|
Ghs respiratory syncytical virus igg/m
|
$54.43 |
$54.43 |
$54.43 |
$74.82
|
|
Ghs reticulocyte count
|
$8.93 |
$8.93 |
$8.93 |
$34.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$29.48 |
$29.48 |
$29.48 |
$99.00
|
|
Ghs sensitivity (per antimicro)
|
$16.15 |
$16.15 |
$16.15 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$124.44 |
$124.44 |
$124.44 |
$570.60
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$152.02 |
$152.02 |
$152.02 |
$586.50
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$97.47 |
$97.47 |
$97.47 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$95.63 |
$95.63 |
$95.63 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$123.21 |
$123.21 |
$123.21 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$187.58 |
$187.58 |
$187.58 |
$590.88
|
|
Ghs sleep study unattended
|
$571.25 |
$571.25 |
$571.25 |
$503.38
|
|
Ghs sphenopalatine ganglion block
|
$508.28 |
$508.28 |
$508.28 |
$630.24
|
|
Ghs tx distal phalangeal fx with manipulation
|
$348.80 |
$348.80 |
$348.80 |
$529.65
|
|
Ghs urine, porphyrins quant
|
$41.23 |
$41.23 |
$41.23 |
$73.80
|
|
Ghs vaginal delivery only
|
$1,041.49 |
$1,041.49 |
$1,041.49 |
$3,341.93
|
|
Giardia ag if
|
$42.82 |
$42.82 |
$42.82 |
$38.58
|
|
Giardia lamblia antibody
|
$50.65 |
$50.65 |
$50.65 |
$83.44
|
|
Gi inhouse confirmation
|
$44.23 |
$44.23 |
$44.23 |
$87.75
|
|
Glucagon plasma - sendout
|
$44.56 |
$44.56 |
$44.56 |
$64.35
|
|
Glucose 1 hr post dose
|
$9.98 |
$9.98 |
$9.98 |
$49.00
|
|
Glucose body fluid
|
$37.24 |
$37.24 |
$37.24 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$25.94 |
$25.94 |
$25.94 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$7.98 |
$7.98 |
$7.98 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$38.57 |
$38.57 |
$38.57 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$38.57 |
$38.57 |
$38.57 |
$129.03
|
|
Graft axiofill 1000mg
|
$40.29 |
$40.29 |
$40.29 |
$5,125.68
|
|
Graft nerve adv 3-4x70mm
|
$47,943.08 |
$47,943.08 |
$47,943.08 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$54,480.23 |
$54,480.23 |
$54,480.23 |
$29,293.39
|
|
Graft xenmtrx sft rect 15x20cm
|
$45,764.03 |
$45,764.03 |
$45,764.03 |
$29,676.26
|
|
Graft xenmtrx sft rect 19x28cm
|
$5,346.14 |
$5,346.14 |
$5,346.14 |
$2,905.40
|
|
Ground mileage
|
$17.58 |
$17.58 |
$17.58 |
$17.60
|
|
Guide wire threaded 1.4x150mm
|
$10,171.14 |
$10,171.14 |
$10,171.14 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$3,218.60 |
$3,218.60 |
$3,218.60 |
$1,117.40
|
|
Gw stiffened micro access kit
|
$5,765.23 |
$5,765.23 |
$5,765.23 |
$6,893.38
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$109.44 |
$109.44 |
$109.44 |
$105.30
|
|
Hand X-ray
|
$269.49 |
$269.49 |
$269.49 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$173.35 |
$173.35 |
$173.35 |
$294.90
|
|
Haptoglobin quantitative
|
$39.24 |
$39.24 |
$39.24 |
$92.80
|
|
Hba1/hba2 full gene sequence
|
$1,085.40 |
$1,085.40 |
$1,085.40 |
$769.95
|
|
Hcg qualitative
|
$15.30 |
$15.30 |
$15.30 |
$90.10
|
|
Hcg quantitative
|
$44.56 |
$44.56 |
$44.56 |
$139.20
|
|
Hc i-131 sodium iodide cap dx per mci
|
$78.26 |
$78.26 |
$78.26 |
$113.12
|
|
Head CT scan (with and without contrast)
|
$1,450.61 |
$1,450.61 |
$1,450.61 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,208.73 |
$1,208.73 |
$1,208.73 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$966.86 |
$966.86 |
$966.86 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$177.14 |
$177.14 |
$177.14 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$58.97 |
$58.97 |
$58.97 |
$92.00
|
|
Hematocrit
|
$47.40 |
$47.40 |
$47.40 |
$33.80
|
|
Hemoglobin
|
$41.22 |
$41.22 |
$41.22 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$39.24 |
