|
Drug test def 15-21 classes
|
$146.40 |
$146.40 |
$146.40 |
$263.25
|
|
Drug test def 1-7 classes
|
$1,106.40 |
$1,106.40 |
$1,106.40 |
$250.52
|
|
Drug test def 8-14 classes
|
$156.60 |
$156.60 |
$156.60 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$220.80 |
$220.80 |
$220.80 |
$278.85
|
|
Drvvt confirm - quest
|
$170.40 |
$170.40 |
$170.40 |
$109.20
|
|
Electrical stimulation/unattended 97014
|
$102.00 |
$102.00 |
$102.00 |
$79.20
|
|
Electrolyte panel
|
$83.40 |
$83.40 |
$83.40 |
$84.24
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$249.00 |
$249.00 |
$249.00 |
$109.71
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$54.90 |
$54.90 |
$54.90 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$897.90 |
$897.90 |
$897.90 |
$393.15
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$45.00 |
$45.00 |
$45.00 |
$34.13
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$810.60 |
$810.60 |
$810.60 |
$809.08
|
|
Epstein barr early antigen antibody
|
$31.80 |
$31.80 |
$31.80 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$22.80 |
$22.80 |
$22.80 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$48.00 |
$48.00 |
$48.00 |
$91.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$429.60 |
$429.60 |
$429.60 |
$222.98
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$553.88
|
|
Estradiol total
|
$158.40 |
$158.40 |
$158.40 |
$146.50
|
|
Estrogens total-sendout
|
$208.80 |
$208.80 |
$208.80 |
$96.20
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$110.40 |
$110.40 |
$110.40 |
$219.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$198.00 |
$198.00 |
$198.00 |
$108.60
|
|
Factor viii
|
$455.40 |
$455.40 |
$455.40 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.20 |
$4.20 |
$4.20 |
$22.20
|
|
Fat/lipids feces qualitative
|
$40.80 |
$40.80 |
$40.80 |
$38.35
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$36,174.60 |
$36,174.60 |
$36,174.60 |
$14,956.68
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$8.40 |
$8.40 |
$8.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,310.20 |
$3,310.20 |
$3,310.20 |
$2,590.25
|
|
Ferritin
|
$174.60 |
$174.60 |
$174.60 |
$100.94
|
|
Fibrin degrade semiquant
|
$69.60 |
$69.60 |
$69.60 |
$78.09
|
|
Fibrinogen activity
|
$110.40 |
$110.40 |
$110.40 |
$83.50
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$21.00 |
$21.00 |
$21.00 |
$64.22
|
|
Folic acid
|
$193.20 |
$193.20 |
$193.20 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$139.80 |
$139.80 |
$139.80 |
$54.75
|
|
Fructosamine glycated protein
|
$110.40 |
$110.40 |
$110.40 |
$60.75
|
|
Furosemide 10 mg/ml injection solution
|
$11.40 |
$11.40 |
$11.40 |
$19.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$363.00 |
$363.00 |
$363.00 |
$177.52
|
|
Gammaglobulin iga
|
$16.80 |
$16.80 |
$16.80 |
$67.20
|
|
Gammaglobulin ige
|
$140.40 |
$140.40 |
$140.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$96.00 |
$96.00 |
$96.00 |
$57.54
|
|
Ghs alpha thalasemia, 7 deletions
|
$708.00 |
$708.00 |
$708.00 |
$371.84
|
|
Ghs community re-entry 15 minutes
|
$57.60 |
$57.60 |
$57.60 |
$88.50
|
|
Ghs histoplasma antigen
|
$268.20 |
$268.20 |
$268.20 |
$141.00
|
|
Ghs ot sensory integrative tech/15min
|
$135.00 |
$135.00 |
$135.00 |
$94.80
|
|
Ghs sensitivity (per antimicro)
|
$93.60 |
$93.60 |
$93.60 |
$57.60
|
|
Ghs urine, porphyrins quant
|
$52.20 |
$52.20 |
$52.20 |
$75.00
|
|
Gi inhouse confirmation
|
$25.20 |
$25.20 |
$25.20 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$690.60 |
$690.60 |
$690.60 |
$491.67
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$13.80 |
$13.80 |
$13.80 |
$23.86
|
|
Glucose blood quantitative
|
$97.80 |
$97.80 |
$97.80 |
$40.00
|
|
Glucose body fluid
|
$124.80 |
$124.80 |
$124.80 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$135.00 |
