|
Glucagon plasma - sendout
|
$305.40 |
$305.40 |
$305.40 |
$64.35
|
|
Glucose 1 hr post dose
|
$138.00 |
$138.00 |
$138.00 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$39.60 |
$39.60 |
$39.60 |
$23.12
|
|
Glucose blood quantitative
|
$163.20 |
$163.20 |
$163.20 |
$42.25
|
|
Glucose body fluid
|
$117.00 |
$117.00 |
$117.00 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$183.00 |
$183.00 |
$183.00 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$118.20 |
$118.20 |
$118.20 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$59.40 |
$59.40 |
$59.40 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$5.80 |
$5.80 |
$5.80 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$109.60 |
$109.60 |
$109.60 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$294.60 |
$294.60 |
$294.60 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$274.80 |
$274.80 |
$274.80 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,032.80 |
$2,032.80 |
$2,032.80 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$64.20 |
$64.20 |
$64.20 |
$73.83
|
|
Graft axiofill 1000mg
|
$16,126.80 |
$16,126.80 |
$16,126.80 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$264.60 |
$264.60 |
$264.60 |
$605.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$33,418.20 |
$33,418.20 |
$33,418.20 |
$23,233.80
|
|
Graft nerve adv 3-4x70mm
|
$25,816.80 |
$25,816.80 |
$25,816.80 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$27,435.60 |
$27,435.60 |
$27,435.60 |
$29,293.39
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$328.80 |
$328.80 |
$328.80 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$417.60 |
$417.60 |
$417.60 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$8,992.20 |
$8,992.20 |
$8,992.20 |
$349.41
|
|
Graft xenmtrx sft rect 15x20cm
|
$17,093.40 |
$17,093.40 |
$17,093.40 |
$29,676.26
|
|
Granisetron hcl injection
|
$1,654.80 |
$1,654.80 |
$1,654.80 |
$45.03
|
|
Great toe with reduction 28495
|
$4,066.80 |
$4,066.80 |
$4,066.80 |
$495.00
|
|
G-tube reposition
|
$3,123.00 |
$3,123.00 |
$3,123.00 |
$771.36
|
|
Guided cath fluid drainage 10030
|
$1,451.40 |
$1,451.40 |
$1,451.40 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$41,988.60 |
$41,988.60 |
$41,988.60 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$6,678.00 |
$6,678.00 |
$6,678.00 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$3,858.60 |
$3,858.60 |
$3,858.60 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$115.20 |
$115.20 |
$115.20 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$80.00 |
$80.00 |
$80.00 |
$24.30
|
|
Hand-held pefr meter a4614
|
$231.60 |
$231.60 |
$231.60 |
$26.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$67.80 |
$67.80 |
$67.80 |
$105.30
|
|
Hand X-ray
|
$250.20 |
$250.20 |
$250.20 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$192.60 |
$192.60 |
$192.60 |
$294.90
|
|
Haptoglobin quantitative
|
$178.20 |
$178.20 |
$178.20 |
$92.80
|
|
Hbot, full body chamber, 30m
|
$1,031.40 |
$1,031.40 |
$1,031.40 |
$526.90
|
|
Hcg qualitative
|
$134.40 |
$134.40 |
$134.40 |
$90.10
|
|
Hcg quantitative
|
$298.80 |
$298.80 |
$298.80 |
$139.20
|
|
Hc hearing aid chck binaurl
|
$198.00 |
$198.00 |
$198.00 |
$78.40
|
|
Hc hearing aid chck monarl
|
$165.00 |
$165.00 |
$165.00 |
$48.75
|
|
Hc hearing aid exam both ears
|
$246.00 |
$246.00 |
$246.00 |
$175.20
|
|
Hc hearing aid exam one ear
|
$221.40 |
$221.40 |
$221.40 |
$150.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$673.80 |
$673.80 |
$673.80 |
$113.12
|
|
Hc nm fusion spect CT unlisted
|
$771.60 |
$771.60 |
$771.60 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$917.40 |
$917.40 |
$917.40 |
$849.00
|
|
Head CT scan (with and without contrast)
|
$3,598.20 |
$3,598.20 |
