|
Glucose blood quantitative
|
$27.50 |
$27.50 |
$27.50 |
$40.00
|
|
Glucose body fluid
|
$50.00 |
$50.00 |
$50.00 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$107.50 |
$107.50 |
$107.50 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$35.00 |
$35.00 |
$35.00 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$20.00 |
$20.00 |
$20.00 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$137.50 |
$137.50 |
$137.50 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$95.00 |
$95.00 |
$95.00 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$65.00 |
$65.00 |
$65.00 |
$672.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$177.02 |
$177.02 |
$177.02 |
$584.99
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$1,510.00 |
$1,510.00 |
$1,510.00 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$3,612.42 |
$3,612.42 |
$3,612.42 |
$19,586.25
|
|
Graft patch felt ptfe 2x2
|
$4,339.98 |
$4,339.98 |
$4,339.98 |
$27,300.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$215.91 |
$215.91 |
$215.91 |
$964.07
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$65.00 |
$65.00 |
$65.00 |
$370.90
|
|
Graft xenmtrx sft rect 15x20cm
|
$5,994.00 |
$5,994.00 |
$5,994.00 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,636.78 |
$1,636.78 |
$1,636.78 |
$2,701.58
|
|
Group train without patient
|
$37.50 |
$37.50 |
$37.50 |
$47.17
|
|
Growth hormone panel
|
$115.00 |
$115.00 |
$115.00 |
$168.00
|
|
Growth stimulation gene 2
|
$72.50 |
$72.50 |
$72.50 |
$170.04
|
|
G-tube reposition
|
$610.00 |
$610.00 |
$610.00 |
$759.36
|
|
Gu dilat ureter/urethra s&i
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,923.60
|
|
Guided cath fluid drainage 10030
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$551.60 |
$551.60 |
$551.60 |
$3,284.50
|
|
Gw stiffened micro access kit
|
$2,961.00 |
$2,961.00 |
$2,961.00 |
$6,606.72
|
|
Hand X-ray
|
$410.00 |
$410.00 |
$410.00 |
$356.00
|
|
Haptoglobin quantitative
|
$70.00 |
$70.00 |
$70.00 |
$91.14
|
|
Hba1/hba2 full gene sequence
|
$565.00 |
$565.00 |
$565.00 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$404.80
|
|
Hbb full gene sequence
|
$565.00 |
$565.00 |
$565.00 |
$633.25
|
|
Hbb gene com variants
|
$482.50 |
$482.50 |
$482.50 |
$345.95
|
|
Hbb gene dup/del variants
|
$845.00 |
$845.00 |
$845.00 |
$455.00
|
|
Hbot, full body chamber, 30m
|
$555.00 |
$555.00 |
$555.00 |
$526.90
|
|
Hcg free betachain test
|
$112.50 |
$112.50 |
$112.50 |
$68.90
|
|
Hcg qualitative
|
$105.00 |
$105.00 |
$105.00 |
$89.60
|
|
Hcg quantitative
|
$160.00 |
$160.00 |
$160.00 |
$139.20
|
|
Hc nm fusion spect CT unlisted
|
$1,355.00 |
$1,355.00 |
$1,355.00 |
$463.68
|
|
Head CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,834.20
|
|
Head CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,268.90
|
|
Heinz bodies direct
|
$37.50 |
$37.50 |
$37.50 |
$37.44
|
|
Heinz bodies induced
|
$25.00 |
$25.00 |
$25.00 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$110.00 |
$110.00 |
$110.00 |
$91.98
|
|
Hematocrit
|
$17.50 |
$17.50 |
$17.50 |
$33.57
|
|
Hemodialysis one evaluation
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,306.08
|
|
Hemoglobin
|
$17.50 |
$17.50 |
$17.50 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$30.00 |
$30.00 |
$30.00 |
$53.60
|
|
Hemoglobin plasma
|
$60.00 |
$60.00 |
$60.00 |
$41.25
|
|
Hemophilus influenza antibdy
|
$82.50 |
$82.50 |
$82.50 |
$62.70
|
|
Heparin assay
|
$167.50 |
$167.50 |
$167.50 |
$140.10
|
|
Heparin bolus from bag
|
$66.06 |
$66.06 |
$66.06 |
$67.55
|
|
Heparin neutralization
|
$20.00 |
$20.00 |
$20.00 |
$42.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$8.62 |
