|
Ghs urine, porphyrins quant
|
$55.25 |
$55.25 |
$55.25 |
$70.20
|
|
Giardia lamblia antibody
|
$76.05 |
$76.05 |
$76.05 |
$81.60
|
|
Gi inhouse confirmation
|
$64.35 |
$64.35 |
$64.35 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,630.20 |
$1,630.20 |
$1,630.20 |
$2,382.90
|
|
Gi trc img intral colon i&r
|
$2,896.40 |
$2,896.40 |
$2,896.40 |
$2,124.80
|
|
Gjb2 gene full sequence
|
$677.30 |
$677.30 |
$677.30 |
$386.10
|
|
Gjb2 gene known fam variants
|
$820.30 |
$820.30 |
$820.30 |
$67.67
|
|
Gjb6 gene com variants
|
$836.55 |
$836.55 |
$836.55 |
$38.50
|
|
Glucagon 1 mg solution for injection
|
$865.41 |
$865.41 |
$865.41 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$393.28 |
$393.28 |
$393.28 |
$509.06
|
|
Glucagon plasma - sendout
|
$90.35 |
$90.35 |
$90.35 |
$58.56
|
|
Glucose 1 hr post dose
|
$25.35 |
$25.35 |
$25.35 |
$46.28
|
|
Glucose blood quantitative
|
$22.10 |
$22.10 |
$22.10 |
$44.76
|
|
Glucose body fluid
|
$50.70 |
$50.70 |
$50.70 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$76.70 |
$76.70 |
$76.70 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$28.60 |
$28.60 |
$28.60 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$33.44 |
$33.44 |
$33.44 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$6,354.72 |
$6,354.72 |
$6,354.72 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$84.50 |
$84.50 |
$84.50 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$87.75 |
$87.75 |
$87.75 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$3,099.30 |
$3,099.30 |
$3,099.30 |
$2,802.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$62.56 |
$62.56 |
$62.56 |
$2,648.81
|
|
Graft axiofill 1000mg
|
$78.23 |
$78.23 |
$78.23 |
$5,278.73
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$533.09 |
$533.09 |
$533.09 |
$1,679.75
|
|
Graft nerve adv 3-4x70mm
|
$6,401.23 |
$6,401.23 |
$6,401.23 |
$27,495.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$599.64 |
$599.64 |
$599.64 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$658.88 |
$658.88 |
$658.88 |
$2,369.10
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$349.41 |
$349.41 |
$349.41 |
$336.78
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$658.88 |
$658.88 |
$658.88 |
$3,070.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,378.44 |
$1,378.44 |
$1,378.44 |
$43,312.93
|
|
Granisetron hcl injection
|
$28.50 |
$28.50 |
$28.50 |
$41.65
|
|
Granulocyte pheresis ea unit
|
$9,782.50 |
$9,782.50 |
$9,782.50 |
$2,950.30
|
|
G-tube reposition
|
$520.00 |
$520.00 |
$520.00 |
$741.00
|
|
Gu dilat ureter/urethra s&i
|
$2,289.30 |
$2,289.30 |
$2,289.30 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$267.15 |
$267.15 |
$267.15 |
$1,461.15
|
|
Guide wire threaded 1.4x150mm
|
$1,383.65 |
$1,383.65 |
$1,383.65 |
$3,474.86
|
|
Guid loc target vol rad tx
|
$469.95 |
$469.95 |
$469.95 |
$503.80
|
|
Gw stiffened micro access kit
|
$1,219.26 |
$1,219.26 |
$1,219.26 |
$6,285.56
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$22.36 |
$22.36 |
$22.36 |
$35.40
|
|
Hand X-ray
|
$575.25 |
$575.25 |
$575.25 |
$338.58
|
|
Haptoglobin quantitative
|
$68.90 |
$68.90 |
$68.90 |
$89.95
|
|
Harvest stem cell concentrte
|
$866.45 |
$866.45 |
$866.45 |
$1,287.78
|
|
Hast w/i&r phys/qhp
|
$2,187.25 |
$2,187.25 |
$2,187.25 |
$301.95
|
|
Hast w/oxygen titrate
|
$850.20 |
$850.20 |
$850.20 |
$310.40
|
|
Hba1/hba2 full gene sequence
|
$891.15 |
$891.15 |
$891.15 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$570.05 |
$570.05 |
$570.05 |
$406.25
|
|
Hba1/hba2 gene fam vrnt
|
$820.30 |
$820.30 |
$820.30 |
$517.85
|
|
Hbb full gene sequence
|
$626.60 |
$626.60 |
$626.60 |
$633.25
|
|
Hbb gene dup/del variants
|
$614.25 |
