|
Exercise tst brncspsm w/ecg
|
$627.00 |
$627.00 |
$627.00 |
$318.50
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$326.00 |
$326.00 |
$326.00 |
$64.90
|
|
F-18 fdg pet diag
|
$1,444.00 |
$1,444.00 |
$1,444.00 |
$609.85
|
|
Facial bones <3
|
$5,743.00 |
$5,743.00 |
$5,743.00 |
$241.75
|
|
Factor ix
|
$130.00 |
$130.00 |
$130.00 |
$139.15
|
|
Factor ix recombinant nos
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$3.46
|
|
Factor viii
|
$165.00 |
$165.00 |
$165.00 |
$148.00
|
|
Family therapy with patient 50 min 90847
|
$555.00 |
$555.00 |
$555.00 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$140.00 |
$140.00 |
$140.00 |
$22.46
|
|
Fat/lipids feces qualitative
|
$509.00 |
$509.00 |
$509.00 |
$37.39
|
|
Feeding tube reposition
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$438.70
|
|
Ferritin
|
$74.00 |
$74.00 |
$74.00 |
$104.97
|
|
Fetal biophys profile w/nst 76818
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$541.74
|
|
Fetal hemoglobin (kleihauer betke)
|
$68.00 |
$68.00 |
$68.00 |
$85.80
|
|
Fetal hemoglobin rosette
|
$58.00 |
$58.00 |
$58.00 |
$78.30
|
|
Fibrin degradation d dimer quantitative
|
$167.00 |
$167.00 |
$167.00 |
$112.20
|
|
Fibrin degradation products
|
$558.00 |
$558.00 |
$558.00 |
$59.24
|
|
Fibrinogen activity
|
$512.00 |
$512.00 |
$512.00 |
$82.38
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$12.00 |
$12.00 |
$12.00 |
$1,309.01
|
|
Flecainide (tambocor)-sendout
|
$247.00 |
$247.00 |
$247.00 |
$66.43
|
|
Flow cytometry marker each additional
|
$165.00 |
$165.00 |
$165.00 |
$102.00
|
|
Flow cytometry one marker technical component
|
$177.00 |
$177.00 |
$177.00 |
$276.90
|
|
Floxuridine injection
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$774.69
|
|
Fludarabine 50 mg intravenous solution
|
$3,389.00 |
$3,389.00 |
$3,389.00 |
$594.70
|
|
Fluidotherapy charges pt
|
$1,616.00 |
$1,616.00 |
$1,616.00 |
$99.25
|
|
Fluorescent antibody titer dna
|
$39.00 |
$39.00 |
$39.00 |
$124.80
|
|
Fluoroguide for spine inject 77003-26
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$507.00
|
|
Fluoroguide needle placement
|
$7,584.00 |
$7,584.00 |
$7,584.00 |
$539.38
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$49.00 |
$49.00 |
$49.00 |
$97.74
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$781.00 |
$781.00 |
$781.00 |
$156.96
|
|
Folic acid
|
$188.00 |
$188.00 |
$188.00 |
$88.00
|
|
Folic acid 5 mg/ml injection solution
|
$20.63 |
$20.63 |
$20.63 |
$50.70
|
|
Follow-up angiography
|
$6,233.00 |
$6,233.00 |
$6,233.00 |
$1,875.00
|
|
Fructosamine glycated protein
|
$85.00 |
$85.00 |
$85.00 |
$63.05
|
|
Ga-67 gallium 0.1 mci
|
$716.00 |
$716.00 |
$716.00 |
$163.80
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$766.00 |
$766.00 |
$766.00 |
$210.50
|
|
Gammaglobulin ige
|
$92.00 |
$92.00 |
$92.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$55.28
|
|
Gamunex-c/gammaked
|
$95.00 |
$95.00 |
$95.00 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$802.00 |
$802.00 |
$802.00 |
$209.07
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$79,538.00 |
$79,538.00 |
$79,538.00 |
$21,306.71
|
|
G-esoph reflx tst w/electrod
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$1,352.03
|
|
Ghs community re-entry 15 minutes
|
$309.00 |
$309.00 |
$309.00 |
$87.60
|
|
Ghs flow volume loop
|
$771.00 |
$771.00 |
$771.00 |
$308.69
|
|
Ghs histoplasma antigen
|
$271.00 |
$271.00 |
$271.00 |
$141.26
|
|
Ghs myocardial strain img spckl track
|
$213.00 |
$213.00 |
$213.00 |
$488.80
|
|
Ghs rsv eia (respir synctial vrs)
|
$35.00 |
$35.00 |
$35.00 |
$105.60
|
|
Ghs sensitivity (per antimicro)
|
$130.00 |
$130.00 |
$130.00 |
$59.90
|
|
Ghs urine, porphyrins quant
|
$145.00 |
$145.00 |
$145.00 |
$68.90
|
|
Gi inhouse confirmation
|
$1,103.00 |
$1,103.00 |
