|
Glucagon plasma - sendout
|
$92.00 |
$92.00 |
$92.00 |
$63.20
|
|
Glucose 1 hr post dose
|
$120.50 |
$120.50 |
$120.50 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$29.00 |
$29.00 |
$29.00 |
$22.75
|
|
Glucose blood quantitative
|
$193.00 |
$193.00 |
$193.00 |
$41.40
|
|
Glucose body fluid
|
$114.00 |
$114.00 |
$114.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$127.00 |
$127.00 |
$127.00 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$136.50 |
$136.50 |
$136.50 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$117.50 |
$117.50 |
$117.50 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$140.50 |
$140.50 |
$140.50 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$85.50 |
$85.50 |
$85.50 |
$143.50
|
|
Graft axiofill 1000mg
|
$2,560.00 |
$2,560.00 |
$2,560.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$736.50 |
$736.50 |
$736.50 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$171.00 |
$171.00 |
$171.00 |
$23,288.44
|
|
Graft nerve adv 3-4x70mm
|
$27,240.50 |
$27,240.50 |
$27,240.50 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$30,276.00 |
$30,276.00 |
$30,276.00 |
$29,995.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$14,400.00 |
$14,400.00 |
$14,400.00 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$663.00 |
$663.00 |
$663.00 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$778.00 |
$778.00 |
$778.00 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$879.00 |
$879.00 |
$879.00 |
$427.89
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$76.50 |
$76.50 |
$76.50 |
$29,056.92
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$503.50 |
$503.50 |
$503.50 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$59,231.50 |
$59,231.50 |
$59,231.50 |
$31,191.20
|
|
Graft xenmtrx sft rect 19x28cm
|
$2,867.00 |
$2,867.00 |
$2,867.00 |
$3,076.20
|
|
Great toe with reduction 28495
|
$328.00 |
$328.00 |
$328.00 |
$495.00
|
|
Growth hormone panel
|
$390.50 |
$390.50 |
$390.50 |
$173.00
|
|
G-tube reposition
|
$1,049.50 |
$1,049.50 |
$1,049.50 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$3,407.00 |
$3,407.00 |
$3,407.00 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$1,759.50 |
$1,759.50 |
$1,759.50 |
$1,327.76
|
|
Guide endoanchr sg-64 aaa 62cm
|
$30,276.00 |
$30,276.00 |
$30,276.00 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$11,368.50 |
$11,368.50 |
$11,368.50 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$1,650.00 |
$1,650.00 |
$1,650.00 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$17,631.50 |
$17,631.50 |
$17,631.50 |
$6,600.00
|
|
Halo cervical into jckt vest
|
$12,374.00 |
$12,374.00 |
$12,374.00 |
$5,015.12
|
|
Hand X-ray
|
$191.00 |
$191.00 |
$191.00 |
$345.87
|
|
Haptoglobin quantitative
|
$122.00 |
$122.00 |
$122.00 |
$91.80
|
|
Harvest auto stem cells
|
$2,899.00 |
$2,899.00 |
$2,899.00 |
$3,379.00
|
|
Hba1/hba2 full gene sequence
|
$693.00 |
$693.00 |
$693.00 |
$769.95
|
|
Hbb full gene sequence
|
$628.00 |
$628.00 |
$628.00 |
$633.25
|
|
Hbb gene dup/del variants
|
$483.00 |
$483.00 |
$483.00 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$124.50 |
$124.50 |
$124.50 |
$526.90
|
|
Hcg qualitative
|
$95.00 |
$95.00 |
$95.00 |
$88.00
|
|
Hcg quantitative
|
$126.50 |
$126.50 |
$126.50 |
$137.15
|
|
Hc metata joint dislocation anes
|
$902.50 |
$902.50 |
$902.50 |
$2,383.09
|
|
Hc nm kidney imaging with flow
|
$488.00 |
$488.00 |
$488.00 |
$849.00
|
|
Head CT scan (with and without contrast)
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$891.50 |
$891.50 |
$891.50 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$71.50 |
$71.50 |
$71.50 |
$92.23
|
|
Hematocrit
|
$55.00 |
