|
Ghs leukocyte alkaline phos (mayo)
|
$94.12 |
$94.12 |
$94.12 |
$59.40
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$212.23 |
$212.23 |
$212.23 |
$253.71
|
|
Ghs moderate sedation ea addtl 15 min
|
$232.25 |
$232.25 |
$232.25 |
$145.60
|
|
Ghs ot dds rom
|
$65.26 |
$65.26 |
$65.26 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$64.55 |
$64.55 |
$64.55 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$64.55 |
$64.55 |
$64.55 |
$101.50
|
|
Ghs ppd (tb intradermal)
|
$31.53 |
$31.53 |
$31.53 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$91.00 |
$91.00 |
$91.00 |
$41.40
|
|
Ghs protoporphyrins fract
|
$66.76 |
$66.76 |
$66.76 |
$64.35
|
|
Ghs quinidine
|
$137.61 |
$137.61 |
$137.61 |
$68.40
|
|
Ghs removal intranasal foreign body
|
$160.62 |
$160.62 |
$160.62 |
$320.00
|
|
Ghs rsv eia (respir synctial vrs)
|
$132.89 |
$132.89 |
$132.89 |
$101.15
|
|
Ghs speech-gen aug dev eval iii, st
|
$216.52 |
$216.52 |
$216.52 |
$118.20
|
|
Ghs sp train/fitting sp device - kx
|
$232.96 |
$232.96 |
$232.96 |
$249.60
|
|
Ghs urine, porphyrins quant
|
$115.05 |
$115.05 |
$115.05 |
$72.60
|
|
Ghs vaginal delivery only
|
$1,484.28 |
$1,484.28 |
$1,484.28 |
$3,433.76
|
|
Gi inhouse confirmation
|
$145.73 |
$145.73 |
$145.73 |
$83.85
|
|
Glucagon 1 mg solution for injection
|
$368.55 |
$368.55 |
$368.55 |
$592.05
|
|
Glucose 1 hr post dose
|
$44.72 |
$44.72 |
$44.72 |
$45.00
|
|
Glucose blood quantitative
|
$23.21 |
$23.21 |
$23.21 |
$44.76
|
|
Glucose body fluid
|
$37.05 |
$37.05 |
$37.05 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$37.05 |
$37.05 |
$37.05 |
$99.00
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$37.05 |
$37.05 |
$37.05 |
$33.57
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$175.24 |
$175.24 |
$175.24 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$174.53 |
$174.53 |
$174.53 |
$124.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$39,750.95 |
$39,750.95 |
$39,750.95 |
$25,824.49
|
|
Growth hormone antibody
|
$154.96 |
$154.96 |
$154.96 |
$40.00
|
|
Guide wire threaded 1.4x150mm
|
$478.47 |
$478.47 |
$478.47 |
$1,096.77
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$3.28 |
$3.28 |
$3.28 |
$27.12
|
|
Hand X-ray
|
$273.33 |
$273.33 |
$273.33 |
$325.85
|
|
Haptoglobin quantitative
|
$118.50 |
$118.50 |
$118.50 |
$80.30
|
|
Hba1/hba2 gene dup/del vrnts
|
$578.50 |
$578.50 |
$578.50 |
$404.80
|
|
Hcg qualitative
|
$46.41 |
$46.41 |
$46.41 |
$77.50
|
|
Hcg quantitative
|
$141.83 |
$141.83 |
$141.83 |
$124.80
|
|
Hc nm fusion spect CT unlisted
|
$556.73 |
$556.73 |
$556.73 |
$463.68
|
|
Hc pet myocardial imaging metabolic eval single study
|
$5,701.09 |
$5,701.09 |
$5,701.09 |
$2,979.90
|
|
Head CT scan (with and without contrast)
|
$1,706.77 |
$1,706.77 |
$1,706.77 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,445.80 |
$1,445.80 |
$1,445.80 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$1,316.71 |
$1,316.71 |
$1,316.71 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$136.70 |
$136.70 |
$136.70 |
$83.85
|
|
Hematocrit
|
$22.30 |
$22.30 |
$22.30 |
$33.57
|
|
Hemoglobin
|
$22.30 |
$22.30 |
$22.30 |
$32.50
|
|
Hemoglobin methemoglobin quantitative
|
$17.36 |
$17.36 |
$17.36 |
$47.49
|
|
Hemolysins/agglutinins auto
|
$61.95 |
$61.95 |
$61.95 |
$53.96
|
|
Hemolysins and agglutinins incubated
|
$61.95 |
$61.95 |
$61.95 |
$67.50
|
|
Hemophilus influenza antibdy
|
$158.28 |
$158.28 |
$158.28 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$564.40 |
$564.40 |
$564.40 |
$1,078.88
|
|
Heparin assay
|
$232.70 |
$232.70 |
$232.70 |
$129.80
|
|
Heparin bolus from bag
|
$24.10 |
$24.10 |
$24.10 |
$69.71
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$1.53 |
$1.53 |
$1.53 |
$24.39
|
|
Hepatitis a antibody igm
|
$104.91 |
