|
Echograp trans r pros study
|
$2,576.89 |
$2,576.89 |
$2,576.89 |
$459.40
|
|
Echo guide for artery repair
|
$2,976.84 |
$2,976.84 |
$2,976.84 |
$664.00
|
|
E equine encephalitis igg
|
$194.17 |
$194.17 |
$194.17 |
$49.92
|
|
Egfr gene com variants
|
$647.43 |
$647.43 |
$647.43 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$738.43 |
$738.43 |
$738.43 |
$93.00
|
|
Electrolyte panel
|
$1,164.60 |
$1,164.60 |
$1,164.60 |
$84.24
|
|
Encephalitis, california igg/igm
|
$194.17 |
$194.17 |
$194.17 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$194.17 |
$194.17 |
$194.17 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$194.17 |
$194.17 |
$194.17 |
$53.10
|
|
Epoetin alfa, 100 units esrd
|
$13.22 |
$13.22 |
$13.22 |
$4.82
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$132.57 |
$132.57 |
$132.57 |
$1,289.71
|
|
Epstein barr nuclear antigen antibody
|
$245.18 |
$245.18 |
$245.18 |
$78.65
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$518.90 |
$518.90 |
$518.90 |
$222.98
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$421.80 |
$421.80 |
$421.80 |
$223.99
|
|
Estradiol total
|
$1,211.40 |
$1,211.40 |
$1,211.40 |
$146.50
|
|
Estrogens total-sendout
|
$413.60 |
$413.60 |
$413.60 |
$96.20
|
|
Ethylene glycol -sendout
|
$126.41 |
$126.41 |
$126.41 |
$89.40
|
|
Etoposide 50 mg cap
|
$747.60 |
$747.60 |
$747.60 |
$135.02
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$112.00 |
$112.00 |
$112.00 |
$61.10
|
|
F-18 fdg pet diag
|
$6,564.98 |
$6,564.98 |
$6,564.98 |
$551.72
|
|
Factor ix
|
$2,196.50 |
$2,196.50 |
$2,196.50 |
$156.13
|
|
Factor viii
|
$392.58 |
$392.58 |
$392.58 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$334.04 |
$334.04 |
$334.04 |
$22.20
|
|
Fat/lipids feces qualitative
|
$14.28 |
$14.28 |
$14.28 |
$38.35
|
|
Ferritin
|
$1,200.24 |
$1,200.24 |
$1,200.24 |
$100.94
|
|
Fibrinogen activity
|
$1,054.24 |
$1,054.24 |
$1,054.24 |
$83.50
|
|
Flow cytometry marker each additional
|
$97.79 |
$97.79 |
$97.79 |
$97.50
|
|
Flow cytometry one marker technical component
|
$180.91 |
$180.91 |
$180.91 |
$284.40
|
|
Fluoroguide for spine inject 77003-26
|
$2,593.35 |
$2,593.35 |
$2,593.35 |
$496.03
|
|
Fluoroguide needle placement
|
$2,301.81 |
$2,301.81 |
$2,301.81 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$2,593.35 |
$2,593.35 |
$2,593.35 |
$492.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$94.48 |
$94.48 |
$94.48 |
$72.52
|
|
Folic acid
|
$927.07 |
$927.07 |
$927.07 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$3.32 |
$3.32 |
$3.32 |
$54.75
|
|
Fomepizole 1 gram/ml intravenous solution
|
$15,430.95 |
$15,430.95 |
$15,430.95 |
$2,581.14
|
|
Formoterol fumarate, inh
|
$67.71 |
$67.71 |
$67.71 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,738.52 |
$1,738.52 |
$1,738.52 |
$457.50
|
|
Fructosamine glycated protein
|
$126.41 |
$126.41 |
$126.41 |
$60.75
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,301.10 |
$1,301.10 |
$1,301.10 |
$250.83
|
|
Gammaglobulin ige
|
$1,009.48 |
$1,009.48 |
$1,009.48 |
$83.85
|
|
Gamma glutamyltransferase
|
$894.24 |
$894.24 |
$894.24 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$1,112.46 |
$1,112.46 |
$1,112.46 |
$197.40
|
|
Gated heart multiple
|
$6,158.41 |
$6,158.41 |
$6,158.41 |
$1,400.64
|
|
Ghs histoplasma antigen
|
$906.82 |
$906.82 |
$906.82 |
$141.00
|
|
Ghs inhibitor screen
|
$785.23 |
$785.23 |
$785.23 |
$187.32
|
|
Ghs sensitivity (per antimicro)
|
$334.60 |
$334.60 |
$334.60 |
$57.60
|
|
Ghs urine, porphyrins quant
|
$1,392.35 |
$1,392.35 |
$1,392.35 |
$75.00
|
|
Gi inhouse confirmation
|
$686.74 |
$686.74 |
$686.74 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$1,154.53 |
$1,154.53 |
$1,154.53 |
$601.79
|
|
Glucose blood quantitative
|
$383.51 |
$383.51 |
$383.51 |
$40.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$203.44 |
$203.44 |
$203.44 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$1,454.56 |