$1,103.00 |
$86.25
|
|
Glucagon 1 mg solution for injection
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$599.88
|
|
Glucose blood quantitative
|
$604.00 |
$604.00 |
$604.00 |
$45.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$3,844.00 |
$3,844.00 |
$3,844.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$20.67 |
$20.67 |
$20.67 |
$53.38
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$100.00 |
$100.00 |
$100.00 |
$110.00
|
|
Gonadotropin luteinizing hormone (lh)
|
$100.00 |
$100.00 |
$100.00 |
$125.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,715.00 |
$1,715.00 |
$1,715.00 |
$2,541.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$8,925.00 |
$8,925.00 |
$8,925.00 |
$75.40
|
|
Granisetron hcl injection
|
$2,377.00 |
$2,377.00 |
$2,377.00 |
$40.33
|
|
Gu dilat ureter/urethra s&i
|
$3,468.00 |
$3,468.00 |
$3,468.00 |
$1,712.25
|
|
Guid loc target vol rad tx
|
$2,011.00 |
$2,011.00 |
$2,011.00 |
$491.31
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$276.00 |
$276.00 |
$276.00 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$79.00 |
$79.00 |
$79.00 |
$29.48
|
|
Haptoglobin quantitative
|
$155.00 |
$155.00 |
$155.00 |
$88.40
|
|
Hcg qualitative
|
$1,804.00 |
$1,804.00 |
$1,804.00 |
$78.97
|
|
Hc i-131 sodium iodide cap dx per mci
|
$876.00 |
$876.00 |
$876.00 |
$142.49
|
|
Head CT scan (with and without contrast)
|
$11,169.00 |
$11,169.00 |
$11,169.00 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$9,971.00 |
$9,971.00 |
$9,971.00 |
$1,554.80
|
|
Head CT scan (without contrast)
|
$15,478.00 |
$15,478.00 |
$15,478.00 |
$1,268.90
|
|
Heart infarct image
|
$2,674.00 |
$2,674.00 |
$2,674.00 |
$840.74
|
|
Helicobacter pylori antibody igm
|
$431.00 |
$431.00 |
$431.00 |
$84.80
|
|
Hematocrit
|
$178.00 |
$178.00 |
$178.00 |
$33.57
|
|
Hemoglobin
|
$178.00 |
$178.00 |
$178.00 |
$33.54
|
|
Hemoglobin methemoglobin quantitative
|
$261.00 |
$261.00 |
$261.00 |
$48.06
|
|
Hemoglobin plasma
|
$74.00 |
$74.00 |
$74.00 |
$38.15
|
|
Hemolysins/agglutinins auto
|
$602.00 |
$602.00 |
$602.00 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$919.00 |
$919.00 |
$919.00 |
$64.97
|
|
Heparin assay
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$130.20
|
|
Hepatitis a antibody igm
|
$62.00 |
$62.00 |
$62.00 |
$84.00
|
|
Hepatitis b core antibody igm
|
$66.00 |
$66.00 |
$66.00 |
$85.80
|
|
Hepatitis b core antibody total
|
$66.00 |
$66.00 |
$66.00 |
$83.29
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$9,526.00 |
$9,526.00 |
$9,526.00 |
$880.80
|
|
Hepatitis b surface antibody
|
$58.00 |
$58.00 |
$58.00 |
$81.12
|
|
Hepatitis c antibody
|
$285.00 |
$285.00 |
$285.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$7,859.00 |
$7,859.00 |
$7,859.00 |
$1,521.10
|
|
Herpes simplex type 1 antibody igg
|
$108.00 |
$108.00 |
$108.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$101.00 |
$101.00 |
$101.00 |
$86.64
|
|
Herpes simplex virus isolation
|
$145.00 |
$145.00 |
$145.00 |
$93.32
|
|
Heterophile antibodies screening
|
$930.00 |
$930.00 |
$930.00 |
$74.61
|
|
Histamine
|
$158.00 |
$158.00 |
$158.00 |
$125.40
|
|
Hiv-1 ag ia
|
$97.00 |
$97.00 |
$97.00 |
$77.95
|
|
Hla i low res one antigen equiv ea
|
$145.00 |
$145.00 |
$145.00 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$74.00 |
$74.00 |
$74.00 |
$306.80
|
|
Hocm 350-399mg/ml iodine,1ml
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$68.86
|
|
Homocysteine
|
$386.00 |
$386.00 |
$386.00 |
$108.54
|
|
Homogenization tissue
|
$25.00 |
$25.00 |
$25.00 |
$40.36
|
|
Homovanillic acid (hva)
|
$202.00 |
$202.00 |
$202.00 |
$56.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$4,608.00 |
$4,608.00 |
$4,608.00 |
$5,823.84
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$311.00 |
$311.00 |
$311.00 |
$181.35
|
