|
Ghs histoplasma antigen
|
$85.50 |
$85.50 |
$85.50 |
$141.00
|
|
Ghs HIV antibody
|
$172.00 |
$172.00 |
$172.00 |
$90.00
|
|
Ghs inhibitor screen
|
$146.50 |
$146.50 |
$146.50 |
$191.88
|
|
Ghs IV inf sq injection, on-body injector
|
$168.50 |
$168.50 |
$168.50 |
$108.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$45.00 |
$45.00 |
$45.00 |
$73.50
|
|
Ghs mbp
|
$14.50 |
$14.50 |
$14.50 |
$75.50
|
|
Ghs o2 saturation
|
$224.50 |
$224.50 |
$224.50 |
$69.50
|
|
Ghs ot dds rom
|
$73.50 |
$73.50 |
$73.50 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$112.00 |
$112.00 |
$112.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$112.00 |
$112.00 |
$112.00 |
$96.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$16.00 |
$16.00 |
$16.00 |
$75.00
|
|
Ghs ppd (tb intradermal)
|
$21.00 |
$21.00 |
$21.00 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$10.00 |
$10.00 |
$10.00 |
$43.55
|
|
Ghs protein, misc fluid
|
$7.00 |
$7.00 |
$7.00 |
$24.60
|
|
Ghs pr without cont pulse ox
|
$64.50 |
$64.50 |
$64.50 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$8.00 |
$8.00 |
$8.00 |
$47.55
|
|
Ghs sedimentation rate
|
$72.00 |
$72.00 |
$72.00 |
$45.50
|
|
Ghs semen analysis fert
|
$10.00 |
$10.00 |
$10.00 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$28.00 |
$28.00 |
$28.00 |
$56.40
|
|
Ghs somatosensory testing lower extremit
|
$1,439.50 |
$1,439.50 |
$1,439.50 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$323.00 |
$323.00 |
$323.00 |
$161.76
|
|
Ghs sp train/fitting sp device - kx
|
$324.00 |
$324.00 |
$324.00 |
$249.60
|
|
Ghs st - eval for alt comm
|
$33.00 |
$33.00 |
$33.00 |
$94.60
|
|
Ghs st - re-eval for alt comm
|
$433.00 |
$433.00 |
$433.00 |
$309.00
|
|
Ghs urine, porphyrins quant
|
$22.00 |
$22.00 |
$22.00 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$553.50 |
$553.50 |
$553.50 |
$1,932.00
|
|
Giardia ag if
|
$35.50 |
$35.50 |
$35.50 |
$38.58
|
|
Giardia lamblia antibody
|
$32.50 |
$32.50 |
$32.50 |
$83.44
|
|
Gi inhouse confirmation
|
$204.00 |
$204.00 |
$204.00 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,989.00 |
$2,989.00 |
$2,989.00 |
$2,195.76
|
|
Gjb2 gene full sequence
|
$755.00 |
$755.00 |
$755.00 |
$502.80
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$470.00 |
$470.00 |
$470.00 |
$491.67
|
|
Glucagon plasma - sendout
|
$48.50 |
$48.50 |
$48.50 |
$63.20
|
|
Glucose 1 hr post dose
|
$150.50 |
$150.50 |
$150.50 |
$48.25
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$21.00 |
$21.00 |
$21.00 |
$22.75
|
|
Glucose blood quantitative
|
$106.00 |
$106.00 |
$106.00 |
$41.40
|
|
Glucose body fluid
|
$117.00 |
$117.00 |
$117.00 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$380.00 |
$380.00 |
$380.00 |
$104.50
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$6.50 |
$6.50 |
$6.50 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$41.50 |
$41.50 |
$41.50 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$22.92 |
$22.92 |
$22.92 |
$143.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$187.50 |
$187.50 |
$187.50 |
$601.50
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$25.21 |
$25.21 |
$25.21 |
$23,288.44
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$143.57 |
$143.57 |
$143.57 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$98.44 |
$98.44 |
$98.44 |
$892.38
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$167.06 |
$167.06 |
$167.06 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$242.70 |
$242.70 |
$242.70 |
$427.89
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$21.56 |
$21.56 |
$21.56 |
$29,056.92
|
|
Growth hormone antibody
|
