|
Gi inhouse confirmation
|
$84.80 |
$84.80 |
$84.80 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,917.23 |
$3,917.23 |
$3,917.23 |
$2,382.90
|
|
Gi trc img intral esophagus
|
$1,635.05 |
$1,635.05 |
$1,635.05 |
$1,844.80
|
|
Glucagon 1 mg solution for injection
|
$243.27 |
$243.27 |
$243.27 |
$655.20
|
|
Glucagon plasma - sendout
|
$89.57 |
$89.57 |
$89.57 |
$58.56
|
|
Glucose 1 hr post dose
|
$40.28 |
$40.28 |
$40.28 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$50.35 |
$50.35 |
$50.35 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$20.67 |
$20.67 |
$20.67 |
$22.00
|
|
Glucose blood quantitative
|
$41.34 |
$41.34 |
$41.34 |
$44.76
|
|
Glucose body fluid
|
$37.63 |
$37.63 |
$37.63 |
$50.70
|
|
Glucose monitoring continual min 72hr pt
|
$224.72 |
$224.72 |
$224.72 |
$139.10
|
|
Glucose tolerance test (gtt) 3 specimens
|
$92.75 |
$92.75 |
$92.75 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$29.15 |
$29.15 |
$29.15 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$158.47 |
$158.47 |
$158.47 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$181.79 |
$181.79 |
$181.79 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,749.74 |
$1,749.74 |
$1,749.74 |
$3,340.44
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$56.71 |
$56.71 |
$56.71 |
$1,356.08
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$1,224.83 |
$1,224.83 |
$1,224.83 |
$2,687.44
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$1,126.25 |
$1,126.25 |
$1,126.25 |
$1,126.25
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$68.90 |
$68.90 |
$68.90 |
$349.41
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$1,145.60 |
$1,145.60 |
$1,145.60 |
$894.63
|
|
Granisetron 1 mg tab
|
$88.51 |
$88.51 |
$88.51 |
$26.75
|
|
Granisetron hcl injection
|
$0.53 |
$0.53 |
$0.53 |
$41.45
|
|
Group mnt 2 or more 30 mins
|
$66.25 |
$66.25 |
$66.25 |
$45.75
|
|
Growth hormone antibody
|
$63.60 |
$63.60 |
$63.60 |
$40.00
|
|
G-tube reposition
|
$488.13 |
$488.13 |
$488.13 |
$741.00
|
|
Guided cath fluid drainage 10030
|
$866.02 |
$866.02 |
$866.02 |
$1,461.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$1,104.18 |
$1,104.18 |
$1,104.18 |
$7,499.50
|
|
Guid loc target vol rad tx
|
$491.31 |
$491.31 |
$491.31 |
$503.80
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$51.30 |
$51.30 |
$51.30 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$2.37 |
$2.37 |
$2.37 |
$35.65
|
|
Hand-held pefr meter a4614
|
$38.69 |
$38.69 |
$38.69 |
$33.10
|
|
Hand X-ray
|
$163.24 |
$163.24 |
$163.24 |
$338.58
|
|
Haptoglobin quantitative
|
$79.50 |
$79.50 |
$79.50 |
$89.95
|
|
Harvest cultured skin graft 15040
|
$275.07 |
$275.07 |
$275.07 |
$2,024.70
|
|
Hast w/i&r phys/qhp
|
$363.05 |
$363.05 |
$363.05 |
$301.95
|
|
Hast w/oxygen titrate
|
$377.36 |
$377.36 |
$377.36 |
$310.40
|
|
Hba1/hba2 gene dup/del vrnts
|
$407.57 |
$407.57 |
$407.57 |
$406.25
|
|
Hbb full gene sequence
|
$558.62 |
$558.62 |
$558.62 |
$633.25
|
|
Hbot, full body chamber, 30m
|
$230.55 |
$230.55 |
$230.55 |
$558.35
|
|
Hc ea ha check monaural
|
$31.80 |
$31.80 |
$31.80 |
$45.60
|
|
Hcg free betachain test
|
$54.59 |
$54.59 |
$54.59 |
$54.59
|
|
Hcg qualitative
|
$78.97 |
$78.97 |
$78.97 |
$77.50
|
|
Hcg quantitative
|
$155.29 |
$155.29 |
$155.29 |
$124.80
|
|
Hc hearing aid chck binaurl
|
$54.59 |
$54.59 |
$54.59 |
$78.40
|
|
Hc hearing aid chck monarl
|
$33.39 |
$33.39 |
$33.39 |
$48.00
|
|
Hc hearing aid exam both ears
|
$101.76 |
$101.76 |
$101.76 |
$175.20
|
|
Hc hearing aid exam one ear
|
$83.74 |
$83.74 |
$83.74 |
$157.50
|
|
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks
|
$669.92 |
$669.92 |
$669.92 |
$1,223.03
|
