|
Ghs phenylketonurid
|
$300.24 |
$300.24 |
$300.24 |
$51.58
|
|
Ghs protoporphyrins fract
|
$147.96 |
$147.96 |
$147.96 |
$64.35
|
|
Ghs urine, porphyrins quant
|
$498.96 |
$498.96 |
$498.96 |
$70.20
|
|
Gi inhouse confirmation
|
$749.52 |
$749.52 |
$749.52 |
$87.00
|
|
Glucagon 1 mg solution for injection
|
$1,551.96 |
$1,551.96 |
$1,551.96 |
$655.20
|
|
Glucose 1 hr post dose
|
$260.28 |
$260.28 |
$260.28 |
$46.28
|
|
Glucose blood quantitative
|
$439.56 |
$439.56 |
$439.56 |
$44.76
|
|
Glucose tolerance test (gtt) 3 specimens
|
$476.28 |
$476.28 |
$476.28 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$151.20 |
$151.20 |
$151.20 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$702.00 |
$702.00 |
$702.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$702.00 |
$702.00 |
$702.00 |
$123.75
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$252.66 |
$252.66 |
$252.66 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$85.32 |
$85.32 |
$85.32 |
$36.04
|
|
Haptoglobin quantitative
|
$354.24 |
$354.24 |
$354.24 |
$89.95
|
|
Hcg quantitative
|
$923.40 |
$923.40 |
$923.40 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$1,675.08 |
$1,675.08 |
$1,675.08 |
$136.50
|
|
Hc nm kidney imaging with flow
|
$3,186.00 |
$3,186.00 |
$3,186.00 |
$1,008.39
|
|
Head CT scan (with and without contrast)
|
$4,328.48 |
$4,328.48 |
$4,328.48 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$3,947.84 |
$3,947.84 |
$3,947.84 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$3,669.12 |
$3,669.12 |
$3,669.12 |
$1,268.90
|
|
Hemodialysis repeated eval
|
$2,415.00 |
$2,415.00 |
$2,415.00 |
$986.89
|
|
Hemoglobin
|
$72.36 |
$72.36 |
$72.36 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$232.20 |
$232.20 |
$232.20 |
$49.40
|
|
Hemolysins/agglutinins auto
|
$218.16 |
$218.16 |
$218.16 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$367.20 |
$367.20 |
$367.20 |
$67.50
|
|
Heparin assay
|
$483.84 |
$483.84 |
$483.84 |
$130.20
|
|
Hepatitis a antibody igm
|
$622.08 |
$622.08 |
$622.08 |
$85.15
|
|
Hepatitis b core antibody igm
|
$504.36 |
$504.36 |
$504.36 |
$87.98
|
|
Hepatitis b core antibody total
|
$504.36 |
$504.36 |
$504.36 |
$83.29
|
|
Hepatitis b surface antibody
|
$562.68 |
$562.68 |
$562.68 |
$83.79
|
|
Hepatitis c antibody
|
$702.00 |
$702.00 |
$702.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,150.20 |
$1,150.20 |
$1,150.20 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$168.48 |
$168.48 |
$168.48 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$193.32 |
$193.32 |
$193.32 |
$87.10
|
|
Herpes simplex virus isolation
|
$569.16 |
$569.16 |
$569.16 |
$93.32
|
|
Heterophile antibodies screening
|
$347.76 |
$347.76 |
$347.76 |
$73.60
|
|
Hla i low res one antigen equiv ea
|
$765.72 |
$765.72 |
$765.72 |
$164.00
|
|
Homocysteine
|
$691.20 |
$691.20 |
$691.20 |
$113.10
|
|
Homogenization tissue
|
$180.36 |
$180.36 |
$180.36 |
$39.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$11,491.20 |
$11,491.20 |
$11,491.20 |
$4,190.44
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$764.64 |
$764.64 |
$764.64 |
$176.15
|
|
Hydralazine 20 mg/ml injection solution
|
$93.96 |
$93.96 |
$93.96 |
$63.91
|
|
Hydroxyurea 500 mg
|
$21.60 |
$21.60 |
$21.60 |
$9.00
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$110.16 |
$110.16 |
$110.16 |
$80.11
|
|
Hysterosalpingography s&i
|
$2,237.04 |
$2,237.04 |
$2,237.04 |
$629.46
|
|
I-123 sod iodide diag per 100 uci
|
$683.64 |
$683.64 |
$683.64 |
$158.05
|
|
I-131 iobenguane sulf diag mibg
|
$6,322.32 |
$6,322.32 |
$6,322.32 |
$5,062.20
|
|
I131 iodide cap, rx
|
$247.32 |
$247.32 |
$247.32 |
$91.83
|
|
Iadna legionella pneumophila amplified probe tq
|
$1,287.36 |
$1,287.36 |
$1,287.36 |
$125.25
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$3,585.60 |
$3,585.60 |
$3,585.60 |
$962.29
|
|
Ihc/icc per specimen each additional single antibody stain
|
$537.84 |
$537.84 |
$537.84 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,615.68 |
$1,615.68 |
