|
Fetal chrom aneuploidy gsa panel
|
$927.25 |
$927.25 |
$927.25 |
$1,231.20
|
|
Fetal fibronectin
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$346.45
|
|
Fetal hemoglobin (kleihauer betke)
|
$47.75 |
$47.75 |
$47.75 |
$85.80
|
|
Fetal hemoglobin rosette
|
$141.00 |
$141.00 |
$141.00 |
$78.00
|
|
Fetal non stress test
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$46.75 |
$46.75 |
$46.75 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$45.00 |
$45.00 |
$45.00 |
$112.20
|
|
Fibrin degradation products
|
$193.75 |
$193.75 |
$193.75 |
$59.24
|
|
Fibrin degrade semiquant
|
$193.75 |
$193.75 |
$193.75 |
$90.35
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$59.25 |
$59.25 |
$59.25 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$58.25 |
$58.25 |
$58.25 |
$58.85
|
|
Fibrinolytic plasminogen
|
$29.25 |
$29.25 |
$29.25 |
$112.02
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$64.25 |
$64.25 |
$64.25 |
$60.00
|
|
Flecainide (tambocor)-sendout
|
$15.75 |
$15.75 |
$15.75 |
$66.43
|
|
Flow cytometry marker each additional
|
$29.75 |
$29.75 |
$29.75 |
$102.00
|
|
Fludarabine 50 mg intravenous solution
|
$618.00 |
$618.00 |
$618.00 |
$599.46
|
|
Fluidotherapy charges pt
|
$185.25 |
$185.25 |
$185.25 |
$99.25
|
|
Fluoro polarize fetal lung
|
$76.50 |
$76.50 |
$76.50 |
$62.81
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$32.00 |
$32.00 |
$32.00 |
$103.14
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$288.25 |
$288.25 |
$288.25 |
$149.04
|
|
Folic acid 5 mg/ml injection solution
|
$30.00 |
$30.00 |
$30.00 |
$50.70
|
|
Follow-up angiography
|
$1,493.00 |
$1,493.00 |
$1,493.00 |
$1,875.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$10,960.00 |
$10,960.00 |
$10,960.00 |
$2,925.00
|
|
Forensic cytopathology
|
$5.75 |
$5.75 |
$5.75 |
$63.23
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,378.25 |
$1,378.25 |
$1,378.25 |
$462.82
|
|
Fresh frozen plasma thawing ea un
|
$58.00 |
$58.00 |
$58.00 |
$131.25
|
|
Ga-67 gallium 0.1 mci
|
$6,826.00 |
$6,826.00 |
$6,826.00 |
$163.80
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,139.00 |
$1,139.00 |
$1,139.00 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$137.25 |
$137.25 |
$137.25 |
$82.50
|
|
Gammaglobulin ige
|
$11.50 |
$11.50 |
$11.50 |
$84.80
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$557.00 |
$557.00 |
$557.00 |
$209.07
|
|
Gastric motility studies
|
$5,939.00 |
$5,939.00 |
$5,939.00 |
$627.89
|
|
Gastroesophageal reflux test
|
$6,168.00 |
$6,168.00 |
$6,168.00 |
$1,115.40
|
|
Gated heart multiple
|
$7,475.75 |
$7,475.75 |
$7,475.75 |
$1,370.99
|
|
G-esoph reflx tst w/electrod
|
$4,756.00 |
$4,756.00 |
$4,756.00 |
$1,351.62
|
|
Ghs acetylcholinesterase, rbc
|
$9.00 |
$9.00 |
$9.00 |
$39.60
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$25.00 |
$25.00 |
$25.00 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$332.75 |
$332.75 |
$332.75 |
$403.38
|
|
Ghs bleeding time (ivy)
|
$283.50 |
$283.50 |
$283.50 |
$55.90
|
|
Ghs chemo >8 hrs
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$2,582.00 |
$2,582.00 |
$2,582.00 |
$501.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$133.00 |
$133.00 |
$133.00 |
$130.70
|
|
Ghs community re-entry 15 minutes
|
$276.75 |
$276.75 |
$276.75 |
$87.60
|
|
Ghs diphtheria toxoid ab igg
|
$11.50 |
$11.50 |
$11.50 |
$68.25
|
|
Ghs fish cytogen
|
$156.75 |
$156.75 |
$156.75 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$156.75 |
$156.75 |
$156.75 |
$229.45
|
|
Ghs flow volume loop
|
$999.00 |
$999.00 |
$999.00 |
$309.00
|
|
Ghs hcv amplificaiton
|
$87.50 |
$87.50 |
$87.50 |
$183.25
|
|
Ghs hepatitis c virus (hcv riba)
|
$99.00 |
$99.00 |
$99.00 |
$108.46
|
|
Ghs histoplasma antigen
