|
Glucose body fluid
|
$24.00 |
$24.00 |
$24.00 |
$51.20
|
|
Glucose monitoring continual min 72hr pt
|
$184.00 |
$184.00 |
$184.00 |
$138.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$57.00 |
$57.00 |
$57.00 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$19.00 |
$19.00 |
$19.00 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$146.00 |
$146.00 |
$146.00 |
$117.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$160.00 |
$160.00 |
$160.00 |
$129.03
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,126.25
|
|
Great toe with reduction 28495
|
$893.00 |
$893.00 |
$893.00 |
$513.36
|
|
Growth hormone panel
|
$173.00 |
$173.00 |
$173.00 |
$173.00
|
|
G-tube reposition
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$2,459.00 |
$2,459.00 |
$2,459.00 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$122.00 |
$122.00 |
$122.00 |
$3,284.36
|
|
Guid loc target vol rad tx
|
$1,959.00 |
$1,959.00 |
$1,959.00 |
$530.00
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$193.00 |
$193.00 |
$193.00 |
$105.00
|
|
Hand X-ray
|
$453.00 |
$453.00 |
$453.00 |
$352.00
|
|
Hand X-ray (2 views, both hands)
|
$393.00 |
$393.00 |
$393.00 |
$294.90
|
|
Haptoglobin quantitative
|
$56.00 |
$56.00 |
$56.00 |
$92.33
|
|
Hast w/i&r phys/qhp
|
$445.00 |
$445.00 |
$445.00 |
$334.95
|
|
Hast w/oxygen titrate
|
$460.00 |
$460.00 |
$460.00 |
$347.20
|
|
Hb glycosylated a1c home dev
|
$43.00 |
$43.00 |
$43.00 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$2,313.00 |
$2,313.00 |
$2,313.00 |
$524.17
|
|
Hcg qualitative
|
$37.00 |
$37.00 |
$37.00 |
$88.00
|
|
Hcg quantitative
|
$67.00 |
$67.00 |
$67.00 |
$135.67
|
|
Hc nm kidney imaging with flow
|
$1,379.00 |
$1,379.00 |
$1,379.00 |
$898.80
|
|
Hc transcatheter placement and sbsq removal cepd perq
|
$1,192.00 |
$1,192.00 |
$1,192.00 |
$3,228.40
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,725.00 |
$2,725.00 |
$2,725.00 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,894.00 |
$3,894.00 |
$3,894.00 |
$3,694.80
|
|
Hdr rdncl skn surf brachytx
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$925.00
|
|
Hdr rdncl skn surf brachytx
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$1,266.96
|
|
Head CT scan (with and without contrast)
|
$3,161.00 |
$3,161.00 |
$3,161.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,930.00 |
$2,930.00 |
$2,930.00 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$2,244.00 |
$2,244.00 |
$2,244.00 |
$1,265.60
|
|
Heel (Calcaneus) X-ray (both feet)
|
$308.00 |
$308.00 |
$308.00 |
$278.95
|
|
Hematocrit
|
$21.00 |
$21.00 |
$21.00 |
$33.57
|
|
Hemodialysis one evaluation
|
$3,090.00 |
$3,090.00 |
$3,090.00 |
$1,367.70
|
|
Hemoglobin
|
$24.00 |
$24.00 |
$24.00 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$17.00 |
$17.00 |
$17.00 |
$47.46
|
|
Hemoglobin methemoglobin quantitative
|
$39.00 |
$39.00 |
$39.00 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$73.00 |
$73.00 |
$73.00 |
$89.13
|
|
Hemoglobin plasma
|
$32.00 |
$32.00 |
$32.00 |
$41.30
|
|
Hemolysins/agglutinins auto
|
$81.90 |
$81.90 |
$81.90 |
$64.19
|
|
Hemolysins and agglutinins incubated
|
$113.10 |
$113.10 |
$113.10 |
$61.79
|
|
Hemophilus influenza antibdy
|
$25.00 |
$25.00 |
$25.00 |
$62.70
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$2,847.00 |
$2,847.00 |
$2,847.00 |
$1,178.02
|
|
Heparin assay
|
$51.00 |
$51.00 |
$51.00 |
$138.24
|
|
Hepatitis a antibody igm
|
$97.00 |
$97.00 |
$97.00 |
$89.10
|
|
Hepatitis b core antibody igm
|
$103.00 |
$103.00 |
$103.00 |
$88.83
|
|
Hepatitis b core antibody total
|
$105.00 |
$105.00 |
$105.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$93.00 |
$93.00 |
