|
Ghs fat & muscle
|
$346.85 |
$346.85 |
$346.85 |
$38.08
|
|
Ghs fish cytogen
|
$550.78 |
$550.78 |
$550.78 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$1,100.08 |
$1,100.08 |
$1,100.08 |
$223.00
|
|
Ghs hcv amplificaiton
|
$1,665.78 |
$1,665.78 |
$1,665.78 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$1,635.98 |
$1,635.98 |
$1,635.98 |
$142.50
|
|
Ghs histoplasma antigen
|
$821.72 |
$821.72 |
$821.72 |
$141.00
|
|
Ghs HIV antibody
|
$296.24 |
$296.24 |
$296.24 |
$90.14
|
|
Ghs immun0electrophoresis
|
$351.32 |
$351.32 |
$351.32 |
$110.00
|
|
Ghs inhibitor screen
|
$397.46 |
$397.46 |
$397.46 |
$187.32
|
|
Ghs leukocyte alkaline phos (mayo)
|
$446.59 |
$446.59 |
$446.59 |
$76.20
|
|
Ghs mbp
|
$2,030.47 |
$2,030.47 |
$2,030.47 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$141.93 |
$141.93 |
$141.93 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$158.73 |
$158.73 |
$158.73 |
$151.50
|
|
Ghs myocardial strain img spckl track
|
$960.36 |
$960.36 |
$960.36 |
$457.80
|
|
Ghs pacing - transcutaneous
|
$1,938.24 |
$1,938.24 |
$1,938.24 |
$815.20
|
|
Ghs phenylketonurid
|
$446.59 |
$446.59 |
$446.59 |
$53.76
|
|
Ghs prostatic acid phosphatase (mayo)
|
$285.83 |
$285.83 |
$285.83 |
$43.55
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$175.67 |
$175.67 |
$175.67 |
$50.05
|
|
Ghs quinidine
|
$498.68 |
$498.68 |
$498.68 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$1,168.57 |
$1,168.57 |
$1,168.57 |
$71.20
|
|
Ghs reticulocyte count
|
$245.64 |
$245.64 |
$245.64 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$1,671.71 |
$1,671.71 |
$1,671.71 |
$96.60
|
|
Ghs semen analysis fert
|
$716.01 |
$716.01 |
$716.01 |
$129.00
|
|
Ghs somatosensory testing lower extremit
|
$2,652.11 |
$2,652.11 |
$2,652.11 |
$922.35
|
|
Ghs st - re-eval for alt comm
|
$673.19 |
$673.19 |
$673.19 |
$309.00
|
|
Ghs trypsin (fecal)
|
$638.63 |
$638.63 |
$638.63 |
$50.93
|
|
Ghs urine, hydroxproline total
|
$3,076.95 |
$3,076.95 |
$3,076.95 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$872.33 |
$872.33 |
$872.33 |
$75.00
|
|
Ghs veeg 12-26 hr intmt mont
|
$2,898.11 |
$2,898.11 |
$2,898.11 |
$1,910.25
|
|
Gi inhouse confirmation
|
$1,155.16 |
$1,155.16 |
$1,155.16 |
$83.70
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,673.42 |
$3,673.42 |
$3,673.42 |
$2,098.85
|
|
Glucagon 1 mg solution for injection
|
$2,346.39 |
$2,346.39 |
$2,346.39 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,552.68 |
$1,552.68 |
$1,552.68 |
$491.67
|
|
Glucagon plasma - sendout
|
$2,161.47 |
$2,161.47 |
$2,161.47 |
$63.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$498.68 |
$498.68 |
$498.68 |
$55.50
|
|
Glucose blood quantitative
|
$446.59 |
$446.59 |
$446.59 |
$40.00
|
|
Glucose body fluid
|
$245.64 |
$245.64 |
$245.64 |
$52.20
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$1,574.95 |
$1,574.95 |
$1,574.95 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$1,338.27 |
$1,338.27 |
$1,338.27 |
$129.00
|
|
Granisetron hcl injection
|
$4,236.84 |
$4,236.84 |
$4,236.84 |
$45.03
|
|
Gu dilat ureter/urethra s&i
|
$3,180.82 |
$3,180.82 |
$3,180.82 |
$1,923.60
|
|
Halo cervical into jckt vest
|
$24,696.00 |
$24,696.00 |
$24,696.00 |
$5,015.12
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$304.41 |
$304.41 |
$304.41 |
$23.06
|
|
Haptoglobin quantitative
|
$544.84 |
$544.84 |
$544.84 |
$91.14
|
|
Hbot, full body chamber, 30m
|
$4,965.72 |
$4,965.72 |
$4,965.72 |
$526.90
|
|
Hcg qualitative
|
$774.08 |
$774.08 |
$774.08 |
$89.70
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$2,509.07 |
$2,509.07 |
$2,509.07 |
$1,327.95
|
|
Head CT scan (with and without contrast)
|
$7,742.37 |
$7,742.37 |
$7,742.37 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$6,590.10 |
$6,590.10 |
