|
Glucose blood quantitative
|
$152.88 |
$152.88 |
$152.88 |
$44.76
|
|
Glucose body fluid
|
$152.88 |
$152.88 |
$152.88 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$166.10 |
$166.10 |
$166.10 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$92.13 |
$92.13 |
$92.13 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$126.47 |
$126.47 |
$126.47 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$6,803.94 |
$6,803.94 |
$6,803.94 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$290.37 |
$290.37 |
$290.37 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$290.37 |
$290.37 |
$290.37 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$159.99 |
$159.99 |
$159.99 |
$2,648.81
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$220.56 |
$220.56 |
$220.56 |
$25,762.70
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$803.54 |
$803.54 |
$803.54 |
$1,560.21
|
|
Guided cath fluid drainage 10030
|
$6,386.59 |
$6,386.59 |
$6,386.59 |
$1,461.15
|
|
Guid loc target vol rad tx
|
$723.29 |
$723.29 |
$723.29 |
$503.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$239.15 |
$239.15 |
$239.15 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$33.22 |
$33.22 |
$33.22 |
$35.40
|
|
Hand X-ray
|
$926.42 |
$926.42 |
$926.42 |
$338.58
|
|
Haptoglobin quantitative
|
$235.89 |
$235.89 |
$235.89 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$5,073.71 |
$5,073.71 |
$5,073.71 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$2,557.32 |
$2,557.32 |
$2,557.32 |
$406.25
|
|
Hbb full gene sequence
|
$2,744.70 |
$2,744.70 |
$2,744.70 |
$633.25
|
|
Hcg qualitative
|
$244.10 |
$244.10 |
$244.10 |
$77.50
|
|
Hcg quantitative
|
$403.44 |
$403.44 |
$403.44 |
$124.80
|
|
Hc nm kidney imaging with flow
|
$749.68 |
$749.68 |
$749.68 |
$1,008.39
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,051.42 |
$5,051.42 |
$5,051.42 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,051.42 |
$5,051.42 |
$5,051.42 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,051.42 |
$5,051.42 |
$5,051.42 |
$3,410.55
|
|
Hdr rdncl skn surf brachytx
|
$1,082.87 |
$1,082.87 |
$1,082.87 |
$449.60
|
|
Hdr rdncl skn surf brachytx
|
$1,353.59 |
$1,353.59 |
$1,353.59 |
$657.60
|
|
Head CT scan (with and without contrast)
|
$6,248.04 |
$6,248.04 |
$6,248.04 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$5,549.93 |
$5,549.93 |
$5,549.93 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$4,153.72 |
$4,153.72 |
$4,153.72 |
$1,268.90
|
|
Hematocrit
|
$87.07 |
$87.07 |
$87.07 |
$33.57
|
|
Hemodialysis one evaluation
|
$3,018.35 |
$3,018.35 |
$3,018.35 |
$1,329.90
|
|
Hemoglobin
|
$87.07 |
$87.07 |
$87.07 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$256.61 |
$256.61 |
$256.61 |
$49.40
|
|
Hemoglobin plasma
|
$241.48 |
$241.48 |
$241.48 |
$40.56
|
|
Heparin assay
|
$364.05 |
$364.05 |
$364.05 |
$130.20
|
|
Heparin bolus from bag
|
$286.09 |
$286.09 |
$286.09 |
$79.04
|
|
Heparin neutralization
|
$152.20 |
$152.20 |
$152.20 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$49.26 |
$49.26 |
$49.26 |
$32.27
|
|
Hepatitis a antibody igm
|
$453.42 |
$453.42 |
$453.42 |
$85.15
|
|
Hepatitis b core antibody igm
|
$453.42 |
$453.42 |
$453.42 |
$87.98
|
|
Hepatitis b core antibody total
|
$472.63 |
$472.63 |
$472.63 |
$83.29
|
|
Hepatitis b surface antibody
|
$308.33 |
$308.33 |
$308.33 |
$83.79
|
|
Hepatitis c antibody
|
$394.33 |
$394.33 |
$394.33 |
$108.00
|
|
Hepatobiliary system imaging
|
$3,787.97 |
$3,787.97 |
$3,787.97 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$194.82 |
$194.82 |
$194.82 |
$40.28
|
|
Herpes simplex 2 ag if
|
$105.32 |
$105.32 |
$105.32 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$313.08 |
$313.08 |
$313.08 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$43.66 |
$43.66 |
$43.66 |
$87.10
|
|
Herpes simplex virus isolation
|
$474.42 |
