|
Fludarabine 50 mg intravenous solution
|
$667.44 |
$667.44 |
$667.44 |
$594.70
|
|
Fluidotherapy charges pt
|
$171.85 |
$171.85 |
$171.85 |
$99.25
|
|
Fluoro polarize fetal lung
|
$77.21 |
$77.21 |
$77.21 |
$62.81
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$34.56 |
$34.56 |
$34.56 |
$97.74
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$311.04 |
$311.04 |
$311.04 |
$156.96
|
|
Folic acid 5 mg/ml injection solution
|
$99.45 |
$99.45 |
$99.45 |
$50.70
|
|
Follow-up angiography
|
$1,134.24 |
$1,134.24 |
$1,134.24 |
$1,875.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$11,836.80 |
$11,836.80 |
$11,836.80 |
$2,985.33
|
|
Forensic cytopathology
|
$5.62 |
$5.62 |
$5.62 |
$63.23
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,488.24 |
$1,488.24 |
$1,488.24 |
$470.29
|
|
Fresh frozen plasma thawing ea un
|
$58.38 |
$58.38 |
$58.38 |
$131.25
|
|
Ga-67 gallium 0.1 mci
|
$6,390.38 |
$6,390.38 |
$6,390.38 |
$163.80
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,230.12 |
$1,230.12 |
$1,230.12 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$138.29 |
$138.29 |
$138.29 |
$82.50
|
|
Gammaglobulin ige
|
$11.77 |
$11.77 |
$11.77 |
$85.00
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$601.56 |
$601.56 |
$601.56 |
$209.07
|
|
Gastric motility studies
|
$5,653.12 |
$5,653.12 |
$5,653.12 |
$627.89
|
|
Gastroesophageal reflux test
|
$5,873.34 |
$5,873.34 |
$5,873.34 |
$1,115.40
|
|
Gated heart multiple
|
$6,999.57 |
$6,999.57 |
$6,999.57 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$1,402.92 |
$1,402.92 |
$1,402.92 |
$248.38
|
|
G-esoph reflx tst w/electrod
|
$4,529.03 |
$4,529.03 |
$4,529.03 |
$1,352.03
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$19.78 |
$19.78 |
$19.78 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$335.54 |
$335.54 |
$335.54 |
$405.60
|
|
Ghs bladder cath - complex-foley
|
$958.00 |
$958.00 |
$958.00 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$258.94 |
$258.94 |
$258.94 |
$55.90
|
|
Ghs chemo infusion >8 hrs
|
$3,352.17 |
$3,352.17 |
$3,352.17 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$465.98 |
$465.98 |
$465.98 |
$295.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$134.21 |
$134.21 |
$134.21 |
$130.70
|
|
Ghs community re-entry 15 minutes
|
$256.67 |
$256.67 |
$256.67 |
$87.60
|
|
Ghs diphtheria toxoid ab igg
|
$11.77 |
$11.77 |
$11.77 |
$68.25
|
|
Ghs fish cytogen
|
$158.24 |
$158.24 |
$158.24 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$158.24 |
$158.24 |
$158.24 |
$229.45
|
|
Ghs flow volume loop
|
$935.02 |
$935.02 |
$935.02 |
$308.69
|
|
Ghs hcv amplificaiton
|
$88.28 |
$88.28 |
$88.28 |
$183.25
|
|
Ghs hepatitis c virus (hcv riba)
|
$100.05 |
$100.05 |
$100.05 |
$108.46
|
|
Ghs histoplasma antigen
|
$88.28 |
$88.28 |
$88.28 |
$141.26
|
|
Ghs HIV antibody
|
$262.47 |
$262.47 |
$262.47 |
$92.95
|
|
Ghs inhibitor screen
|
$162.31 |
$162.31 |
$162.31 |
$151.54
|
|
Ghs leukocyte alkaline phos (mayo)
|
$2.35 |
$2.35 |
$2.35 |
$59.40
|
|
Ghs mbp
|
$16.48 |
$16.48 |
$16.48 |
$77.35
|
|
Ghs o2 saturation
|
$337.80 |
$337.80 |
$337.80 |
$72.45
|
|
Ghs ot sensory integrative tech/15min
|
$194.98 |
$194.98 |
$194.98 |
$101.40
|
|
Ghs phenylketonurid
|
$87.40 |
$87.40 |
$87.40 |
$54.60
|
|
Ghs ppd (tb intradermal)
|
$48.26 |
$48.26 |
$48.26 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$8.24 |
$8.24 |
$8.24 |
$40.56
|
|
Ghs quinidine
|
$14.29 |
$14.29 |
$14.29 |
$68.40
|
|
Ghs respiratory syncytical virus igg/m
|
$10.95 |
$10.95 |
$10.95 |
$42.40
|
|
Ghs reticulocyte count
|
$68.27 |
$68.27 |
$68.27 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$348.39 |
$348.39 |
$348.39 |
$105.60
|
|
Ghs sensitivity (per antimicro)
|
$116.52 |
