|
Ghs urine, porphyrins quant
|
$522.00 |
$522.00 |
$1,044.41 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$18,913.66 |
$18,913.66 |
$18,913.66 |
$1,932.00
|
|
Gi inhouse confirmation
|
$126.00 |
$126.00 |
$797.99 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$4,150.59 |
$4,150.59 |
$4,150.59 |
$2,195.76
|
|
Glucagon 1 mg solution for injection
|
$290.75 |
$290.75 |
$567.46 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$289.40 |
$289.40 |
$289.40 |
$491.67
|
|
Glucagon plasma - sendout
|
$512.96 |
$512.96 |
$512.96 |
$63.20
|
|
Glucose-6-phosphate dhydrogenase screen
|
$181.00 |
$181.00 |
$362.23 |
$55.50
|
|
Glucose blood quantitative
|
$48.25 |
$48.25 |
$407.71 |
$41.40
|
|
Glucose tolerance test (gtt) 3 specimens
|
$422.50 |
$422.50 |
$845.22 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$201.00 |
$201.00 |
$407.71 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$173.25 |
$173.25 |
$681.66 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$326.50 |
$326.50 |
$651.50 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,369.24 |
$3,369.24 |
$3,369.24 |
$4,496.37
|
|
Granisetron 1 mg tab
|
$85.34 |
$85.34 |
$85.34 |
$53.15
|
|
Granisetron hcl injection
|
$488.00 |
$488.00 |
$488.00 |
$47.04
|
|
G-tube reposition
|
$8,300.16 |
$8,300.16 |
$8,300.16 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$28,386.31 |
$28,386.31 |
$28,386.31 |
$1,980.66
|
|
Guid loc target vol rad tx
|
$12,601.87 |
$12,601.87 |
$12,601.87 |
$535.60
|
|
Halo cervical into jckt vest
|
$17,918.00 |
$17,918.00 |
$17,918.00 |
$5,015.12
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$93.93 |
$93.93 |
$94.00 |
$24.41
|
|
Haptoglobin quantitative
|
$126.00 |
$126.00 |
$319.41 |
$91.80
|
|
Hbot, full body chamber, 30m
|
$1,004.20 |
$1,004.20 |
$1,004.20 |
$526.90
|
|
Hcg qualitative
|
$69.75 |
$69.75 |
$407.71 |
$88.00
|
|
Hcg quantitative
|
$225.25 |
$225.25 |
$613.43 |
$137.15
|
|
Hc nm kidney imaging with flow
|
$6,018.92 |
$6,018.92 |
$6,018.92 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$4,244.19 |
$4,244.19 |
$4,244.19 |
$1,327.95
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,485.36 |
$5,485.36 |
$5,485.36 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,485.36 |
$5,485.36 |
$5,485.36 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$5,485.36 |
$5,485.36 |
$5,485.36 |
$3,694.80
|
|
Hdr rdncl skn surf brachytx
|
$1,531.26 |
$1,531.26 |
$1,531.26 |
$877.50
|
|
Hdr rdncl skn surf brachytx
|
$1,531.26 |
$1,531.26 |
$1,531.26 |
$992.50
|
|
Head CT scan (with and without contrast)
|
$5,367.75 |
$5,367.75 |
$5,367.75 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$5,367.75 |
$5,367.75 |
$5,367.75 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$5,367.75 |
$5,367.75 |
$5,367.75 |
$1,268.90
|
|
Heart image spect
|
$10,777.68 |
$10,777.68 |
$10,777.68 |
$1,131.00
|
|
Hemoglobin methemoglobin quantitative
|
$445.79 |
$445.79 |
$445.79 |
$52.32
|
|
Hemoglobin plasma
|
$353.00 |
$353.00 |
$707.04 |
$41.25
|
|
Hemolysin acid
|
$229.25 |
$229.25 |
$229.25 |
$79.04
|
|
Hemolysins/agglutinins auto
|
$248.32 |
$248.32 |
$248.32 |
$57.28
|
|
Hemolysins and agglutinins incubated
|
$127.50 |
$127.50 |
$127.50 |
$59.80
|
|
Hemophilus influenza antibdy
|
$580.64 |
$580.64 |
$580.64 |
$62.70
|
|
Hepagam b intravenous, inj
|
$160.00 |
$160.00 |
$171.25 |
$571.20
|
|
Heparin assay
|
$884.25 |
$884.25 |
$1,772.07 |
$138.84
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$80.25 |
$80.25 |
$80.27 |
$12.91
|
|
Hepatitis a antibody igm
|
$370.50 |
$370.50 |
$742.45 |
$88.92
|
|
Hepatitis b core antibody igm
|
$364.75 |
$364.75 |
$729.76 |
$88.80
|
|
Hepatitis b core antibody total
|
$526.00 |
$526.00 |
$1,053.40 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,796.62 |
$1,796.62 |
$2,011.10 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$364.75 |
$364.75 |
$729.76 |
$81.12
|
|
