|
Gonadotropin follicle stimulating hormone (fsh)
|
$89.40 |
$89.40 |
$89.40 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$84.60 |
$84.60 |
$84.60 |
$129.03
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,886.40 |
$1,886.40 |
$1,886.40 |
$4,417.13
|
|
Graft axiofill 1000mg
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$5,125.68
|
|
Graft nerve adv 3-4x70mm
|
$5,283.60 |
$5,283.60 |
$5,283.60 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$2,249.40 |
$2,249.40 |
$2,249.40 |
$29,293.39
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$394.20 |
$394.20 |
$394.20 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$5,533.20 |
$5,533.20 |
$5,533.20 |
$349.41
|
|
Graft xenmtrx sft rect 15x20cm
|
$3,613.80 |
$3,613.80 |
$3,613.80 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$255.00 |
$255.00 |
$255.00 |
$2,905.40
|
|
Granisetron hcl injection
|
$728.40 |
$728.40 |
$728.40 |
$45.03
|
|
Great toe with reduction 28495
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$495.00
|
|
Growth hormone antibody
|
$145.80 |
$145.80 |
$145.80 |
$73.10
|
|
Guided cath fluid drainage 10030
|
$1,473.60 |
$1,473.60 |
$1,473.60 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$1,821.00 |
$1,821.00 |
$1,821.00 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$2,001.60 |
$2,001.60 |
$2,001.60 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$141.00 |
$141.00 |
$141.00 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$535.60
|
|
Gw stiffened micro access kit
|
$496.80 |
$496.80 |
$496.80 |
$6,893.38
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$91.09
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$46.40 |
$46.40 |
$46.40 |
$24.30
|
|
Hand-held pefr meter a4614
|
$26.40 |
$26.40 |
$26.40 |
$26.40
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$60.00 |
$60.00 |
$60.00 |
$105.30
|
|
Hand X-ray
|
$119.40 |
$119.40 |
$119.40 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$99.00 |
$99.00 |
$99.00 |
$294.90
|
|
Haptoglobin quantitative
|
$57.00 |
$57.00 |
$57.00 |
$92.80
|
|
Hbb gene dup/del variants
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$430.80 |
$430.80 |
$430.80 |
$526.90
|
|
Hcg qualitative
|
$74.40 |
$74.40 |
$74.40 |
$90.10
|
|
Hcg quantitative
|
$84.60 |
$84.60 |
$84.60 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$97.20 |
$97.20 |
$97.20 |
$276.00
|
|
Hematocrit
|
$24.00 |
$24.00 |
$24.00 |
$33.80
|
|
Hemodialysis one evaluation
|
$1,223.40 |
$1,223.40 |
$1,223.40 |
$1,364.27
|
|
Hemoglobin
|
$24.00 |
$24.00 |
$24.00 |
$33.54
|
|
Hemoglobin fetal qualitative
|
$86.40 |
$86.40 |
$86.40 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$57.00 |
$57.00 |
$57.00 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$54.00 |
$54.00 |
$54.00 |
$52.32
|
|
Hemoglobin plasma
|
$39.00 |
$39.00 |
$39.00 |
$41.40
|
|
Hemolysins and agglutinins incubated
|
$157.20 |
$157.20 |
$157.20 |
$61.79
|
|
Hemophilus influenza antibdy
|
$268.20 |
$268.20 |
$268.20 |
$62.70
|
|
Heparin assay
|
$75.60 |
$75.60 |
$75.60 |
$139.15
|
|
Heparin bolus from bag
|
$39.40 |
$39.40 |
$39.40 |
$66.06
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$5.40 |
$5.40 |
$5.40 |
$12.00
|
|
Hepatitis a antibody igm
|
$80.40 |
$80.40 |
$80.40 |
$89.44
|
|
Hepatitis b core antibody igm
|
$91.20 |
$91.20 |
$91.20 |
$89.60
|
|
Hepatitis b core antibody total
|
$74.40 |
$74.40 |
$74.40 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,720.80 |
$1,720.80 |
$1,720.80 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$67.20 |
$67.20 |
$67.20 |
$82.32
|
|
Hepatitis c antibody
|