$1,454.56 |
$1,454.56 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$1,212.80 |
$1,212.80 |
$1,212.80 |
$129.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$720.00 |
$720.00 |
$720.00 |
$24,469.57
|
|
Granisetron hcl injection
|
$96.39 |
$96.39 |
$96.39 |
$45.03
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$417.81 |
$417.81 |
$417.81 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$103.05 |
$103.05 |
$103.05 |
$23.06
|
|
Haptoglobin quantitative
|
$492.52 |
$492.52 |
$492.52 |
$91.14
|
|
Hcg quantitative
|
$1,130.35 |
$1,130.35 |
$1,130.35 |
$139.20
|
|
Hematocrit
|
$403.09 |
$403.09 |
$403.09 |
$33.57
|
|
Hemoglobin
|
$334.60 |
$334.60 |
$334.60 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$194.89 |
$194.89 |
$194.89 |
$53.60
|
|
Hemolysins/agglutinins auto
|
$574.26 |
$574.26 |
$574.26 |
$57.14
|
|
Hemolysins and agglutinins incubated
|
$33.91 |
$33.91 |
$33.91 |
$57.14
|
|
Heparin assay
|
$785.23 |
$785.23 |
$785.23 |
$140.10
|
|
Hepatitis a antibody igm
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$87.75
|
|
Hepatitis b core antibody igm
|
$972.50 |
$972.50 |
$972.50 |
$87.98
|
|
Hepatitis b core antibody total
|
$823.65 |
$823.65 |
$823.65 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,896.88 |
$1,896.88 |
$1,896.88 |
$1,116.61
|
|
Hepatitis b surface antibody
|
$876.09 |
$876.09 |
$876.09 |
$82.05
|
|
Hepatitis c antibody
|
$1,022.78 |
$1,022.78 |
$1,022.78 |
$108.00
|
|
Hepatobiliary system imaging
|
$2,364.95 |
$2,364.95 |
$2,364.95 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$1,093.34 |
$1,093.34 |
$1,093.34 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$1,093.34 |
$1,093.34 |
$1,093.34 |
$87.10
|
|
Herpes simplex virus isolation
|
$1,085.64 |
$1,085.64 |
$1,085.64 |
$104.10
|
|
Heterophile antibodies screening
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$74.00
|
|
Histamine
|
$117.32 |
$117.32 |
$117.32 |
$115.00
|
|
Hla i low res one antigen equiv ea
|
$1,255.43 |
$1,255.43 |
$1,255.43 |
$161.70
|
|
Hocm 350-399mg/ml iodine,1ml
|
$181.21 |
$181.21 |
$181.21 |
$79.78
|
|
Homocysteine
|
$2,145.48 |
$2,145.48 |
$2,145.48 |
$121.92
|
|
Homogenization tissue
|
$16.46 |
$16.46 |
$16.46 |
$39.20
|
|
H pylori (c-13) breath
|
$651.80 |
$651.80 |
$651.80 |
$213.00
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$5,642.96 |
$5,642.96 |
$5,642.96 |
$5,836.20
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$133.92 |
$133.92 |
$133.92 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$547.28 |
$547.28 |
$547.28 |
$46.74
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$160.74 |
$160.74 |
$160.74 |
$72.65
|
|
I-123 sod iodide diag per 100 uci
|
$463.99 |
$463.99 |
$463.99 |
$139.20
|
|
I131 iodide cap, rx
|
$131.81 |
$131.81 |
$131.81 |
$78.75
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$2,993.95 |
$2,993.95 |
$2,993.95 |
$980.94
|
|
Ihc/icc per specimen each additional single antibody stain
|
$217.00 |
$217.00 |
$217.00 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$172.73 |
$172.73 |
$172.73 |
$328.79
|
|
Ihc/icc per specimen initial single antibody stain
|
$217.95 |
$217.95 |
$217.95 |
$274.86
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$410.71 |
$410.71 |
$410.71 |
$3,593.90
|
|
Immunoassay tumor antigen quantitative ca 125
|
$1,224.73 |
$1,224.73 |
$1,224.73 |
$130.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$1,683.67 |
$1,683.67 |
$1,683.67 |
$116.40
|
|
Immunofixation electrophoresis serum
|
$781.05 |
$781.05 |
$781.05 |
$138.60
|
|
Implant ureth bulk agent
|
$4,998.00 |
$4,998.00 |
$4,998.00 |
$2,139.62
|
|
In-111 oxyquinolin per 0.5 mci
|
$12,383.29 |
$12,383.29 |
$12,383.29 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$12,383.29 |
$12,383.29 |
$12,383.29 |
$2,550.60
|
|
In-111 pentetreotide
|
$19,589.48 |
$19,589.48 |
$19,589.48 |
$4,944.55
|