$614.25 |
$614.25 |
$404.80
|
|
Hbb gene known fam variant
|
$820.30 |
$820.30 |
$820.30 |
$626.88
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$897.00 |
$897.00 |
$897.00 |
$759.72
|
|
Hcg qualitative
|
$65.65 |
$65.65 |
$65.65 |
$77.50
|
|
Hcg quantitative
|
$109.85 |
$109.85 |
$109.85 |
$124.80
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$1,119.95 |
$1,119.95 |
$1,119.95 |
$839.65
|
|
Hc nm kidney imaging with flow
|
$690.30 |
$690.30 |
$690.30 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$1,463.80 |
$1,463.80 |
$1,463.80 |
$1,186.80
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,164.85 |
$3,164.85 |
$3,164.85 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,164.85 |
$3,164.85 |
$3,164.85 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,164.85 |
$3,164.85 |
$3,164.85 |
$3,410.55
|
|
Head CT scan (with and without contrast)
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$1,264.25 |
$1,264.25 |
$1,264.25 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,227.20 |
$1,227.20 |
$1,227.20 |
$1,268.90
|
|
Heart first pass add-on
|
$289.25 |
$289.25 |
$289.25 |
$445.54
|
|
Heart image spect
|
$999.70 |
$999.70 |
$999.70 |
$566.74
|
|
Heart infarct image
|
$1,463.80 |
$1,463.80 |
$1,463.80 |
$840.74
|
|
Heart infarct image (ef)
|
$1,463.80 |
$1,463.80 |
$1,463.80 |
$636.97
|
|
Heinz bodies direct
|
$25.35 |
$25.35 |
$25.35 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$110.50 |
$110.50 |
$110.50 |
$84.80
|
|
Hematocrit
|
$20.80 |
$20.80 |
$20.80 |
$33.57
|
|
Hematopoietic nuclear tx
|
$2,065.70 |
$2,065.70 |
$2,065.70 |
$918.60
|
|
Hemodialysis one evaluation
|
$1,043.25 |
$1,043.25 |
$1,043.25 |
$1,329.90
|
|
Hemoglobin
|
$16.90 |
$16.90 |
$16.90 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$33.80 |
$33.80 |
$33.80 |
$49.40
|
|
Hemoglobin plasma
|
$82.55 |
$82.55 |
$82.55 |
$40.56
|
|
Hemophilus influenza antibdy
|
$44.20 |
$44.20 |
$44.20 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$590.20 |
$590.20 |
$590.20 |
$1,141.40
|
|
Hepagam b im injection
|
$657.80 |
$657.80 |
$657.80 |
$464.00
|
|
Heparin assay
|
$139.75 |
$139.75 |
$139.75 |
$130.20
|
|
Heparin bolus from bag
|
$185.02 |
$185.02 |
$185.02 |
$79.04
|
|
Hepatitis a antibody igm
|
$77.35 |
$77.35 |
$77.35 |
$85.15
|
|
Hepatitis b core antibody igm
|
$62.40 |
$62.40 |
$62.40 |
$87.98
|
|
Hepatitis b core antibody total
|
$65.00 |
$65.00 |
$65.00 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,184.20 |
$2,184.20 |
$2,184.20 |
$1,116.61
|
|
Hepatitis b surface ag quan
|
$488.15 |
$488.15 |
$488.15 |
$40.95
|
|
Hepatitis b surface antibody
|
$50.05 |
$50.05 |
$50.05 |
$83.79
|
|
Hepatitis c antibody
|
$86.45 |
$86.45 |
$86.45 |
$108.00
|
|
Hepatobiliary system imaging
|
$786.50 |
$786.50 |
$786.50 |
$1,521.10
|
|
Hereditary colon ca dsordrs
|
$5,607.55 |
$5,607.55 |
$5,607.55 |
$1,956.00
|
|
Herpes simplex type 1 antibody igg
|
$79.30 |
$79.30 |
$79.30 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$90.35 |
$90.35 |
$90.35 |
$87.10
|
|
Herpes simplex virus isolation
|
$92.95 |
$92.95 |
$92.95 |
$93.32
|
|
Heterophile antibodies screening
|
$64.35 |
$64.35 |
$64.35 |
$73.60
|
|
Heterophile antibody absrbj
|
$22.75 |
$22.75 |
$22.75 |
$19.20
|
|
Hexa gene
|
$475.80 |
$475.80 |
$475.80 |
$179.04
|
|
Hhv-6 dna quant
|
$866.45 |
$866.45 |
$866.45 |
$200.25
|
|
Hip X-ray
|
$273.65 |
$273.65 |
$273.65 |
$292.05
|
|
Histamine
|
$216.45 |
$216.45 |
$216.45 |
$125.40
|
|
Histochemical stains add-on
|
$152.75 |
$152.75 |
$152.75 |
$169.65
|
|
Hla class i high defin qual
|
$722.15 |
$722.15 |
$722.15 |
$574.86
|
|
Hla class ii high defin qual
|
$657.15 |
$657.15 |
$657.15 |
$568.50
|
