|
Glucagon hcl 1 mg/ml solution for injection
|
$1,175.75 |
$1,175.75 |
$1,175.75 |
$491.67
|
|
Glucagon plasma - sendout
|
$1,202.32 |
$1,202.32 |
$1,202.32 |
$63.00
|
|
Glucose 1 hr post dose
|
$511.94 |
$511.94 |
$511.94 |
$47.20
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$1,239.02 |
$1,239.02 |
$1,239.02 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$847.13 |
$847.13 |
$847.13 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$31,123.17 |
$31,123.17 |
$31,123.17 |
$4,652.18
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$4,814.00 |
$4,814.00 |
$4,814.00 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$373.00
|
|
Group mnt 2 or more 30 mins
|
$1,208.29 |
$1,208.29 |
$1,208.29 |
$43.12
|
|
Gu dilat ureter/urethra s&i
|
$6,038.09 |
$6,038.09 |
$6,038.09 |
$1,923.60
|
|
Halo cervical into jckt vest
|
$13,586.00 |
$13,586.00 |
$13,586.00 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$1,200.11 |
$1,200.11 |
$1,200.11 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$349.00 |
$349.00 |
$349.00 |
$23.06
|
|
Haptoglobin quantitative
|
$456.91 |
$456.91 |
$456.91 |
$91.14
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$3,690.63 |
$3,690.63 |
$3,690.63 |
$759.72
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$2,316.56 |
$2,316.56 |
$2,316.56 |
$1,160.64
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$9,622.46 |
$9,622.46 |
$9,622.46 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$3.99 |
$3.99 |
$3.99 |
$3,931.12
|
|
Heart infarct image
|
$5,850.99 |
$5,850.99 |
$5,850.99 |
$940.55
|
|
Heart infarct image (ef)
|
$2,098.90 |
$2,098.90 |
$2,098.90 |
$746.61
|
|
Heavy metal qual any number
|
$3,683.66 |
$3,683.66 |
$3,683.66 |
$68.88
|
|
Hematopoietic nuclear tx
|
$2,665.36 |
$2,665.36 |
$2,665.36 |
$928.98
|
|
Hemodialysis repeated eval
|
$6,004.19 |
$6,004.19 |
$6,004.19 |
$1,209.60
|
|
Hemoglobin f (fetal) chemical
|
$2,683.12 |
$2,683.12 |
$2,683.12 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$742.07 |
$742.07 |
$742.07 |
$53.60
|
|
Hemoglobin plasma
|
$722.06 |
$722.06 |
$722.06 |
$41.25
|
|
Hemolysin acid
|
$968.86 |
$968.86 |
$968.86 |
$79.04
|
|
Hemolysins/agglutinins auto
|
$603.66 |
$603.66 |
$603.66 |
$57.14
|
|
Hemophilus influenza antibdy
|
$887.15 |
$887.15 |
$887.15 |
$62.70
|
|
Hepagam b im injection
|
$1,910.16 |
$1,910.16 |
$1,910.16 |
$1,008.44
|
|
Hepatitis a antibody igm
|
$650.34 |
$650.34 |
$650.34 |
$87.75
|
|
Hepatitis b core antibody igm
|
$820.45 |
$820.45 |
$820.45 |
$87.98
|
|
Hepatitis b core antibody total
|
$738.75 |
$738.75 |
$738.75 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$2,744.27 |
$2,744.27 |
$2,744.27 |
$1,116.61
|
|
Hepatobiliary system imaging
|
$8,944.19 |
$8,944.19 |
$8,944.19 |
$1,438.58
|
|
Herpes simplex virus isolation
|
$370.19 |
$370.19 |
$370.19 |
$104.10
|
|
Heterophile antibodies titer
|
$730.41 |
$730.41 |
$730.41 |
$28.80
|
|
Hip adj flex ext abduct cont
|
$4,553.00 |
$4,553.00 |
$4,553.00 |
$837.61
|
|
Hiv-1 ag ia
|
$1,856.00 |
$1,856.00 |
$1,856.00 |
$108.80
|
|
Hlth bhv assmt/reassessment
|
$202.81 |
$202.81 |
$202.81 |
$181.00
|
|
Hlth bhv ivntj fam 1st 30
|
$236.82 |
$236.82 |
$236.82 |
$147.16
|
|
Hlth bhv ivntj fam without pt ea
|
$100.77 |
$100.77 |
$100.77 |
$87.00
|
|
Hlth bhv ivntj fam wo pt 1st
|
$201.55 |
$201.55 |
$201.55 |
$183.68
|
|
Hlth bhv ivntj grp 1st 30
|
$204.08 |
$204.08 |
$204.08 |
$79.56
|
|
Hlth bhv ivntj indiv 1st 30
|
$239.35 |
$239.35 |
$239.35 |
$200.00
|
|
Ho abduction static plastic
|
$715.00 |
$715.00 |
$715.00 |
$427.59
|
|
Homocysteine
|
$1,554.18 |
$1,554.18 |
$1,554.18 |
$121.92
|
|
Homogenization tissue
|
$48.36 |
$48.36 |
$48.36 |
$39.20
|
|
Ho post-op hip abduction
|
$4,499.00 |
$4,499.00 |
$4,499.00 |
$1,690.58
|
|
Hpa-1 genotyping
|
$2,047.79 |
$2,047.79 |
$2,047.79 |
$168.00
|
|
Human epididymis protein 4 (he4)
|
$1,269.04 |
$1,269.04 |
$1,269.04 |
$157.32
|
|
Hyaluronidase 150 unit/ml injection solution
|
$647.69 |
$647.69 |
$647.69 |
$116.13
|
|
