|
Dicyclomine injection
|
$97.34 |
$97.34 |
$97.34 |
$210.00
|
|
Digoxin total therapeutic drug level
|
$782.90 |
$782.90 |
$782.90 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$304.16 |
$304.16 |
$304.16 |
$308.90
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$19.50 |
$19.50 |
$19.50 |
$22.58
|
|
Dna antibody native/double stranded
|
$134.16 |
$134.16 |
$134.16 |
$101.40
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$50.96 |
$50.96 |
$50.96 |
$89.34
|
|
Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm
|
$38.82 |
$38.82 |
$38.82 |
$189.68
|
|
Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm
|
$6,399.21 |
$6,399.21 |
$6,399.21 |
$127.14
|
|
Drug assay caffeine
|
$137.58 |
$137.58 |
$137.58 |
$86.45
|
|
Drug test def 1-7 classes
|
$1,373.46 |
$1,373.46 |
$1,373.46 |
$263.86
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$3,901.00 |
$3,901.00 |
$3,901.00 |
$278.85
|
|
Drvvt confirm - quest
|
$2,795.02 |
$2,795.02 |
$2,795.02 |
$102.30
|
|
Echo guide for artery repair
|
$4,093.25 |
$4,093.25 |
$4,093.25 |
$676.80
|
|
E equine encephalitis igg
|
$47.80 |
$47.80 |
$47.80 |
$48.73
|
|
Electrolyte panel
|
$1,974.85 |
$1,974.85 |
$1,974.85 |
$86.33
|
|
Electron microscopy diagnostic
|
$1,420.18 |
$1,420.18 |
$1,420.18 |
$1,006.20
|
|
Encephalitis, california igg/igm
|
$85.00 |
$85.00 |
$85.00 |
$48.57
|
|
Encephalitis, st louis igg/igm
|
$47.80 |
$47.80 |
$47.80 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$47.80 |
$47.80 |
$47.80 |
$50.35
|
|
Enzyme histochemistry
|
$653.57 |
$653.57 |
$653.57 |
$460.32
|
|
Epstein barr early antigen antibody
|
$14.95 |
$14.95 |
$14.95 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$1.39 |
$1.39 |
$1.39 |
$82.55
|
|
Epstein barr viral capsid antigen antibody igm
|
$1.39 |
$1.39 |
$1.39 |
$96.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$172.87 |
$172.87 |
$172.87 |
$364.08
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln
|
$482.90 |
$482.90 |
$482.90 |
$1,138.94
|
|
Estradiol total
|
$251.92 |
$251.92 |
$251.92 |
$147.79
|
|
Estrogens total-sendout
|
$7.00 |
$7.00 |
$7.00 |
$89.25
|
|
Ethylene glycol -sendout
|
$26.06 |
$26.06 |
$26.06 |
$78.00
|
|
External chromosome analysis 20-25 cells
|
$145.50 |
$145.50 |
$145.50 |
$389.35
|
|
F-18 fdg pet diag
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$609.85
|
|
Facial bones <3
|
$4,174.15 |
$4,174.15 |
$4,174.15 |
$241.75
|
|
Factor ix
|
$178.19 |
$178.19 |
$178.19 |
$139.75
|
|
Factor viii
|
$168.74 |
$168.74 |
$168.74 |
$148.34
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$19.50 |
$19.50 |
$19.50 |
$22.20
|
|
Fat/lipids feces qualitative
|
$0.56 |
$0.56 |
$0.56 |
$37.40
|
|
#fecal-sodium
|
$136.20 |
$136.20 |
$136.20 |
$37.50
|
|
Ferritin
|
$133.33 |
$133.33 |
$133.33 |
$103.40
|
|
Fetal chrom aneuploidy gsa panel
|
$3,901.00 |
$3,901.00 |
$3,901.00 |
$1,222.00
|
|
Fibrin degradation d dimer quantitative
|
$774.77 |
$774.77 |
$774.77 |
$111.55
|
|
Fibrin degradation products
|
$1,029.41 |
$1,029.41 |
$1,029.41 |
$63.90
|
|
Fibrinogen activity
|
$1,267.82 |
$1,267.82 |
$1,267.82 |
$80.83
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$3,017.58 |
$3,017.58 |
$3,017.58 |
$1,295.37
|
|
Flecainide (tambocor)-sendout
|
$15.64 |
$15.64 |
$15.64 |
$66.43
|
|
Florbetaben f18 diagnostic
|
$15,300.00 |
$15,300.00 |
$15,300.00 |
$1,273.76
|
|
Flow cytometry marker each additional
|
$28.18 |
$28.18 |
$28.18 |
$102.00
|
|
Flow cytometry one marker technical component
|
$57.74 |
$57.74 |
$57.74 |
$298.04
|
|
Fluidotherapy charges pt
|
$987.11 |
$987.11 |
$987.11 |
$101.40
|
|
Fluoroestradiol f 18
|
$5,538.00 |
$5,538.00 |
$5,538.00 |
$997.10
|
|
Fluoroscopy up to 1 hour
|
$4,451.94 |
$4,451.94 |
$4,451.94 |
$489.84
|
|
Folic acid
|
