|
Evoked potential visual not glaucoma
|
$272.41 |
$272.41 |
$272.41 |
$829.44
|
|
Evok oa screening qual
|
$325.43 |
$325.43 |
$325.43 |
$120.90
|
|
Exercise tst brncspsm w/ecg
|
$293.60 |
$293.60 |
$293.60 |
$337.50
|
|
External chromosome analysis 20-25 cells
|
$74.00 |
$74.00 |
$74.00 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$16.28 |
$16.28 |
$59.40 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$133.20 |
$133.20 |
$133.20 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$26.54 |
$26.54 |
$26.54 |
$102.78
|
|
Factor ix
|
$49.95 |
$49.95 |
$358.78 |
$131.30
|
|
Factor ix non-recombinant
|
$2.38 |
$2.38 |
$2.38 |
$1.41
|
|
Factor ix recombinant nos
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$3.04
|
|
Factor viii
|
$31.91 |
$31.91 |
$338.58 |
$144.30
|
|
Factor viii
|
$0.85 |
$0.85 |
$0.85 |
$1.61
|
|
Factor viii recombinant nos
|
$5.40 |
$5.40 |
$13.77 |
$4.68
|
|
Family therapy without pt 50min 90846
|
$996.70 |
$996.70 |
$996.70 |
$244.07
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.60 |
$0.60 |
$273.00 |
$27.81
|
|
Fat/lipids feces qualitative
|
$14.26 |
$14.26 |
$14.26 |
$34.56
|
|
#fecal-sodium
|
$24.88 |
$24.88 |
$24.88 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$37.37 |
$37.37 |
$37.37 |
$120.15
|
|
Fern test
|
$5.74 |
$5.74 |
$946.84 |
$17.72
|
|
Ferritin
|
$82.33 |
$82.33 |
$616.57 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$616.05 |
$616.05 |
$616.05 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$2,179.70 |
$2,179.70 |
$2,179.70 |
$540.54
|
|
Fetal fibronectin
|
$282.03 |
$282.03 |
$282.03 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$59.85 |
$59.85 |
$66.53 |
$88.80
|
|
Fetal hemoglobin rosette
|
$18.69 |
$18.69 |
$207.90 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$36.83 |
$36.83 |
$36.83 |
$64.28
|
|
#_fet/norfentcnfrmur
|
$22.20 |
$22.20 |
$22.20 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$27.20 |
$27.20 |
$27.20 |
$112.80
|
|
Fibrin degradation products
|
$33.26 |
$33.26 |
$33.26 |
$62.40
|
|
Fibrin degrade semiquant
|
$47.36 |
$47.36 |
$47.36 |
$92.00
|
|
Fibrinogen activity
|
$38.11 |
$38.11 |
$1,461.24 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$12.95 |
$12.95 |
$124.74 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$18.50 |
$18.50 |
$18.50 |
$56.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$18.50 |
$18.50 |
$18.50 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$0.89 |
$0.89 |
$0.89 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$221.81 |
$221.81 |
$221.81 |
$973.70
|
|
Flow cytometry interp 16 or more
|
$101.38 |
$101.38 |
$101.38 |
$208.80
|
|
Flow cytometry marker each additional
|
$135.42 |
$135.42 |
$135.42 |
$103.00
|
|
Flow cytometry one marker technical component
|
$33.67 |
$33.67 |
$33.67 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$102.86 |
$102.86 |
$102.86 |
$194.04
|
|
Flt3 gene
|
$55.50 |
$55.50 |
$55.50 |
$352.95
|
|
Flt3 gene analysis
|
$55.50 |
$55.50 |
$55.50 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$143.86 |
$143.86 |
$143.86 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$3,565.08 |
$3,565.08 |
$3,565.08 |
$601.96
|
|
Fluorescent antibody titer dna
|
$62.90 |
$62.90 |
$62.90 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$303.03 |
$303.03 |
$303.03 |
$507.00
|
|
Fluoroguide needle placement
|
$336.33 |
$336.33 |
$336.33 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$248.27 |
$248.27 |
$248.27 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$32.93 |
$32.93 |
$32.93 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$34.56 |
$34.56 |