$93.00 |
$82.32
|
|
Hepatitis c antibody
|
$122.00 |
$122.00 |
$122.00 |
$108.00
|
|
Herpes simplex type 1 antibody igg
|
$122.00 |
$122.00 |
$122.00 |
$69.42
|
|
Herpes simplex type 2 antibody igg
|
$115.00 |
$115.00 |
$115.00 |
$87.36
|
|
Heterophile antibodies screening
|
$57.00 |
$57.00 |
$57.00 |
$72.00
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$393.00 |
$393.00 |
$393.00 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$381.00 |
$381.00 |
$381.00 |
$419.40
|
|
Hip and Pelvis X-ray (single view, left side)
|
$285.00 |
$285.00 |
$285.00 |
$231.00
|
|
Hip X-ray
|
$279.00 |
$279.00 |
$279.00 |
$294.60
|
|
Histamine
|
$28.30 |
$28.30 |
$28.30 |
$115.00
|
|
Histochemical stains add-on
|
$134.00 |
$134.00 |
$134.00 |
$152.75
|
|
Hla class i high defin qual
|
$673.00 |
$673.00 |
$673.00 |
$631.15
|
|
Hla class ii high defin qual
|
$677.00 |
$677.00 |
$677.00 |
$578.37
|
|
Hla class i&ii antibody qual
|
$571.00 |
$571.00 |
$571.00 |
$255.00
|
|
Hla ii typing 1 loc hr
|
$257.00 |
$257.00 |
$257.00 |
$296.80
|
|
Hla i typing complete lr
|
$839.00 |
$839.00 |
$839.00 |
$728.88
|
|
Hla i typing low res one locus ea
|
$265.00 |
$265.00 |
$265.00 |
$339.35
|
|
Hlth bhv assmt/reassessment
|
$214.00 |
$214.00 |
$214.00 |
$181.00
|
|
Hlth bhv ivntj fam 1st 30
|
$105.00 |
$105.00 |
$105.00 |
$142.50
|
|
Hlth bhv ivntj indiv 1st 30
|
$214.00 |
$214.00 |
$214.00 |
$200.00
|
|
Homocysteine
|
$94.00 |
$94.00 |
$94.00 |
$125.00
|
|
Homogenization tissue
|
$45.00 |
$45.00 |
$45.00 |
$41.30
|
|
Homovanillic acid (hva)
|
$17.15 |
$17.15 |
$17.15 |
$59.95
|
|
Hpa-3 genotyping
|
$54.76 |
$54.76 |
$54.76 |
$168.66
|
|
Hpv low-risk types
|
$74.00 |
$74.00 |
$74.00 |
$77.60
|
|
H pylori (c-13) breath
|
$236.00 |
$236.00 |
$236.00 |
$212.25
|
|
H pylori drug admin
|
$19.00 |
$19.00 |
$19.00 |
$28.56
|
|
Hyperthermia ext gen supfc
|
$943.00 |
$943.00 |
$943.00 |
$943.00
|
|
Hysterosalpingography s&i
|
$805.00 |
$805.00 |
$805.00 |
$663.50
|
|
Hysteroscopy biopsy
|
$6,747.00 |
$6,747.00 |
$6,747.00 |
$5,618.50
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$174.00 |
$174.00 |
$174.00 |
$352.24
|
|
Iadna legionella pneumophila amplified probe tq
|
$109.00 |
$109.00 |
$109.00 |
$109.00
|
|
Idh1 common variants
|
$142.50 |
$142.50 |
$142.50 |
$414.05
|
|
Idh2 common variants
|
$142.50 |
$142.50 |
$142.50 |
$486.00
|
|
I&d lacrimal sac
|
$7,761.00 |
$7,761.00 |
$7,761.00 |
$2,760.73
|
|
Igh gene rearrange amp meth
|
$754.00 |
$754.00 |
$754.00 |
$468.48
|
|
Igh@ var region somatic mutation analy
|
$764.00 |
$764.00 |
$764.00 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$119.00 |
$119.00 |
$119.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$636.00 |
$636.00 |
$636.00 |
$333.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$327.00 |
$327.00 |
$327.00 |
$281.60
|
|
Iliac/fem angio cath insert
|
$4,023.00 |
$4,023.00 |
$4,023.00 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$16,730.00 |
$16,730.00 |
$16,730.00 |
$6,082.65
|
|
Immunoassay tumor antigen quantitative ca 125
|
$222.00 |
$222.00 |
$222.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$202.00 |
$202.00 |
$202.00 |
$116.85
|
|
Immunodiff gel qual ea antigen/ab
|
$6.06 |
$6.06 |
$6.06 |
$48.57
|
|
Immunodiffusion nes
|
$24.15 |
$24.15 |
$24.15 |
$52.00
|
|
Immunofixation electrophoresis serum
|
$154.00 |
$154.00 |
$154.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$156.00 |
$156.00 |
$156.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$618.00 |
$618.00 |
$618.00 |
$234.27
|
|
Immunoglobulin assay
|
$28.80 |
$28.80 |
$28.80 |
$78.00
|
|
Implant neuroelectrodes
|
$27,387.00 |
$27,387.00 |
$27,387.00 |
$8,836.80
|