$8.62 |
$8.62 |
$10.80
|
|
Hepatitis a antibody igm
|
$92.50 |
$92.50 |
$92.50 |
$87.75
|
|
Hepatitis b core antibody igm
|
$77.50 |
$77.50 |
$77.50 |
$87.84
|
|
Hepatitis b core antibody total
|
$77.50 |
$77.50 |
$77.50 |
$77.50
|
|
Hepatitis b surface antibody
|
$77.50 |
$77.50 |
$77.50 |
$81.12
|
|
Hepatitis c antibody
|
$112.50 |
$112.50 |
$112.50 |
$108.00
|
|
Hepatobiliary system imaging
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$1,438.58
|
|
Hereditary colon ca dsordrs
|
$2,710.00 |
$2,710.00 |
$2,710.00 |
$1,799.45
|
|
Herpes simplex type 1 antibody igg
|
$65.00 |
$65.00 |
$65.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$65.00 |
$65.00 |
$65.00 |
$87.10
|
|
Heterophile antibodies screening
|
$62.50 |
$62.50 |
$62.50 |
$73.87
|
|
Hfo nontorsion jnts pre cst
|
$60.00 |
$60.00 |
$60.00 |
$110.88
|
|
Hhv-6 dna quant
|
$352.50 |
$352.50 |
$352.50 |
$246.35
|
|
Hip X-ray
|
$345.00 |
$345.00 |
$345.00 |
$290.72
|
|
Histamine
|
$115.00 |
$115.00 |
$115.00 |
$115.00
|
|
Histochemical stains add-on
|
$117.50 |
$117.50 |
$117.50 |
$153.29
|
|
Hla class i high defin qual
|
$327.50 |
$327.50 |
$327.50 |
$565.40
|
|
Hla class ii high defin qual
|
$327.50 |
$327.50 |
$327.50 |
$541.20
|
|
Hla class i&ii antibody qual
|
$247.50 |
$247.50 |
$247.50 |
$247.50
|
|
Hla i & ii typing lr
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,178.15
|
|
Hla ii typing 1 loc hr
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$290.94
|
|
Hla i low res one antigen equiv ea
|
$160.00 |
$160.00 |
$160.00 |
$161.70
|
|
Hla i typing complete hr
|
$2,805.00 |
$2,805.00 |
$2,805.00 |
$557.40
|
|
Hla i typing complete lr
|
$477.50 |
$477.50 |
$477.50 |
$728.88
|
|
Hla i typing high res 1 allele grp ea
|
$180.00 |
$180.00 |
$180.00 |
$293.15
|
|
Hla x-match noncytotoxc addl
|
$140.00 |
$140.00 |
$140.00 |
$140.00
|
|
Homocysteine
|
$160.00 |
$160.00 |
$160.00 |
$121.20
|
|
Homogenization tissue
|
$27.50 |
$27.50 |
$27.50 |
$39.60
|
|
Hpv types 16 & 18 only
|
$130.00 |
$130.00 |
$130.00 |
$110.70
|
|
H pylori (c-13) breath
|
$217.50 |
$217.50 |
$217.50 |
$213.00
|
|
Hrdtry brst ca-rlatd do 5+
|
$2,815.00 |
$2,815.00 |
$2,815.00 |
$1,702.08
|
|
Htt gene detc abnor alleles
|
$195.00 |
$195.00 |
$195.00 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$217.50 |
$217.50 |
$217.50 |
$157.32
|
|
Hydralazine 20 mg/ml injection solution
|
$36.28 |
$36.28 |
$36.28 |
$48.00
|
|
Hydration IV infusion each additional hour
|
$152.50 |
$152.50 |
$152.50 |
$132.26
|
|
Hydration IV infusion initial 31minutes - 1 hour
|
$297.50 |
$297.50 |
$297.50 |
$383.00
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$60.01 |
$60.01 |
$60.01 |
$154.78
|
|
Hydrogel drsg gel filler
|
$32.50 |
$32.50 |
$32.50 |
$32.50
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$9.33 |
$9.33 |
$9.33 |
$131.47
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$143.86 |
$143.86 |
$143.86 |
$294.92
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$90.00 |
$90.00 |
$90.00 |
$76.13
|
|
Hysterosalpingography s&i
|
$585.00 |
$585.00 |
$585.00 |
$651.35
|
|
I-123 iobenguane diag
|
$4,840.00 |
$4,840.00 |
$4,840.00 |
$5,256.50
|
|
I-123 ioflupane diag
|
$2,875.00 |
$2,875.00 |
$2,875.00 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$105.00 |
$105.00 |
$105.00 |
$139.20
|
|
I125 iothalamate, dx
|
$830.00 |
$830.00 |
$830.00 |
$634.90
|
|
I131 iodide cap, rx
|
$65.00 |
$65.00 |
$65.00 |
$78.75
|
|
Iadna legionella pneumophila amplified probe tq
|
$115.00 |
$115.00 |
$115.00 |
$109.80
|
|
Idh1 common variants
|
$560.00 |
$560.00 |
$560.00 |
$406.90
|