$104.91 |
$104.91 |
$84.00
|
|
Hepatitis b core antibody igm
|
$111.02 |
$111.02 |
$111.02 |
$84.20
|
|
Hepatitis b core antibody total
|
$113.62 |
$113.62 |
$113.62 |
$79.95
|
|
Hepatitis b surface antibody
|
$101.21 |
$101.21 |
$101.21 |
$81.12
|
|
Hepatitis c antibody
|
$124.15 |
$124.15 |
$124.15 |
$108.00
|
|
Hepatobiliary system imaging
|
$779.29 |
$779.29 |
$779.29 |
$1,521.10
|
|
Hernia Repair (Inguinal)
|
$1,179.23 |
$1,179.23 |
$1,179.23 |
$5,870.15
|
|
Herpes simplex type 1 antibody igg
|
$77.55 |
$77.55 |
$77.55 |
$71.50
|
|
Herpes simplex type 2 antibody igg
|
$180.64 |
$180.64 |
$180.64 |
$87.10
|
|
Herpes simplex virus isolation
|
$100.10 |
$100.10 |
$100.10 |
$95.22
|
|
Heterophile antibodies screening
|
$48.82 |
$48.82 |
$48.82 |
$72.00
|
|
Hip X-ray
|
$245.05 |
$245.05 |
$245.05 |
$283.80
|
|
Histamine
|
$234.13 |
$234.13 |
$234.13 |
$125.45
|
|
Histochemical stains add-on
|
$76.77 |
$76.77 |
$76.77 |
$170.00
|
|
Hla i & ii typing lr
|
$77.55 |
$77.55 |
$77.55 |
$1,178.15
|
|
Hla i low res one antigen equiv ea
|
$723.45 |
$723.45 |
$723.45 |
$164.00
|
|
Hla i typing 1 locus hr
|
$847.34 |
$847.34 |
$847.34 |
$398.40
|
|
Hla i typing complete lr
|
$723.45 |
$723.45 |
$723.45 |
$588.55
|
|
Hla i typing high res 1 allele grp ea
|
$316.55 |
$316.55 |
$316.55 |
$314.05
|
|
Home sleep test/type 3 porta
|
$337.29 |
$337.29 |
$337.29 |
$632.40
|
|
Homocysteine
|
$133.58 |
$133.58 |
$133.58 |
$108.54
|
|
Homovanillic acid (hva)
|
$81.45 |
$81.45 |
$81.45 |
$57.00
|
|
H pylori (c-13) breath
|
$99.58 |
$99.58 |
$99.58 |
$213.00
|
|
Human epididymis protein 4 (he4)
|
$181.61 |
$181.61 |
$181.61 |
$135.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$126.95 |
$126.95 |
$126.95 |
$183.12
|
|
Hydralazine 20 mg/ml injection solution
|
$34.13 |
$34.13 |
$34.13 |
$52.61
|
|
Hydration IV infusion each additional hour
|
$64.29 |
$64.29 |
$64.29 |
$132.80
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$144.37 |
$144.37 |
$144.37 |
$390.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$48.73 |
$48.73 |
$48.73 |
$78.03
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$63.70 |
$63.70 |
$63.70 |
$80.11
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$208.52 |
$208.52 |
$208.52 |
$73.45
|
|
#hypersens-actinomyces ab
|
$86.26 |
$86.26 |
$86.26 |
$18.15
|
|
Hysterosalpingography s&i
|
$325.13 |
$325.13 |
$325.13 |
$557.40
|
|
I-123 sod iodide diag per 100 uci
|
$217.30 |
$217.30 |
$217.30 |
$157.80
|
|
Iaadi respiratory synctial virus
|
$121.42 |
$121.42 |
$121.42 |
$46.02
|
|
Igh@ var region somatic mutation analy
|
$130.59 |
$130.59 |
$130.59 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$70.33 |
$70.33 |
$70.33 |
$191.10
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$180.70 |
$180.70 |
$180.70 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$153.27 |
$153.27 |
$153.27 |
$265.60
|
|
Immobilizer shldr cntor adlt
|
$36.92 |
$36.92 |
$36.92 |
$112.45
|
|
Immobilizer shldr dlx str 24-36in med
|
$91.52 |
$91.52 |
$91.52 |
$67.77
|
|
Immune complex assay
|
$88.66 |
$88.66 |
$88.66 |
$89.25
|
|
Immunoassay tumor antigen quantitative ca 125
|
$135.66 |
$135.66 |
$135.66 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$185.90 |
$185.90 |
$185.90 |
$114.00
|
|
Immunofixation electrophoresis serum
|
$235.50 |
$235.50 |
$235.50 |
$133.38
|
|
Immunofluorescence per specimen initial single antibody stain
|
$132.99 |
$132.99 |
$132.99 |
$248.64
|
|
Infect ag ia optc obs influenza
|
$131.24 |
$131.24 |
$131.24 |
$65.58
|
|
Infect ag if legionella pneumophila
|
$191.75 |
$191.75 |
$191.75 |
$75.79
|
|
Infect ag na influenza r/amp 1st 2 types
|
$160.03 |
$160.03 |
$160.03 |
$227.50
|
|
Infect ag na orthopoxvirus amp prb each
|
$162.83 |
$162.83 |
$162.83 |
$102.87
|
