|
Ghs protoporphyrins fract
|
$45.66 |
$45.66 |
$45.66 |
$60.75
|
|
Ghs removal intranasal foreign body
|
$243.02 |
$243.02 |
$243.02 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$740.28 |
$740.28 |
$740.28 |
$441.68
|
|
Ghs sedimentation rate
|
$49.45 |
$49.45 |
$49.45 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$15.81 |
$15.81 |
$15.81 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$440.28 |
$440.28 |
$440.28 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$482.79 |
$482.79 |
$482.79 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$739.46 |
$739.46 |
$739.46 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$311.34 |
$311.34 |
$311.34 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$597.57 |
$597.57 |
$597.57 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$342.34 |
$342.34 |
$342.34 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$371.42 |
$371.42 |
$371.42 |
$590.88
|
|
Ghs speech-gen aug dev eval iii, st
|
$152.29 |
$152.29 |
$152.29 |
$157.50
|
|
Ghs strapping shoulder - 29240
|
$191.59 |
$191.59 |
$191.59 |
$217.60
|
|
Ghs superficial wnd dehiscence simp12020
|
$857.95 |
$857.95 |
$857.95 |
$953.27
|
|
Ghs vaginal delivery only
|
$3,695.80 |
$3,695.80 |
$3,695.80 |
$3,341.93
|
|
Giardia ag if
|
$28.76 |
$28.76 |
$28.76 |
$38.58
|
|
Gi inhouse confirmation
|
$58.99 |
$58.99 |
$58.99 |
$87.75
|
|
Glucose 1 hr post dose
|
$65.93 |
$65.93 |
$65.93 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$19.05 |
$19.05 |
$19.05 |
$23.12
|
|
Glucose blood quantitative
|
$55.68 |
$55.68 |
$55.68 |
$42.25
|
|
Glucose body fluid
|
$75.48 |
$75.48 |
$75.48 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$132.60 |
$132.60 |
$132.60 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$52.76 |
$52.76 |
$52.76 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$97.06 |
$97.06 |
$97.06 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$97.06 |
$97.06 |
$97.06 |
$129.03
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$99.03 |
$99.03 |
$99.03 |
$73.83
|
|
G-tube reposition
|
$358.10 |
$358.10 |
$358.10 |
$771.36
|
|
Guid loc target vol rad tx
|
$189.18 |
$189.18 |
$189.18 |
$535.60
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$15.88 |
$15.88 |
$15.88 |
$91.09
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$84.52 |
$84.52 |
$84.52 |
$105.30
|
|
Hand X-ray
|
$218.54 |
$218.54 |
$218.54 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$186.59 |
$186.59 |
$186.59 |
$294.90
|
|
Haptoglobin quantitative
|
$212.09 |
$212.09 |
$212.09 |
$92.80
|
|
Hba1/hba2 gene dup/del vrnts
|
$394.68 |
$394.68 |
$394.68 |
$403.25
|
|
Hcg qualitative
|
$90.86 |
$90.86 |
$90.86 |
$90.10
|
|
Hcg quantitative
|
$184.97 |
$184.97 |
$184.97 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,107.25 |
$2,107.25 |
$2,107.25 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,091.48 |
$2,091.48 |
$2,091.48 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,597.00 |
$1,597.00 |
$1,597.00 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$276.45 |
$276.45 |
$276.45 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$38.10 |
$38.10 |
$38.10 |
$92.00
|
|
Hematocrit
|
$32.26 |
$32.26 |
$32.26 |
$33.80
|
|
Hemoglobin
|
$36.63 |
$36.63 |
$36.63 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$54.24 |
$54.24 |
$54.24 |
$52.32
|
|
Hemoglobin plasma
|
$14.25 |
$14.25 |
$14.25 |
$41.40
|
|
Hemophilus influenza antibdy
|
$172.54 |
$172.54 |
$172.54 |
$62.70
|
|
Heparin assay
|
$25.53 |
$25.53 |
$25.53 |
$139.15
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.16 |
$0.16 |
$0.16 |
$12.00
|
|
Hepatitis a antibody igm
|
$91.57 |
$91.57 |
$91.57 |
$89.44
|
|
Hepatitis b core antibody igm