$55.00 |
$55.00 |
$33.57
|
|
Hemodialysis one evaluation
|
$497.00 |
$497.00 |
$497.00 |
$1,338.00
|
|
Hemoglobin
|
$61.50 |
$61.50 |
$61.50 |
$32.76
|
|
Hemoglobin methemoglobin quantitative
|
$46.00 |
$46.00 |
$46.00 |
$52.32
|
|
Hemoglobin plasma
|
$74.00 |
$74.00 |
$74.00 |
$41.25
|
|
Hemoglobin urine
|
$12.50 |
$12.50 |
$12.50 |
$17.50
|
|
Heparin assay
|
$300.50 |
$300.50 |
$300.50 |
$138.84
|
|
Hepatitis a antibody igm
|
$146.50 |
$146.50 |
$146.50 |
$88.92
|
|
Hepatitis b core antibody igm
|
$146.50 |
$146.50 |
$146.50 |
$88.80
|
|
Hepatitis b core antibody total
|
$129.50 |
$129.50 |
$129.50 |
$77.50
|
|
Hepatitis b surface antibody
|
$108.50 |
$108.50 |
$108.50 |
$81.12
|
|
Hepatitis c antibody
|
$270.00 |
$270.00 |
$270.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$1,438.99
|
|
Herpes simplex type 1 antibody igg
|
$205.00 |
$205.00 |
$205.00 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$84.00 |
$84.00 |
$84.00 |
$87.10
|
|
Heterophile antibodies screening
|
$84.00 |
$84.00 |
$84.00 |
$72.00
|
|
Hhv-6 dna quant
|
$469.50 |
$469.50 |
$469.50 |
$250.80
|
|
Hip adj flex ext abduct cont
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$837.61
|
|
Hip X-ray
|
$215.50 |
$215.50 |
$215.50 |
$296.05
|
|
Histamine
|
$120.50 |
$120.50 |
$120.50 |
$114.84
|
|
Histochemical stains add-on
|
$110.00 |
$110.00 |
$110.00 |
$152.75
|
|
Hla class i high defin qual
|
$757.50 |
$757.50 |
$757.50 |
$625.00
|
|
Hla class ii high defin qual
|
$704.50 |
$704.50 |
$704.50 |
$569.25
|
|
Hla class i&ii antibody qual
|
$423.50 |
$423.50 |
$423.50 |
$254.33
|
|
Hla class i/ii antibody qual
|
$801.00 |
$801.00 |
$801.00 |
$171.92
|
|
Hla class ii phenotype qual
|
$897.50 |
$897.50 |
$897.50 |
$288.60
|
|
Hla class i phenotype qual
|
$793.00 |
$793.00 |
$793.00 |
$367.50
|
|
Hla i & ii type verify lr
|
$322.00 |
$322.00 |
$322.00 |
$742.50
|
|
Hla i & ii typing hr
|
$1,073.50 |
$1,073.50 |
$1,073.50 |
$871.65
|
|
Hla i & ii typing lr
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$1,407.51
|
|
Hla ii typing 1 loc hr
|
$288.00 |
$288.00 |
$288.00 |
$290.94
|
|
Hla i low res one antigen equiv ea
|
$213.00 |
$213.00 |
$213.00 |
$164.00
|
|
Hla i typing complete lr
|
$453.00 |
$453.00 |
$453.00 |
$719.20
|
|
Hla x-match noncytotoxc addl
|
$256.00 |
$256.00 |
$256.00 |
$154.08
|
|
Hla x-math non-cytotoxic
|
$258.50 |
$258.50 |
$258.50 |
$350.00
|
|
Ho abduction hip adjustable
|
$286.00 |
$286.00 |
$286.00 |
$418.24
|
|
Homocysteine
|
$308.50 |
$308.50 |
$308.50 |
$125.00
|
|
Homogenization tissue
|
$109.00 |
$109.00 |
$109.00 |
$41.00
|
|
Homovanillic acid (hva)
|
$106.50 |
$106.50 |
$106.50 |
$59.95
|
|
Ho post-op hip abduction
|
$2,045.00 |
$2,045.00 |
$2,045.00 |
$1,837.50
|
|
Hpv types 16 & 18 only
|
$84.50 |
$84.50 |
$84.50 |
$110.06
|
|
H pylori (c-13) breath
|
$186.50 |
$186.50 |
$186.50 |
$213.00
|
|
Hrdtry brst ca-rlatd do 5+
|
$600.00 |
$600.00 |
$600.00 |
$1,702.08
|
|
Human epididymis protein 4 (he4)
|
$143.00 |
$143.00 |
$143.00 |
$156.65
|
|
Hydration IV infusion each additional hour
|
$104.50 |
$104.50 |
$104.50 |
$133.11
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$209.00 |
$209.00 |
$209.00 |
$385.20
|
|
Hysterosalpingography s&i
|
$591.00 |
$591.00 |
$591.00 |
$663.50
|
|
Iaadi respiratory synctial virus
|
$59.50 |
$59.50 |
$59.50 |
$54.98
|
|
Ia infect ag ab qual/semiquant sgl step
|
$71.50 |
$71.50 |
$71.50 |
$50.60
|
|
Icd cobalt xt dr MRI is1 df1
|
$45,574.50 |
$45,574.50 |
$45,574.50 |
$34,681.07
|
|
Icd crtd cobalt hf MRI is1 df1
|
$56,302.00 |
$56,302.00 |
$56,302.00 |
$41,418.00
|
|
Icd crtp serena MRI
|
$22,298.00 |
$22,298.00 |
$22,298.00 |
$14,360.25
|
