|
Gonadotropin follicle stimulating hormone (fsh)
|
$61.33 |
$61.33 |
$61.33 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$59.48 |
$59.48 |
$59.48 |
$117.65
|
|
Goserelin 10.8 mg subcutaneous implant
|
$790.43 |
$790.43 |
$790.43 |
$1,598.97
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$63.51 |
$63.51 |
$63.51 |
$56.71
|
|
Graft axiofill 1000mg
|
$1,395.12 |
$1,395.12 |
$1,395.12 |
$2,890.20
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$1,837.09 |
$1,837.09 |
$1,837.09 |
$1,837.09
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$543.12 |
$543.12 |
$543.12 |
$1,123.34
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$74.43 |
$74.43 |
$74.43 |
$5,533.20
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$543.12 |
$543.12 |
$543.12 |
$543.12
|
|
Granisetron hcl injection
|
$1.83 |
$1.83 |
$1.83 |
$21.42
|
|
Great toe with reduction 28495
|
$329.30 |
$329.30 |
$329.30 |
$581.25
|
|
G-tube reposition
|
$536.50 |
$536.50 |
$536.50 |
$727.35
|
|
Guided cath fluid drainage 10030
|
$1,261.42 |
$1,261.42 |
$1,261.42 |
$1,451.40
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$91.09 |
$91.09 |
$91.09 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$17.61 |
$17.61 |
$17.61 |
$11.25
|
|
Hand X-ray
|
$262.70 |
$262.70 |
$262.70 |
$317.78
|
|
Haptoglobin quantitative
|
$57.17 |
$57.17 |
$57.17 |
$75.00
|
|
Hbot, full body chamber, 30m
|
$207.29 |
$207.29 |
$207.29 |
$524.17
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$425.78 |
$425.78 |
$425.78 |
$527.13
|
|
Hcg qualitative
|
$33.39 |
$33.39 |
$33.39 |
$72.50
|
|
Hcg quantitative
|
$64.47 |
$64.47 |
$64.47 |
$105.00
|
|
Hc metata joint dislocation anes
|
$2,307.69 |
$2,307.69 |
$2,307.69 |
$1,964.56
|
|
Head CT scan (with and without contrast)
|
$1,065.14 |
$1,065.14 |
$1,065.14 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$883.28 |
$883.28 |
$883.28 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$891.79 |
$891.79 |
$891.79 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$65.49 |
$65.49 |
$65.49 |
$84.80
|
|
Hematocrit
|
$19.24 |
$19.24 |
$19.24 |
$32.50
|
|
Hemoglobin
|
$19.61 |
$19.61 |
$19.61 |
$28.60
|
|
Hemoglobin fetal qualitative
|
$26.36 |
$26.36 |
$26.36 |
$54.60
|
|
Hemoglobin methemoglobin quantitative
|
$43.01 |
$43.01 |
$43.01 |
$43.01
|
|
Hemoglobin plasma
|
$46.81 |
$46.81 |
$46.81 |
$43.80
|
|
Hemolysins/agglutinins auto
|
$27.75 |
$27.75 |
$27.75 |
$57.14
|
|
Hemolysins and agglutinins incubated
|
$61.79 |
$61.79 |
$61.79 |
$67.50
|
|
Hepagam b im injection
|
$1,118.05 |
$1,118.05 |
$1,118.05 |
$1,118.05
|
|
Heparin assay
|
$77.24 |
$77.24 |
$77.24 |
$107.50
|
|
Heparin bolus from bag
|
$48.58 |
$48.58 |
$48.58 |
$50.95
|
|
Heparin neutralization
|
$49.21 |
$49.21 |
$49.21 |
$56.55
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$4.69 |
$4.69 |
$4.69 |
$7.15
|
|
Hepatitis a antibody igm
|
$69.38 |
$69.38 |
$69.38 |
$80.60
|
|
Hepatitis b core antibody igm
|
$50.97 |
$50.97 |
$50.97 |
$85.80
|
|
Hepatitis b core antibody total
|
$46.25 |
$46.25 |
$46.25 |
$84.75
|
|
Hepatitis b surface antibody
|
$41.26 |
$41.26 |
$41.26 |
$81.12
|
|
Hepatitis c antibody
|
$53.10 |
$53.10 |
$53.10 |
$106.50
|
|
Herpes simplex 1 ag if
|
$50.97 |
$50.97 |
$50.97 |
$49.40
|
|
Herpes simplex 2 ag if
|
$47.45 |
$47.45 |
$47.45 |
$43.99
|
|
Herpes simplex type 1 antibody igg
|
$60.68 |
$60.68 |
$60.68 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$77.52 |
$77.52 |
$77.52 |
$96.20
|
|
Herpes simplex virus isolation
|
$59.44 |
$59.44 |
$59.44 |
$110.50
|
|
Heterophile antibodies screening
|
$24.14 |
$24.14 |
$24.14 |
$59.40
|
|
Hhv-6 dna quant
|
$184.63 |
$184.63 |
$184.63 |
$232.80
|
|
Hip X-ray
|
$122.10 |
$122.10 |
$122.10 |
$262.64
|
|
Histamine
|
$162.62 |
$162.62 |