|
$219.06 |
$219.06 |
$219.06 |
$89.60
|
|
Hepatitis b core antibody total
|
$38.36 |
$38.36 |
$38.36 |
$77.50
|
|
Hepatitis b surface antibody
|
$34.18 |
$34.18 |
$34.18 |
$82.32
|
|
Hepatitis c antibody
|
$45.40 |
$45.40 |
$45.40 |
$108.25
|
|
Hepatitis d quantification
|
$92.52 |
$92.52 |
$92.52 |
$91.28
|
|
Herpes simplex type 1 antibody igg
|
$39.20 |
$39.20 |
$39.20 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$39.20 |
$39.20 |
$39.20 |
$87.36
|
|
Herpes simplex virus isolation
|
$68.80 |
$68.80 |
$68.80 |
$110.00
|
|
Heterophile antibodies screening
|
$49.45 |
$49.45 |
$49.45 |
$73.87
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$261.96 |
$261.96 |
$261.96 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$511.99 |
$511.99 |
$511.99 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$199.93 |
$199.93 |
$199.93 |
$233.50
|
|
Hip X-ray
|
$265.80 |
$265.80 |
$265.80 |
$294.75
|
|
Hla class i high defin qual
|
$834.74 |
$834.74 |
$834.74 |
$631.15
|
|
Hla class ii high defin qual
|
$840.02 |
$840.02 |
$840.02 |
$569.25
|
|
Hla class ii phenotype qual
|
$220.30 |
$220.30 |
$220.30 |
$313.60
|
|
Hla class i phenotype qual
|
$257.00 |
$257.00 |
$257.00 |
$397.20
|
|
Hla i & ii typing hr
|
$942.83 |
$942.83 |
$942.83 |
$804.00
|
|
Hla ii typing 1 loc hr
|
$27.90 |
$27.90 |
$27.90 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$231.56 |
$231.56 |
$231.56 |
$164.00
|
|
Hla typing a b or c
|
$181.05 |
$181.05 |
$181.05 |
$364.00
|
|
Home sleep test/type 3 porta
|
$464.35 |
$464.35 |
$464.35 |
$570.00
|
|
Homocysteine
|
$182.79 |
$182.79 |
$182.79 |
$125.40
|
|
H pylori (c-13) breath
|
$214.41 |
$214.41 |
$214.41 |
$212.25
|
|
H pylori drug admin
|
$16.61 |
$16.61 |
$16.61 |
$28.56
|
|
Hrdtry perph neurphy panel
|
$1,140.56 |
$1,140.56 |
$1,140.56 |
$1,569.60
|
|
Htt gene detc abnor alleles
|
$341.32 |
$341.32 |
$341.32 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$150.92 |
$150.92 |
$150.92 |
$157.32
|
|
Hydralazine 20 mg/ml injection solution
|
$4.86 |
$4.86 |
$4.86 |
$48.00
|
|
Hymovis injection 1 mg
|
$48.55 |
$48.55 |
$48.55 |
$28.00
|
|
Igh@ var region somatic mutation analy
|
$574.31 |
$574.31 |
$574.31 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$475.33 |
$475.33 |
$475.33 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$187.20 |
$187.20 |
$187.20 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$524.16 |
$524.16 |
$524.16 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$241.40 |
$241.40 |
$241.40 |
$277.90
|
|
Iiv3 vacc no prsv 0.25 ml im
|
$37.44 |
$37.44 |
$37.44 |
$29.70
|
|
Immune complex assay
|
$51.49 |
$51.49 |
$51.49 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$7.13 |
$7.13 |
$7.13 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$235.55 |
$235.55 |
$235.55 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$235.55 |
$235.55 |
$235.55 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$24.34 |
$24.34 |
$24.34 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$148.34 |
$148.34 |
$148.34 |
$142.50
|
|
Immunoglobulin assay
|
$37.62 |
$37.62 |
$37.62 |
$78.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,332.03 |
$3,332.03 |
$3,332.03 |
$2,086.70
|
|
Incision of eardrum
|
$527.74 |
$527.74 |
$527.74 |
$552.75
|
|
Incision of toe tendons 28011
|
$3,312.43 |
$3,312.43 |
$3,312.43 |
$2,119.12
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$151.61 |
$151.61 |
$151.61 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$414.91 |
$414.91 |
$414.91 |
$325.00
|
|
Infect ag genotype na hiv-1 other region
|
$409.75 |
$409.75 |
$409.75 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$819.50 |
$819.50 |
$819.50 |
$603.83
|