Hepatitis c antibody
|
$148.00 |
$148.00 |
$294.02 |
$108.00
|
|
Hepatobiliary system imaging
|
$3,660.92 |
$3,660.92 |
$3,660.92 |
$1,438.99
|
|
Heterophile antibodies screening
|
$53.75 |
$53.75 |
$392.90 |
$72.00
|
|
Hhv-6 dna quant
|
$723.00 |
$723.00 |
$1,422.53 |
$250.80
|
|
Hip adj flex ext abduct cont
|
$3,743.00 |
$3,743.00 |
$3,743.00 |
$837.61
|
|
Histamine
|
$507.65 |
$507.65 |
$507.65 |
$114.84
|
|
Histochemical stains add-on
|
$430.41 |
$430.41 |
$430.41 |
$152.75
|
|
Hla class i high defin qual
|
$1,150.91 |
$1,150.91 |
$1,150.91 |
$625.00
|
|
Hla class i/ii antibody qual
|
$1,150.91 |
$1,150.91 |
$1,150.91 |
$171.92
|
|
Hla i low res one antigen equiv ea
|
$564.00 |
$564.00 |
$1,330.51 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$427.11 |
$427.11 |
$427.11 |
$304.20
|
|
Hla i typing low res one locus ea
|
$1,150.91 |
$1,150.91 |
$1,150.91 |
$340.00
|
|
Hla typing a b or c
|
$1,947.75 |
$1,947.75 |
$3,900.02 |
$364.00
|
|
Homocysteine
|
$370.50 |
$370.50 |
$742.45 |
$125.00
|
|
Homogenization tissue
|
$40.75 |
$40.75 |
$88.31 |
$41.00
|
|
Homovanillic acid (hva)
|
$774.25 |
$774.25 |
$1,556.83 |
$59.95
|
|
Hpv types 16 & 18 only
|
$607.00 |
$607.00 |
$607.00 |
$110.06
|
|
H pylori (c-13) blood
|
$498.00 |
$498.00 |
$1,077.75 |
$169.60
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$130.50 |
$130.50 |
$130.50 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$99.75 |
$99.75 |
$99.75 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$149.00 |
$149.00 |
$149.00 |
$133.11
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$82.75 |
$82.75 |
$82.78 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$194.75 |
$194.75 |
$392.90 |
$73.45
|
|
I-123 iobenguane diag
|
$53,559.49 |
$53,559.49 |
$53,559.49 |
$5,170.70
|
|
I-131 iobenguane sulf diag mibg
|
$26,006.99 |
$26,006.99 |
$26,006.99 |
$3,638.48
|
|
Iadna legionella pneumophila amplified probe tq
|
$824.25 |
$824.25 |
$1,650.97 |
$109.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$1,342.25 |
$1,342.25 |
$1,342.25 |
$684.45
|
|
Ibuprofen injection
|
$3.92 |
$3.92 |
$304.50 |
$256.76
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$106.00 |
$106.00 |
$106.00 |
$975.45
|
|
Igh gene rearrange amp meth
|
$901.50 |
$901.50 |
$2,378.31 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$5,159.46 |
$5,159.46 |
$5,159.46 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$1,644.42 |
$1,644.42 |
$1,644.42 |
$399.36
|
|
Immunoassay tumor antigen quantitative ca 125
|
$484.00 |
$484.00 |
$970.40 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$448.25 |
$448.25 |
$897.96 |
$116.40
|
|
Immunodiffusion nes
|
$41.40 |
$41.40 |
$97.83 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$452.25 |
$452.25 |
$900.57 |
$142.50
|
|
Immunology procedure
|
$168.52 |
$168.52 |
$168.52 |
$142.56
|
|
Implant ureth bulk agent
|
$899.00 |
$899.00 |
$899.00 |
$2,168.00
|
|
In-111 ibritumomab tiux dx
|
$14,377.80 |
$14,377.80 |
$14,377.80 |
$4,748.02
|
|
In-111 pentetreotide
|
$22,816.25 |
$22,816.25 |
$22,816.25 |
$5,201.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$2,770.25 |
$2,770.25 |
$5,550.50 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$1,597.57 |
$1,597.57 |
$1,597.57 |
$72.93
|
|
Infect ag if legionella pneumophila
|
$562.11 |
$562.11 |
$562.11 |
$72.58
|
|
Infect ag na hep b amp
|
$576.00 |
$576.00 |
$1,156.01 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$537.78 |
$537.78 |
$537.78 |
$139.75
|
|
Infect ag na influenza r/amp 1st 2 types
|
$787.25 |
$787.25 |
$1,710.72 |
$219.70
|
|
Infect ag na influenza revr/amp ea type
|
$393.75 |
$393.75 |
$855.65 |
$158.06
|
|
Infect ag na resp virus 12-25 targets
|
$888.44 |
$888.44 |
$888.44 |
$835.80
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$4,675.83 |
$4,675.83 |
$4,675.83 |
$943.80
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$320.75 |
$320.75 |
$643.04 |
$82.00
|
