|
Gi inhouse confirmation
|
$157.76 |
$157.76 |
$157.76 |
$87.00
|
|
Glucagon plasma - sendout
|
$87.50 |
$87.50 |
$87.50 |
$58.56
|
|
Glucose 1 hr post dose
|
$161.03 |
$161.03 |
$161.03 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$40.50 |
$40.50 |
$40.50 |
$22.00
|
|
Glucose blood quantitative
|
$240.12 |
$240.12 |
$240.12 |
$44.76
|
|
Glucose body fluid
|
$114.14 |
$114.14 |
$114.14 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$226.00 |
$226.00 |
$226.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$82.64 |
$82.64 |
$82.64 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$54.00 |
$54.00 |
$54.00 |
$56.70
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$1,683.67 |
$1,683.67 |
$1,683.67 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$393.73 |
$393.73 |
$393.73 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$455.18 |
$455.18 |
$455.18 |
$123.75
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$659.21 |
$659.21 |
$659.21 |
$336.78
|
|
Great toe with reduction 28495
|
$1,320.65 |
$1,320.65 |
$1,320.65 |
$577.03
|
|
Gu dilat ureter/urethra s&i
|
$8,795.40 |
$8,795.40 |
$8,795.40 |
$1,793.00
|
|
Guided cath fluid drainage 10030
|
$4,021.92 |
$4,021.92 |
$4,021.92 |
$1,461.15
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$69.63 |
$69.63 |
$69.63 |
$112.36
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$20.72 |
$20.72 |
$20.72 |
$35.40
|
|
Hand X-ray
|
$644.05 |
$644.05 |
$644.05 |
$338.58
|
|
Haptoglobin quantitative
|
$151.38 |
$151.38 |
$151.38 |
$89.95
|
|
Hba1/hba2 full gene sequence
|
$4,429.15 |
$4,429.15 |
$4,429.15 |
$777.60
|
|
Hba1/hba2 gene dup/del vrnts
|
$2,232.44 |
$2,232.44 |
$2,232.44 |
$406.25
|
|
Hbb full gene sequence
|
$2,396.02 |
$2,396.02 |
$2,396.02 |
$633.25
|
|
Hcg qualitative
|
$283.56 |
$283.56 |
$283.56 |
$77.50
|
|
Hcg quantitative
|
$513.09 |
$513.09 |
$513.09 |
$124.80
|
|
Head CT scan (with and without contrast)
|
$4,559.39 |
$4,559.39 |
$4,559.39 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$4,201.94 |
$4,201.94 |
$4,201.94 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$3,938.02 |
$3,938.02 |
$3,938.02 |
$1,268.90
|
|
Hematocrit
|
$114.81 |
$114.81 |
$114.81 |
$33.57
|
|
Hemodialysis one evaluation
|
$3,368.00 |
$3,368.00 |
$3,368.00 |
$1,329.90
|
|
Hemoglobin
|
$81.99 |
$81.99 |
$81.99 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$321.44 |
$321.44 |
$321.44 |
$49.40
|
|
Hemoglobin plasma
|
$166.48 |
$166.48 |
$166.48 |
$40.56
|
|
Hemoglobin urine
|
$65.59 |
$65.59 |
$65.59 |
$23.31
|
|
Heparin assay
|
$374.32 |
$374.32 |
$374.32 |
$130.20
|
|
Heparin bolus from bag
|
$117.17 |
$117.17 |
$117.17 |
$79.04
|
|
Heparin neutralization
|
$174.14 |
$174.14 |
$174.14 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$26.68 |
$26.68 |
$26.68 |
$32.27
|
|
Hepatitis a antibody igm
|
$210.98 |
$210.98 |
$210.98 |
$85.15
|
|
Hepatitis b core antibody igm
|
$205.65 |
$205.65 |
$205.65 |
$87.98
|
|
Hepatitis b core antibody total
|
$145.00 |
$145.00 |
$145.00 |
$83.29
|
|
Hepatitis b surface antibody
|
$106.43 |
$106.43 |
$106.43 |
$83.79
|
|
Hepatitis c antibody
|
$502.74 |
$502.74 |
$502.74 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,884.09 |
$2,884.09 |
$2,884.09 |
$1,521.10
|
|
Hernia Repair (Inguinal)
|
$22,862.64 |
$22,862.64 |
$22,862.64 |
$5,870.15
|
|
Herpes simplex 1 ag if
|
$610.67 |
$610.67 |
$610.67 |
$40.28
|
|
Herpes simplex 2 ag if
|
$1.39 |
$1.39 |
$1.39 |
$40.77
|
|
Herpes simplex type 1 antibody igg
|
$106.43 |
$106.43 |
$106.43 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$155.11 |
$155.11 |
$155.11 |
$87.10
|
|
Herpes simplex virus isolation
|
$95.22 |
$95.22 |
$95.22 |
$93.32
|
|
Heterophile antibodies screening
|
$225.45 |
$225.45 |
$225.45 |
$73.60
|
|
Hhv-6 dna quant