$1,615.68 |
$339.73
|
|
Ihc/icc per specimen initial single antibody stain
|
$853.20 |
$853.20 |
$853.20 |
$266.76
|
|
Immune complex assay
|
$133.92 |
$133.92 |
$133.92 |
$88.80
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$264.60 |
$264.60 |
$264.60 |
$2,854.20
|
|
Immunoassay tumor antigen quantitative ca 125
|
$719.28 |
$719.28 |
$719.28 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$648.00 |
$648.00 |
$648.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$95.04 |
$95.04 |
$95.04 |
$53.95
|
|
Immunofixation electrophoresis serum
|
$1,679.40 |
$1,679.40 |
$1,679.40 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$1,470.96 |
$1,470.96 |
$1,470.96 |
$156.00
|
|
Immunofluorescence per specimen initial single antibody stain
|
$756.00 |
$756.00 |
$756.00 |
$250.00
|
|
Implant ureth bulk agent
|
$2,766.00 |
$2,766.00 |
$2,766.00 |
$2,003.82
|
|
In-111 oxyquinolin per 0.5 mci
|
$7,080.48 |
$7,080.48 |
$7,080.48 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,612.52 |
$2,612.52 |
$2,612.52 |
$2,135.29
|
|
In-111 pentetreotide
|
$14,216.04 |
$14,216.04 |
$14,216.04 |
$6,617.05
|
|
In-111 satumomab pend
|
$19,185.12 |
$19,185.12 |
$19,185.12 |
$3,524.25
|
|
Incobotulinumtoxin a
|
$3,310.20 |
$3,310.20 |
$3,310.20 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$982.80 |
$982.80 |
$982.80 |
$876.13
|
|
Infect ag drug suscept pheno predict
|
$816.48 |
$816.48 |
$816.48 |
$325.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,108.24 |
$3,108.24 |
$3,108.24 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$352.08 |
$352.08 |
$352.08 |
$95.55
|
|
Infect ag na orthopoxvirus amp prb each
|
$91.48 |
$91.48 |
$91.48 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$765.72 |
$765.72 |
$765.72 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$731.16 |
$731.16 |
$731.16 |
$714.67
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$731.16 |
$731.16 |
$731.16 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$466.56 |
$466.56 |
$466.56 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$557.28 |
$557.28 |
$557.28 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$419.04 |
$419.04 |
$419.04 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$455.76 |
$455.76 |
$455.76 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$1,105.92 |
$1,105.92 |
$1,105.92 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$273.24 |
$273.24 |
$273.24 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$265.68 |
$265.68 |
$265.68 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$314.28 |
$314.28 |
$314.28 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$585.36 |
$585.36 |
$585.36 |
$141.48
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,327.32 |
$1,327.32 |
$1,327.32 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$765.72 |
$765.72 |
$765.72 |
$178.00
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$2,144.88 |
$2,144.88 |
$2,144.88 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$325.08 |
$325.08 |
$325.08 |
$136.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$78.84 |
$78.84 |
$78.84 |
$103.20
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$978.48 |
$978.48 |
$978.48 |
$112.45
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$953.64 |
$953.64 |
$953.64 |
$200.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$3,161.16 |
$3,161.16 |
$3,161.16 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$872.64 |
$872.64 |
$872.64 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$966.60 |
$966.60 |
$966.60 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$966.60 |
$966.60 |
$966.60 |
$381.55
|
|
Inj calcitriol per 0.1 mcg
|
$75.60 |
$75.60 |
$75.60 |
$31.69
|
|
Inj cefazolin sodium, hikma
|
$108.00 |
$108.00 |
$108.00 |
$34.59
|
|
Inj ceftolozane tazobactam
|
$2,021.76 |
$2,021.76 |
$2,021.76 |
$431.36
|
|
Inj crotalidae im f(ab')2 eq
|
$8,346.24 |
$8,346.24 |
$8,346.24 |
$2,735.85
|
|
Injection, fulvestrant
|
$7,267.32 |
$7,267.32 |
$7,267.32 |
$1,817.65
|