$135.00 |
$135.00 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$87.00 |
$87.00 |
$87.00 |
$35.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$202.80 |
$202.80 |
$202.80 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$202.80 |
$202.80 |
$202.80 |
$129.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$5,087.40 |
$5,087.40 |
$5,087.40 |
$672.50
|
|
Graft axiofill 1000mg
|
$133.20 |
$133.20 |
$133.20 |
$5,125.68
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$70.67 |
$70.67 |
$70.67 |
$24,469.57
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$94.08 |
$94.08 |
$94.08 |
$1,455.76
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$22,192.80 |
$22,192.80 |
$22,192.80 |
$1,181.41
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$10,595.70 |
$10,595.70 |
$10,595.70 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$526.26 |
$526.26 |
$526.26 |
$373.00
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$517.44 |
$517.44 |
$517.44 |
$1,132.47
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$4.80 |
$4.80 |
$4.80 |
$23.06
|
|
Haptoglobin quantitative
|
$110.40 |
$110.40 |
$110.40 |
$91.14
|
|
Hcg qualitative
|
$85.20 |
$85.20 |
$85.20 |
$89.70
|
|
Hcg quantitative
|
$135.00 |
$135.00 |
$135.00 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,240.40 |
$2,240.40 |
$2,240.40 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,577.40 |
$1,577.40 |
$1,577.40 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$1,806.60 |
$1,806.60 |
$1,806.60 |
$1,268.90
|
|
Hematocrit
|
$61.20 |
$61.20 |
$61.20 |
$33.57
|
|
Hemoglobin
|
$42.60 |
$42.60 |
$42.60 |
$31.80
|
|
Heparin bolus from bag
|
$32.40 |
$32.40 |
$32.40 |
$66.47
|
|
Hepatitis a antibody igm
|
$115.20 |
$115.20 |
$115.20 |
$87.75
|
|
Hepatitis b core antibody igm
|
$117.00 |
$117.00 |
$117.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$111.00 |
$111.00 |
$111.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$153.60 |
$153.60 |
$153.60 |
$82.05
|
|
Hepatitis c antibody
|
$105.60 |
$105.60 |
$105.60 |
$108.00
|
|
Herpes simplex type 1 antibody igg
|
$96.00 |
$96.00 |
$96.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$109.80 |
$109.80 |
$109.80 |
$87.10
|
|
Heterophile antibodies screening
|
$91.80 |
$91.80 |
$91.80 |
$74.00
|
|
Hla i low res one antigen equiv ea
|
$109.80 |
$109.80 |
$109.80 |
$161.70
|
|
Hla i typing low res one locus ea
|
$112.80 |
$112.80 |
$112.80 |
$320.70
|
|
Hocm 350-399mg/ml iodine,1ml
|
$296.40 |
$296.40 |
$296.40 |
$79.78
|
|
Homocysteine
|
$183.60 |
$183.60 |
$183.60 |
$121.92
|
|
Hpv types 16 & 18 only
|
$87.00 |
$87.00 |
$87.00 |
$110.70
|
|
H pylori (c-13) breath
|
$286.80 |
$286.80 |
$286.80 |
$213.00
|
|
Hydralazine 20 mg/ml injection solution
|
$42.60 |
$42.60 |
$42.60 |
$46.74
|
|
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr
|
$47.40 |
$47.40 |
$47.40 |
$154.78
|
|
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper)
|
$17.40 |
$17.40 |
$17.40 |
$131.47
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$12.60 |
$12.60 |
$12.60 |
$72.65
|
|
#hypersens-actinomyces ab
|
$16.80 |
$16.80 |
$16.80 |
$31.74
|
|
Ihc/icc per specimen each additional single antibody stain
|
$265.20 |
$265.20 |
$265.20 |
$191.52
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$532.80 |
$532.80 |
$532.80 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$603.60 |
$603.60 |
$603.60 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$136.80 |
$136.80 |
$136.80 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$20.40 |
$20.40 |
$20.40 |
$48.50
|
|
Immunofixation electrophoresis serum
|
$325.80 |
$325.80 |
$325.80 |
$138.60
|
|
Infect ag drug suscept pheno predict
|
$319.80 |
$319.80 |
$319.80 |
$320.00
|
|
Infect ag genotype na dna hepatitis b
|
$829.80 |
$829.80 |
$829.80 |
$427.43
|
