|
Glucagon plasma - sendout
|
$59.50 |
$59.50 |
$59.50 |
$63.00
|
|
Glucose 1 hr post dose
|
$25.00 |
$25.00 |
$25.00 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$25.00 |
$25.00 |
$25.00 |
$23.86
|
|
Glucose blood quantitative
|
$25.00 |
$25.00 |
$25.00 |
$40.00
|
|
Glucose body fluid
|
$25.00 |
$25.00 |
$25.00 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$59.50 |
$59.50 |
$59.50 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$25.00 |
$25.00 |
$25.00 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$14.16 |
$14.16 |
$14.16 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,506.74 |
$2,506.74 |
$2,506.74 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$77.50 |
$77.50 |
$77.50 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$77.50 |
$77.50 |
$77.50 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,618.72 |
$3,618.72 |
$3,618.72 |
$4,652.18
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,080.00 |
$4,080.00 |
$4,080.00 |
$672.50
|
|
Graft axiofill 1000mg
|
$9,084.40 |
$9,084.40 |
$9,084.40 |
$5,125.68
|
|
Graft nerve adv 3-4x70mm
|
$3,332.00 |
$3,332.00 |
$3,332.00 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$24,626.00 |
$24,626.00 |
$24,626.00 |
$27,300.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$14,364.00 |
$14,364.00 |
$14,364.00 |
$1,181.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$35,369.55 |
$35,369.55 |
$35,369.55 |
$27,367.40
|
|
Graft xenmtrx sft rect 15x20cm
|
$18,748.80 |
$18,748.80 |
$18,748.80 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,531.55 |
$5,531.55 |
$5,531.55 |
$2,701.58
|
|
Granisetron 1 mg tab
|
$4.14 |
$4.14 |
$4.14 |
$53.15
|
|
Granisetron hcl injection
|
$4.39 |
$4.39 |
$4.39 |
$45.03
|
|
Guided cath fluid drainage 10030
|
$1,259.00 |
$1,259.00 |
$1,259.00 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$3,284.36 |
$3,284.36 |
$3,284.36 |
$3,284.50
|
|
Guide worley csg 9fx50cm std
|
$1,117.40 |
$1,117.40 |
$1,117.40 |
$1,105.00
|
|
Guid loc target vol rad tx
|
$290.00 |
$290.00 |
$290.00 |
$536.00
|
|
Gw stiffened micro access kit
|
$5,760.00 |
$5,760.00 |
$5,760.00 |
$6,696.00
|
|
Halo cervical into jckt vest
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$13.57 |
$13.57 |
$13.57 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$1.46 |
$1.46 |
$1.46 |
$23.06
|
|
Hand X-ray
|
$266.50 |
$266.50 |
$266.50 |
$356.00
|
|
Haptoglobin quantitative
|
$59.50 |
$59.50 |
$59.50 |
$91.14
|
|
Hbb gene com variants
|
$420.00 |
$420.00 |
$420.00 |
$345.95
|
|
Hcg qualitative
|
$43.50 |
$43.50 |
$43.50 |
$89.70
|
|
Hcg quantitative
|
$68.00 |
$68.00 |
$68.00 |
$139.20
|
|
Hc metata joint dislocation anes
|
$301.50 |
$301.50 |
$301.50 |
$2,453.28
|
|
Head CT scan (with and without contrast)
|
$1,023.50 |
$1,023.50 |
$1,023.50 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,005.50 |
$1,005.50 |
$1,005.50 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$636.50 |
$636.50 |
$636.50 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$76.50 |
$76.50 |
$76.50 |
$91.98
|
|
Hematocrit
|
$55.00 |
$55.00 |
$55.00 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$13,902.98 |
$13,902.98 |
$13,902.98 |
$20,618.46
|
|
Hemoglobin
|
$20.50 |
$20.50 |
$20.50 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$43.50 |
$43.50 |
$43.50 |
$53.60
|
|
Heparin assay
|
$70.50 |
$70.50 |
$70.50 |
$140.10
|
|
Heparin bolus from bag
|
$16.00 |
$16.00 |
$16.00 |
$66.47
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$2.30 |
$2.30 |
$2.30 |
$10.61
|
|
Hepatitis a antibody igm
|
$56.50 |
$56.50 |
$56.50 |
$87.75
|
|
Hepatitis b core antibody igm
|
$56.50 |
$56.50 |
$56.50 |
$87.98
|
|
Hepatitis b core antibody total
|
$56.50 |
$56.50 |
$56.50 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$911.53 |