|
Hc mohs micrographic h/n/h/f/g each addl stage
|
$452.62 |
$452.62 |
$452.62 |
$827.08
|
|
Hc mohs trunk/arm/leg 1st stage 5 blocks
|
$632.29 |
$632.29 |
$632.29 |
$1,107.48
|
|
Hc mohs trunk/arm/leg ea addl block any stage
|
$61.48 |
$61.48 |
$61.48 |
$366.60
|
|
Hc mohs trunk/arm/leg ea stage after 1st stage
|
$431.42 |
$431.42 |
$431.42 |
$874.90
|
|
Hdr rdncl ntrstl/icav brchtx
|
$3,235.65 |
$3,235.65 |
$3,235.65 |
$2,725.00
|
|
Hdr rdncl ntrstl/icav brchtx
|
$918.49 |
$918.49 |
$918.49 |
$3,111.55
|
|
Hdr rdncl ntrstl/icav brchtx
|
$1,449.02 |
$1,449.02 |
$1,449.02 |
$3,410.55
|
|
Head CT scan (with and without contrast)
|
$1,531.70 |
$1,531.70 |
$1,531.70 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$935.45 |
$935.45 |
$935.45 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$852.24 |
$852.24 |
$852.24 |
$1,268.90
|
|
Heinz bodies direct
|
$11.66 |
$11.66 |
$11.66 |
$31.22
|
|
Helicobacter pylori antibody igm
|
$48.23 |
$48.23 |
$48.23 |
$84.80
|
|
Hemagglutination inhibition
|
$31.27 |
$31.27 |
$31.27 |
$17.60
|
|
Hematocrit
|
$25.44 |
$25.44 |
$25.44 |
$33.57
|
|
Hemoglobin
|
$25.97 |
$25.97 |
$25.97 |
$31.75
|
|
Hemoglobin copper sulfate
|
$13.78 |
$13.78 |
$13.78 |
$4.41
|
|
Hemoglobin fetal qualitative
|
$54.06 |
$54.06 |
$54.06 |
$51.75
|
|
Hemoglobin f (fetal) chemical
|
$27.03 |
$27.03 |
$27.03 |
$45.82
|
|
Hemoglobin methemoglobin quantitative
|
$24.91 |
$24.91 |
$24.91 |
$49.40
|
|
Hemoglobin-oxygen affinity
|
$66.78 |
$66.78 |
$66.78 |
$73.00
|
|
Hemoglobin plasma
|
$31.27 |
$31.27 |
$31.27 |
$40.56
|
|
Hemoglobin urine
|
$16.43 |
$16.43 |
$16.43 |
$23.31
|
|
Hemolysin acid
|
$65.19 |
$65.19 |
$65.19 |
$31.74
|
|
Hemolysins/agglutinins auto
|
$27.03 |
$27.03 |
$27.03 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$42.93 |
$42.93 |
$42.93 |
$67.50
|
|
Hemophilus influenza antibdy
|
$38.69 |
$38.69 |
$38.69 |
$56.80
|
|
Hemorrhoidectomy intrnl lig rbbr band ligations
|
$632.82 |
$632.82 |
$632.82 |
$1,141.40
|
|
Heparin assay
|
$98.58 |
$98.58 |
$98.58 |
$130.20
|
|
Heparin bolus from bag
|
$9.84 |
$9.84 |
$9.84 |
$75.00
|
|
Heparin neutralization
|
$37.10 |
$37.10 |
$37.10 |
$47.45
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.39 |
$0.39 |
$0.39 |
$22.75
|
|
Hepatitis a antibody igm
|
$120.84 |
$120.84 |
$120.84 |
$85.15
|
|
Hepatitis b core antibody igm
|
$87.98 |
$87.98 |
$87.98 |
$87.98
|
|
Hepatitis b core antibody total
|
$78.44 |
$78.44 |
$78.44 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$162.20 |
$162.20 |
$162.20 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$91.69 |
$91.69 |
$91.69 |
$83.79
|
|
Hepatitis b vaccine 40 mcg/ml inj-adult
|
$226.31 |
$226.31 |
$226.31 |
$210.40
|
|
Hepatitis c antibody
|
$133.56 |
$133.56 |
$133.56 |
$108.00
|
|
Hepatitis c rna dir probe
|
$57.77 |
$57.77 |
$57.77 |
$34.34
|
|
Hepatitis d quantification
|
$136.21 |
$136.21 |
$136.21 |
$145.06
|
|
Hepatobiliary system imaging
|
$2,144.38 |
$2,144.38 |
$2,144.38 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$100.17 |
$100.17 |
$100.17 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$137.27 |
$137.27 |
$137.27 |
$87.10
|
|
Herpes simplex virus isolation
|
$68.90 |
$68.90 |
$68.90 |
$93.32
|
|
Heterophile antibodies screening
|
$54.06 |
$54.06 |
$54.06 |
$73.60
|
|
Heterophile antibodies titer
|
$16.96 |
$16.96 |
$16.96 |
$16.80
|
|
Heterophile antibody absrbj
|
$54.06 |
$54.06 |
$54.06 |
$19.20
|
|
Hhv-6 dna quant
|
$132.50 |
$132.50 |
$132.50 |
$200.25
|
|
Hip X-ray
|
$327.54 |
$327.54 |
$327.54 |
$292.05
|
|
Histamine
|
$219.42 |
$219.42 |
$219.42 |
$125.40
|
|
Histochemical stains add-on
|
$311.11 |
$311.11 |
$311.11 |
$169.65
|