|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$30.02 |
$30.02 |
$30.02 |
$48.56
|
|
Fluorescent antibody titer dna
|
$111.63 |
$111.63 |
$111.63 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$148.99 |
$148.99 |
$148.99 |
$497.25
|
|
Fluoroguide needle placement
|
$65.33 |
$65.33 |
$65.33 |
$510.00
|
|
Fluoro polarize fetal lung
|
$9.87 |
$9.87 |
$9.87 |
$127.20
|
|
Fluoroscopy up to 1 hour
|
$135.83 |
$135.83 |
$135.83 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$14.88 |
$14.88 |
$14.88 |
$73.16
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$191.84 |
$191.84 |
$191.84 |
$66.60
|
|
Fna bx w/ct gdn 1st les
|
$779.26 |
$779.26 |
$779.26 |
$1,320.40
|
|
Fna bx w/mr gdn 1st les
|
$779.26 |
$779.26 |
$779.26 |
$900.75
|
|
Foam stability fetal lung
|
$9.87 |
$9.87 |
$9.87 |
$48.00
|
|
Folic acid
|
$28.20 |
$28.20 |
$28.20 |
$85.50
|
|
Follow-up angiography
|
$422.06 |
$422.06 |
$422.06 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$174.46 |
$174.46 |
$174.46 |
$18.44
|
|
Fondaparinux sodium
|
$84.88 |
$84.88 |
$84.88 |
$121.83
|
|
Foot X-ray
|
$193.64 |
$193.64 |
$193.64 |
$339.50
|
|
Fracture assessment via dxa
|
$82.72 |
$82.72 |
$82.72 |
$170.40
|
|
_fragile x methylation-sendout
|
$223.25 |
$223.25 |
$223.25 |
$175.75
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$57.81 |
$57.81 |
$57.81 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$44.65 |
$44.65 |
$44.65 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$22.09 |
$22.09 |
$22.09 |
$114.35
|
|
Fructosamine glycated protein
|
$23.03 |
$23.03 |
$23.03 |
$69.55
|
|
Ftl cgen abnor four anal
|
$72.38 |
$72.38 |
$72.38 |
$267.15
|
|
G6pc gene
|
$27.26 |
$27.26 |
$27.26 |
$140.00
|
|
G6pd full gene sequence
|
$282.00 |
$282.00 |
$282.00 |
$1,200.00
|
|
G6pd gene alys cmn variant
|
$94.00 |
$94.00 |
$94.00 |
$243.00
|
|
G6pd known familial variant
|
$176.25 |
$176.25 |
$176.25 |
$517.85
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.82 |
$2.82 |
$2.82 |
$2.04
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$6.11 |
$6.11 |
$6.11 |
$13.18
|
|
Galac-1-phosphate uridyltran - sendout
|
$41.09 |
$41.09 |
$41.09 |
$85.50
|
|
Galactose transferase test
|
$5.64 |
$5.64 |
$5.64 |
$25.00
|
|
Galectin-3
|
$20.68 |
$20.68 |
$20.68 |
$96.00
|
|
Gammaglobulin iga
|
$28.20 |
$28.20 |
$28.20 |
$78.60
|
|
Gammaglobulin ige
|
$17.39 |
$17.39 |
$17.39 |
$87.10
|
|
Gamma glutamyltransferase
|
$6.11 |
$6.11 |
$6.11 |
$54.60
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$100.35 |
$100.35 |
$100.35 |
$154.86
|
|
Gastrin test
|
$9.40 |
$9.40 |
$9.40 |
$61.80
|
|
Gba gene
|
$22.09 |
$22.09 |
$22.09 |
$140.00
|
|
Genetic tstg severe inh cond
|
$1,150.82 |
$1,150.82 |
$1,150.82 |
$4,897.60
|
|
Genome sequence analysis
|
$2,364.66 |
$2,364.66 |
$2,364.66 |
$6,404.58
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$18.73 |
$18.73 |
$18.73 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$36.66 |
$36.66 |
$36.66 |
$114.00
|
|
Ghs acetylcholinesterase, rbc
|
$4.70 |
$4.70 |
$4.70 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$50.78 |
$50.78 |
$50.78 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$47.94 |
$47.94 |
$47.94 |
$437.58
|
|
Ghs antibodies (torch) igm
|
$14.78 |
$14.78 |
$14.78 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$116.56 |
$116.56 |
$116.56 |
$333.18
|
|
Ghs community re-entry 15 minutes
|
$46.06 |
$46.06 |
$46.06 |
$85.00
|
|
Ghs diphtheria toxoid ab igg
|
$13.63 |
$13.63 |
$13.63 |
$91.80
|
|
Ghs ed rmvl or bivalving cast
|
$755.76 |
$755.76 |
