|
Fluoro polarize fetal lung
|
$123.50 |
$123.50 |
$123.50 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$1,905.60 |
$1,905.60 |
$1,905.60 |
$494.52
|
|
Folic acid
|
$153.77 |
$153.77 |
$340.65 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$0.08 |
$0.08 |
$1.69 |
$55.66
|
|
Follow-up angiography
|
$1,037.45 |
$1,037.45 |
$1,037.45 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$5.76 |
$5.76 |
$5.76 |
$2,860.43
|
|
Fondaparinux sodium
|
$4.48 |
$4.48 |
$4.48 |
$176.81
|
|
Foot X-ray
|
$904.40 |
$904.40 |
$904.40 |
$362.40
|
|
Foscarnet sodium injection
|
$114.11 |
$114.11 |
$114.11 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$2.64 |
$2.64 |
$2.64 |
$107.31
|
|
_fragile x methylation-sendout
|
$190.00 |
$190.00 |
$190.00 |
$174.00
|
|
Fresh frozen plasma thawing ea un
|
$101.05 |
$101.05 |
$101.05 |
$123.90
|
|
Frozen blood thaw
|
$1,175.95 |
$1,175.95 |
$1,175.95 |
$189.84
|
|
Fructosamine glycated protein
|
$25.67 |
$25.67 |
$25.67 |
$60.42
|
|
Ftl cgen abnor four anal
|
$33.55 |
$33.55 |
$33.55 |
$211.83
|
|
Furosemide 10 mg/ml injection solution
|
$0.05 |
$0.05 |
$0.05 |
$27.69
|
|
Ga-67 gallium 0.1 mci
|
$661.50 |
$661.50 |
$661.50 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.05 |
$1.05 |
$1.05 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$7.56 |
$7.56 |
$7.56 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.14 |
$1.14 |
$1.14 |
$86.54
|
|
Galac-1-phosphate uridyltran - sendout
|
$34.97 |
$34.97 |
$121.30 |
$82.50
|
|
Gammaglobulin iga
|
$86.65 |
$86.65 |
$86.65 |
$75.30
|
|
Gammaglobulin ige
|
$121.88 |
$121.88 |
$121.88 |
$85.00
|
|
Gamma glutamyltransferase
|
$60.94 |
$60.94 |
$815.00 |
$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 |
$209.07
|
|
Gastric analy w/ph ea spec
|
$169.70 |
$169.70 |
$169.70 |
$23.01
|
|
Gastric emptying imag study
|
$8,336.25 |
$8,336.25 |
$8,336.25 |
$1,664.33
|
|
Gastric motility studies
|
$3,109.75 |
$3,109.75 |
$3,109.75 |
$627.89
|
|
Gated heart multiple
|
$16,596.85 |
$16,596.85 |
$16,596.85 |
$1,370.99
|
|
General health panel
|
$106.56 |
$106.56 |
$901.20 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$5.22 |
$5.22 |
$5.22 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$151.76 |
$151.76 |
$151.76 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$6,210.50 |
$6,210.50 |
$6,210.50 |
$1,352.03
|
|
Ghs acetylcholinesterase, rbc
|
$8.80 |
$8.80 |
$8.80 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$37.60 |
$37.60 |
$37.60 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$159.20 |
$159.20 |
$159.20 |
$382.20
|
|
Ghs bleeding time (ivy)
|
$516.40 |
$516.40 |
$516.40 |
$55.90
|
|
Ghs chemo IV push, ea addtl
|
$425.10 |
$425.10 |
$425.10 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$26.45 |
$26.45 |
$69.46 |
$134.55
|
|
Ghs community re-entry 15 minutes
|
$48.80 |
$48.80 |
$48.80 |
$89.28
|
|
Ghs elect torsion swing
|
$755.20 |
$755.20 |
$755.20 |
$242.40
|
|
Ghs elect vertical elct
|
$205.40 |
$205.40 |
$205.40 |
$121.55
|
|
Ghs febrile agglutinns(mayo)
|
$16.80 |
$16.80 |
$16.80 |
$48.57
|
|
Ghs fish cytogen
|
$36.26 |
$36.26 |
$58.45 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$36.26 |
$36.26 |
$140.00 |
$229.45
|
|
Ghs flow volume loop
|
$1,223.40 |
$1,223.40 |
$1,223.40 |
$309.12
|
|
Ghs hcv amplificaiton
|
$361.08 |
$361.08 |
$361.08 |
$187.00
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$13.25 |
$13.25 |
$13.25 |
$27.56
|
|
Ghs hepatitis c virus (hcv riba)
|
$67.25 |
$67.25 |
$67.25 |
$106.05
|
|
Ghs histoplasma antigen
|
