|
Fibrin degrade semiquant
|
$187.20 |
$187.20 |
$187.20 |
$88.00
|
|
Fibrinogen activity
|
$165.60 |
$165.60 |
$165.60 |
$61.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,223.60 |
$1,223.60 |
$1,223.60 |
$1,223.60
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,560.60 |
$1,560.60 |
$1,560.60 |
$738.00
|
|
Flow cytometry marker each additional
|
$168.00 |
$168.00 |
$168.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$303.60 |
$303.60 |
$303.60 |
$304.43
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$63.52 |
$63.52 |
$63.52 |
$48.56
|
|
Fluidotherapy charges pt
|
$183.00 |
$183.00 |
$183.00 |
$101.40
|
|
Fluorescent antibody titer dna
|
$156.00 |
$156.00 |
$156.00 |
$123.65
|
|
Fluoroscopy up to 1 hour
|
$468.00 |
$468.00 |
$468.00 |
$474.50
|
|
Folic acid
|
$205.80 |
$205.80 |
$205.80 |
$85.50
|
|
Fondaparinux sodium
|
$126.88 |
$126.88 |
$126.88 |
$121.83
|
|
Foot X-ray
|
$600.00 |
$600.00 |
$600.00 |
$339.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$168.29 |
$168.29 |
$168.29 |
$66.38
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$471.00 |
$471.00 |
$471.00 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$446.40 |
$446.40 |
$446.40 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$80.40 |
$80.40 |
$80.40 |
$114.35
|
|
Fructosamine glycated protein
|
$130.80 |
$130.80 |
$130.80 |
$69.55
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.59 |
$0.59 |
$0.59 |
$2.04
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$3.20 |
$3.20 |
$3.20 |
$15.60
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.18 |
$0.18 |
$0.18 |
$13.18
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$25.56 |
$25.56 |
$25.56 |
$90.60
|
|
Gammaglobulin iga
|
$133.20 |
$133.20 |
$133.20 |
$78.60
|
|
Gammaglobulin ige
|
$175.80 |
$175.80 |
$175.80 |
$87.10
|
|
Gamma glutamyltransferase
|
$110.40 |
$110.40 |
$110.40 |
$54.60
|
|
Gardner vag dna quant
|
$124.80 |
$124.80 |
$124.80 |
$104.80
|
|
General health panel
|
$325.20 |
$325.20 |
$325.20 |
$270.40
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$133.48 |
$133.48 |
$133.48 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$280.20 |
$280.20 |
$280.20 |
$114.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$172.20 |
$172.20 |
$172.20 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$123.00 |
$123.00 |
$123.00 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$375.00 |
$375.00 |
$375.00 |
$333.18
|
|
Ghs central line insert < age 5, failed
|
$3,657.60 |
$3,657.60 |
$3,657.60 |
$2,489.25
|
|
Ghs corneal fb without slit lamp bilat
|
$336.60 |
$336.60 |
$336.60 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$475.80 |
$475.80 |
$475.80 |
$362.21
|
|
Ghs diphtheria toxoid ab igg
|
$133.80 |
$133.80 |
$133.80 |
$91.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,568.40 |
$1,568.40 |
$1,568.40 |
$1,568.40
|
|
Ghs fish cytogen
|
$267.60 |
$267.60 |
$267.60 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$403.20 |
$403.20 |
$403.20 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$193.80 |
$193.80 |
$193.80 |
$385.60
|
|
Ghs hcv amplificaiton
|
$525.60 |
$525.60 |
$525.60 |
$198.90
|
|
Ghs hepatitis c virus (hcv riba)
|
$318.00 |
$318.00 |
$318.00 |
$105.00
|
|
Ghs histoplasma antigen
|
$345.60 |
$345.60 |
$345.60 |
$157.30
|
|
Ghs HIV antibody
|
$174.00 |
$174.00 |
$174.00 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$777.00 |
$777.00 |
$777.00 |
$475.80
|
|
Ghs inhibitor screen
|
$277.80 |
$277.80 |
$277.80 |
$138.06
|
|
Ghs IV thrombolytics - cerebral
|
$912.00 |
$912.00 |
$912.00 |
$752.80
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$312.60 |
$312.60 |
$312.60 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$120.60 |