|
$87.50 |
$87.50 |
$87.50 |
$138.00
|
|
Ghs HIV antibody
|
$285.75 |
$285.75 |
$285.75 |
$90.14
|
|
Ghs inhibitor screen
|
$161.00 |
$161.00 |
$161.00 |
$151.54
|
|
Ghs leukocyte alkaline phos (mayo)
|
$2.50 |
$2.50 |
$2.50 |
$59.40
|
|
Ghs mbp
|
$16.25 |
$16.25 |
$16.25 |
$74.19
|
|
Ghs o2 saturation
|
$364.25 |
$364.25 |
$364.25 |
$72.45
|
|
Ghs ot sensory integrative tech/15min
|
$212.00 |
$212.00 |
$212.00 |
$101.50
|
|
Ghs phenylketonurid
|
$86.75 |
$86.75 |
$86.75 |
$53.30
|
|
Ghs ppd (tb intradermal)
|
$50.50 |
$50.50 |
$50.50 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$8.00 |
$8.00 |
$8.00 |
$40.56
|
|
Ghs quinidine
|
$14.00 |
$14.00 |
$14.00 |
$68.40
|
|
Ghs respiratory syncytical virus igg/m
|
$10.75 |
$10.75 |
$10.75 |
$42.40
|
|
Ghs reticulocyte count
|
$75.00 |
$75.00 |
$75.00 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$61.75 |
$61.75 |
$61.75 |
$105.60
|
|
Ghs sensitivity (per antimicro)
|
$127.75 |
$127.75 |
$127.75 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$4,710.75 |
$4,710.75 |
$4,710.75 |
$947.48
|
|
Ghs st - re-eval for alt comm
|
$369.00 |
$369.00 |
$369.00 |
$309.00
|
|
Ghs urine, hydroxproline total
|
$38.50 |
$38.50 |
$38.50 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$6.00 |
$6.00 |
$6.00 |
$66.94
|
|
Giardia lamblia antibody
|
$51.25 |
$51.25 |
$51.25 |
$81.60
|
|
Gi inhouse confirmation
|
$777.75 |
$777.75 |
$777.75 |
$86.25
|
|
Glucagon 1 mg solution for injection
|
$655.00 |
$655.00 |
$655.00 |
$601.79
|
|
Glucagon plasma - sendout
|
$32.25 |
$32.25 |
$32.25 |
$58.20
|
|
Glucose 1 hr post dose
|
$212.25 |
$212.25 |
$212.25 |
$46.28
|
|
Glucose blood quantitative
|
$54.50 |
$54.50 |
$54.50 |
$45.00
|
|
Glucose body fluid
|
$120.50 |
$120.50 |
$120.50 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$145.00 |
$145.00 |
$145.00 |
$100.10
|
|
Gonadotropin luteinizing hormone (lh)
|
$4.50 |
$4.50 |
$4.50 |
$124.00
|
|
Granisetron 1 mg tab
|
$477.50 |
$477.50 |
$477.50 |
$10.04
|
|
Granisetron hcl injection
|
$203.00 |
$203.00 |
$203.00 |
$40.33
|
|
Gu dilat ureter/urethra s&i
|
$6,464.00 |
$6,464.00 |
$6,464.00 |
$1,712.25
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$54.00 |
$54.00 |
$54.00 |
$31.60
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$2,234.75 |
$2,234.75 |
$2,234.75 |
$759.72
|
|
Hc i-131 sodium iodide cap dx per mci
|
$8,149.50 |
$8,149.50 |
$8,149.50 |
$139.60
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$3,303.25 |
$3,303.25 |
$3,303.25 |
$817.05
|
|
Hc pet myocardial imaging metabolic eval single study
|
$15,447.75 |
$15,447.75 |
$15,447.75 |
$3,256.36
|
|
Head CT scan (with and without contrast)
|
$26,169.00 |
$26,169.00 |
$26,169.00 |
$1,881.36
|
|
Head CT scan (with contrast)
|
$20,208.75 |
$20,208.75 |
$20,208.75 |
$1,543.10
|
|
Head CT scan (without contrast)
|
$19,321.00 |
$19,321.00 |
$19,321.00 |
$1,268.90
|
|
Heart first pass multiple
|
$6,942.00 |
$6,942.00 |
$6,942.00 |
$1,100.00
|
|
Heart infarct image
|
$4,407.75 |
$4,407.75 |
$4,407.75 |
$840.74
|
|
Hemoglobin
|
$88.25 |
$88.25 |
$88.25 |
$32.50
|
|
Hemoglobin f (fetal) chemical
|
$13.25 |
$13.25 |
$13.25 |
$45.82
|
|
Hemoglobin plasma
|
$12.00 |
$12.00 |
$12.00 |
$38.15
|
|
Hemolysin acid
|
$9.25 |
$9.25 |
$9.25 |
$29.49
|
|
Hemophilus influenza antibdy
|
$81.50 |
$81.50 |
$81.50 |
$56.80
|
|
Heparin neutralization
|
$24.50 |
$24.50 |
$24.50 |
$45.00
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$6.00 |
$6.00 |
$6.00 |
$28.84
|
|
Hepatitis b core antibody igm
|
$3.50 |
$3.50 |
$3.50 |
$86.40
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$773.75 |
$773.75 |
$773.75 |
$888.86
|
|
Hepatobiliary system imaging
|
$12,026.25 |
$12,026.25 |
$12,026.25 |
$1,522.95
|
