|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$82.50
|
|
Gammaglobulin ige
|
$310.00 |
$310.00 |
$310.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$435.00 |
$435.00 |
$435.00 |
$55.28
|
|
General health panel
|
$1,535.00 |
$1,535.00 |
$1,535.00 |
$280.50
|
|
Ghs bleeding time (ivy)
|
$403.00 |
$403.00 |
$403.00 |
$55.90
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$438.00 |
$438.00 |
$438.00 |
$134.55
|
|
Ghs diphtheria toxoid ab igg
|
$690.00 |
$690.00 |
$690.00 |
$72.05
|
|
Ghs hcv amplificaiton
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$814.00 |
$814.00 |
$814.00 |
$106.05
|
|
Ghs histoplasma antigen
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$137.80
|
|
Ghs HIV antibody
|
$317.00 |
$317.00 |
$317.00 |
$91.00
|
|
Ghs immun0electrophoresis
|
$899.00 |
$899.00 |
$899.00 |
$110.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$229.00 |
$229.00 |
$229.00 |
$59.40
|
|
Ghs mbp
|
$438.00 |
$438.00 |
$438.00 |
$74.19
|
|
Ghs phenylketonurid
|
$306.00 |
$306.00 |
$306.00 |
$51.58
|
|
Ghs plt ct-manual
|
$308.00 |
$308.00 |
$308.00 |
$39.20
|
|
Ghs prostatic acid phosphatase (mayo)
|
$181.00 |
$181.00 |
$181.00 |
$40.56
|
|
Ghs protoporphyrins fract
|
$491.00 |
$491.00 |
$491.00 |
$64.35
|
|
Ghs quinidine
|
$276.00 |
$276.00 |
$276.00 |
$68.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$341.00 |
$341.00 |
$341.00 |
$101.15
|
|
Ghs urine, hydroxproline total
|
$456.00 |
$456.00 |
$456.00 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$414.00 |
$414.00 |
$414.00 |
$70.20
|
|
Gi inhouse confirmation
|
$617.00 |
$617.00 |
$617.00 |
$87.00
|
|
Glucagon 1 mg solution for injection
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$655.20
|
|
Glucagon plasma - sendout
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$58.56
|
|
Glucose blood quantitative
|
$301.00 |
$301.00 |
$301.00 |
$44.76
|
|
Glucose body fluid
|
$261.00 |
$261.00 |
$261.00 |
$50.70
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$63.00 |
$63.00 |
$63.00 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$396.00 |
$396.00 |
$396.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$343.00 |
$343.00 |
$343.00 |
$123.75
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$337.00 |
$337.00 |
$337.00 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$225.00 |
$225.00 |
$225.00 |
$36.04
|
|
Haptoglobin quantitative
|
$357.00 |
$357.00 |
$357.00 |
$89.95
|
|
Hcg qualitative
|
$515.00 |
$515.00 |
$515.00 |
$77.50
|
|
Hc i-131 sodium iodide cap dx per mci
|
$538.00 |
$538.00 |
$538.00 |
$136.50
|
|
Head CT scan (with and without contrast)
|
$7,793.00 |
$7,793.00 |
$7,793.00 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$6,789.00 |
$6,789.00 |
$6,789.00 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$5,902.00 |
$5,902.00 |
$5,902.00 |
$1,268.90
|
|
Hematocrit
|
$165.00 |
$165.00 |
$165.00 |
$33.57
|
|
Hemodialysis repeated eval
|
$4,369.00 |
$4,369.00 |
$4,369.00 |
$1,357.00
|
|
Hemoglobin
|
$165.00 |
$165.00 |
$165.00 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$21.00 |
$21.00 |
$21.00 |
$49.40
|
|
Hemolysins/agglutinins auto
|
$22.00 |
$22.00 |
$22.00 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$31.00 |
$31.00 |
$31.00 |
$67.50
|
|
Hemophilus influenza antibdy
|
$720.00 |
$720.00 |
$720.00 |
$56.80
|
|
Heparin assay
|
$429.00 |
$429.00 |
$429.00 |
$130.20
|
|
Hepatitis a antibody igm
|
$232.00 |
$232.00 |
$232.00 |
$85.15
|
|
Hepatitis b core antibody igm
|
$229.00 |
$229.00 |
$229.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$232.19 |
$232.19 |
$232.19 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$3,793.76 |
$3,793.76 |