$474.42 |
$474.42 |
$93.32
|
|
Heterophile antibodies screening
|
$366.61 |
$366.61 |
$366.61 |
$73.60
|
|
Hhv-6 dna quant
|
$435.56 |
$435.56 |
$435.56 |
$200.25
|
|
Hip X-ray
|
$982.32 |
$982.32 |
$982.32 |
$292.05
|
|
Histamine
|
$103.51 |
$103.51 |
$103.51 |
$125.40
|
|
Histochemical stains add-on
|
$497.41 |
$497.41 |
$497.41 |
$169.65
|
|
Hla ii typing 1 loc hr
|
$1,099.39 |
$1,099.39 |
$1,099.39 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$915.92 |
$915.92 |
$915.92 |
$164.00
|
|
Hla i typing 1 locus hr
|
$1,665.92 |
$1,665.92 |
$1,665.92 |
$398.40
|
|
Hla i typing high res 1 allele grp ea
|
$1,617.61 |
$1,617.61 |
$1,617.61 |
$307.53
|
|
Hla typing dr/dq
|
$295.42 |
$295.42 |
$295.42 |
$135.20
|
|
Hocm 350-399mg/ml iodine,1ml
|
$68.17 |
$68.17 |
$68.17 |
$68.86
|
|
Home sleep test/type 3 porta
|
$487.23 |
$487.23 |
$487.23 |
$632.40
|
|
Homocysteine
|
$682.57 |
$682.57 |
$682.57 |
$113.10
|
|
Homogenization tissue
|
$106.97 |
$106.97 |
$106.97 |
$39.00
|
|
Homovanillic acid (hva)
|
$281.97 |
$281.97 |
$281.97 |
$56.00
|
|
H pylori (c-13) breath
|
$907.32 |
$907.32 |
$907.32 |
$219.05
|
|
Hrdtry cardmypy gene panel
|
$5,496.49 |
$5,496.49 |
$5,496.49 |
$1,276.00
|
|
Htt gene detc abnor alleles
|
$1,219.83 |
$1,219.83 |
$1,219.83 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$628.17 |
$628.17 |
$628.17 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$334.60 |
$334.60 |
$334.60 |
$152.81
|
|
Hydralazine 20 mg/ml injection solution
|
$235.35 |
$235.35 |
$235.35 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$451.98 |
$451.98 |
$451.98 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$660.31 |
$660.31 |
$660.31 |
$394.40
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$931.93 |
$931.93 |
$931.93 |
$112.22
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$428.36 |
$428.36 |
$428.36 |
$86.47
|
|
Hyoscyamine sulfate inj
|
$1,601.85 |
$1,601.85 |
$1,601.85 |
$215.75
|
|
Hysterosalpingography s&i
|
$1,789.66 |
$1,789.66 |
$1,789.66 |
$629.46
|
|
Iadna legionella pneumophila amplified probe tq
|
$333.33 |
$333.33 |
$333.33 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,832.52 |
$1,832.52 |
$1,832.52 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,756.80 |
$1,756.80 |
$1,756.80 |
$891.89
|
|
Igh gene rearrange amp meth
|
$2,729.07 |
$2,729.07 |
$2,729.07 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$2,682.09 |
$2,682.09 |
$2,682.09 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$1,265.50 |
$1,265.50 |
$1,265.50 |
$373.16
|
|
Ihc/icc per specimen each additional single antibody stain
|
$456.90 |
$456.90 |
$456.90 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$350.88 |
$350.88 |
$350.88 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$457.05 |
$457.05 |
$457.05 |
$266.76
|
|
Iliac revasc add-on 37222
|
$11,164.86 |
$11,164.86 |
$11,164.86 |
$6,513.10
|
|
Img rta detcj/mntr ds staff
|
$520.38 |
$520.38 |
$520.38 |
$70.29
|
|
Immune complex assay
|
$331.25 |
$331.25 |
$331.25 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$9,916.33 |
$9,916.33 |
$9,916.33 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$25,374.28 |
$25,374.28 |
$25,374.28 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$295.63 |
$295.63 |
$295.63 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$343.89 |
$343.89 |
$343.89 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$383.76 |
$383.76 |
$383.76 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$505.14 |
$505.14 |
$505.14 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$1,091.77 |
$1,091.77 |
$1,091.77 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,071.06 |
$1,071.06 |
$1,071.06 |
$250.00
|
|
Implant neuroelectrodes
|
$27,958.40 |
$27,958.40 |
$27,958.40 |
$7,345.58
|
|
Impl neurostim electr perc
|
$2,183.92 |
$2,183.92 |
$2,183.92 |
$7,636.00
|