Hydralazine 20 mg/ml injection solution
|
$374.81 |
$374.81 |
$374.81 |
$46.74
|
|
Hydroxyurea 500 mg
|
$27.75 |
$27.75 |
$27.75 |
$14.00
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$1,107.27 |
$1,107.27 |
$1,107.27 |
$76.13
|
|
I-123 iobenguane diag
|
$32,075.38 |
$32,075.38 |
$32,075.38 |
$5,256.50
|
|
I-123 ioflupane diag
|
$12,505.31 |
$12,505.31 |
$12,505.31 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$1,246.23 |
$1,246.23 |
$1,246.23 |
$139.20
|
|
I131 iodide cap, rx
|
$240.01 |
$240.01 |
$240.01 |
$78.75
|
|
I-131 sod iodide sol diag per mci
|
$867.58 |
$867.58 |
$867.58 |
$36.40
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$6,089.64 |
$6,089.64 |
$6,089.64 |
$980.94
|
|
Ifosfamide 1 gram intravenous solution
|
$10,413.53 |
$10,413.53 |
$10,413.53 |
$243.78
|
|
Ihc/icc per specimen each additional single antibody stain
|
$2,214.54 |
$2,214.54 |
$2,214.54 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,666.78 |
$1,666.78 |
$1,666.78 |
$328.79
|
|
Imatinib 100 mg tab
|
$1,128.55 |
$1,128.55 |
$1,128.55 |
$248.00
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$9,504.86 |
$9,504.86 |
$9,504.86 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$1,399.08 |
$1,399.08 |
$1,399.08 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$782.09 |
$782.09 |
$782.09 |
$116.40
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$3,852.09 |
$3,852.09 |
$3,852.09 |
$156.00
|
|
Immunology procedure
|
$985.55 |
$985.55 |
$985.55 |
$118.25
|
|
In-111 oxyquinolin per 0.5 mci
|
$12,490.57 |
$12,490.57 |
$12,490.57 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$10,816.52 |
$10,816.52 |
$10,816.52 |
$2,550.60
|
|
In-111 pentetreotide
|
$17,666.28 |
$17,666.28 |
$17,666.28 |
$4,944.55
|
|
In-111 satumomab pend
|
$23,711.06 |
$23,711.06 |
$23,711.06 |
$3,113.04
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$11,816.33 |
$11,816.33 |
$11,816.33 |
$2,080.80
|
|
Infect ag eia influenza a or b ea
|
$475.24 |
$475.24 |
$475.24 |
$69.03
|
|
Infect ag if ea plyvlnt antsrm
|
$305.16 |
$305.16 |
$305.16 |
$65.10
|
|
Infect ag if hep delta agent
|
$1,594.20 |
$1,594.20 |
$1,594.20 |
$125.97
|
|
Infect ag if legionella pneumophila
|
$500.27 |
$500.27 |
$500.27 |
$73.46
|
|
Infect ag if pneumocystis carinii
|
$395.20 |
$395.20 |
$395.20 |
$67.46
|
|
Infect ag if varicella zoster
|
$642.02 |
$642.02 |
$642.02 |
$72.00
|
|
Infect ag na chlamydia trachomatis qnt
|
$1,162.29 |
$1,162.29 |
$1,162.29 |
$107.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,068.93 |
$1,068.93 |
$1,068.93 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$119.71 |
$119.71 |
$119.71 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,667.12 |
$1,667.12 |
$1,667.12 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$4,477.43 |
$4,477.43 |
$4,477.43 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$3,893.78 |
$3,893.78 |
$3,893.78 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$928.83 |
$928.83 |
$928.83 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$988.88 |
$988.88 |
$988.88 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$2,114.48 |
$2,114.48 |
$2,114.48 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$47.92 |
$47.92 |
$47.92 |
$55.31
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$605.33 |
$605.33 |
$605.33 |
$167.05
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$1,852.68 |
$1,852.68 |
$1,852.68 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$885.48 |
$885.48 |
$885.48 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$1,949.38 |
$1,949.38 |
$1,949.38 |
$201.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$57.52 |
$57.52 |
$57.52 |
$100.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$992.19 |
$992.19 |
$992.19 |
$94.53
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,580.87 |
$1,580.87 |
$1,580.87 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,585.87 |
$1,585.87 |
$1,585.87 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$3,500.24 |
$3,500.24 |
$3,500.24 |
$374.50
|
