|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$733.16 |
$733.16 |
$733.16 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$800.12 |
$800.12 |
$800.12 |
$347.75
|
|
External chromosome analysis 20-25 cells
|
$6,860.37 |
$6,860.37 |
$6,860.37 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$6,859.76 |
$6,859.76 |
$6,859.76 |
$466.15
|
|
Factor ix
|
$1,414.78 |
$1,414.78 |
$1,414.78 |
$139.75
|
|
Factor ix complex
|
$9.44 |
$9.44 |
$9.44 |
$3.23
|
|
Factor ix non-recombinant
|
$10.29 |
$10.29 |
$10.29 |
$1.41
|
|
Factor viii
|
$1,414.78 |
$1,414.78 |
$1,414.78 |
$148.34
|
|
Factor viii
|
$23.49 |
$23.49 |
$23.49 |
$1.60
|
|
Factor viii recombinant nos
|
$26.34 |
$26.34 |
$26.34 |
$4.68
|
|
Family therapy with patient 50 min 90847
|
$747.18 |
$747.18 |
$747.18 |
$230.36
|
|
Fatty acids nonesterified
|
$288.73 |
$288.73 |
$288.73 |
$55.25
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$7,417.64 |
$7,417.64 |
$7,417.64 |
$1,475.61
|
|
Ferritin
|
$530.40 |
$530.40 |
$530.40 |
$103.40
|
|
Fetal fibronectin
|
$1,838.67 |
$1,838.67 |
$1,838.67 |
$342.47
|
|
Fetal hemoglobin (kleihauer betke)
|
$982.93 |
$982.93 |
$982.93 |
$85.00
|
|
Fetal lung maturity assess lam body dnst
|
$670.16 |
$670.16 |
$670.16 |
$64.28
|
|
Fibrin degradation products
|
$851.19 |
$851.19 |
$851.19 |
$63.90
|
|
Fibrin degrade semiquant
|
$866.96 |
$866.96 |
$866.96 |
$90.35
|
|
Fibrinolytic plasminogen
|
$716.45 |
$716.45 |
$716.45 |
$112.02
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$1,397.84 |
$1,397.84 |
$1,397.84 |
$59.89
|
|
Flebogamma injection
|
$580.98 |
$580.98 |
$580.98 |
$276.05
|
|
Flecainide (tambocor)-sendout
|
$691.90 |
$691.90 |
$691.90 |
$66.43
|
|
Fluoro polarize fetal lung
|
$2,048.89 |
$2,048.89 |
$2,048.89 |
$62.81
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$326.65 |
$326.65 |
$326.65 |
$97.74
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$226.78 |
$226.78 |
$226.78 |
$171.99
|
|
Folic acid
|
$556.73 |
$556.73 |
$556.73 |
$87.50
|
|
Folic acid 5 mg/ml injection solution
|
$225.29 |
$225.29 |
$225.29 |
$48.78
|
|
Follow-up angiography
|
$10,942.35 |
$10,942.35 |
$10,942.35 |
$1,875.00
|
|
Foot drp splt w/exp heel lg
|
$13,893.00 |
$13,893.00 |
$13,893.00 |
$120.31
|
|
Foscarnet sodium injection
|
$4,038.47 |
$4,038.47 |
$4,038.47 |
$714.25
|
|
Fresh frozen plasma thawing ea un
|
$164.66 |
$164.66 |
$164.66 |
$130.00
|
|
Frozen blood freeze/thaw
|
$137.49 |
$137.49 |
$137.49 |
$144.00
|
|
Fructosamine glycated protein
|
$85.18 |
$85.18 |
$85.18 |
$64.20
|
|
Ga-67 gallium 0.1 mci
|
$272.47 |
$272.47 |
$272.47 |
$163.80
|
|
Galactokinase - sendout
|
$2,647.40 |
$2,647.40 |
$2,647.40 |
$175.00
|
|
Galactose transferase test
|
$119.38 |
$119.38 |
$119.38 |
$22.18
|
|
Gammaglobulin ige
|
$982.93 |
$982.93 |
$982.93 |
$85.00
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$1,163.11 |
$1,163.11 |
$1,163.11 |
$211.20
|
|
Gastroesophageal reflux study
|
$11,193.06 |
$11,193.06 |
$11,193.06 |
$911.04
|
|
Gemcitabine 1 gram intravenous solution
|
$2,861.86 |
$2,861.86 |
$2,861.86 |
$240.65
|
|
General health panel
|
$4,051.12 |
$4,051.12 |
$4,051.12 |
$280.00
|
|
Ghs acetylcholinesterase, rbc
|
$689.59 |
$689.59 |
$689.59 |
$39.60
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$718.29 |
$718.29 |
$718.29 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$1,798.05 |
$1,798.05 |
$1,798.05 |
$77.60
|
|
Ghs bleeding time (ivy)
|
$1,054.81 |
$1,054.81 |
$1,054.81 |
$55.90
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$2,799.77 |
$2,799.77 |
$2,799.77 |
$130.70
|
|
Ghs diphtheria toxoid ab igg
|
$502.90 |
$502.90 |
$502.90 |
$74.53
|
|
Ghs fat & muscle
|
$337.19 |
$337.19 |
$337.19 |
$33.00
|
|
Ghs febrile agglutinns(mayo)
|
$56.26 |
$56.26 |
$56.26 |
$48.57
|
|
Ghs fish cytogen
|
$2,404.59 |
$2,404.59 |
