|
Ghs st - eval for alt comm
|
$68.00 |
$68.00 |
$68.00 |
$99.75
|
|
Giardia lamblia antibody
|
$95.50 |
$95.50 |
$95.50 |
$85.00
|
|
Gi inhouse confirmation
|
$43.00 |
$43.00 |
$43.00 |
$87.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$5.50 |
$5.50 |
$5.50 |
$21.52
|
|
Glucose blood quantitative
|
$21.50 |
$21.50 |
$21.50 |
$45.00
|
|
Glucose body fluid
|
$32.50 |
$32.50 |
$32.50 |
$50.70
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$99.00 |
$99.00 |
$99.00 |
$110.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$97.50 |
$97.50 |
$97.50 |
$125.00
|
|
Hand X-ray
|
$365.00 |
$365.00 |
$365.00 |
$330.40
|
|
Haptoglobin quantitative
|
$70.50 |
$70.50 |
$70.50 |
$83.25
|
|
Hc ea ha check monaural
|
$12.00 |
$12.00 |
$12.00 |
$45.60
|
|
Hcg quantitative
|
$74.50 |
$74.50 |
$74.50 |
$125.40
|
|
Hc hearing aid chck binaurl
|
$119.50 |
$119.50 |
$119.50 |
$75.00
|
|
Hc hearing aid chck monarl
|
$115.50 |
$115.50 |
$115.50 |
$48.00
|
|
Hc hearing aid exam both ears
|
$184.00 |
$184.00 |
$184.00 |
$175.20
|
|
Hc hearing aid exam one ear
|
$151.50 |
$151.50 |
$151.50 |
$150.00
|
|
Head CT scan (with and without contrast)
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$862.00 |
$862.00 |
$862.00 |
$1,528.80
|
|
Head CT scan (without contrast)
|
$640.50 |
$640.50 |
$640.50 |
$1,268.90
|
|
Hematocrit
|
$4.00 |
$4.00 |
$4.00 |
$33.80
|
|
Hemoglobin
|
$15.50 |
$15.50 |
$15.50 |
$33.57
|
|
Hemophilus influenza antibdy
|
$109.00 |
$109.00 |
$109.00 |
$56.80
|
|
Heparin assay
|
$118.50 |
$118.50 |
$118.50 |
$130.20
|
|
Hepatitis a antibody igm
|
$130.00 |
$130.00 |
$130.00 |
$84.00
|
|
Hepatitis b core antibody igm
|
$57.00 |
$57.00 |
$57.00 |
$84.78
|
|
Hepatitis b core antibody total
|
$61.00 |
$61.00 |
$61.00 |
$83.05
|
|
Hepatitis b surface antibody
|
$53.50 |
$53.50 |
$53.50 |
$81.12
|
|
Hepatitis c antibody
|
$71.00 |
$71.00 |
$71.00 |
$108.00
|
|
Heterophile antibodies screening
|
$31.50 |
$31.50 |
$31.50 |
$76.68
|
|
Heterophile antibodies titer
|
$30.50 |
$30.50 |
$30.50 |
$16.80
|
|
Hip X-ray
|
$282.00 |
$282.00 |
$282.00 |
$285.35
|
|
Hlth bhv assmt/reassessment
|
$165.50 |
$165.50 |
$165.50 |
$185.90
|
|
Hlth bhv ivntj fam 1st 30
|
$152.50 |
$152.50 |
$152.50 |
$162.40
|
|
Hlth bhv ivntj grp 1st 30
|
$152.50 |
$152.50 |
$152.50 |
$104.65
|
|
Hlth bhv ivntj indiv 1st 30
|
$152.50 |
$152.50 |
$152.50 |
$195.60
|
|
Homocysteine
|
$90.00 |
$90.00 |
$90.00 |
$112.00
|
|
Igh gene rearrange amp meth
|
$1,053.50 |
$1,053.50 |
$1,053.50 |
$464.25
|
|
Infect ag drug suscept pheno predict
|
$261.50 |
$261.50 |
$261.50 |
$374.40
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$677.50 |
$677.50 |
$677.50 |
$603.75
|
|
Infect ag na resp virus 12-25 targets
|
$696.00 |
$696.00 |
$696.00 |
$858.92
|
|
Infectious agent antigen immunoassay direct optical observation sars-cov-2
|
$65.00 |
$65.00 |
$65.00 |
$53.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$100.00 |
$100.00 |
$100.00 |
$63.70
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$51.50 |
$51.50 |
$51.50 |
$76.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$47.50 |
$47.50 |
$47.50 |
$85.15
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$61.00 |
$61.00 |
$61.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$88.00 |
$88.00 |
$88.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$66.50 |
$66.50 |
$66.50 |
$138.05
|
|
Infectious agent nucleic acid amplified probe
|
$268.50 |
$268.50 |
$268.50 |
$278.95
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$76.50 |
$76.50 |
$76.50 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$142.00 |
$142.00 |
$142.00 |
$171.60
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$191.50 |
$191.50 |
$191.50 |
