|
Glucose body fluid
|
$26.52 |
$43.62 |
$116.35 |
|
|
Glucose tolerance test (gtt) 3 specimens
|
$51.42 |
$82.92 |
$217.81 |
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$7.24 |
$16.78 |
$82.74 |
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$71.67 |
$71.67 |
$71.67 |
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,152.06 |
$5,148.57 |
$6,455.26 |
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$27.58 |
$116.55 |
$415.15 |
|
|
Gonadotropin luteinizing hormone (lh)
|
$18.67 |
$113.28 |
$391.79 |
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,872.62 |
$2,107.93 |
$2,642.91 |
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$26.05 |
$29.33 |
$35.19 |
|
|
Graft axiofill 1000mg
|
$604.84 |
$680.84 |
$853.64 |
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$54.96 |
$61.86 |
$77.56 |
|
|
Graft nerve adv 3-4x70mm
|
$1,388.81 |
$1,563.32 |
$1,960.09 |
|
|
Graft patch felt ptfe 2x2
|
$6,269.60 |
$7,057.43 |
$8,848.58 |
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$217.32 |
$244.62 |
$293.58 |
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$863.55 |
$972.06 |
$1,218.76 |
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$27.84 |
$31.34 |
$37.61 |
|
|
Graft xenmtrx sft rect 15x20cm
|
$3,367.42 |
$3,790.57 |
$4,752.60 |
|
|
Graft xenmtrx sft rect 19x28cm
|
$355.06 |
$399.67 |
$501.11 |
|
|
Granisetron hcl injection
|
$29.93 |
$33.69 |
$42.23 |
|
|
Granulocyte pheresis ea unit
|
$776.04 |
$776.04 |
$973.00 |
|
|
Great toe with reduction 28495
|
$190.21 |
$355.76 |
$374.19 |
|
|
G-tube reposition
|
$247.38 |
$333.07 |
$448.95 |
|
|
Gu dilat ureter/urethra s&i
|
$753.95 |
$753.95 |
$884.23 |
|
|
Guided cath fluid drainage 10030
|
$262.70 |
$1,216.84 |
$2,348.34 |
|
|
Guide wire threaded 1.4x150mm
|
$212.19 |
$238.85 |
$299.47 |
|
|
Guide worley csg 9fx50cm std
|
$404.30 |
$455.10 |
$570.60 |
|
|
Guid loc target vol rad tx
|
$142.74 |
$211.30 |
$361.11 |
|
|
Gw stiffened micro access kit
|
$5,102.75 |
$5,743.95 |
$7,201.74 |
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$112.36 |
$203.10 |
$254.64 |
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$20.89 |
$24.17 |
$29.48 |
|
|
Handpiece aquabeam hp2000
|
$1,209.68 |
$1,361.68 |
$1,707.27 |
|
|
Hand X-ray
|
$196.80 |
$259.89 |
$618.29 |
|
|
Haptoglobin quantitative
|
$43.87 |
$89.95 |
$154.31 |
|
|
Hba1/hba2 full gene sequence
|
$194.61 |
$626.62 |
$785.65 |
|
|
Hba1/hba2 gene dup/del vrnts
|
$185.92 |
$247.79 |
$2,275.58 |
|
|
Hbb full gene sequence
|
$297.96 |
$338.62 |
$2,442.32 |
|
|
Hbb gene com variants
|
$208.33 |
$208.33 |
$208.33 |
|
|
Hbb gene dup/del variants
|
$185.92 |
$211.29 |
$255.98 |
|
|
Hbot, full body chamber, 30m
|
$298.32 |
$343.44 |
$402.78 |
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$348.05 |
$538.65 |
$631.73 |
|
|
Hcg free betachain test
|
$42.83 |
$48.21 |
$60.44 |
|
|
Hcg qualitative
|
$50.32 |
$102.68 |
$231.01 |
|
|
Hcg quantitative
|
$63.88 |
$130.26 |
$508.73 |
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$535.26 |
$535.26 |
$535.26 |
|
|
Hc nm kidney imaging with flow
|
$288.68 |
$459.40 |
$1,018.49 |
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$689.05 |
$689.05 |
$689.05 |
|
|
Head CT scan (with and without contrast)
|
$835.40 |
