|
Granisetron 1 mg tab
|
$18.90 |
$18.90 |
$18.90 |
$53.15
|
|
Granisetron hcl injection
|
$112.29 |
$112.29 |
$112.29 |
$45.03
|
|
G-tube reposition
|
$130.56 |
$130.56 |
$130.56 |
$748.86
|
|
Guided cath fluid drainage 10030
|
$347.20 |
$347.20 |
$347.20 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$1,177.60 |
$1,177.60 |
$1,177.60 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$244.80 |
$244.80 |
$244.80 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$546.64 |
$546.64 |
$546.64 |
$6,500.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$81.78 |
$81.78 |
$81.78 |
$86.71
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$13.43 |
$13.43 |
$13.43 |
$24.41
|
|
Handpiece aquabeam hp2000
|
$5,680.00 |
$5,680.00 |
$5,680.00 |
$6,628.05
|
|
Hand X-ray
|
$140.16 |
$140.16 |
$140.16 |
$352.00
|
|
Haptoglobin quantitative
|
$40.64 |
$40.64 |
$40.64 |
$91.14
|
|
Hbot, full body chamber, 30m
|
$113.28 |
$113.28 |
$113.28 |
$526.90
|
|
Hcg qualitative
|
$24.32 |
$24.32 |
$24.32 |
$89.60
|
|
Hcg quantitative
|
$48.64 |
$48.64 |
$48.64 |
$137.70
|
|
Hc nm kidney imaging with flow
|
$217.28 |
$217.28 |
$217.28 |
$865.60
|
|
Head CT scan (with and without contrast)
|
$616.64 |
$616.64 |
$616.64 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$398.40 |
$398.40 |
$398.40 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$398.40 |
$398.40 |
$398.40 |
$1,267.56
|
|
Hematocrit
|
$7.68 |
$7.68 |
$7.68 |
$33.57
|
|
Hemin 350 mg intravenous powder for solution
|
$12,205.69 |
$12,205.69 |
$12,205.69 |
$20,618.46
|
|
Hemodialysis one evaluation
|
$634.88 |
$634.88 |
$634.88 |
$1,329.90
|
|
Hemoglobin
|
$7.68 |
$7.68 |
$7.68 |
$32.50
|
|
Hemoglobin methemoglobin quantitative
|
$22.72 |
$22.72 |
$22.72 |
$53.60
|
|
Hemophilus influenza antibdy
|
$32.64 |
$32.64 |
$32.64 |
$58.32
|
|
Hepagam b im injection
|
$221.77 |
$221.77 |
$221.77 |
$1,027.00
|
|
Heparin bolus from bag
|
$17.04 |
$17.04 |
$17.04 |
$67.74
|
|
Hepatitis a antibody igm
|
$35.20 |
$35.20 |
$35.20 |
$87.75
|
|
Hepatitis b core antibody igm
|
$38.08 |
$38.08 |
$38.08 |
$87.98
|
|
Hepatitis b core antibody total
|
$8.32 |
$8.32 |
$8.32 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$719.61 |
$719.61 |
$719.61 |
$1,154.13
|
|
Hepatitis b surface antibody
|
$34.56 |
$34.56 |
$34.56 |
$81.12
|
|
Hepatitis c antibody
|
$27.20 |
$27.20 |
$27.20 |
$107.10
|
|
Hepatobiliary system imaging
|
$213.44 |
$213.44 |
$213.44 |
$1,446.00
|
|
Herpes simplex type 1 antibody igg
|
$12.16 |
$12.16 |
$12.16 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$17.92 |
$17.92 |
$17.92 |
$87.10
|
|
Herpes simplex virus isolation
|
$42.56 |
$42.56 |
$42.56 |
$106.53
|
|
Heterophile antibodies screening
|
$16.64 |
$16.64 |
$16.64 |
$72.00
|
|
Hip X-ray
|
$144.96 |
$144.96 |
$144.96 |
$294.75
|
|
Histochemical stains add-on
|
$67.20 |
$67.20 |
$67.20 |
$152.75
|
|
HIV prep, ftc/taf 200/25mg
|
$28.19 |
$28.19 |
$28.19 |
$88.39
|
|
HIV prep, ftc/tdf 200/300mg
|
$23.58 |
$23.58 |
$23.58 |
$31.80
|
|
Hocm 250-299mg/ml iodine,1ml
|
$34.34 |
$34.34 |
$34.34 |
$41.79
|
|
Hocm 350-399mg/ml iodine,1ml
|
$156.27 |
$156.27 |
$156.27 |
$79.78
|
|
Home sleep test/type 3 porta
|
$105.92 |
$105.92 |
$105.92 |
$608.40
|
|
Homocysteine
|
$12.80 |
$12.80 |
$12.80 |
$121.92
|
|
Homogenization tissue
|
$11.52 |
$11.52 |
$11.52 |
$39.00
|
|
Homovanillic acid (hva)
|
$42.88 |
$42.88 |
$42.88 |
$59.95
|
|
Hyaluronidase 150 unit/ml injection solution
|
$103.71 |
$103.71 |
$103.71 |
$120.76
|
|
Hyaluronidase 200 units/ml inj
|
$131.77 |
$131.77 |
$131.77 |
$239.37
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$103.71 |
$103.71 |
$103.71 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$31.67 |
$31.67 |
$31.67 |
$46.01
|
|
Hydration IV infusion each additional hour
|
$23.04 |
$23.04 |
$23.04 |
$132.65
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$104.32 |