|
$380.22 |
$380.22 |
$380.22 |
$200.25
|
|
Hip X-ray
|
$467.71 |
$467.71 |
$467.71 |
$292.05
|
|
Histamine
|
$174.63 |
$174.63 |
$174.63 |
$125.40
|
|
Histochemical stains add-on
|
$419.67 |
$419.67 |
$419.67 |
$169.65
|
|
Hla ii typing 1 loc hr
|
$959.72 |
$959.72 |
$959.72 |
$323.40
|
|
Hla i low res one antigen equiv ea
|
$799.56 |
$799.56 |
$799.56 |
$164.00
|
|
Hla typing a b or c
|
$1,152.93 |
$1,152.93 |
$1,152.93 |
$309.40
|
|
Hlth bhv assmt/reassessment
|
$954.43 |
$954.43 |
$954.43 |
$180.70
|
|
Hocm 350-399mg/ml iodine,1ml
|
$67.60 |
$67.60 |
$67.60 |
$68.86
|
|
Homocysteine
|
$278.88 |
$278.88 |
$278.88 |
$113.10
|
|
Homogenization tissue
|
$69.49 |
$69.49 |
$69.49 |
$39.00
|
|
Homovanillic acid (hva)
|
$280.31 |
$280.31 |
$280.31 |
$56.00
|
|
Hpv types 16 & 18 only
|
$201.54 |
$201.54 |
$201.54 |
$93.60
|
|
H pylori (c-13) breath
|
$503.79 |
$503.79 |
$503.79 |
$219.05
|
|
H pylori drug admin
|
$40.87 |
$40.87 |
$40.87 |
$31.99
|
|
Htt gene detc abnor alleles
|
$568.36 |
$568.36 |
$568.36 |
$252.45
|
|
Human epididymis protein 4 (he4)
|
$272.05 |
$272.05 |
$272.05 |
$131.84
|
|
Hyaluronidase 150 unit/ml injection solution
|
$116.13 |
$116.13 |
$116.13 |
$152.81
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$40.05 |
$40.05 |
$40.05 |
$198.97
|
|
Hydralazine 20 mg/ml injection solution
|
$68.69 |
$68.69 |
$68.69 |
$57.02
|
|
Hydration IV infusion each additional hour
|
$272.20 |
$272.20 |
$272.20 |
$134.53
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$821.51 |
$821.51 |
$821.51 |
$394.40
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$343.25 |
$343.25 |
$343.25 |
$112.22
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$146.08 |
$146.08 |
$146.08 |
$86.47
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$170.87 |
$170.87 |
$170.87 |
$76.13
|
|
Hyoscyamine sulfate inj
|
$521.01 |
$521.01 |
$521.01 |
$215.75
|
|
Hysterosalpingography s&i
|
$1,774.99 |
$1,774.99 |
$1,774.99 |
$629.46
|
|
Hysteroscopy biopsy
|
$19,293.44 |
$19,293.44 |
$19,293.44 |
$4,753.18
|
|
Iadna legionella pneumophila amplified probe tq
|
$222.47 |
$222.47 |
$222.47 |
$125.25
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$594.71 |
$594.71 |
$594.71 |
$839.85
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$570.52 |
$570.52 |
$570.52 |
$891.89
|
|
I&d upper arm/elbow deep abscess/hematoma
|
$14,586.47 |
$14,586.47 |
$14,586.47 |
$3,386.84
|
|
Ihc/icc per specimen each additional single antibody stain
|
$459.06 |
$459.06 |
$459.06 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$437.05 |
$437.05 |
$437.05 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$883.70 |
$883.70 |
$883.70 |
$266.76
|
|
Iliac/fem angio cath insert
|
$7,954.21 |
$7,954.21 |
$7,954.21 |
$1,601.66
|
|
Iliac revasc add-on 37222
|
$22,413.45 |
$22,413.45 |
$22,413.45 |
$6,513.10
|
|
Immune complex assay
|
$200.70 |
$200.70 |
$200.70 |
$88.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$4,379.68 |
$4,379.68 |
$4,379.68 |
$5,617.36
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$11,197.83 |
$11,197.83 |
$11,197.83 |
$5,495.02
|
|
Immunoassay tumor antigen quantitative ca 125
|
$330.88 |
$330.88 |
$330.88 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$295.43 |
$295.43 |
$295.43 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$120.49 |
$120.49 |
$120.49 |
$53.95
|
|
Immunodiffusion nes
|
$125.76 |
$125.76 |
$125.76 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$295.46 |
$295.46 |
$295.46 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$113.98 |
$113.98 |
$113.98 |
$156.00
|
|
Immunoglobulin assay
|
$151.51 |
$151.51 |
$151.51 |
$74.00
|
|
Immunology procedure
|
$150.70 |
$150.70 |
$150.70 |
$281.45
|
|
Implant neuroelectrodes
|
$24,468.89 |
$24,468.89 |
$24,468.89 |
$7,266.73
|
