|
Folic acid 5 mg/ml injection solution
|
$0.08 |
$0.08 |
$0.08 |
$56.70
|
|
Fomepizole 1 gram/ml intravenous solution
|
$31.61 |
$31.61 |
$31.61 |
$2,926.05
|
|
Fondaparinux sodium
|
$22.32 |
$22.32 |
$22.32 |
$176.54
|
|
Foot X-ray
|
$550.40 |
$550.40 |
$550.40 |
$364.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3.60 |
$3.60 |
$3.60 |
$462.82
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$37.69 |
$37.69 |
$37.69 |
$110.69
|
|
Fracture assessment via dxa
|
$206.00 |
$206.00 |
$206.00 |
$137.80
|
|
_fragile x methylation-sendout
|
$190.00 |
$190.00 |
$190.00 |
$175.75
|
|
Fresh frozen plasma thawing ea un
|
$63.20 |
$63.20 |
$63.20 |
$129.00
|
|
Fructosamine glycated protein
|
$25.67 |
$25.67 |
$25.67 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$0.05 |
$0.05 |
$0.05 |
$24.31
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$5.08 |
$5.08 |
$5.08 |
$26.40
|
|
Ga-67 gallium 0.1 mci
|
$60.40 |
$60.40 |
$60.40 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$8.40 |
$8.40 |
$8.40 |
$176.62
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$6.00 |
$6.00 |
$6.00 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.03 |
$1.03 |
$1.03 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$33.46 |
$33.46 |
$33.46 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$34.97 |
$34.97 |
$34.97 |
$82.50
|
|
Gammaglobulin iga
|
$75.30 |
$75.30 |
$75.30 |
$76.05
|
|
Gammaglobulin ige
|
$88.70 |
$88.70 |
$88.70 |
$85.00
|
|
Gamma glutamyltransferase
|
$46.94 |
$46.94 |
$46.94 |
$55.28
|
|
Gamunex-c/gammaked
|
$103.80 |
$103.80 |
$103.80 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$59.88 |
$59.88 |
$59.88 |
$211.10
|
|
Gastroesophageal reflux study
|
$2,104.00 |
$2,104.00 |
$2,104.00 |
$923.65
|
|
Gemcitabine 1 gram intravenous solution
|
$299.10 |
$299.10 |
$299.10 |
$263.34
|
|
General health panel
|
$95.02 |
$95.02 |
$95.02 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$34.56 |
$34.56 |
$34.56 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$110.42 |
$110.42 |
$110.42 |
$119.90
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$37.60 |
$37.60 |
$37.60 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$170.40 |
$170.40 |
$170.40 |
$391.00
|
|
Ghs antibodies (torch) igm
|
$20.62 |
$20.62 |
$20.62 |
$73.70
|
|
Ghs bleeding time (ivy)
|
$5.88 |
$5.88 |
$5.88 |
$55.90
|
|
Ghs chemo >8 hrs
|
$381.20 |
$381.20 |
$381.20 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$443.60 |
$443.60 |
$443.60 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$288.00 |
$288.00 |
$288.00 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$58.01 |
$58.01 |
$58.01 |
$133.25
|
|
Ghs febrile agglutinns(mayo)
|
$23.52 |
$23.52 |
$23.52 |
$48.57
|
|
Ghs fish cytogen
|
$36.26 |
$36.26 |
$36.26 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$36.26 |
$36.26 |
$36.26 |
$229.45
|
|
Ghs hcv amplificaiton
|
$227.93 |
$227.93 |
$227.93 |
$195.60
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$18.06 |
$18.06 |
$18.06 |
$27.56
|
|
Ghs hepatitis c virus (hcv riba)
|
$50.40 |
$50.40 |
$50.40 |
$108.46
|
|
Ghs histoplasma antigen
|
$34.84 |
$34.84 |
$34.84 |
$137.80
|
|
Ghs HIV antibody
|
$24.95 |
$24.95 |
$24.95 |
$91.20
|
|
Ghs immun0electrophoresis
|
$186.52 |
$186.52 |
$186.52 |
$106.47
|
|
Ghs inhibitor screen
|
$540.84 |
$540.84 |
$540.84 |
$151.54
|
|
Ghs leukocyte alkaline phos (mayo)
|
$24.80 |
$24.80 |
$24.80 |
$59.40
|
|
Ghs mbp
|
$9.50 |
$9.50 |
$9.50 |
$74.19
|
|
Ghs ot prosthetic training/15 min
|
$76.40 |
$76.40 |
$76.40 |
$92.35
|
|
Ghs ppd (tb intradermal)
|
$13.73 |
$13.73 |
$13.73 |
$43.45
|
|
Ghs protein, misc fluid
|
$2.82 |
$2.82 |
$2.82 |
$24.60
|
|