$34.84 |
$34.84 |
$34.84 |
$137.80
|
|
Ghs HIV antibody
|
$407.00 |
$407.00 |
$407.00 |
$91.00
|
|
Ghs immun0electrophoresis
|
$11.05 |
$11.05 |
$274.51 |
$110.00
|
|
Ghs inhibitor screen
|
$84.90 |
$84.90 |
$859.41 |
$143.32
|
|
Ghs leukocyte alkaline phos (mayo)
|
$3.30 |
$3.30 |
$24.80 |
$59.40
|
|
Ghs mbp
|
$9.50 |
$9.50 |
$14.35 |
$74.19
|
|
Ghs musc test done w/n test comp
|
$1,390.10 |
$1,390.10 |
$1,390.10 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$1,390.10 |
$1,390.10 |
$1,390.10 |
$269.15
|
|
Ghs musc tst done w/n tst non ext
|
$1,390.10 |
$1,390.10 |
$1,390.10 |
$222.60
|
|
Ghs o2 saturation
|
$18.24 |
$18.24 |
$268.10 |
$72.45
|
|
Ghs ot prosthetic training/15 min
|
$69.20 |
$69.20 |
$69.20 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$48.00 |
$48.00 |
$48.00 |
$101.05
|
|
Ghs phenylketonurid
|
$5.50 |
$5.50 |
$5.50 |
$51.58
|
|
Ghs polysom <6 yrs 4/> parameters
|
$1,853.60 |
$1,853.60 |
$1,853.60 |
$3,705.80
|
|
Ghs ppd (tb intradermal)
|
$79.73 |
$79.73 |
$79.73 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$6.60 |
$6.60 |
$6.60 |
$40.56
|
|
Ghs protein, misc fluid
|
$2.82 |
$2.82 |
$2.82 |
$24.60
|
|
Ghs pt - work hardening/int 2hrs
|
$705.10 |
$705.10 |
$705.10 |
$255.60
|
|
Ghs quinidine
|
$6.20 |
$6.20 |
$11.05 |
$68.40
|
|
Ghs reticulocyte count
|
$51.91 |
$51.91 |
$304.05 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$300.14 |
$300.14 |
$300.14 |
$101.15
|
|
Ghs sedimentation rate
|
$21.67 |
$21.67 |
$21.67 |
$45.50
|
|
Ghs semen analysis fert
|
$174.84 |
$174.84 |
$876.00 |
$123.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$361.85 |
$361.85 |
$361.85 |
$124.80
|
|
Ghs spont nystagmus
|
$228.10 |
$228.10 |
$228.10 |
$217.57
|
|
Ghs sp train/fitting sp device - kx
|
$217.60 |
$217.60 |
$217.60 |
$261.95
|
|
Ghs st - re-eval for alt comm
|
$90.00 |
$90.00 |
$90.00 |
$309.00
|
|
Ghs trypsin (fecal)
|
$7.70 |
$7.70 |
$42.72 |
$21.84
|
|
Ghs urine, hydroxproline total
|
$54.00 |
$54.00 |
$54.00 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$27.36 |
$27.36 |
$27.36 |
$70.20
|
|
Gi inhouse confirmation
|
$79.73 |
$79.73 |
$79.73 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$6,517.80 |
$6,517.80 |
$6,517.80 |
$2,382.90
|
|
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 |
$23.15 |
$58.56
|
|
Glucose 1 hr post dose
|
$51.26 |
$51.26 |
$51.26 |
$46.28
|
|
Glucose-6-phosphate dhydrogenase screen
|
$7.70 |
$7.70 |
$7.70 |
$45.34
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$13.92 |
$13.92 |
$13.92 |
$22.00
|
|
Glucose blood quantitative
|
$31.39 |
$31.39 |
$31.39 |
$44.76
|
|
Glucose body fluid
|
$61.57 |
$61.57 |
$61.57 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$72.33 |
$72.33 |
$201.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$35.31 |
$35.31 |
$35.31 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$285.33 |
$285.33 |
$285.33 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$299.57 |
$299.57 |
$299.57 |
$123.75
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$52.80 |
$52.80 |
$52.80 |
$2,648.81
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$1,946.56 |
$1,946.56 |
$1,946.56 |
$1,679.75
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$7,554.86 |
$7,554.86 |
$7,554.86 |
$25,762.70
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$119.00 |
$119.00 |
$6,740.75 |
$10,989.38
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$358.00 |
$358.00 |
$358.00 |
$1,560.21
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$595.60 |
$595.60 |
$595.60 |
$2,369.10
|
