|
Glucose tolerance test (gtt) 3 specimens
|
$25.04 |
$25.04 |
$25.04 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$7.70 |
$7.70 |
$7.70 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$37.24 |
$37.24 |
$37.24 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$37.24 |
$37.24 |
$37.24 |
$129.03
|
|
Graft axiofill 1000mg
|
$38.13 |
$38.13 |
$38.13 |
$5,125.68
|
|
Graft nerve adv 3-4x70mm
|
$51,395.76 |
$51,395.76 |
$51,395.76 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$7,013.61 |
$7,013.61 |
$7,013.61 |
$29,293.39
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$502.04 |
$502.04 |
$502.04 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$24,870.48 |
$24,870.48 |
$24,870.48 |
$29,676.26
|
|
Great toe with reduction 28495
|
$276.14 |
$276.14 |
$276.14 |
$495.00
|
|
Guide wire threaded 1.4x150mm
|
$7,489.41 |
$7,489.41 |
$7,489.41 |
$3,284.36
|
|
Gw stiffened micro access kit
|
$168.71 |
$168.71 |
$168.71 |
$6,893.38
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$119.32 |
$119.32 |
$119.32 |
$105.30
|
|
Hand X-ray
|
$272.70 |
$272.70 |
$272.70 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$175.41 |
$175.41 |
$175.41 |
$294.90
|
|
Haptoglobin quantitative
|
$37.88 |
$37.88 |
$37.88 |
$92.80
|
|
Hba1/hba2 full gene sequence
|
$1,294.20 |
$1,294.20 |
$1,294.20 |
$769.95
|
|
Hcg qualitative
|
$14.77 |
$14.77 |
$14.77 |
$90.10
|
|
Hcg quantitative
|
$43.01 |
$43.01 |
$43.01 |
$139.20
|
|
Hc nm kidney imaging with flow
|
$590.65 |
$590.65 |
$590.65 |
$849.00
|
|
Head CT scan (with and without contrast)
|
$1,448.36 |
$1,448.36 |
$1,448.36 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$1,206.86 |
$1,206.86 |
$1,206.86 |
$1,527.60
|
|
Head CT scan (without contrast)
|
$965.36 |
$965.36 |
$965.36 |
$1,268.90
|
|
Heel (Calcaneus) X-ray (both feet)
|
$179.24 |
$179.24 |
$179.24 |
$276.00
|
|
Helicobacter pylori antibody igm
|
$92.27 |
$92.27 |
$92.27 |
$92.00
|
|
Hematocrit
|
$43.95 |
$43.95 |
$43.95 |
$33.80
|
|
Hemoglobin
|
$38.22 |
$38.22 |
$38.22 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$16.05 |
$16.05 |
$16.05 |
$52.32
|
|
Hemoglobin plasma
|
$37.88 |
$37.88 |
$37.88 |
$41.40
|
|
Hemoglobin urine
|
$41.73 |
$41.73 |
$41.73 |
$17.50
|
|
Hemophilus influenza antibdy
|
$73.35 |
$73.35 |
$73.35 |
$62.70
|
|
Heparin assay
|
$58.60 |
$58.60 |
$58.60 |
$139.15
|
|
Hepatitis a antibody igm
|
$101.74 |
$101.74 |
$101.74 |
$89.44
|
|
Hepatitis b core antibody igm
|
$113.57 |
$113.57 |
$113.57 |
$89.60
|
|
Hepatitis b core antibody total
|
$65.06 |
$65.06 |
$65.06 |
$77.50
|
|
Hepatitis b surface antibody
|
$65.06 |
$65.06 |
$65.06 |
$82.32
|
|
Hepatitis c antibody
|
$112.39 |
$112.39 |
$112.39 |
$108.25
|
|
Herpes simplex 1 ag if
|
$42.48 |
$42.48 |
$42.48 |
$38.58
|
|
Herpes simplex 2 ag if
|
$42.48 |
$42.48 |
$42.48 |
$41.61
|
|
Herpes simplex type 1 antibody igg
|
$62.70 |
$62.70 |
$62.70 |
$69.12
|
|
Herpes simplex type 2 antibody igg
|
$69.80 |
$69.80 |
$69.80 |
$87.36
|
|
Herpes simplex virus isolation
|
$72.22 |
$72.22 |
$72.22 |
$110.00
|
|
Heterophile antibodies screening
|
$18.93 |
$18.93 |
$18.93 |
$73.87
|
|
Hhv-6 dna quant
|
$89.21 |
$89.21 |
$89.21 |
$253.68
|
|
Hip and Pelvis X-ray (2 views, both hips)
|
$209.12 |
$209.12 |
$209.12 |
$374.40
|
|
Hip and Pelvis X-ray (3 to 4 views, both hips)
|
$340.87 |
$340.87 |
$340.87 |
$424.80
|
|
Hip and Pelvis X-ray (single view, left side)
|
$169.29 |
$169.29 |
$169.29 |
$233.50
|
|
Hip X-ray
|
$317.89 |
$317.89 |
$317.89 |
$294.75
|
|
Histamine
|
$57.14 |
$57.14 |
$57.14 |
$115.00
|
|
Hla i & ii type verify lr
|
$872.87 |
$872.87 |
$872.87 |
$742.50
|
|
Hla ii typing 1 loc hr
|
$267.47 |
$267.47 |
$267.47 |
$299.20
|
|