Ghs quinidine
|
$19.74 |
$19.74 |
$19.74 |
$68.40
|
|
Ghs reticulocyte count
|
$6.93 |
$6.93 |
$6.93 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$148.61 |
$148.61 |
$148.61 |
$103.95
|
|
Ghs sedimentation rate
|
$7.39 |
$7.39 |
$7.39 |
$46.80
|
|
Ghs semen analysis fert
|
$9.66 |
$9.66 |
$9.66 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$40.45 |
$40.45 |
$40.45 |
$59.90
|
|
Ghs urine, hydroxproline total
|
$59.64 |
$59.64 |
$59.64 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$24.40 |
$24.40 |
$24.40 |
$66.94
|
|
Gi inhouse confirmation
|
$55.47 |
$55.47 |
$55.47 |
$87.00
|
|
Gjb2 gene full sequence
|
$208.00 |
$208.00 |
$208.00 |
$386.10
|
|
Glucagon 1 mg solution for injection
|
$282.20 |
$282.20 |
$282.20 |
$613.00
|
|
Glucagon plasma - sendout
|
$7.44 |
$7.44 |
$7.44 |
$58.20
|
|
Glucose 1 hr post dose
|
$48.25 |
$48.25 |
$48.25 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$6.30 |
$6.30 |
$6.30 |
$39.38
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$10.04 |
$10.04 |
$10.04 |
$21.52
|
|
Glucose blood quantitative
|
$17.90 |
$17.90 |
$17.90 |
$45.00
|
|
Glucose body fluid
|
$60.30 |
$60.30 |
$60.30 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$50.52 |
$50.52 |
$50.52 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$24.30 |
$24.30 |
$24.30 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$194.08 |
$194.08 |
$194.08 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$203.74 |
$203.74 |
$203.74 |
$121.09
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$2,156.07 |
$2,156.07 |
$2,156.07 |
$123.48
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,946.56 |
$1,946.56 |
$1,946.56 |
$1,617.20
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$7,029.30 |
$7,029.30 |
$7,029.30 |
$23,253.65
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$6,271.83 |
$6,271.83 |
$6,271.83 |
$4,180.77
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$183.14 |
$183.14 |
$183.14 |
$1,007.92
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$6,651.36 |
$6,651.36 |
$6,651.36 |
$336.78
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$14.27 |
$14.27 |
$14.27 |
$33.22
|
|
Handle/convey/speciman/office-lab 99000
|
$8.80 |
$8.80 |
$8.80 |
$30.36
|
|
Hand X-ray
|
$600.40 |
$600.40 |
$600.40 |
$333.75
|
|
Haptoglobin quantitative
|
$142.42 |
$142.42 |
$142.42 |
$88.40
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$1,008.40 |
$1,008.40 |
$1,008.40 |
$759.72
|
|
Hcg qualitative
|
$105.03 |
$105.03 |
$105.03 |
$77.50
|
|
Hcg quantitative
|
$809.14 |
$809.14 |
$809.14 |
$125.40
|
|
Hc i-131 sodium iodide cap dx per mci
|
$116.80 |
$116.80 |
$116.80 |
$136.50
|
|
Hc nm kidney imaging with flow
|
$1,218.40 |
$1,218.40 |
$1,218.40 |
$1,008.39
|
|
Head CT scan (with and without contrast)
|
$1,460.80 |
$1,460.80 |
$1,460.80 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$1,460.80 |
$1,460.80 |
$1,460.80 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$1,273.60 |
$1,273.60 |
$1,273.60 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$55.22 |
$55.22 |
$55.22 |
$84.80
|
|
Hematocrit
|
$32.77 |
$32.77 |
$32.77 |
$33.57
|
|
Hematopoietic nuclear tx
|
$3,235.20 |
$3,235.20 |
$3,235.20 |
$918.60
|
|
Hemoglobin
|
$7.06 |
$7.06 |
$7.06 |
$32.50
|
|
Hemoglobin fetal qualitative
|
$45.80 |
$45.80 |
$45.80 |
$52.20
|
|
Hemoglobin methemoglobin quantitative
|
$18.65 |
$18.65 |
$18.65 |
$48.60
|
|
Hemoglobin plasma
|
$6.32 |
$6.32 |
$6.32 |
$39.00
|
|
Heparin assay
|
$196.78 |
$196.78 |
$196.78 |
$130.20
|
|
Heparin bolus from bag
|
$8.82 |
$8.82 |
$8.82 |
$79.04
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$14.70 |
$14.70 |
$14.70 |
$29.00
|