$2,404.59 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$1,664.52 |
$1,664.52 |
$1,664.52 |
$229.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$564.70 |
$564.70 |
$564.70 |
$105.00
|
|
Ghs histoplasma antigen
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$144.50
|
|
Ghs hla-dr/dq, multiple antigens
|
$2,376.73 |
$2,376.73 |
$2,376.73 |
$462.60
|
|
Ghs immun0electrophoresis
|
$1,781.48 |
$1,781.48 |
$1,781.48 |
$102.70
|
|
Ghs inhibitor screen
|
$2,726.79 |
$2,726.79 |
$2,726.79 |
$158.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$2,337.00 |
$2,337.00 |
$2,337.00 |
$59.40
|
|
Ghs mbp
|
$982.93 |
$982.93 |
$982.93 |
$77.35
|
|
Ghs ot group caregiver training
|
$50.00 |
$50.00 |
$50.00 |
$43.20
|
|
Ghs pacing - transcutaneous
|
$1,655.24 |
$1,655.24 |
$1,655.24 |
$842.40
|
|
Ghs phenylketonurid
|
$1,094.07 |
$1,094.07 |
$1,094.07 |
$55.53
|
|
Ghs plt ct-manual
|
$487.29 |
$487.29 |
$487.29 |
$39.20
|
|
Ghs ppd (tb intradermal)
|
$173.51 |
$173.51 |
$173.51 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$645.22 |
$645.22 |
$645.22 |
$41.40
|
|
Ghs protoporphyrins fract
|
$163.74 |
$163.74 |
$163.74 |
$64.35
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$703.43 |
$703.43 |
$703.43 |
$45.05
|
|
Ghs quinidine
|
$803.90 |
$803.90 |
$803.90 |
$68.40
|
|
Ghs respiratory syncytical virus igg/m
|
$470.83 |
$470.83 |
$470.83 |
$42.40
|
|
Ghs reticulocyte count
|
$578.70 |
$578.70 |
$578.70 |
$33.57
|
|
Ghs urine, porphyrins quant
|
$1,001.11 |
$1,001.11 |
$1,001.11 |
$72.60
|
|
Ghs veeg 12-26 hr intmt mont
|
$9,738.36 |
$9,738.36 |
$9,738.36 |
$1,843.00
|
|
Glucagon 1 mg solution for injection
|
$1,644.83 |
$1,644.83 |
$1,644.83 |
$591.50
|
|
Glucagon plasma - sendout
|
$425.20 |
$425.20 |
$425.20 |
$58.00
|
|
Glucose 1 hr post dose
|
$1,059.49 |
$1,059.49 |
$1,059.49 |
$45.00
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$287.02 |
$287.02 |
$287.02 |
$33.57
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$197.36 |
$197.36 |
$197.36 |
$54.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$960.00 |
$960.00 |
$960.00 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$960.00 |
$960.00 |
$960.00 |
$124.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$411.00 |
$411.00 |
$411.00 |
$63.51
|
|
Granisetron hcl injection
|
$265.84 |
$265.84 |
$265.84 |
$36.78
|
|
Gu dilat ureter/urethra s&i
|
$7,661.61 |
$7,661.61 |
$7,661.61 |
$1,712.25
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$276.67 |
$276.67 |
$276.67 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$208.70 |
$208.70 |
$208.70 |
$27.12
|
|
Haptoglobin quantitative
|
$1,804.28 |
$1,804.28 |
$1,804.28 |
$80.24
|
|
Hbot, full body chamber, 30m
|
$2,533.47 |
$2,533.47 |
$2,533.47 |
$479.75
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$3,504.88 |
$3,504.88 |
$3,504.88 |
$757.08
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$6,561.10 |
$6,561.10 |
$6,561.10 |
$817.05
|
|
Hc nm kidney imaging with flow
|
$8,083.76 |
$8,083.76 |
$8,083.76 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$9,735.35 |
$9,735.35 |
$9,735.35 |
$1,186.80
|
|
Heinz bodies direct
|
$54.04 |
$54.04 |
$54.04 |
$31.22
|
|
Hemin 350 mg intravenous powder for solution
|
$85.23 |
$85.23 |
$85.23 |
$17,137.44
|
|
Hemoglobin fetal qualitative
|
$1,008.09 |
$1,008.09 |
$1,008.09 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$331.06 |
$331.06 |
$331.06 |
$47.49
|
|
Hemoglobin plasma
|
$1,470.95 |
$1,470.95 |
$1,470.95 |
$38.20
|
|
Hemolysin acid
|
$680.27 |
$680.27 |
$680.27 |
$29.49
|
|
Hemophilus influenza antibdy
|
$830.66 |
$830.66 |
$830.66 |
$56.80
|
|
Hepagam b im injection
|
$2,990.03 |
$2,990.03 |
$2,990.03 |
$464.00
|
|
Hepatitis a antibody igm
|
$493.80 |
$493.80 |
$493.80 |
$83.91
|
|
Hepatitis b core antibody igm
|
$648.42 |
$648.42 |
$648.42 |
$83.91
|