$103.50 |
$103.50 |
$103.50 |
$73.10
|
|
Growth stimulation gene 2
|
$180.50 |
$180.50 |
$180.50 |
$180.50
|
|
Gu dilat ureter/urethra s&i
|
$730.00 |
$730.00 |
$730.00 |
$1,980.66
|
|
Hand X-ray
|
$283.50 |
$283.50 |
$283.50 |
$345.87
|
|
Haptoglobin quantitative
|
$192.00 |
$192.00 |
$192.00 |
$91.80
|
|
Hba1/hba2 full gene sequence
|
$450.00 |
$450.00 |
$450.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$337.50 |
$337.50 |
$337.50 |
$403.25
|
|
Hbb full gene sequence
|
$675.00 |
$675.00 |
$675.00 |
$633.25
|
|
Hbb gene com variants
|
$161.00 |
$161.00 |
$161.00 |
$345.95
|
|
Hbb gene dup/del variants
|
$401.50 |
$401.50 |
$401.50 |
$404.80
|
|
Hbot, full body chamber, 30m
|
$626.50 |
$626.50 |
$626.50 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$584.00 |
$584.00 |
$584.00 |
$721.00
|
|
Hcg qualitative
|
$264.50 |
$264.50 |
$264.50 |
$88.00
|
|
Hcg quantitative
|
$289.00 |
$289.00 |
$289.00 |
$137.15
|
|
Hc nm kidney imaging with flow
|
$657.50 |
$657.50 |
$657.50 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$930.50 |
$930.50 |
$930.50 |
$1,327.95
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,759.00 |
$2,759.00 |
$2,759.00 |
$2,668.85
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,759.00 |
$2,759.00 |
$2,759.00 |
$2,960.63
|
|
Hdr rdncl ntrstl/icav brchtx
|
$2,754.00 |
$2,754.00 |
$2,754.00 |
$3,694.80
|
|
Hdr rdncl skn surf brachytx
|
$2,754.00 |
$2,754.00 |
$2,754.00 |
$877.50
|
|
Hdr rdncl skn surf brachytx
|
$2,754.00 |
$2,754.00 |
$2,754.00 |
$992.50
|
|
Head CT scan (with and without contrast)
|
$2,325.50 |
$2,325.50 |
$2,325.50 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$2,057.50 |
$2,057.50 |
$2,057.50 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$1,789.00 |
$1,789.00 |
$1,789.00 |
$1,268.90
|
|
Heart infarct image
|
$980.00 |
$980.00 |
$980.00 |
$942.29
|
|
Heinz bodies direct
|
$134.50 |
$134.50 |
$134.50 |
$43.15
|
|
Helicobacter pylori antibody igm
|
$76.00 |
$76.00 |
$76.00 |
$92.23
|
|
Hematocrit
|
$47.00 |
$47.00 |
$47.00 |
$33.57
|
|
Hematopoietic nuclear tx
|
$1,565.00 |
$1,565.00 |
$1,565.00 |
$928.98
|
|
Hemodialysis one evaluation
|
$3,026.50 |
$3,026.50 |
$3,026.50 |
$1,338.00
|
|
Hemoglobin
|
$47.00 |
$47.00 |
$47.00 |
$32.76
|
|
Hemoglobin plasma
|
$11.50 |
$11.50 |
$11.50 |
$41.25
|
|
Hemolysin acid
|
$34.00 |
$34.00 |
$34.00 |
$79.04
|
|
Hemolysins/agglutinins auto
|
$47.50 |
$47.50 |
$47.50 |
$57.28
|
|
Hemolysins and agglutinins incubated
|
$206.50 |
$206.50 |
$206.50 |
$59.80
|
|
Heparin assay
|
$332.00 |
$332.00 |
$332.00 |
$138.84
|
|
Heparin neutralization
|
$26.50 |
$26.50 |
$26.50 |
$36.00
|
|
Hepatitis a antibody igm
|
$173.50 |
$173.50 |
$173.50 |
$88.92
|
|
Hepatitis b core antibody igm
|
$263.00 |
$263.00 |
$263.00 |
$88.80
|
|
Hepatitis b core antibody total
|
$263.00 |
$263.00 |
$263.00 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$169.50 |
$169.50 |
$169.50 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$173.50 |
$173.50 |
$173.50 |
$81.12
|
|
Hepatitis d quantification
|
$169.00 |
$169.00 |
$169.00 |
$91.28
|
|
Hepatobiliary system imaging
|
$1,162.50 |
$1,162.50 |
$1,162.50 |
$1,438.99
|
|
Herpes simplex type 1 antibody igg
|
$15.50 |
$15.50 |
$15.50 |
$66.30
|
|
Herpes simplex type 2 antibody igg
|
$15.50 |
$15.50 |
$15.50 |
$87.10
|
|
Herpes simplex virus isolation
|
$21.50 |
$21.50 |
$21.50 |
$106.21
|
|
Heterophile antibodies screening
|
$84.00 |
$84.00 |
$84.00 |
$72.00
|
|
Hexa gene
|
$47.50 |
$47.50 |
$47.50 |
$150.82
|
|
Hhv-6 dna quant
|
$148.50 |
$148.50 |
$148.50 |
$250.80
|
|
Hip X-ray
|
$418.00 |
$418.00 |
$418.00 |
$296.05
|