$6,590.10 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$5,593.46 |
$5,593.46 |
$5,593.46 |
$1,268.90
|
|
Heart infarct image
|
$2,975.68 |
$2,975.68 |
$2,975.68 |
$940.55
|
|
Heinz bodies direct
|
$422.76 |
$422.76 |
$422.76 |
$37.44
|
|
Hematocrit
|
$291.79 |
$291.79 |
$291.79 |
$33.57
|
|
Hemoglobin
|
$291.79 |
$291.79 |
$291.79 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$278.37 |
$278.37 |
$278.37 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$473.38 |
$473.38 |
$473.38 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$1,104.56 |
$1,104.56 |
$1,104.56 |
$53.60
|
|
Hemoglobin plasma
|
$1,635.98 |
$1,635.98 |
$1,635.98 |
$41.25
|
|
Hemolysin acid
|
$654.99 |
$654.99 |
$654.99 |
$79.04
|
|
Hemolysins/agglutinins auto
|
$215.87 |
$215.87 |
$215.87 |
$57.14
|
|
Hemolysins and agglutinins incubated
|
$608.84 |
$608.84 |
$608.84 |
$57.14
|
|
Hepagam b im injection
|
$1,008.44 |
$1,008.44 |
$1,008.44 |
$1,008.44
|
|
Hepatitis a antibody igm
|
$321.55 |
$321.55 |
$321.55 |
$87.75
|
|
Hepatitis b core antibody igm
|
$333.45 |
$333.45 |
$333.45 |
$87.98
|
|
Hepatitis b core antibody total
|
$379.60 |
$379.60 |
$379.60 |
$77.50
|
|
Hepatitis b surface antibody
|
$308.15 |
$308.15 |
$308.15 |
$82.05
|
|
Hepatitis c antibody
|
$829.16 |
$829.16 |
$829.16 |
$108.00
|
|
Hepatobiliary system imaging
|
$4,239.57 |
$4,239.57 |
$4,239.57 |
$1,438.58
|
|
Herpes simplex virus isolation
|
$777.07 |
$777.07 |
$777.07 |
$104.10
|
|
Heterophile antibodies screening
|
$567.15 |
$567.15 |
$567.15 |
$74.00
|
|
Hip adj flex ext abduct cont
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$837.61
|
|
Hip X-ray
|
$1,508.06 |
$1,508.06 |
$1,508.06 |
$292.05
|
|
Histamine
|
$964.62 |
$964.62 |
$964.62 |
$115.00
|
|
Histochemical stains add-on
|
$911.04 |
$911.04 |
$911.04 |
$153.29
|
|
Hla class i&ii antibody qual
|
$841.07 |
$841.07 |
$841.07 |
$247.50
|
|
Hla i & ii type verify lr
|
$1,963.49 |
$1,963.49 |
$1,963.49 |
$742.50
|
|
Hla i typing high res 1 allele grp ea
|
$294.75 |
$294.75 |
$294.75 |
$293.15
|
|
Hlth bhv ivntj fam without pt ea
|
$95.00 |
$95.00 |
$95.00 |
$87.00
|
|
Hlth bhv ivntj fam wo pt 1st
|
$190.00 |
$190.00 |
$190.00 |
$183.68
|
|
Hocm 350-399mg/ml iodine,1ml
|
$433.32 |
$433.32 |
$433.32 |
$79.78
|
|
Homocysteine
|
$1,241.49 |
$1,241.49 |
$1,241.49 |
$121.92
|
|
Homogenization tissue
|
$166.74 |
$166.74 |
$166.74 |
$39.20
|
|
Homovanillic acid (hva)
|
$1,914.36 |
$1,914.36 |
$1,914.36 |
$59.95
|
|
Ho post-op hip abduction
|
$6,366.00 |
$6,366.00 |
$6,366.00 |
$1,690.58
|
|
H pylori ag ia
|
$1,449.91 |
$1,449.91 |
$1,449.91 |
$62.72
|
|
Human epididymis protein 4 (he4)
|
$455.52 |
$455.52 |
$455.52 |
$157.32
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$8,859.05 |
$8,859.05 |
$8,859.05 |
$5,836.20
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$617.28 |
$617.28 |
$617.28 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$380.25 |
$380.25 |
$380.25 |
$46.74
|
|
Hydroxyurea 500 mg
|
$41.20 |
$41.20 |
$41.20 |
$14.00
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$1,220.66 |
$1,220.66 |
$1,220.66 |
$76.13
|
|
Hysterosalpingography s&i
|
$1,938.72 |
$1,938.72 |
$1,938.72 |
$651.85
|
|
I-123 iobenguane diag
|
$19,489.75 |
$19,489.75 |
$19,489.75 |
$5,256.50
|
|
I-123 ioflupane diag
|
$16,095.98 |
$16,095.98 |
$16,095.98 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$646.67 |
$646.67 |
$646.67 |
$139.20
|
|
I-131 iobenguane sulf diag mibg
|
$19,033.28 |
$19,033.28 |
$19,033.28 |
$3,918.36
|
|
I131 iodide cap, rx
|
$169.33 |
$169.33 |
$169.33 |
$78.75
|
|
Ibuprofen injection
|
$240.73 |
$240.73 |
$240.73 |
$350.58
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$6,532.41 |
$6,532.41 |
$6,532.41 |
$980.94
|
|
Ihc/icc per specimen each additional single antibody stain
|
$1,110.51 |
$1,110.51 |
$1,110.51 |
$191.52
|
