|
Glucose 1 hr post dose
|
$166.35 |
$166.35 |
$166.35 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$9.00 |
$9.00 |
$9.00 |
$23.12
|
|
Glucose blood quantitative
|
$90.80 |
$90.80 |
$90.80 |
$42.25
|
|
Glucose body fluid
|
$233.25 |
$233.25 |
$233.25 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$207.40 |
$207.40 |
$207.40 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$17.30 |
$17.30 |
$17.30 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$28.21 |
$28.21 |
$28.21 |
$37.40
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$188.05 |
$188.05 |
$188.05 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$187.60 |
$187.60 |
$187.60 |
$129.03
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$9,157.00 |
$9,157.00 |
$9,157.00 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$4,670.00 |
$4,670.00 |
$4,670.00 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$2,190.00 |
$2,190.00 |
$2,190.00 |
$29,293.39
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$176.37 |
$176.37 |
$176.37 |
$886.17
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$1,345.00 |
$1,345.00 |
$1,345.00 |
$349.41
|
|
Graft xenmtrx sft rect 15x20cm
|
$12,670.00 |
$12,670.00 |
$12,670.00 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$2,905.40
|
|
Group mnt 2 or more 30 mins
|
$54.25 |
$54.25 |
$54.25 |
$43.12
|
|
Gu dilat ureter/urethra s&i
|
$3,416.60 |
$3,416.60 |
$3,416.60 |
$2,000.16
|
|
Guided cath fluid drainage 10030
|
$2,232.30 |
$2,232.30 |
$2,232.30 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$320.00 |
$320.00 |
$320.00 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$40.00 |
$40.00 |
$40.00 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$6,893.38
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$12.07 |
$12.07 |
$12.07 |
$24.30
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$120.45 |
$120.45 |
$120.45 |
$105.30
|
|
Hand X-ray
|
$230.60 |
$230.60 |
$230.60 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$199.65 |
$199.65 |
$199.65 |
$294.90
|
|
Haptoglobin quantitative
|
$31.00 |
$31.00 |
$31.00 |
$92.80
|
|
Hbb gene com variants
|
$519.40 |
$519.40 |
$519.40 |
$345.95
|
|
Hb glycosylated a1c home dev
|
$23.00 |
$23.00 |
$23.00 |
$24.00
|
|
Hcg qualitative
|
$90.10 |
$90.10 |
$90.10 |
$90.10
|
|
Hcg quantitative
|
$334.30 |
$334.30 |
$334.30 |
$139.20
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$106.00 |
$106.00 |
$106.00 |
$1,070.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$3,200.40 |
$3,200.40 |
$3,200.40 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$2,649.25 |
$2,649.25 |
$2,649.25 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,233.90 |
$2,233.90 |
$2,233.90 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,692.70 |
$1,692.70 |
$1,692.70 |
$1,268.90
|
|
Heart infarct image
|
$77.00 |
$77.00 |
$77.00 |
$942.29
|
|
Heel (Calcaneus) X-ray (both feet)
|
$201.95 |
$201.95 |
$201.95 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$169.80 |
$169.80 |
$169.80 |
$92.00
|
|
Hematocrit
|
$51.00 |
$51.00 |
$51.00 |
$33.80
|
|
Hemoglobin
|
$51.00 |
$51.00 |
$51.00 |
$33.54
|
|
Hemoglobin copper sulfate
|
$15.00 |
$15.00 |
$15.00 |
$8.80
|
|
Hemoglobin methemoglobin quantitative
|
$56.95 |
$56.95 |
$56.95 |
$52.32
|
|
Hemophilus influenza antibdy
|
$39.60 |
$39.60 |
$39.60 |
$62.70
|
|
Heparin assay
|
$32.75 |
$32.75 |
$32.75 |
$139.15
|
|
Heparin bolus from bag
|
$24.94 |
$24.94 |
$24.94 |
$66.06
|
|
Hepatitis a antibody igm
|
$35.05 |
$35.05 |
$35.05 |
$89.44
|
|
Hepatitis b core antibody igm
|
$40.70 |
$40.70 |
$40.70 |
$89.60
|
|
Hepatitis b core antibody total
|
$111.75 |
$111.75 |
$111.75 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,737.99 |
$2,737.99 |
