|
Glucose-6-phosphate dhydrogenase screen
|
$7.05 |
$7.05 |
$7.05 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$4.05 |
$4.05 |
$4.05 |
$22.75
|
|
Glucose blood quantitative
|
$6.90 |
$6.90 |
$6.90 |
$41.40
|
|
Glucose body fluid
|
$6.90 |
$6.90 |
$6.90 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$33.90 |
$33.90 |
$33.90 |
$126.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$17.70 |
$17.70 |
$17.70 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$6.90 |
$6.90 |
$6.90 |
$36.00
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,662.54 |
$2,662.54 |
$2,662.54 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$32.55 |
$32.55 |
$32.55 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$32.40 |
$32.40 |
$32.40 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,437.48 |
$2,437.48 |
$2,437.48 |
$4,496.37
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$48.15 |
$48.15 |
$48.15 |
$143.50
|
|
Graft axiofill 1000mg
|
$94.66 |
$94.66 |
$94.66 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$6,208.60 |
$6,208.60 |
$6,208.60 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$26,222.04 |
$26,222.04 |
$26,222.04 |
$23,288.44
|
|
Graft patch felt ptfe 2x2
|
$138.90 |
$138.90 |
$138.90 |
$29,995.44
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$316.20 |
$316.20 |
$316.20 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,520.10 |
$1,520.10 |
$1,520.10 |
$1,132.47
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$18,695.80 |
$18,695.80 |
$18,695.80 |
$29,056.92
|
|
Granulocyte pheresis ea unit
|
$108.15 |
$108.15 |
$108.15 |
$2,698.02
|
|
Great toe with reduction 28495
|
$79.80 |
$79.80 |
$79.80 |
$495.00
|
|
Growth stimulation gene 2
|
$38.40 |
$38.40 |
$38.40 |
$180.50
|
|
G-tube reposition
|
$202.20 |
$202.20 |
$202.20 |
$745.80
|
|
Gu dilat ureter/urethra s&i
|
$796.20 |
$796.20 |
$796.20 |
$1,980.66
|
|
Guided cath fluid drainage 10030
|
$517.35 |
$517.35 |
$517.35 |
$1,327.76
|
|
Guide wire threaded 1.4x150mm
|
$15,323.15 |
$15,323.15 |
$15,323.15 |
$3,401.81
|
|
Guide worley csg 9fx50cm std
|
$122.88 |
$122.88 |
$214.65 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$92.55 |
$92.55 |
$92.55 |
$535.60
|
|
Gw stiffened micro access kit
|
$3,322.87 |
$3,322.87 |
$3,322.87 |
$6,600.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$68.67 |
$68.67 |
$104.15 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$14.65 |
$14.65 |
$14.65 |
$24.41
|
|
Hand X-ray
|
$80.10 |
$80.10 |
$80.10 |
$345.87
|
|
Haptoglobin quantitative
|
$22.05 |
$22.05 |
$22.05 |
$91.80
|
|
Hba1/hba2 full gene sequence
|
$769.95 |
$769.95 |
$769.95 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$110.40 |
$110.40 |
$110.40 |
$403.25
|
|
Hba1/hba2 gene fam vrnt
|
$481.65 |
$481.65 |
$481.65 |
$633.10
|
|
Hbb full gene sequence
|
$281.10 |
$281.10 |
$281.10 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$122.55 |
$122.55 |
$122.55 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$263.10 |
$263.10 |
$263.10 |
$721.00
|
|
Hcg free betachain test
|
$26.25 |
$26.25 |
$26.25 |
$68.90
|
|
Hcg qualitative
|
$13.20 |
$13.20 |
$13.20 |
$88.00
|
|
Hcg quantitative
|
$26.25 |
$26.25 |
$26.25 |
$137.15
|
|
Hc i-131 sodium iodide cap dx per mci
|
$35.70 |
$35.70 |
$35.70 |
$117.00
|
|
Hc nm fusion spect CT unlisted
|
$418.80 |
$418.80 |
$418.80 |
$463.68
|
|
Hc nm kidney imaging with flow
|
$418.80 |
$418.80 |
$418.80 |
$849.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$288.75 |
$288.75 |
$288.75 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$317.70 |
