|
Ghs acetylcholinesterase, rbc
|
$401.24 |
$401.24 |
$401.24 |
$42.72
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,790.45 |
$2,790.45 |
$2,790.45 |
$1,432.20
|
|
Ghs fat & muscle
|
$397.81 |
$397.81 |
$397.81 |
$38.08
|
|
Ghs fish cytogen
|
$632.73 |
$632.73 |
$632.73 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$1,262.05 |
$1,262.05 |
$1,262.05 |
$223.00
|
|
Ghs hcv amplificaiton
|
$1,910.21 |
$1,910.21 |
$1,910.21 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$1,877.62 |
$1,877.62 |
$1,877.62 |
$142.50
|
|
Ghs histoplasma antigen
|
$941.38 |
$941.38 |
$941.38 |
$141.00
|
|
Ghs immun0electrophoresis
|
$402.95 |
$402.95 |
$402.95 |
$110.00
|
|
Ghs inhibitor screen
|
$456.13 |
$456.13 |
$456.13 |
$187.32
|
|
Ghs leukocyte alkaline phos (mayo)
|
$514.42 |
$514.42 |
$514.42 |
$76.20
|
|
Ghs mbp
|
$2,330.31 |
$2,330.31 |
$2,330.31 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$141.93 |
$141.93 |
$141.93 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$105.55 |
$105.55 |
$105.55 |
$151.50
|
|
Ghs myocardial strain img spckl track
|
$1,389.89 |
$1,389.89 |
$1,389.89 |
$457.80
|
|
Ghs phenylketonurid
|
$514.42 |
$514.42 |
$514.42 |
$53.76
|
|
Ghs picc line insert < 5
|
$4,370.93 |
$4,370.93 |
$4,370.93 |
$2,019.50
|
|
Ghs ppd (tb intradermal)
|
$159.06 |
$159.06 |
$159.06 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$329.22 |
$329.22 |
$329.22 |
$43.55
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$200.62 |
$200.62 |
$200.62 |
$50.05
|
|
Ghs quinidine
|
$572.71 |
$572.71 |
$572.71 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$1,340.92 |
$1,340.92 |
$1,340.92 |
$71.20
|
|
Ghs semen analysis fert
|
$821.36 |
$821.36 |
$821.36 |
$129.00
|
|
Ghs st - re-eval for alt comm
|
$902.33 |
$902.33 |
$902.33 |
$309.00
|
|
Ghs trypsin (fecal)
|
$732.19 |
$732.19 |
$732.19 |
$50.93
|
|
Ghs urine, hydroxproline total
|
$3,532.35 |
$3,532.35 |
$3,532.35 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$1,001.40 |
$1,001.40 |
$1,001.40 |
$75.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$5,809.18 |
$5,809.18 |
$5,809.18 |
$2,098.85
|
|
Glucagon 1 mg solution for injection
|
$2,240.68 |
$2,240.68 |
$2,240.68 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,538.03 |
$1,538.03 |
$1,538.03 |
$491.67
|
|
Glucagon plasma - sendout
|
$2,481.21 |
$2,481.21 |
$2,481.21 |
$63.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$217.77 |
$217.77 |
$217.77 |
$23.86
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$1,809.05 |
$1,809.05 |
$1,809.05 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$1,536.40 |
$1,536.40 |
$1,536.40 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$750.00 |
$750.00 |
$750.00 |
$672.50
|
|
Granisetron hcl injection
|
$3,868.50 |
$3,868.50 |
$3,868.50 |
$45.03
|
|
Halo cervical into jckt vest
|
$24,696.00 |
$24,696.00 |
$24,696.00 |
$5,015.12
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$277.93 |
$277.93 |
$277.93 |
$23.06
|
|
Haptoglobin quantitative
|
$627.59 |
$627.59 |
$627.59 |
$91.14
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$3,360.63 |
$3,360.63 |
$3,360.63 |
$759.72
|
|
Heinz bodies direct
|
$483.56 |
$483.56 |
$483.56 |
$37.44
|
|
Hemoglobin fetal qualitative
|
$318.94 |
$318.94 |
$318.94 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$543.56 |
$543.56 |
$543.56 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$1,267.18 |
$1,267.18 |
$1,267.18 |
$53.60
|
|
Hemoglobin plasma
|
$1,877.62 |
$1,877.62 |
$1,877.62 |
$41.25
|
|
Hemolysin acid
|
$752.76 |
$752.76 |
$752.76 |
$79.04
|
|
Hemolysins/agglutinins auto
|
$246.92 |
$246.92 |
$246.92 |
$57.14
|
|
Hepagam b im injection
|
$971.91 |
$971.91 |
$971.91 |
$1,008.44
|
|
Hepatitis a antibody igm
|
$366.94 |
$366.94 |
$366.94 |
$87.75
|
|
Hepatitis b core antibody igm
|
$382.38 |
$382.38 |
$382.38 |
$87.98
|
|
Hepatitis b core antibody total
|
$435.54 |
$435.54 |