$120.60 |
$120.60 |
$125.34
|
|
Ghs myocardial strain img spckl track
|
$573.00 |
$573.00 |
$573.00 |
$503.85
|
|
Ghs ng placement w fluoro guidance
|
$426.60 |
$426.60 |
$426.60 |
$423.76
|
|
Ghs o2 saturation
|
$28.80 |
$28.80 |
$28.80 |
$55.90
|
|
Ghs ot prosthetic training/15 min
|
$93.00 |
$93.00 |
$93.00 |
$92.35
|
|
Ghs ot work hardening-additional hours
|
$235.20 |
$235.20 |
$235.20 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$1,368.60 |
$1,368.60 |
$1,368.60 |
$872.95
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$104.40 |
$104.40 |
$104.40 |
$82.80
|
|
Ghs plt ct-manual
|
$82.80 |
$82.80 |
$82.80 |
$40.80
|
|
Ghs ppd (tb intradermal)
|
$48.00 |
$48.00 |
$48.00 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$88.80 |
$88.80 |
$88.80 |
$49.77
|
|
Ghs protein, misc fluid
|
$18.60 |
$18.60 |
$18.60 |
$24.60
|
|
Ghs pt - work hardening/int 2hrs
|
$409.20 |
$409.20 |
$409.20 |
$230.40
|
|
Ghs quinidine
|
$135.60 |
$135.60 |
$135.60 |
$70.85
|
|
Ghs respiratory syncytical virus igg/m
|
$171.60 |
$171.60 |
$171.60 |
$48.57
|
|
Ghs reticulocyte count
|
$83.40 |
$83.40 |
$83.40 |
$33.57
|
|
Ghs sedimentation rate
|
$99.60 |
$99.60 |
$99.60 |
$36.57
|
|
Ghs sensitivity (per antimicro)
|
$120.60 |
$120.60 |
$120.60 |
$55.12
|
|
Ghs urine, porphyrins quant
|
$46.20 |
$46.20 |
$46.20 |
$85.15
|
|
Gi inhouse confirmation
|
$224.40 |
$224.40 |
$224.40 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$351.53 |
$351.53 |
$351.53 |
$351.53
|
|
Glucagon plasma - sendout
|
$177.60 |
$177.60 |
$177.60 |
$67.50
|
|
Glucose 1 hr post dose
|
$102.00 |
$102.00 |
$102.00 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$48.00 |
$48.00 |
$48.00 |
$20.00
|
|
Glucose blood quantitative
|
$57.60 |
$57.60 |
$57.60 |
$40.80
|
|
Glucose body fluid
|
$83.40 |
$83.40 |
$83.40 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$203.40 |
$203.40 |
$203.40 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$63.60 |
$63.60 |
$63.60 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$40.84 |
$40.84 |
$40.84 |
$11.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$330.00 |
$330.00 |
$330.00 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$342.60 |
$342.60 |
$342.60 |
$117.65
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$38.87 |
$38.87 |
$38.87 |
$11.25
|
|
Hand X-ray
|
$625.20 |
$625.20 |
$625.20 |
$317.78
|
|
Haptoglobin quantitative
|
$194.40 |
$194.40 |
$194.40 |
$75.00
|
|
Hcg qualitative
|
$150.00 |
$150.00 |
$150.00 |
$72.50
|
|
Hcg quantitative
|
$251.40 |
$251.40 |
$251.40 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$1,970.40 |
$1,970.40 |
$1,970.40 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,642.80 |
$1,642.80 |
$1,642.80 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,314.60 |
$1,314.60 |
$1,314.60 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$305.40 |
$305.40 |
$305.40 |
$84.80
|
|
Hematocrit
|
$48.60 |
$48.60 |
$48.60 |
$32.50
|
|
Hemoglobin
|
$47.40 |
$47.40 |
$47.40 |
$28.60
|
|
Hemoglobin plasma
|
$105.60 |
$105.60 |
$105.60 |
$43.80
|
|
Heparin assay
|
$279.00 |
$279.00 |
$279.00 |
$107.50
|
|
Heparin bolus from bag
|
$99.09 |
$99.09 |
$99.09 |
$50.95
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$38.80 |
$38.80 |
$38.80 |
$7.15
|
|
Hepatitis a antibody igm
|
$185.40 |
$185.40 |
$185.40 |
$80.60
|
|
Hepatitis b core antibody igm
|
$232.20 |
$232.20 |
$232.20 |
$85.80
|
|
Hepatitis b core antibody total
|
$159.60 |
$159.60 |
$159.60 |
$84.75
|
|
Hepatitis b surface antibody
|
$171.60 |
$171.60 |
$171.60 |
$81.12
|
|
Hepatitis c antibody
|
$252.00 |
$252.00 |
$252.00 |
$106.50
|
|
Herpes simplex type 1 antibody igg
|
$113.40 |
$113.40 |
$113.40 |
$79.92
|