$1,162.17 |
$6,236.19 |
|
|
Head CT scan (with contrast)
|
$674.82 |
$770.71 |
$4,801.52 |
|
|
Head CT scan (without contrast)
|
$439.64 |
$842.30 |
$4,678.49 |
|
|
Heart infarct image
|
$317.23 |
$317.23 |
$323.61 |
|
|
Heart infarct image (ef)
|
$662.35 |
$662.35 |
$662.35 |
|
|
Helicobacter pylori antibody igm
|
$28.19 |
$79.13 |
$118.11 |
|
|
Hemagglutination inhibition
|
$89.06 |
$89.06 |
$89.06 |
|
|
Hematocrit
|
$17.23 |
$26.92 |
$78.37 |
|
|
Hemodialysis one evaluation
|
$621.19 |
$745.04 |
$953.48 |
|
|
Hemoglobin
|
$17.23 |
$26.92 |
$88.48 |
|
|
Hemoglobin fetal qualitative
|
$20.70 |
$42.91 |
$79.07 |
|
|
Hemoglobin f (fetal) chemical
|
$45.82 |
$45.82 |
$45.82 |
|
|
Hemoglobin methemoglobin quantitative
|
$63.87 |
$106.34 |
$462.87 |
|
|
Hemoglobin-oxygen affinity
|
$12.46 |
$12.46 |
$15.62 |
|
|
Hemoglobin plasma
|
$23.34 |
$59.36 |
$192.35 |
|
|
Hemoglobin urine
|
$12.49 |
$12.49 |
$12.49 |
|
|
Hemolysin acid
|
$31.74 |
$31.74 |
$39.79 |
|
|
Hemolysins/agglutinins auto
|
$25.71 |
$50.58 |
$194.75 |
|
|
Hemolysins and agglutinins incubated
|
$47.28 |
$57.28 |
$64.97 |
|
|
Hemophilus influenza antibdy
|
$33.72 |
$47.25 |
$82.74 |
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$744.72 |
$846.33 |
$1,025.33 |
|
|
Hepagam b intravenous, inj
|
$1,260.17 |
$1,418.52 |
$1,778.53 |
|
|
Heparin assay
|
$36.64 |
$124.12 |
$455.07 |
|
|
Heparin bolus from bag
|
$36.89 |
$43.87 |
$132.74 |
|
|
Heparin neutralization
|
$10.71 |
$11.73 |
$15.43 |
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$32.27 |
$408.25 |
$511.86 |
|
|
Hepatitis a antibody igm
|
$44.97 |
$66.68 |
$182.02 |
|
|
Hepatitis b core antibody igm
|
$16.13 |
$50.32 |
$98.02 |
|
|
Hepatitis b core antibody total
|
$11.25 |
$31.89 |
$147.80 |
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,174.30 |
$1,321.86 |
$1,657.34 |
|
|
Hepatitis b surface antibody
|
$11.42 |
$89.58 |
$173.54 |
|
|
Hepatitis c antibody
|
$16.50 |
$75.38 |
$250.24 |
|
|
Hepatitis d quantification
|
$38.19 |
$42.18 |
$52.88 |
|
|
Hepatobiliary system imaging
|
$505.01 |
$689.34 |
$2,313.56 |
|
|
Hereditary colon ca dsordrs
|
$322.58 |
$366.73 |
$459.81 |
|
|
Herpes simplex 1 ag if
|
$173.36 |
$173.36 |
$173.36 |
|
|
Herpes simplex 2 ag if
|
$93.71 |
$93.71 |
$93.71 |
|
|
Herpes simplex type 1 antibody igg
|
$13.58 |
$40.29 |
$104.46 |
|
|
Herpes simplex type 2 antibody igg
|
$13.58 |
$38.97 |
$139.32 |
|
|
Herpes simplex virus isolation
|
$43.54 |
$117.14 |
$159.23 |
|
|
Heterophile antibodies screening
|
$3.22 |
$99.29 |
$141.90 |
|
|
Heterophile antibodies titer
|
$45.08 |
$52.19 |
$59.30 |
|
|
Heterophile antibody absrbj
|
$24.19 |
$24.19 |
$24.19 |
|
|
Hexa gene
|
$61.53 |
$61.53 |
$82.79 |
|
|
Hhv-6 dna quant
|
$38.54 |
$43.79 |
$387.58 |
|
|
Hip X-ray
|
$196.42 |
$246.27 |
$525.59 |
|
|
Histamine
|
$86.69 |
$145.96 |
$304.66 |
|
|
Histochemical stains add-on
|
$101.52 |
$117.53 |
$133.53 |
|
|
Hiv-1 ag ia
|
$31.40 |
$31.40 |
$141.83 |
|
|
Hla class i high defin qual
|
$192.70 |
$338.22 |
$424.05 |
|
|
Hla class i&ii antibody qual
|
$77.33 |
$206.21 |
$469.60 |
|
|
Hla ii typing 1 loc hr
|
$159.15 |
$366.51 |
$978.27 |
|
|
Hla i low res one antigen equiv ea
|
$89.93 |
$190.08 |
$815.01 |
|
|
Hla i typing 1 locus hr
|
$259.47 |
$449.62 |
$599.22 |
|