$2,737.99 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$78.60 |
$78.60 |
$78.60 |
$82.32
|
|
Hepatitis c antibody
|
$49.30 |
$49.30 |
$49.30 |
$108.25
|
|
Herpes simplex type 1 antibody igg
|
$16.70 |
$16.70 |
$16.70 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$24.65 |
$24.65 |
$24.65 |
$87.36
|
|
Heterophile antibodies screening
|
$99.25 |
$99.25 |
$99.25 |
$73.87
|
|
Hexa gene
|
$158.10 |
$158.10 |
$158.10 |
$150.82
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$331.40 |
$331.40 |
$331.40 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$331.40 |
$331.40 |
$331.40 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$200.25 |
$200.25 |
$200.25 |
$233.50
|
|
Hip X-ray
|
$200.25 |
$200.25 |
$200.25 |
$294.75
|
|
Histamine
|
$76.80 |
$76.80 |
$76.80 |
$115.00
|
|
HIV prep, ftc/tdf 200/300mg
|
$93.38 |
$93.38 |
$93.38 |
$31.80
|
|
Hla class i high defin qual
|
$841.80 |
$841.80 |
$841.80 |
$631.15
|
|
Hla class ii high defin qual
|
$841.90 |
$841.90 |
$841.90 |
$569.25
|
|
Hla typing a b or c
|
$172.35 |
$172.35 |
$172.35 |
$364.00
|
|
Hocm 250-299mg/ml iodine,1ml
|
$54.47 |
$54.47 |
$54.47 |
$37.80
|
|
Hocm 350-399mg/ml iodine,1ml
|
$86.08 |
$86.08 |
$86.08 |
$79.78
|
|
Home/res vst est high mdm 60
|
$488.95 |
$488.95 |
$488.95 |
$338.40
|
|
Home/res vst est mod mdm 40
|
$351.95 |
$351.95 |
$351.95 |
$233.60
|
|
Home/res vst est sf mdm 20
|
$150.45 |
$150.45 |
$150.45 |
$93.24
|
|
Home/res vst new high mdm 75
|
$607.15 |
$607.15 |
$607.15 |
$398.40
|
|
Home/res vst new low mdm 30
|
$217.55 |
$217.55 |
$217.55 |
$145.60
|
|
Home/res vst new mod mdm 60
|
$499.65 |
$499.65 |
$499.65 |
$327.20
|
|
Home/res vst new sf mdm 15
|
$150.45 |
$150.45 |
$150.45 |
$98.40
|
|
Home sleep test/type 2 porta
|
$616.00 |
$616.00 |
$616.00 |
$503.13
|
|
Home visit est patient 99348
|
$229.80 |
$229.80 |
$229.80 |
$140.00
|
|
Homocysteine
|
$46.05 |
$46.05 |
$46.05 |
$125.40
|
|
Homovanillic acid (hva)
|
$100.30 |
$100.30 |
$100.30 |
$59.95
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$4,789.89 |
$4,789.89 |
$4,789.89 |
$5,568.57
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$190.92 |
$190.92 |
$190.92 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$17.63 |
$17.63 |
$17.63 |
$48.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$113.34 |
$113.34 |
$113.34 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$233.01 |
$233.01 |
$233.01 |
$112.66
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$162.50 |
$162.50 |
$162.50 |
$72.65
|
|
Hysterosalpingography s&i
|
$1,856.55 |
$1,856.55 |
$1,856.55 |
$669.12
|
|
I-123 sod iodide diag per 100 uci
|
$481.20 |
$481.20 |
$481.20 |
$147.46
|
|
I131 max 100uci
|
$429.30 |
$429.30 |
$429.30 |
$53.39
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,915.46 |
$1,915.46 |
$1,915.46 |
$980.94
|
|
Igh@ var region somatic mutation analy
|
$1,666.10 |
$1,666.10 |
$1,666.10 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$263.95 |
$263.95 |
$263.95 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$314.90 |
$314.90 |
$314.90 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$263.95 |
$263.95 |
$263.95 |
$277.90
|
|
Ikbkap gene
|
$158.10 |
$158.10 |
$158.10 |
$173.49
|
|
Iliac revasc add-on 37222
|
$11,739.70 |
$11,739.70 |
$11,739.70 |
$6,082.65
|
|
Immunoassay tumor antigen quantitative ca 125
|
$263.10 |
$263.10 |
$263.10 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$32.20 |
$32.20 |
$32.20 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$140.95 |
$140.95 |
$140.95 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$47.15 |
$47.15 |
$47.15 |
$142.50
|
|
Immunofluorescence per specimen initial single antibody stain
|
$121.05 |
$121.05 |
$121.05 |
$234.27
|
|
Immunoglobulin assay
|
$61.40 |
$61.40 |
$61.40 |
$78.00
|