$116.52 |
$116.52 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$4,493.43 |
$4,493.43 |
$4,493.43 |
$947.48
|
|
Ghs st - re-eval for alt comm
|
$339.29 |
$339.29 |
$339.29 |
$313.80
|
|
Ghs urine, hydroxproline total
|
$38.90 |
$38.90 |
$38.90 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$6.09 |
$6.09 |
$6.09 |
$68.90
|
|
Giardia lamblia antibody
|
$51.79 |
$51.79 |
$51.79 |
$81.60
|
|
Gi inhouse confirmation
|
$710.91 |
$710.91 |
$710.91 |
$86.25
|
|
Glucagon 1 mg solution for injection
|
$707.40 |
$707.40 |
$707.40 |
$599.88
|
|
Glucagon plasma - sendout
|
$32.48 |
$32.48 |
$32.48 |
$58.20
|
|
Glucose 1 hr post dose
|
$194.21 |
$194.21 |
$194.21 |
$46.80
|
|
Glucose blood quantitative
|
$51.79 |
$51.79 |
$51.79 |
$45.00
|
|
Glucose body fluid
|
$111.82 |
$111.82 |
$111.82 |
$50.71
|
|
Glucose tolerance test (gtt) 3 specimens
|
$133.00 |
$133.00 |
$133.00 |
$100.10
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$5.89 |
$5.89 |
$5.89 |
$110.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$4.71 |
$4.71 |
$4.71 |
$125.00
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$433.68 |
$433.68 |
$433.68 |
$803.54
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$425.17 |
$425.17 |
$425.17 |
$1,110.35
|
|
Granisetron hcl injection
|
$219.24 |
$219.24 |
$219.24 |
$40.33
|
|
Gu dilat ureter/urethra s&i
|
$8,814.84 |
$8,814.84 |
$8,814.84 |
$1,712.25
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$58.32 |
$58.32 |
$58.32 |
$29.48
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$902.70 |
$902.70 |
$902.70 |
$759.72
|
|
Hc i-131 sodium iodide cap dx per mci
|
$7,628.58 |
$7,628.58 |
$7,628.58 |
$142.49
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$3,093.29 |
$3,093.29 |
$3,093.29 |
$817.05
|
|
Hc pet myocardial imaging metabolic eval single study
|
$14,044.54 |
$14,044.54 |
$14,044.54 |
$2,979.90
|
|
Head CT scan (with and without contrast)
|
$20,726.45 |
$20,726.45 |
$20,726.45 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$16,006.13 |
$16,006.13 |
$16,006.13 |
$1,554.80
|
|
Head CT scan (without contrast)
|
$15,304.67 |
$15,304.67 |
$15,304.67 |
$1,268.90
|
|
Heart first pass multiple
|
$6,498.34 |
$6,498.34 |
$6,498.34 |
$1,100.00
|
|
Heart infarct image
|
$4,128.80 |
$4,128.80 |
$4,128.80 |
$840.74
|
|
Hematocrit
|
$133.00 |
$133.00 |
$133.00 |
$33.57
|
|
Hemoglobin
|
$81.21 |
$81.21 |
$81.21 |
$33.54
|
|
Hemoglobin f (fetal) chemical
|
$13.24 |
$13.24 |
$13.24 |
$45.82
|
|
Hemoglobin plasma
|
$11.98 |
$11.98 |
$11.98 |
$38.15
|
|
Hemolysin acid
|
$9.22 |
$9.22 |
$9.22 |
$29.49
|
|
Hemophilus influenza antibdy
|
$82.39 |
$82.39 |
$82.39 |
$56.80
|
|
Heparin neutralization
|
$24.72 |
$24.72 |
$24.72 |
$45.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$6.48 |
$6.48 |
$6.48 |
$27.79
|
|
Hepatitis b core antibody igm
|
$3.53 |
$3.53 |
$3.53 |
$85.80
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$777.60 |
$777.60 |
$777.60 |
$880.80
|
|
Hepatobiliary system imaging
|
$11,258.35 |
$11,258.35 |
$11,258.35 |
$1,521.10
|
|
Herpes simplex 1 ag if
|
$5.70 |
$5.70 |
$5.70 |
$40.28
|
|
Herpes simplex type 2 antibody igg
|
$20.24 |
$20.24 |
$20.24 |
$86.64
|
|
Herpes simplex virus isolation
|
$58.85 |
$58.85 |
$58.85 |
$93.32
|
|
Heterophile antibodies screening
|
$201.27 |
$201.27 |
$201.27 |
$74.61
|
|
Hip X-ray
|
$335.58 |
$335.58 |
$335.58 |
$290.00
|
|
Hiv-1 ag ia
|
$7.79 |
$7.79 |
$7.79 |
$77.95
|
|
Hla typing a b or c
|
$450.79 |
$450.79 |
$450.79 |
$322.80
|
|
Hla typing dr/dq
|
$324.85 |
$324.85 |
$324.85 |
$135.20
|
|
Homocysteine
|
$17.66 |
$17.66 |
$17.66 |
$108.54
|
|
Homogenization tissue
|
$7.17 |
$7.17 |
$7.17 |
$40.36
|
|
Homovanillic acid (hva)
|
$14.53 |
$14.53 |
$14.53 |
$56.00
|