Hla i low res one antigen equiv ea
|
$160.34 |
$160.34 |
$160.34 |
$164.00
|
|
Hla i typing low res one locus ea
|
$275.38 |
$275.38 |
$275.38 |
$340.00
|
|
Hla typing dr/dq
|
$107.65 |
$107.65 |
$107.65 |
$135.20
|
|
Homocysteine
|
$37.24 |
$37.24 |
$37.24 |
$125.40
|
|
Homogenization tissue
|
$36.82 |
$36.82 |
$36.82 |
$41.30
|
|
Homovanillic acid (hva)
|
$43.66 |
$43.66 |
$43.66 |
$59.95
|
|
H pylori (c-13) breath
|
$130.33 |
$130.33 |
$130.33 |
$212.25
|
|
Hrdtry perph neurphy panel
|
$1,261.85 |
$1,261.85 |
$1,261.85 |
$1,569.60
|
|
Human epididymis protein 4 (he4)
|
$114.75 |
$114.75 |
$114.75 |
$157.32
|
|
Hysterosalpingography s&i
|
$405.21 |
$405.21 |
$405.21 |
$669.12
|
|
Iaadi respiratory synctial virus
|
$42.48 |
$42.48 |
$42.48 |
$54.58
|
|
Iadna legionella pneumophila amplified probe tq
|
$75.05 |
$75.05 |
$75.05 |
$109.80
|
|
Ia nfct ab sarscov2 covid19
|
$160.89 |
$160.89 |
$160.89 |
$62.49
|
|
Ifnl3 gene
|
$158.90 |
$158.90 |
$158.90 |
$147.20
|
|
Igh gene rearrange amp meth
|
$427.09 |
$427.09 |
$427.09 |
$464.25
|
|
Igh@ var region somatic mutation analy
|
$635.60 |
$635.60 |
$635.60 |
$660.80
|
|
Igk rearrangeabn clonal pop
|
$373.16 |
$373.16 |
$373.16 |
$399.36
|
|
Ihc/icc per specimen each additional single antibody stain
|
$77.68 |
$77.68 |
$77.68 |
$191.52
|
|
Ihc/icc per specimen initial single antibody stain
|
$195.05 |
$195.05 |
$195.05 |
$277.90
|
|
Immunoassay tumor antigen quantitative ca 125
|
$74.53 |
$74.53 |
$74.53 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$74.53 |
$74.53 |
$74.53 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$66.25 |
$66.25 |
$66.25 |
$48.57
|
|
Immunodiffusion nes
|
$65.06 |
$65.06 |
$65.06 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$167.99 |
$167.99 |
$167.99 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$107.16 |
$107.16 |
$107.16 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$195.05 |
$195.05 |
$195.05 |
$234.27
|
|
Immunoglobulin assay
|
$279.19 |
$279.19 |
$279.19 |
$78.00
|
|
Implant cartilage 10mm synthetic
|
$16,581.33 |
$16,581.33 |
$16,581.33 |
$8,332.51
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$604.80 |
$604.80 |
$604.80 |
$2,086.70
|
|
Infect ag genotype na cytomegalovirus
|
$547.28 |
$547.28 |
$547.28 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$547.28 |
$547.28 |
$547.28 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$274.00 |
$274.00 |
$274.00 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$547.28 |
$547.28 |
$547.28 |
$603.83
|
|
Infect ag ia optc obs influenza
|
$35.40 |
$35.40 |
$35.40 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$42.48 |
$42.48 |
$42.48 |
$68.40
|
|
Infect ag if influenza a
|
$42.48 |
$42.48 |
$42.48 |
$41.30
|
|
Infect ag if influenza b
|
$42.48 |
$42.48 |
$42.48 |
$37.95
|
|
Infect ag if pneumocystis carinii
|
$53.81 |
$53.81 |
$53.81 |
$66.06
|
|
Infect ag if varicella zoster
|
$42.48 |
$42.48 |
$42.48 |
$72.00
|
|
Infect ag na hep b amp
|
$95.58 |
$95.58 |
$95.58 |
$120.50
|
|
Infect ag na hpv high-risk types
|
$75.05 |
$75.05 |
$75.05 |
$139.20
|
|
Infect ag na influenza r/amp 1st 2 types
|
$203.90 |
$203.90 |
$203.90 |
$219.70
|
|
Infect ag na orthopoxvirus amp prb each
|
$109.03 |
$109.03 |
$109.03 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$885.71 |
$885.71 |
$885.71 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$42.48 |
$42.48 |
$42.48 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$29.74 |
$29.74 |
$29.74 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$46.73 |
$46.73 |
$46.73 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$53.10 |
$53.10 |
$53.10 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$163.55 |
$163.55 |
$163.55 |
$81.20
|