$34.56 |
$142.87
|
|
Folic acid
|
$38.48 |
$38.48 |
$276.80 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$0.10 |
$0.10 |
$161.00 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$7,959.60 |
$7,959.60 |
$7,959.60 |
$2,860.43
|
|
Fondaparinux sodium
|
$10.65 |
$10.65 |
$10.65 |
$176.81
|
|
Foot X-ray
|
$197.03 |
$197.03 |
$197.03 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$55.00 |
$55.00 |
$55.00 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$23.53 |
$23.53 |
$23.53 |
$107.31
|
|
_fragile x methylation-sendout
|
$175.75 |
$175.75 |
$175.75 |
$174.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$78.53 |
$78.53 |
$78.53 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$105.73 |
$105.73 |
$105.73 |
$123.90
|
|
Frozen blood thaw
|
$54.39 |
$54.39 |
$54.39 |
$189.84
|
|
Fructosamine glycated protein
|
$283.93 |
$283.93 |
$283.93 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$1.21 |
$1.21 |
$1.21 |
$27.69
|
|
Ga-67 gallium 0.1 mci
|
$156.23 |
$156.23 |
$4,299.35 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.74 |
$0.74 |
$0.74 |
$162.68
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$21.86 |
$21.86 |
$21.86 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$497.00 |
$497.00 |
$497.00 |
$210.50
|
|
Gammaglobulin iga
|
$44.40 |
$44.40 |
$44.40 |
$75.30
|
|
Gammaglobulin ige
|
$23.68 |
$23.68 |
$316.01 |
$85.00
|
|
Gamma glutamyltransferase
|
$50.88 |
$50.88 |
$50.88 |
$55.28
|
|
Gamunex-c/gammaked
|
$83.32 |
$83.32 |
$83.32 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$151.22 |
$151.22 |
$514.08 |
$209.07
|
|
Gardner vag dna quant
|
$27.75 |
$27.75 |
$27.75 |
$89.70
|
|
Gemcitabine 1 gram intravenous solution
|
$21.77 |
$21.77 |
$1,108.08 |
$252.84
|
|
General health panel
|
$148.74 |
$148.74 |
$148.74 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$85.09 |
$85.09 |
$85.09 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$54.02 |
$54.02 |
$54.02 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$2,567.25 |
$2,567.25 |
$2,567.25 |
$1,352.03
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$29.60 |
$29.60 |
$29.60 |
$103.14
|
|
Ghs analysis neurostim without reprogramming
|
$332.45 |
$332.45 |
$332.45 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$10.69 |
$10.69 |
$11.84 |
$73.70
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$16.65 |
$16.65 |
$16.65 |
$134.55
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$498.67 |
$498.67 |
$498.67 |
$586.80
|
|
Ghs elect vertical elct
|
$786.15 |
$786.15 |
$786.15 |
$121.55
|
|
Ghs fish cytogen
|
$41.07 |
$41.07 |
$41.07 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$41.44 |
$41.44 |
$41.44 |
$229.45
|
|
Ghs flow volume loop
|
$1,558.31 |
$1,558.31 |
$1,558.31 |
$309.12
|
|
Ghs hcv amplificaiton
|
$81.77 |
$81.77 |
$106.92 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$22.20 |
$22.20 |
$121.18 |
$106.05
|
|
Ghs histoplasma antigen
|
$32.19 |
$32.19 |
$32.19 |
$137.80
|
|
Ghs HIV antibody
|
$50.88 |
$50.88 |
$50.88 |
$91.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$407.19 |
$407.19 |
$407.19 |
$462.60
|
|
Ghs inhibitor screen
|
$74.00 |
$74.00 |
$237.60 |
$143.32
|
|
Ghs leukocyte alkaline phos (mayo)
|
$2.38 |
$2.38 |
$54.02 |
$59.40
|
|
Ghs mbp
|
$8.88 |
$8.88 |
$19.01 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$197.67 |
$197.67 |
$197.67 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$197.67 |
$197.67 |
$197.67 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$197.67 |
$197.67 |
$197.67 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$73.35 |
$73.35 |
$73.35 |
$145.60
|