$178.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$76.50 |
$76.50 |
$76.50 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$80.50 |
$80.50 |
$80.50 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$189.50 |
$189.50 |
$189.50 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$223.00 |
$223.00 |
$223.00 |
$248.15
|
|
Infectious agent nucleic acid quantification bk virus
|
$297.50 |
$297.50 |
$297.50 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$162.00 |
$162.00 |
$162.00 |
$237.78
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$223.00 |
$223.00 |
$223.00 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$179.00 |
$179.00 |
$179.00 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$277.00 |
$277.00 |
$277.00 |
$303.59
|
|
Initial nursing facility care/day 35 minutes
|
$143.00 |
$143.00 |
$143.00 |
$244.00
|
|
Initial nursing facility care/day 45 minutes
|
$165.50 |
$165.50 |
$165.50 |
$322.20
|
|
Initial nursing facility care/day low severity 99304
|
$103.50 |
$103.50 |
$103.50 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$137.00 |
$137.00 |
$137.00 |
$627.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$25.00 |
$25.00 |
$25.00 |
$141.00
|
|
Insulin total
|
$95.00 |
$95.00 |
$95.00 |
$68.25
|
|
Iron
|
$24.00 |
$24.00 |
$24.00 |
$73.98
|
|
Iron binding capacity
|
$49.00 |
$49.00 |
$49.00 |
$63.05
|
|
Ivp w/wo kub w/wo tomography
|
$274.50 |
$274.50 |
$274.50 |
$692.18
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$67.50 |
$67.50 |
$67.50 |
$54.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$363.00 |
$363.00 |
$363.00 |
$668.25
|
|
Knee X-ray
|
$485.00 |
$485.00 |
$485.00 |
$443.90
|
|
Lactate dehydrogenase (ldh)
|
$30.50 |
$30.50 |
$30.50 |
$53.00
|
|
Lactic acid
|
$73.00 |
$73.00 |
$73.00 |
$102.90
|
|
Lead capillary
|
$37.00 |
$37.00 |
$37.00 |
$62.40
|
|
Levetiracetam therapeutic drug level
|
$21.50 |
$21.50 |
$21.50 |
$82.65
|
|
Lipase
|
$52.00 |
$52.00 |
$52.00 |
$83.20
|
|
Lithium therapeutic drug level
|
$54.50 |
$54.50 |
$54.50 |
$67.60
|
|
Liver Function Test
|
$27.00 |
$27.00 |
$27.00 |
$114.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$145.50 |
$145.50 |
$145.50 |
$342.00
|
|
Lymphocyte transformation mitogen
|
$319.50 |
$319.50 |
$319.50 |
$266.20
|
|
Magnesium
|
$32.50 |
$32.50 |
$32.50 |
$73.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$56.50 |
$56.50 |
$56.50 |
$135.05
|
|
Manipulation chest wall initial demonstration/evaluation
|
$90.50 |
$90.50 |
$90.50 |
$162.87
|
|
Mayo alpha 1 antitrypsin
|
$46.00 |
$46.00 |
$46.00 |
$86.10
|
|
Mayo amikacin trough therapeutic drug level
|
$109.50 |
$109.50 |
$109.50 |
$82.80
|
|
Mayo androstenedione
|
$266.00 |
$266.00 |
$266.00 |
$111.15
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$66.50 |
$66.50 |
$66.50 |
$85.80
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$56.50 |
$56.50 |
$56.50 |
$117.50
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$275.50 |
$275.50 |
$275.50 |
$285.35
|
|
Mayo ceruloplasmin
|
$56.50 |
$56.50 |
$56.50 |
$66.51
|
|
Mayo chemiluminescent parathyroid related peptide
|
$116.50 |
$116.50 |
$116.50 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$67.00 |
$67.00 |
$67.00 |
$120.90
|
|
Mayo chromium
|
$139.00 |
$139.00 |
$139.00 |
$80.60
|
|
Mayo cocou cortisone urine
|
$140.50 |
$140.50 |
$140.50 |
$222.56
|
|
Mayo cortisol free
|
$44.50 |
$44.50 |
$44.50 |
$105.30
|
|
Mayo covid-19 antibody nucleocapsid total
|
$58.00 |
$58.00 |
$58.00 |
$73.85
|
|
Mayo dhea (dehydroepiandrosterone)
|
$40.00 |
$40.00 |
$40.00 |
$103.95
|
|
Mayo efpo chloride stool
|
$25.50 |
$25.50 |
$25.50 |
$43.41
|
|
Mayo ethosuximide therapeutic drug level
|
$55.50 |
$55.50 |
$55.50 |
$73.00
|