$911.53 |
$911.53 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$56.50 |
$56.50 |
$56.50 |
$82.05
|
|
Hepatitis c antibody
|
$66.00 |
$66.00 |
$66.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$972.00 |
$972.00 |
$972.00 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$66.00 |
$66.00 |
$66.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$85.50 |
$85.50 |
$85.50 |
$87.10
|
|
Heterophile antibodies screening
|
$38.00 |
$38.00 |
$38.00 |
$74.00
|
|
Hip X-ray
|
$210.50 |
$210.50 |
$210.50 |
$292.05
|
|
Histamine
|
$297.50 |
$297.50 |
$297.50 |
$115.00
|
|
HIV prep, inj, cabotegravir
|
$5,105.17 |
$5,105.17 |
$5,105.17 |
$7,211.48
|
|
Hla class i high defin qual
|
$1,323.50 |
$1,323.50 |
$1,323.50 |
$565.40
|
|
Hla class ii high defin qual
|
$1,332.50 |
$1,332.50 |
$1,332.50 |
$541.20
|
|
Hla ii typing 1 loc hr
|
$911.00 |
$911.00 |
$911.00 |
$290.94
|
|
Hla i low res one antigen equiv ea
|
$165.00 |
$165.00 |
$165.00 |
$161.70
|
|
Home sleep test/type 3 porta
|
$685.00 |
$685.00 |
$685.00 |
$579.26
|
|
Homocysteine
|
$77.50 |
$77.50 |
$77.50 |
$121.92
|
|
Homogenization tissue
|
$55.50 |
$55.50 |
$55.50 |
$39.20
|
|
Ho post-op hip abduction
|
$2,878.24 |
$2,878.24 |
$2,878.24 |
$1,690.58
|
|
Hpv types 16 & 18 only
|
$262.50 |
$262.50 |
$262.50 |
$110.70
|
|
H pylori (c-13) breath
|
$248.50 |
$248.50 |
$248.50 |
$213.00
|
|
Hyaluronidase 200 units/ml inj
|
$796.53 |
$796.53 |
$796.53 |
$260.99
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$73.16 |
$73.16 |
$73.16 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$6.36 |
$6.36 |
$6.36 |
$46.74
|
|
Hydration IV infusion each additional hour
|
$67.00 |
$67.00 |
$67.00 |
$131.20
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$338.00 |
$338.00 |
$338.00 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$258.14 |
$258.14 |
$258.14 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$199.68 |
$199.68 |
$199.68 |
$131.47
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$50.00 |
$50.00 |
$50.00 |
$294.92
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$38.18 |
$38.18 |
$38.18 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$0.50 |
$0.50 |
$0.50 |
$1.00
|
|
#hypersens-actinomyces ab
|
$32.00 |
$32.00 |
$32.00 |
$31.74
|
|
Hypnotherapy
|
$50.00 |
$50.00 |
$50.00 |
$154.52
|
|
Hysterosalpingography s&i
|
$545.00 |
$545.00 |
$545.00 |
$651.85
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$300.08 |
$300.08 |
$300.08 |
$352.24
|
|
I-123 iobenguane diag
|
$4,451.20 |
$4,451.20 |
$4,451.20 |
$5,256.50
|
|
I-123 ioflupane diag
|
$4,158.00 |
$4,158.00 |
$4,158.00 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$180.38 |
$180.38 |
$180.38 |
$139.20
|
|
I131 iodide cap, rx
|
$3,910.58 |
$3,910.58 |
$3,910.58 |
$78.75
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$168.19 |
$168.19 |
$168.19 |
$635.44
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$158.29 |
$158.29 |
$158.29 |
$980.94
|
|
Icd cobalt xt dr MRI is1 df1
|
$37,548.52 |
$37,548.52 |
$37,548.52 |
$34,234.20
|
|
Icd crtd cobalt hf MRI is1 df1
|
$47,659.12 |
$47,659.12 |
$47,659.12 |
$37,789.50
|
|
Icd crtp serena MRI
|
$19,320.00 |
$19,320.00 |
$19,320.00 |
$14,346.00
|
|
Icd reliance df4 ib 64cm
|
$10,030.00 |
$10,030.00 |
$10,030.00 |
$9,259.80
|
|
Idarubicin hcl injection
|
$176.53 |
$176.53 |
$176.53 |
$447.02
|
|
Ifosfamide 1 gram intravenous solution
|
$167.92 |
$167.92 |
$167.92 |
$243.78
|
|
Igh gene rearrange amp meth
|
$430.00 |
$430.00 |
$430.00 |
$456.54
|
|
Igh@ var region somatic mutation analy
|
$710.00 |
$710.00 |
$710.00 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$375.00 |
$375.00 |
$375.00 |
$396.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$134.50 |
$134.50 |
$134.50 |
$191.52
|