$435.54 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$7,066.38 |
$7,066.38 |
$7,066.38 |
$1,116.61
|
|
Hepatobiliary system imaging
|
$6,503.49 |
$6,503.49 |
$6,503.49 |
$1,438.58
|
|
Herpes simplex virus isolation
|
$118.51 |
$118.51 |
$118.51 |
$104.10
|
|
Hip adj flex ext abduct cont
|
$3,260.00 |
$3,260.00 |
$3,260.00 |
$837.61
|
|
Histamine
|
$1,107.72 |
$1,107.72 |
$1,107.72 |
$115.00
|
|
Histochemical stains add-on
|
$1,045.98 |
$1,045.98 |
$1,045.98 |
$153.29
|
|
Hla class i&ii antibody qual
|
$965.38 |
$965.38 |
$965.38 |
$247.50
|
|
Hla i typing high res 1 allele grp ea
|
$2,043.95 |
$2,043.95 |
$2,043.95 |
$293.15
|
|
Hla i typing low res one locus ea
|
$766.00 |
$766.00 |
$766.00 |
$320.70
|
|
Homocysteine
|
$1,423.23 |
$1,423.23 |
$1,423.23 |
$121.92
|
|
Homogenization tissue
|
$192.06 |
$192.06 |
$192.06 |
$39.20
|
|
Homovanillic acid (hva)
|
$2,198.29 |
$2,198.29 |
$2,198.29 |
$59.95
|
|
H pylori ag ia
|
$1,663.28 |
$1,663.28 |
$1,663.28 |
$62.72
|
|
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 150 unit/ml injection solution
|
$722.06 |
$722.06 |
$722.06 |
$116.13
|
|
Hydroxyurea 500 mg
|
$39.69 |
$39.69 |
$39.69 |
$14.00
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$101.97 |
$101.97 |
$101.97 |
$72.65
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$1,400.92 |
$1,400.92 |
$1,400.92 |
$76.13
|
|
Hysterosalpingography s&i
|
$1,878.17 |
$1,878.17 |
$1,878.17 |
$651.85
|
|
I-123 sod iodide diag per 100 uci
|
$1,204.01 |
$1,204.01 |
$1,204.01 |
$139.20
|
|
Ia nfct ab sarscov2 covid19
|
$66.80 |
$66.80 |
$66.80 |
$55.35
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$5,964.54 |
$5,964.54 |
$5,964.54 |
$980.94
|
|
Igh gene rearrange amp meth
|
$930.32 |
$930.32 |
$930.32 |
$456.54
|
|
Igk rearrangeabn clonal pop
|
$811.61 |
$811.61 |
$811.61 |
$396.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$1,323.79 |
$1,323.79 |
$1,323.79 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,272.33 |
$1,272.33 |
$1,272.33 |
$328.79
|
|
Immobilizer shldr cntor adlt
|
$433.00 |
$433.00 |
$433.00 |
$171.43
|
|
Immunoassay tumor antigen quantitative ca 125
|
$1,138.58 |
$1,138.58 |
$1,138.58 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$480.12 |
$480.12 |
$480.12 |
$116.40
|
|
Immunodiffusion nes
|
$800.78 |
$800.78 |
$800.78 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$1,431.80 |
$1,431.80 |
$1,431.80 |
$138.60
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$898.52 |
$898.52 |
$898.52 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,272.33 |
$1,272.33 |
$1,272.33 |
$232.05
|
|
In-111 autol wbc diag per dose
|
$14,860.67 |
$14,860.67 |
$14,860.67 |
$3,567.60
|
|
In-111 oxyquinolin per 0.5 mci
|
$24,376.90 |
$24,376.90 |
$24,376.90 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$13,914.38 |
$13,914.38 |
$13,914.38 |
$2,550.60
|
|
In-111 pentetreotide
|
$16,109.62 |
$16,109.62 |
$16,109.62 |
$4,944.55
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$6,350.60 |
$6,350.60 |
$6,350.60 |
$2,080.80
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$2,181.60 |
$2,181.60 |
$2,181.60 |
$785.83
|
|
Infect ag genotype na dna hepatitis b
|
$3,079.65 |
$3,079.65 |
$3,079.65 |
$427.43
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,688.38 |
$3,688.38 |
$3,688.38 |
$603.75
|
|
Infect ag if influenza a
|
$817.92 |
$817.92 |
$817.92 |
$40.61
|
|
Infect ag if legionella pneumophila
|
$54.60 |
$54.60 |
$54.60 |
$73.46
|
|
Infect ag if pneumocystis carinii
|
$41.93 |
$41.93 |
$41.93 |
$67.46
|
|
Infect ag na chlamydia trachomatis qnt
|
$639.59 |
$639.59 |
$639.59 |
$107.20
|
|
Infect ag na hep b amp
|
$1,989.08 |
$1,989.08 |
$1,989.08 |
$108.44
|
|
Infect ag na influenza r/amp 1st 2 types
|
$1,015.11 |
$1,015.11 |
$1,015.11 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$113.71 |
$113.71 |
$113.71 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$1,458.73 |
$1,458.73 |
$1,458.73 |
$859.44
|