$142.20 |
$142.20 |
$142.20 |
$87.50
|
|
Fructosamine glycated protein
|
$4.50 |
$4.50 |
$4.50 |
$64.20
|
|
Ga-67 gallium 0.1 mci
|
$1,691.66 |
$1,691.66 |
$1,691.66 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$2,083.33 |
$2,083.33 |
$2,083.33 |
$119.90
|
|
Gallium ga-68 psma-11, ucla
|
$2,376.37 |
$2,376.37 |
$2,376.37 |
$372.17
|
|
Gallium illuccix 1 millicure
|
$4,649.40 |
$4,649.40 |
$4,649.40 |
$1,395.27
|
|
Gammaglobulin ige
|
$10.18 |
$10.18 |
$10.18 |
$85.00
|
|
Gamma glutamyltransferase
|
$899.39 |
$899.39 |
$899.39 |
$55.28
|
|
Gastric analy w/ph ea spec
|
$341.34 |
$341.34 |
$341.34 |
$23.01
|
|
General health panel
|
$1,435.79 |
$1,435.79 |
$1,435.79 |
$280.00
|
|
Gentamicin peak therapeutic drug level
|
$1,714.81 |
$1,714.81 |
$1,714.81 |
$117.00
|
|
Ghs antibodies (torch) igm
|
$28.00 |
$28.00 |
$28.00 |
$77.60
|
|
Ghs fish cytogen
|
$29.33 |
$29.33 |
$29.33 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$392.00 |
$392.00 |
$392.00 |
$229.45
|
|
Ghs histoplasma antigen
|
$71.75 |
$71.75 |
$71.75 |
$144.50
|
|
Ghs HIV antibody
|
$525.77 |
$525.77 |
$525.77 |
$93.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$338.00 |
$338.00 |
$338.00 |
$462.60
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$15.57 |
$15.57 |
$15.57 |
$45.05
|
|
Ghs quinidine
|
$12.14 |
$12.14 |
$12.14 |
$68.40
|
|
Ghs reticulocyte count
|
$656.43 |
$656.43 |
$656.43 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$463.23 |
$463.23 |
$463.23 |
$101.15
|
|
Ghs sedimentation rate
|
$990.26 |
$990.26 |
$990.26 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$802.84 |
$802.84 |
$802.84 |
$59.90
|
|
Ghs urine, porphyrins quant
|
$16.96 |
$16.96 |
$16.96 |
$72.60
|
|
Gi inhouse confirmation
|
$1,743.62 |
$1,743.62 |
$1,743.62 |
$83.85
|
|
Glucagon 1 mg solution for injection
|
$592.05 |
$592.05 |
$592.05 |
$591.50
|
|
Glucagon plasma - sendout
|
$55.80 |
$55.80 |
$55.80 |
$58.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$1,435.79 |
$1,435.79 |
$1,435.79 |
$21.18
|
|
Glucose blood quantitative
|
$763.91 |
$763.91 |
$763.91 |
$44.40
|
|
Glucose body fluid
|
$828.96 |
$828.96 |
$828.96 |
$50.04
|
|
Glucose tolerance test (gtt) 3 specimens
|
$698.93 |
$698.93 |
$698.93 |
$97.50
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$24.05 |
$24.05 |
$24.05 |
$54.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$174.32 |
$174.32 |
$174.32 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$173.78 |
$173.78 |
$173.78 |
$124.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$163.47 |
$163.47 |
$163.47 |
$17,915.77
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$19.50 |
$19.50 |
$19.50 |
$27.12
|
|
Haptoglobin quantitative
|
$124.54 |
$124.54 |
$124.54 |
$80.24
|
|
Hcg qualitative
|
$2,606.05 |
$2,606.05 |
$2,606.05 |
$77.50
|
|
Hcg quantitative
|
$2,606.05 |
$2,606.05 |
$2,606.05 |
$124.80
|
|
Hc i-131 sodium iodide cap dx per mci
|
$2,513.46 |
$2,513.46 |
$2,513.46 |
$142.49
|
|
Hc nm kidney imaging with flow
|
$11,668.90 |
$11,668.90 |
$11,668.90 |
$1,008.39
|
|
Head CT scan (with and without contrast)
|
$21,245.26 |
$21,245.26 |
$21,245.26 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$13,890.37 |
$13,890.37 |
$13,890.37 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$13,437.92 |
$13,437.92 |
$13,437.92 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$140.59 |
$140.59 |
$140.59 |
$82.50
|
|
Hematocrit
|
$368.42 |
$368.42 |
$368.42 |
$33.57
|
|
Hemoglobin
|
$368.42 |
$368.42 |
$368.42 |
$32.50
|
|
Hemoglobin f (fetal) chemical
|
$4.76 |
$4.76 |
$4.76 |
$45.82
|
|
Hemoglobin plasma
|
$13.62 |
$13.62 |
$13.62 |
$38.20
|
|
Heparin assay
|
$197.99 |
$197.99 |
$197.99 |
$129.80
|
|
Hepatitis a antibody igm
|
$113.59 |
$113.59 |
$113.59 |
$83.91
|