$90.60 |
$90.60 |
$90.60 |
$108.25
|
|
Hepatitis d quantification
|
$385.80 |
$385.80 |
$385.80 |
$91.28
|
|
Hereditary colon ca dsordrs
|
$3,394.80 |
$3,394.80 |
$3,394.80 |
$1,901.23
|
|
Herpes simplex 1 ag if
|
$198.60 |
$198.60 |
$198.60 |
$38.58
|
|
Herpes simplex 2 ag if
|
$183.60 |
$183.60 |
$183.60 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$85.20 |
$85.20 |
$85.20 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$175.80 |
$175.80 |
$175.80 |
$87.36
|
|
Herpes simplex virus isolation
|
$186.60 |
$186.60 |
$186.60 |
$110.00
|
|
Heterophile antibodies screening
|
$37.20 |
$37.20 |
$37.20 |
$73.87
|
|
Hexa gene
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$150.82
|
|
Hhv-6 dna quant
|
$378.00 |
$378.00 |
$378.00 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$186.00 |
$186.00 |
$186.00 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$186.00 |
$186.00 |
$186.00 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$105.00 |
$105.00 |
$105.00 |
$233.50
|
|
Hip X-ray
|
$134.40 |
$134.40 |
$134.40 |
$294.75
|
|
Histamine
|
$209.40 |
$209.40 |
$209.40 |
$115.00
|
|
Histochemical stains add-on
|
$57.60 |
$57.60 |
$57.60 |
$152.75
|
|
Hiv-1 ag ia
|
$298.20 |
$298.20 |
$298.20 |
$107.90
|
|
Hla class i high defin qual
|
$409.20 |
$409.20 |
$409.20 |
$631.15
|
|
Hla class ii high defin qual
|
$409.20 |
$409.20 |
$409.20 |
$569.25
|
|
Hla class ii phenotype qual
|
$487.20 |
$487.20 |
$487.20 |
$313.60
|
|
Hla class i phenotype qual
|
$276.00 |
$276.00 |
$276.00 |
$397.20
|
|
Hla i & ii typing hr
|
$2,453.40 |
$2,453.40 |
$2,453.40 |
$804.00
|
|
Hla ii typing 1 loc hr
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$299.20
|
|
Hla ii typing ag equiv lr
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$475.00
|
|
Hla i low res one antigen equiv ea
|
$837.60 |
$837.60 |
$837.60 |
$164.00
|
|
Hla i typing 1 locus hr
|
$1,111.80 |
$1,111.80 |
$1,111.80 |
$439.20
|
|
Hla i typing complete lr
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$720.00
|
|
Hla i typing high res 1 allele grp ea
|
$549.60 |
$549.60 |
$549.60 |
$304.20
|
|
Hla typing a b or c
|
$669.60 |
$669.60 |
$669.60 |
$364.00
|
|
Hocm 250-299mg/ml iodine,1ml
|
$0.60 |
$0.60 |
$0.60 |
$37.80
|
|
Hocm 350-399mg/ml iodine,1ml
|
$0.80 |
$0.80 |
$0.80 |
$79.78
|
|
Homocysteine
|
$114.60 |
$114.60 |
$114.60 |
$125.40
|
|
Homogenization tissue
|
$111.60 |
$111.60 |
$111.60 |
$41.30
|
|
Homovanillic acid (hva)
|
$99.00 |
$99.00 |
$99.00 |
$59.95
|
|
Hpv types 16 & 18 only
|
$284.40 |
$284.40 |
$284.40 |
$112.00
|
|
H pylori (c-13) breath
|
$346.80 |
$346.80 |
$346.80 |
$212.25
|
|
Hrdtry brst ca-rlatd do 5+
|
$4,135.80 |
$4,135.80 |
$4,135.80 |
$1,702.08
|
|
Hrdtry cardmypy gene panel
|
$9,556.80 |
$9,556.80 |
$9,556.80 |
$1,414.34
|
|
Hrdtry perph neurphy panel
|
$23,150.40 |
$23,150.40 |
$23,150.40 |
$1,569.60
|
|
Htt gene detc abnor alleles
|
$1,333.80 |
$1,333.80 |
$1,333.80 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$345.60 |
$345.60 |
$345.60 |
$157.32
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$316.80 |
$316.80 |
$316.80 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$94.40 |
$94.40 |
$94.40 |
$48.00
|
|
Hydrocolld drg <=16 without bdr
|
$3.00 |
$3.00 |
$3.00 |
$7.76
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$42.80 |
$42.80 |
$42.80 |
$140.54
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$4.40 |
$4.40 |
$4.40 |
$112.66
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$654.40 |
$654.40 |
$654.40 |
$294.92
|
|
Hysterosalpingography s&i
|
$429.60 |
$429.60 |
$429.60 |
$669.12
|