$3,598.20 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$3,127.20 |
$3,127.20 |
$3,127.20 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$3,127.20 |
$3,127.20 |
$3,127.20 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$238.80 |
$238.80 |
$238.80 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$207.60 |
$207.60 |
$207.60 |
$92.00
|
|
Hematocrit
|
$76.20 |
$76.20 |
$76.20 |
$33.80
|
|
Hemin 350 mg intravenous powder for solution
|
$87.20 |
$87.20 |
$87.20 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$6,177.60 |
$6,177.60 |
$6,177.60 |
$1,364.27
|
|
Hemoglobin
|
$55.20 |
$55.20 |
$55.20 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$64.80 |
$64.80 |
$64.80 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$68.40 |
$68.40 |
$68.40 |
$52.32
|
|
Hemoglobin plasma
|
$68.40 |
$68.40 |
$68.40 |
$41.40
|
|
Hemoglobin urine
|
$156.60 |
$156.60 |
$156.60 |
$17.50
|
|
Hemolysins and agglutinins incubated
|
$144.60 |
$144.60 |
$144.60 |
$61.79
|
|
Hemophilus influenza antibdy
|
$237.00 |
$237.00 |
$237.00 |
$62.70
|
|
Heparin assay
|
$89.40 |
$89.40 |
$89.40 |
$139.15
|
|
Heparin bolus from bag
|
$15.20 |
$15.20 |
$15.20 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$4.60 |
$4.60 |
$4.60 |
$12.00
|
|
Hepatitis a antibody igm
|
$192.00 |
$192.00 |
$192.00 |
$89.44
|
|
Hepatitis b core antibody igm
|
$63.60 |
$63.60 |
$63.60 |
$89.60
|
|
Hepatitis b core antibody total
|
$211.80 |
$211.80 |
$211.80 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,348.80 |
$1,348.80 |
$1,348.80 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$193.20 |
$193.20 |
$193.20 |
$82.32
|
|
Hepatitis c antibody
|
$138.00 |
$138.00 |
$138.00 |
$108.25
|
|
Hepatitis d quantification
|
$719.40 |
$719.40 |
$719.40 |
$91.28
|
|
Hereditary colon ca dsordrs
|
$3,394.80 |
$3,394.80 |
$3,394.80 |
$1,901.23
|
|
Herpes simplex 1 ag if
|
$180.60 |
$180.60 |
$180.60 |
$38.58
|
|
Herpes simplex 2 ag if
|
$168.60 |
$168.60 |
$168.60 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$133.80 |
$133.80 |
$133.80 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$133.80 |
$133.80 |
$133.80 |
$87.36
|
|
Herpes simplex virus isolation
|
$573.60 |
$573.60 |
$573.60 |
$110.00
|
|
Heterophile antibodies screening
|
$158.40 |
$158.40 |
$158.40 |
$73.87
|
|
Hexa gene
|
$1,438.20 |
$1,438.20 |
$1,438.20 |
$150.82
|
|
Hhv-6 dna quant
|
$636.60 |
$636.60 |
$636.60 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$712.20 |
$712.20 |
$712.20 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$712.20 |
$712.20 |
$712.20 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$221.40 |
$221.40 |
$221.40 |
$233.50
|
|
Hip X-ray
|
$274.20 |
$274.20 |
$274.20 |
$294.75
|
|
Histamine
|
$469.80 |
$469.80 |
$469.80 |
$115.00
|
|
Histochemical stains add-on
|
$125.40 |
$125.40 |
$125.40 |
$152.75
|
|
Hiv-1 ag ia
|
$248.40 |
$248.40 |
$248.40 |
$107.90
|
|
Hla class i high defin qual
|
$469.20 |
$469.20 |
$469.20 |
$631.15
|
|
Hla class ii high defin qual
|
$469.20 |
$469.20 |
$469.20 |
$569.25
|
|
Hla class ii phenotype qual
|
$324.00 |
$324.00 |
$324.00 |
$313.60
|
|
Hla class ii semiquant panel
|
$1,957.80 |
$1,957.80 |
$1,957.80 |
$775.20
|
|
Hla class i phenotype qual
|
$207.00 |
$207.00 |
$207.00 |
$397.20
|
|
Hla class i semiquant panel
|
$2,169.00 |
$2,169.00 |
$2,169.00 |
$858.00
|
|
Hla i & ii type verify lr
|
$3,100.80 |
$3,100.80 |
$3,100.80 |
$742.50
|
|
Hla i & ii typing hr
|
$2,532.00 |
$2,532.00 |
$2,532.00 |
$804.00
|
|
Hla i & ii typing lr
|
$3,345.00 |
$3,345.00 |
$3,345.00 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$1,952.40 |
$1,952.40 |
$1,952.40 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$1,253.40 |
$1,253.40 |
$1,253.40 |
$164.00
|