$3,793.76 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$221.00 |
$221.00 |
$221.00 |
$83.79
|
|
Hepatitis c antibody
|
$275.00 |
$275.00 |
$275.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$6,940.00 |
$6,940.00 |
$6,940.00 |
$1,521.10
|
|
Hereditary colon ca dsordrs
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$1,956.00
|
|
Heterophile antibodies screening
|
$338.00 |
$338.00 |
$338.00 |
$73.60
|
|
Histamine
|
$898.00 |
$898.00 |
$898.00 |
$125.40
|
|
Hla i low res one antigen equiv ea
|
$483.00 |
$483.00 |
$483.00 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$477.00 |
$477.00 |
$477.00 |
$307.53
|
|
Hocm 350-399mg/ml iodine,1ml
|
$387.00 |
$387.00 |
$387.00 |
$79.78
|
|
Homocysteine
|
$536.00 |
$536.00 |
$536.00 |
$113.10
|
|
Homogenization tissue
|
$15.00 |
$15.00 |
$15.00 |
$39.00
|
|
Hpa-1 genotyping
|
$343.00 |
$343.00 |
$343.00 |
$147.17
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$278.00 |
$278.00 |
$278.00 |
$176.15
|
|
Hydralazine 20 mg/ml injection solution
|
$296.00 |
$296.00 |
$296.00 |
$63.91
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$126.00 |
$126.00 |
$126.00 |
$120.06
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$529.00 |
$529.00 |
$529.00 |
$76.13
|
|
I-123 ioflupane diag
|
$11,767.00 |
$11,767.00 |
$11,767.00 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$158.05
|
|
I131 iodide cap, rx
|
$513.00 |
$513.00 |
$513.00 |
$91.83
|
|
Ia nfct ab sarscov2 covid19
|
$67.00 |
$67.00 |
$67.00 |
$49.81
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$3,473.00 |
$3,473.00 |
$3,473.00 |
$962.29
|
|
Ifnl3 gene
|
$172.00 |
$172.00 |
$172.00 |
$90.53
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$499.00 |
$499.00 |
$499.00 |
$2,854.20
|
|
Immunoassay tumor antigen quantitative ca 125
|
$396.00 |
$396.00 |
$396.00 |
$123.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$396.00 |
$396.00 |
$396.00 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$664.00 |
$664.00 |
$664.00 |
$133.38
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$1,031.00 |
$1,031.00 |
$1,031.00 |
$156.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$5,862.00 |
$5,862.00 |
$5,862.00 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$6,684.00 |
$6,684.00 |
$6,684.00 |
$2,135.29
|
|
In-111 pentetreotide
|
$10,838.00 |
$10,838.00 |
$10,838.00 |
$6,617.05
|
|
Infect ag genotype na hiv-1 other region
|
$1,049.00 |
$1,049.00 |
$1,049.00 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,114.00 |
$3,114.00 |
$3,114.00 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$98.00 |
$98.00 |
$98.00 |
$95.55
|
|
Infect ag if legionella pneumophila
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$75.79
|
|
Infect ag if pneumocystis carinii
|
$600.00 |
$600.00 |
$600.00 |
$62.29
|
|
Infect ag na hep b amp
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$108.44
|
|
Infect ag na orthopoxvirus amp prb each
|
$113.00 |
$113.00 |
$113.00 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$255.00 |
$255.00 |
$255.00 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$35.00 |
$35.00 |
$35.00 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$230.00 |
$230.00 |
$230.00 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$208.00 |
$208.00 |
$208.00 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$300.00 |
$300.00 |
$300.00 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$240.00 |
$240.00 |
$240.00 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$387.00 |
$387.00 |
$387.00 |
$141.48
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$1,535.00 |
$1,535.00 |
$1,535.00 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$778.00 |
$778.00 |
$778.00 |
$150.15
|
