434.40 |
$434.40 |
$108.00
|
|
Hepatitis d quantification
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$91.28
|
|
Hepatobiliary system imaging
|
$2,184.80 |
$2,184.80 |
$2,184.80 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$4,903.20 |
$4,903.20 |
$4,903.20 |
$1,799.45
|
|
Herpes simplex type 1 antibody igg
|
$219.20 |
$219.20 |
$219.20 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$227.20 |
$227.20 |
$227.20 |
$87.10
|
|
Herpes simplex virus isolation
|
$208.80 |
$208.80 |
$208.80 |
$104.10
|
|
Heterophile antibodies screening
|
$199.20 |
$199.20 |
$199.20 |
$74.00
|
|
Hhv-6 dna quant
|
$700.80 |
$700.80 |
$700.80 |
$246.35
|
|
Hip X-ray
|
$807.20 |
$807.20 |
$807.20 |
$292.05
|
|
Histamine
|
$450.40 |
$450.40 |
$450.40 |
$115.00
|
|
Histochemical stains add-on
|
$401.60 |
$401.60 |
$401.60 |
$153.29
|
|
Hla ii typing 1 loc hr
|
$1,761.60 |
$1,761.60 |
$1,761.60 |
$290.94
|
|
Hla i typing complete lr
|
$1,312.80 |
$1,312.80 |
$1,312.80 |
$728.88
|
|
Hla i typing high res 1 allele grp ea
|
$1,107.20 |
$1,107.20 |
$1,107.20 |
$293.15
|
|
Hla typing dr/dq
|
$568.00 |
$568.00 |
$568.00 |
$198.00
|
|
Hocm 200-249mg/ml iodine,1ml
|
$6.40 |
$6.40 |
$6.40 |
$236.25
|
|
Hocm 350-399mg/ml iodine,1ml
|
$6.40 |
$6.40 |
$6.40 |
$79.78
|
|
Home sleep test/type 3 porta
|
$972.00 |
$972.00 |
$972.00 |
$579.26
|
|
Homocysteine
|
$302.40 |
$302.40 |
$302.40 |
$121.92
|
|
Homogenization tissue
|
$78.40 |
$78.40 |
$78.40 |
$39.20
|
|
Homovanillic acid (hva)
|
$302.40 |
$302.40 |
$302.40 |
$59.95
|
|
Ho post-op hip abduction
|
$5,412.00 |
$5,412.00 |
$5,412.00 |
$1,690.58
|
|
Hpv combo assay ca screen
|
$196.80 |
$196.80 |
$196.80 |
$70.40
|
|
H pylori (c-13) breath
|
$236.00 |
$236.00 |
$236.00 |
$213.00
|
|
Hrdtry cardmypy gene panel
|
$11,572.00 |
$11,572.00 |
$11,572.00 |
$1,276.00
|
|
Hrdtry perph neurphy panel
|
$9,488.80 |
$9,488.80 |
$9,488.80 |
$1,951.80
|
|
Htt gene detc abnor alleles
|
$1,176.80 |
$1,176.80 |
$1,176.80 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$514.40 |
$514.40 |
$514.40 |
$157.32
|
|
Hydration IV infusion each additional hour
|
$300.80 |
$300.80 |
$300.80 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$633.60 |
$633.60 |
$633.60 |
$383.00
|
|
Hysterosalpingography s&i
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$651.85
|
|
Idet 1 or more levels
|
$7,601.60 |
$7,601.60 |
$7,601.60 |
$4,754.40
|
|
Idet single level
|
$15,196.80 |
$15,196.80 |
$15,196.80 |
$3,947.04
|
|
Idh1 common variants
|
$816.00 |
$816.00 |
$816.00 |
$406.90
|
|
Idh2 common variants
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$486.00
|
|
Ifnl3 gene
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$143.40
|
|
Igh gene rearrange amp meth
|
$951.20 |
$951.20 |
$951.20 |
$456.54
|
|
Igh@ var region somatic mutation analy
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$717.60 |
$717.60 |
$717.60 |
$396.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$413.60 |
$413.60 |
$413.60 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$406.40 |
$406.40 |
$406.40 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$377.60 |
$377.60 |
$377.60 |
$274.86
|
|
Ikbkap gene
|
$2,695.20 |
$2,695.20 |
$2,695.20 |
$176.15
|
|
Immobilizer lwr extrem nylon 20in reinforc 21-35in
|
$410.40 |
$410.40 |
$410.40 |
$336.17
|
|
Immobilizer shldr cntor adlt
|
$780.80 |
$780.80 |
$780.80 |
$171.43
|
|
Immobilizer shldr dlx str 24-36in med
|
$225.60 |
$225.60 |
$225.60 |
$102.00
|
|
Immobilizer shldr sling med
|
$410.40 |
$410.40 |
$410.40 |
$99.45
|
|
Immunoassay tumor antigen quantitative ca 125
|
$288.00 |
$288.00 |
$288.00 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$544.00 |
$544.00 |
$544.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$464.80 |
$464.80 |
$464.80 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$840.00 |
$840.00 |
$840.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$990.40 |
$990.40 |
$990.40 |
$232.05
|
|
Immunoglobulin assay
|
$298.40 |
$298.40 |
$298.40 |
$74.15
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$8,607.20 |
$8,607.20 |
$8,607.20 |
$1,670.40
|
|
Implant neuroelectrodes
|
$24,595.20 |
$24,595.20 |
$24,595.20 |
$7,766.27
|
|
Impl neurostim electr perc
|
$26,125.60 |
$26,125.60 |
$26,125.60 |
$7,546.20
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
$2,080.80
|
|
Incision of burn scab initi
|
$819.20 |
$819.20 |
$819.20 |
$494.40
|
|
Infect ag drug suscept pheno predict
|
$894.40 |
$894.40 |
$894.40 |
$320.00
|