$39.24 |
$39.24 |
$52.32
|
|
Hemophilus influenza antibdy
|
$46.87 |
$46.87 |
$46.87 |
$62.70
|
|
Heparin assay
|
$44.66 |
$44.66 |
$44.66 |
$139.15
|
|
Hepatitis a antibody igm
|
$65.02 |
$65.02 |
$65.02 |
$89.44
|
|
Hepatitis b core antibody igm
|
$72.58 |
$72.58 |
$72.58 |
$89.60
|
|
Hepatitis b core antibody total
|
$41.58 |
$41.58 |
$41.58 |
$77.50
|
|
Hepatitis b surface antibody
|
$41.58 |
$41.58 |
$41.58 |
$82.32
|
|
Hepatitis c antibody
|
$71.82 |
$71.82 |
$71.82 |
$108.25
|
|
Herpes simplex 1 ag if
|
$42.12 |
$42.12 |
$42.12 |
$38.58
|
|
Herpes simplex 2 ag if
|
$42.12 |
$42.12 |
$42.12 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$40.07 |
$40.07 |
$40.07 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$44.60 |
$44.60 |
$44.60 |
$87.36
|
|
Herpes simplex virus isolation
|
$71.60 |
$71.60 |
$71.60 |
$110.00
|
|
Heterophile antibodies screening
|
$12.10 |
$12.10 |
$12.10 |
$73.87
|
|
Hhv-6 dna quant
|
$88.45 |
$88.45 |
$88.45 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$206.66 |
$206.66 |
$206.66 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$336.86 |
$336.86 |
$336.86 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$167.30 |
$167.30 |
$167.30 |
$233.50
|
|
Hip X-ray
|
$314.16 |
$314.16 |
$314.16 |
$294.75
|
|
Histamine
|
$59.19 |
$59.19 |
$59.19 |
$115.00
|
|
Hla i & ii type verify lr
|
$732.04 |
$732.04 |
$732.04 |
$742.50
|
|
Hla ii typing 1 loc hr
|
$224.32 |
$224.32 |
$224.32 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$134.47 |
$134.47 |
$134.47 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$307.53 |
$307.53 |
$307.53 |
$304.20
|
|
Hla i typing low res one locus ea
|
$230.95 |
$230.95 |
$230.95 |
$340.00
|
|
Homocysteine
|
$38.57 |
$38.57 |
$38.57 |
$125.40
|
|
Homogenization tissue
|
$36.50 |
$36.50 |
$36.50 |
$41.30
|
|
Homovanillic acid (hva)
|
$45.22 |
$45.22 |
$45.22 |
$59.95
|
|
H pylori (c-13) breath
|
$135.00 |
$135.00 |
$135.00 |
$212.25
|
|
Htt gene detc abnor alleles
|
$247.83 |
$247.83 |
$247.83 |
$250.50
|
|
Human epididymis protein 4 (he4)
|
$73.33 |
$73.33 |
$73.33 |
$157.32
|
|
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge
|
$27.31 |
$27.31 |
$27.31 |
$294.92
|
|
Hysterosalpingography s&i
|
$400.45 |
$400.45 |
$400.45 |
$669.12
|
|
Iaadi respiratory synctial virus
|
$42.12 |
$42.12 |
$42.12 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$74.41 |
$74.41 |
$74.41 |
$109.80
|
|
Ia nfct ab sarscov2 covid19
|
$102.82 |
$102.82 |
$102.82 |
$62.49
|
|
I&d intramural/intramuscular/submuc abscess transanal anes
|
$560.28 |
$560.28 |
$560.28 |
$3,245.23
|
|
Ifnl3 gene
|
$133.26 |
$133.26 |
$133.26 |
$147.20
|
|
Igh gene rearrange amp meth
|
$358.18 |
$358.18 |
$358.18 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$533.05 |
$533.05 |
$533.05 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$312.96 |
$312.96 |
$312.96 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$109.46 |
$109.46 |
$109.46 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$573.68 |
$573.68 |
$573.68 |
$331.20
|
|
Ihc/icc per specimen initial single antibody stain
|
$274.86 |
$274.86 |
$274.86 |
$277.90
|
|
Immunoassay tumor antigen quantitative ca 125
|
$47.63 |
$47.63 |
$47.63 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$47.63 |
$47.63 |
$47.63 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$42.34 |
$42.34 |
$42.34 |
$48.57
|
|
Immunodiffusion nes
|
$41.58 |
$41.58 |
$41.58 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$107.35 |
$107.35 |
$107.35 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$151.01 |
$151.01 |
$151.01 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$274.86 |
$274.86 |
$274.86 |
$234.27
|