$104.32 |
$104.32 |
$385.16
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$190.67 |
$190.67 |
$190.67 |
$138.70
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$145.07 |
$145.07 |
$145.07 |
$120.72
|
|
Hydroxocobalamin im 10mcg
|
$1.16 |
$1.16 |
$1.16 |
$4.86
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$56.82 |
$56.82 |
$56.82 |
$72.65
|
|
Hydroxyzine pamoate 25 mg capsule
|
$0.18 |
$0.18 |
$0.18 |
$1.28
|
|
Hysterosalpingography s&i
|
$117.12 |
$117.12 |
$117.12 |
$651.85
|
|
Hzv zoster vacc recombinant adjuvanted im inj
|
$264.64 |
$264.64 |
$264.64 |
$352.24
|
|
I-123 sod iodide diag per 100 uci
|
$53.12 |
$53.12 |
$53.12 |
$141.90
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$272.64 |
$272.64 |
$272.64 |
$684.45
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,040.48 |
$1,040.48 |
$1,040.48 |
$980.94
|
|
Idarubicin hcl injection
|
$200.32 |
$200.32 |
$200.32 |
$447.02
|
|
Ifosfamide 1 gram intravenous solution
|
$117.28 |
$117.28 |
$117.28 |
$246.95
|
|
Igh@ var region somatic mutation analy
|
$282.24 |
$282.24 |
$282.24 |
$660.80
|
|
Ihc/icc per specimen each additional single antibody stain
|
$78.40 |
$78.40 |
$78.40 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$133.76 |
$133.76 |
$133.76 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$78.40 |
$78.40 |
$78.40 |
$272.30
|
|
Iliac/fem angio cath insert
|
$579.20 |
$579.20 |
$579.20 |
$1,856.01
|
|
Imetelstat 188 mg intravenous solution
|
$11,352.27 |
$11,352.27 |
$11,352.27 |
$20,373.55
|
|
Immobilizer shldr cntor adlt
|
$148.55 |
$148.55 |
$148.55 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$59.21 |
$59.21 |
$59.21 |
$118.43
|
|
Immobilizer shldr sling med
|
$13.94 |
$13.94 |
$13.94 |
$126.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$9,735.70 |
$9,735.70 |
$9,735.70 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$2,445.69 |
$2,445.69 |
$2,445.69 |
$2,900.11
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$3,558.20 |
$3,558.20 |
$3,558.20 |
$3,846.15
|
|
Immunoassay tumor antigen quantitative ca 125
|
$68.16 |
$68.16 |
$68.16 |
$130.39
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$68.16 |
$68.16 |
$68.16 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$115.84 |
$115.84 |
$115.84 |
$140.70
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$64.00 |
$64.00 |
$64.00 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$113.28 |
$113.28 |
$113.28 |
$234.27
|
|
Implant cartilage 10mm synthetic
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$9,248.00
|
|
Implant cochlear osia osi300
|
$7,455.10 |
$7,455.10 |
$7,455.10 |
$17,423.06
|
|
Implant ureth bulk agent
|
$1,840.00 |
$1,840.00 |
$1,840.00 |
$2,141.57
|
|
In-111 autol wbc diag per dose
|
$1,529.81 |
$1,529.81 |
$1,529.81 |
$3,567.60
|
|
In-111 pentetate dtpa / 0.5 mci
|
$1,782.10 |
$1,782.10 |
$1,782.10 |
$2,598.17
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$481.28 |
$481.28 |
$481.28 |
$2,080.80
|
|
Incobotulinumtoxin a
|
$1,114.55 |
$1,114.55 |
$1,114.55 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$743.42 |
$743.42 |
$743.42 |
$785.83
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$46.08 |
$46.08 |
$46.08 |
$139.20
|
|
Infect ag if ea plyvlnt antsrm
|
$18.56 |
$18.56 |
$18.56 |
$55.80
|
|
Infect ag if influenza a
|
$36.80 |
$36.80 |
$36.80 |
$42.12
|
|
Infect ag if influenza b
|
$36.80 |
$36.80 |
$36.80 |
$40.52
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$34.88 |
$34.88 |
$34.88 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$35.84 |
$35.84 |
$35.84 |
$76.32
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$35.84 |
$35.84 |
$35.84 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$28.16 |
$28.16 |
$28.16 |
$80.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$35.84 |
$35.84 |
$35.84 |
$60.00
|