$755.76 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$760.93 |
$760.93 |
$760.93 |
$1,360.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$696.54 |
$696.54 |
$696.54 |
$586.80
|
|
Ghs electrostagmgraphy
|
$199.28 |
$199.28 |
$199.28 |
$247.20
|
|
Ghs elect vertical elct
|
$125.49 |
$125.49 |
$125.49 |
$116.00
|
|
Ghs fat & muscle
|
$2.35 |
$2.35 |
$2.35 |
$45.75
|
|
Ghs fish cytogen
|
$11.28 |
$11.28 |
$11.28 |
$173.40
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$10.81 |
$10.81 |
$10.81 |
$31.70
|
|
Ghs histoplasma antigen
|
$16.45 |
$16.45 |
$16.45 |
$157.30
|
|
Ghs HIV antibody
|
$20.21 |
$20.21 |
$20.21 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$49.82 |
$49.82 |
$49.82 |
$475.80
|
|
Ghs immun0electrophoresis
|
$14.10 |
$14.10 |
$14.10 |
$110.00
|
|
Ghs inj transforaminal cerv single bil
|
$934.83 |
$934.83 |
$934.83 |
$1,706.32
|
|
Ghs mbp
|
$11.16 |
$11.16 |
$11.16 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$240.17 |
$240.17 |
$240.17 |
$240.00
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$70.97 |
$70.97 |
$70.97 |
$219.95
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$44.18 |
$44.18 |
$44.18 |
$216.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$38.54 |
$38.54 |
$38.54 |
$125.34
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$33.84 |
$33.84 |
$33.84 |
$123.30
|
|
Ghs musc test done w/n test comp
|
$115.15 |
$115.15 |
$115.15 |
$352.97
|
|
Ghs musc tst done w/nerv tst lim
|
$105.75 |
$105.75 |
$105.75 |
$277.25
|
|
Ghs myocardial strain img spckl track
|
$331.35 |
$331.35 |
$331.35 |
$503.85
|
|
Ghs o2 saturation
|
$9.40 |
$9.40 |
$9.40 |
$55.90
|
|
Ghs optokenetic
|
$125.49 |
$125.49 |
$125.49 |
$198.98
|
|
Ghs oscillating trac
|
$125.49 |
$125.49 |
$125.49 |
$256.50
|
|
Ghs ot prosthetic training/15 min
|
$46.53 |
$46.53 |
$46.53 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$421.12 |
$421.12 |
$421.12 |
$872.95
|
|
Ghs phenylketonurid
|
$56.87 |
$56.87 |
$56.87 |
$61.20
|
|
Ghs pos nystagmus
|
$125.49 |
$125.49 |
$125.49 |
$228.00
|
|
Ghs ppd (tb intradermal)
|
$11.28 |
$11.28 |
$11.28 |
$39.77
|
|
Ghs protein, misc fluid
|
$5.64 |
$5.64 |
$5.64 |
$24.60
|
|
Ghs rsv eia (respir synctial vrs)
|
$28.20 |
$28.20 |
$28.20 |
$117.60
|
|
Ghs sedimentation rate
|
$8.46 |
$8.46 |
$8.46 |
$36.57
|
|
Ghs semen analysis fert
|
$31.49 |
$31.49 |
$31.49 |
$129.00
|
|
Ghs semen analysis, post-vas
|
$4.70 |
$4.70 |
$4.70 |
$32.37
|
|
Ghs somatosensory testing lower extremit
|
$589.38 |
$589.38 |
$589.38 |
$917.80
|
|
Ghs speech-gen aug dev eval iii, st
|
$31.96 |
$31.96 |
$31.96 |
$134.50
|
|
Ghs spont nystagmus
|
$57.34 |
$57.34 |
$57.34 |
$228.00
|
|
Ghs st - re-eval for alt comm
|
$146.17 |
$146.17 |
$146.17 |
$321.00
|
|
Ghs urine, hydroxproline total
|
$58.28 |
$58.28 |
$58.28 |
$119.40
|
|
Ghs vaginal delivery only
|
$3,026.80 |
$3,026.80 |
$3,026.80 |
$3,341.93
|
|
Gi inhouse confirmation
|
$25.85 |
$25.85 |
$25.85 |
$79.50
|
|
Gjb2 gene full sequence
|
$47.47 |
$47.47 |
$47.47 |
$507.00
|
|
Gjb2 gene known fam variants
|
$29.14 |
$29.14 |
$29.14 |
$73.82
|
|
Gjb6 gene com variants
|
$16.45 |
$16.45 |
$16.45 |
$48.30
|
|
Glucagon plasma - sendout
|
$8.74 |
$8.74 |
$8.74 |
$67.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$2.82 |
$2.82 |
$2.82 |
$20.00
|
|
Glucose blood quantitative
|
$7.05 |
$7.05 |
$7.05 |
$40.80
|
|
Glucose body fluid
|
$18.33 |
$18.33 |
$18.33 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$24.91 |
$24.91 |
$24.91 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$6.11 |
$6.11 |
$6.11 |
$33.15
|