$162.62 |
$132.60
|
|
Histochemical stains add-on
|
$57.07 |
$57.07 |
$57.07 |
$179.04
|
|
Hla class i high defin qual
|
$264.18 |
$264.18 |
$264.18 |
$574.86
|
|
Hla ii typing 1 loc hr
|
$658.39 |
$658.39 |
$658.39 |
$342.60
|
|
Hla i low res one antigen equiv ea
|
$100.73 |
$100.73 |
$100.73 |
$164.00
|
|
Hla i typing complete lr
|
$2,871.02 |
$2,871.02 |
$2,871.02 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$153.00 |
$153.00 |
$153.00 |
$340.00
|
|
Hla i typing low res one locus ea
|
$978.84 |
$978.84 |
$978.84 |
$320.70
|
|
Hla typing a b or c
|
$100.73 |
$100.73 |
$100.73 |
$379.20
|
|
Hocm 350-399mg/ml iodine,1ml
|
$70.69 |
$70.69 |
$70.69 |
$9.00
|
|
Homocysteine
|
$142.54 |
$142.54 |
$142.54 |
$100.00
|
|
Homogenization tissue
|
$15.45 |
$15.45 |
$15.45 |
$39.20
|
|
Homovanillic acid (hva)
|
$76.87 |
$76.87 |
$76.87 |
$66.60
|
|
Hpv types 16 & 18 only
|
$140.32 |
$140.32 |
$140.32 |
$114.33
|
|
H pylori (c-13) breath
|
$74.77 |
$74.77 |
$74.77 |
$236.00
|
|
Htt gene detc abnor alleles
|
$152.07 |
$152.07 |
$152.07 |
$345.75
|
|
Human epididymis protein 4 (he4)
|
$98.51 |
$98.51 |
$98.51 |
$154.00
|
|
Hyaluronidase 200 units/ml inj
|
$110.65 |
$110.65 |
$110.65 |
$203.80
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$87.69 |
$87.69 |
$87.69 |
$180.48
|
|
Hydralazine 20 mg/ml injection solution
|
$9.70 |
$9.70 |
$9.70 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$67.06 |
$67.06 |
$67.06 |
$125.45
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$144.67 |
$144.67 |
$144.67 |
$388.70
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$64.01 |
$64.01 |
$64.01 |
$63.24
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$75.95 |
$75.95 |
$75.95 |
$75.95
|
|
Hyoscyamine sulfate inj
|
$106.63 |
$106.63 |
$106.63 |
$123.83
|
|
Hysterosalpingography s&i
|
$252.25 |
$252.25 |
$252.25 |
$555.39
|
|
Iaadi respiratory synctial virus
|
$49.40 |
$49.40 |
$49.40 |
$46.02
|
|
Iadna legionella pneumophila amplified probe tq
|
$99.70 |
$99.70 |
$99.70 |
$109.00
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$322.20 |
$322.20 |
$322.20 |
$768.06
|
|
Ibuprofen injection
|
$350.58 |
$350.58 |
$350.58 |
$150.00
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$649.85 |
$649.85 |
$649.85 |
$614.95
|
|
I&d abscss rtrphryngl/paraphryngl intraorl apprch
|
$1,814.67 |
$1,814.67 |
$1,814.67 |
$2,812.80
|
|
Idarubicin hcl injection
|
$80.36 |
$80.36 |
$80.36 |
$249.51
|
|
I&d frarm&/wrst deep absc/hematoma
|
$420.32 |
$420.32 |
$420.32 |
$2,910.40
|
|
Idh1 common variants
|
$130.61 |
$130.61 |
$130.61 |
$406.90
|
|
Idh2 common variants
|
$196.01 |
$196.01 |
$196.01 |
$463.45
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$1,262.35 |
$1,262.35 |
$1,262.35 |
$2,147.18
|
|
Ifosfamide 1 gram intravenous solution
|
$77.90 |
$77.90 |
$77.90 |
$185.67
|
|
Igh gene rearrange amp meth
|
$209.51 |
$209.51 |
$209.51 |
$464.00
|
|
Igh@ var region somatic mutation analy
|
$326.71 |
$326.71 |
$326.71 |
$685.75
|
|
Ihc/icc per specimen each additional single antibody stain
|
$59.85 |
$59.85 |
$59.85 |
$187.20
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$105.45 |
$105.45 |
$105.45 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$339.66 |
$339.66 |
$339.66 |
$274.86
|
|
Immune complex assay
|
$224.15 |
$224.15 |
$224.15 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$2,621.62 |
$2,621.62 |
$2,621.62 |
$2,621.62
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$185.91 |
$185.91 |
$185.91 |
$107.10
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$141.04 |
$141.04 |
$141.04 |
$3,132.49
|
|
Immunoassay tumor antigen quantitative ca 125
|
$65.68 |
$65.68 |
$65.68 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$65.95 |
$65.95 |
$65.95 |
$117.00
|