$317.70 |
$317.70 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$349.50 |
$349.50 |
$349.50 |
$3,694.80
|
|
Hdr rdncl skn surf brachytx
|
$106.20 |
$106.20 |
$106.20 |
$877.50
|
|
Hdr rdncl skn surf brachytx
|
$116.70 |
$116.70 |
$116.70 |
$992.50
|
|
Head CT scan (with and without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,268.90
|
|
Hearing loss dup/del analys
|
$872.10 |
$872.10 |
$872.10 |
$872.10
|
|
Hearing loss sequence analys
|
$2,085.45 |
$2,085.45 |
$2,085.45 |
$2,687.40
|
|
Heart infarct image
|
$418.80 |
$418.80 |
$418.80 |
$942.29
|
|
Heavy metal qual any number
|
$32.85 |
$32.85 |
$32.85 |
$68.88
|
|
Helicobacter pylori antibody igm
|
$25.50 |
$25.50 |
$25.50 |
$92.23
|
|
Hematocrit
|
$4.05 |
$4.05 |
$4.05 |
$33.57
|
|
Hematopoietic nuclear tx
|
$418.80 |
$418.80 |
$418.80 |
$928.98
|
|
Hemodialysis one evaluation
|
$301.05 |
$301.05 |
$301.05 |
$1,338.00
|
|
Hemoglobin
|
$4.05 |
$4.05 |
$4.05 |
$32.76
|
|
Hemoglobin fetal qualitative
|
$10.35 |
$10.35 |
$10.35 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$12.30 |
$12.30 |
$12.30 |
$52.32
|
|
Hemoglobin-oxygen affinity
|
$17.55 |
$17.55 |
$17.55 |
$89.13
|
|
Hemoglobin plasma
|
$12.75 |
$12.75 |
$12.75 |
$41.25
|
|
Hemolysin acid
|
$15.00 |
$15.00 |
$15.00 |
$79.04
|
|
Hemolysins and agglutinins incubated
|
$20.55 |
$20.55 |
$20.55 |
$59.80
|
|
Hemophilus influenza antibdy
|
$26.85 |
$26.85 |
$26.85 |
$62.70
|
|
Heparin assay
|
$22.95 |
$22.95 |
$22.95 |
$138.84
|
|
Heparin bolus from bag
|
$22.01 |
$22.01 |
$36.68 |
$68.00
|
|
Heparin neutralization
|
$20.70 |
$20.70 |
$20.70 |
$36.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$3.94 |
$3.94 |
$3.94 |
$12.91
|
|
Hepatitis a antibody igm
|
$19.65 |
$19.65 |
$19.65 |
$88.92
|
|
Hepatitis b core antibody igm
|
$20.70 |
$20.70 |
$20.70 |
$88.80
|
|
Hepatitis b core antibody total
|
$21.15 |
$21.15 |
$21.15 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,023.30 |
$1,023.30 |
$1,023.30 |
$1,174.30
|
|
Hepatitis b surface ag quan
|
$61.50 |
$61.50 |
$61.50 |
$54.88
|
|
Hepatitis b surface antibody
|
$18.90 |
$18.90 |
$18.90 |
$81.12
|
|
Hepatitis c antibody
|
$25.05 |
$25.05 |
$25.05 |
$108.00
|
|
Hepatitis c rna dir probe
|
$16.35 |
$16.35 |
$16.35 |
$63.20
|
|
Hepatitis d quantification
|
$75.15 |
$75.15 |
$75.15 |
$91.28
|
|
Hepatobiliary system imaging
|
$452.25 |
$452.25 |
$452.25 |
$1,438.99
|
|
Hereditary colon ca dsordrs
|
$1,022.55 |
$1,022.55 |
$1,022.55 |
$1,901.23
|
|
Herpes simplex 1 ag if
|
$20.10 |
$20.10 |
$20.10 |
$38.58
|
|
Herpes simplex 2 ag if
|
$20.10 |
$20.10 |
$20.10 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$23.10 |
$23.10 |
$23.10 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$17.55 |
$17.55 |
$17.55 |
$87.10
|
|
Herpes simplex virus isolation
|
$30.75 |
$30.75 |
$30.75 |
$106.21
|
|
Heterophile antibodies screening
|
$9.15 |
$9.15 |
$9.15 |
$72.00
|
|
Heterophile antibodies titer
|
$11.40 |
$11.40 |
$11.40 |
$29.25
|
|
Hexa gene
|
$227.10 |
$227.10 |
$227.10 |
$150.82
|
|
Hfo nontorsion jnts pre cst
|
$17.70 |
$17.70 |
$17.70 |
$110.88
|
|
Hhv-6 dna quant
|
$44.85 |
$44.85 |
$44.85 |
$250.80
|
|
Hinge extension/flex wrist/f
|
$329.55 |
$329.55 |
$329.55 |
$1,653.00
|
|
Hinge ext/flex wrist finger
|
$762.00 |
$762.00 |
$762.00 |
$3,276.85
|
|
Hip X-ray
|
$69.30 |
$69.30 |
$69.30 |
$296.05
|
|
Histamine
|
$51.75 |
$51.75 |
$51.75 |
$114.84
|
|
Histochemical stains add-on
|
$63.30 |
$63.30 |
$63.30 |
$152.75
|
|
Hiv-1 ag ia
|
$30.90 |
$30.90 |
$30.90 |
$108.80
|
