|
Eval aud rehab status/first hr 92626
|
$188.50 |
$188.50 |
$188.50 |
$266.00
|
|
Event monitor
|
$117.00 |
$117.00 |
$117.00 |
$228.60
|
|
External chromosome analysis 20-25 cells
|
$177.45 |
$177.45 |
$177.45 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$177.45 |
$177.45 |
$177.45 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$344.50 |
$344.50 |
$344.50 |
$102.50
|
|
Factor ix
|
$166.40 |
$166.40 |
$166.40 |
$139.75
|
|
Factor viii
|
$73.45 |
$73.45 |
$73.45 |
$152.50
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$7,907.23 |
$7,907.23 |
$7,907.23 |
$47.09
|
|
Fat/lipids feces qualitative
|
$72.15 |
$72.15 |
$72.15 |
$43.66
|
|
Fatty acids nonesterified
|
$78.00 |
$78.00 |
$78.00 |
$64.28
|
|
#fecal-sodium
|
$50.05 |
$50.05 |
$50.05 |
$40.30
|
|
Feno poc
|
$130.65 |
$130.65 |
$130.65 |
$97.18
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$228.65 |
$228.65 |
$228.65 |
$2,131.58
|
|
Ferritin
|
$139.75 |
$139.75 |
$139.75 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,560.65 |
$1,560.65 |
$1,560.65 |
$2,289.60
|
|
Fetal biophys profile w/nst 76818
|
$350.35 |
$350.35 |
$350.35 |
$525.33
|
|
Fibrin degradation d dimer quantitative
|
$125.45 |
$125.45 |
$125.45 |
$87.60
|
|
Fibrinogen activity
|
$59.15 |
$59.15 |
$59.15 |
$61.80
|
|
Flow cytometry marker each additional
|
$85.15 |
$85.15 |
$85.15 |
$103.00
|
|
Flow cytometry one marker technical component
|
$93.60 |
$93.60 |
$93.60 |
$304.43
|
|
Fluidotherapy charges pt
|
$109.20 |
$109.20 |
$109.20 |
$101.40
|
|
Fluorescent antibody titer dna
|
$120.90 |
$120.90 |
$120.90 |
$123.65
|
|
Fluoroscopy up to 1 hour
|
$377.00 |
$377.00 |
$377.00 |
$474.50
|
|
Folic acid
|
$148.20 |
$148.20 |
$148.20 |
$85.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$18.44
|
|
Foot X-ray
|
$299.65 |
$299.65 |
$299.65 |
$339.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$45.42 |
$45.42 |
$45.42 |
$66.38
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$240.50 |
$240.50 |
$240.50 |
$217.30
|
|
Fructosamine glycated protein
|
$12.35 |
$12.35 |
$12.35 |
$69.55
|
|
Galactose transferase test
|
$15.60 |
$15.60 |
$15.60 |
$25.00
|
|
Gammaglobulin iga
|
$104.00 |
$104.00 |
$104.00 |
$78.60
|
|
Gammaglobulin ige
|
$146.90 |
$146.90 |
$146.90 |
$87.10
|
|
Gamma glutamyltransferase
|
$68.90 |
$68.90 |
$68.90 |
$54.60
|
|
Gamunex-c/gammaked
|
$11,949.60 |
$11,949.60 |
$11,949.60 |
$100.40
|
|
Gardner vag dna quant
|
$50.05 |
$50.05 |
$50.05 |
$104.80
|
|
Gentamicin peak therapeutic drug level
|
$180.05 |
$180.05 |
$180.05 |
$114.00
|
|
Ghs bladder cath - complex-foley
|
$169.00 |
$169.00 |
$169.00 |
$333.18
|
|
Ghs chemo >8 hrs
|
$634.40 |
$634.40 |
$634.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$130.65 |
$130.65 |
$130.65 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$98.80 |
$98.80 |
$98.80 |
$135.85
|
|
Ghs febrile agglutinns(mayo)
|
$61.75 |
$61.75 |
$61.75 |
$51.99
|
|
Ghs fish cytogen
|
$252.20 |
$252.20 |
$252.20 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$310.70 |
$310.70 |
$310.70 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$360.10 |
$360.10 |
$360.10 |
$385.60
|
|
Ghs IV inf sq injection, on-body injector
|
$90.35 |
$90.35 |
$90.35 |
$117.42
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$138.45 |
$138.45 |
$138.45 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$55.25 |
$55.25 |
$55.25 |
$125.34
|
|
Ghs ot prosthetic training/15 min
|
$61.75 |
$61.75 |
$61.75 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$74.75 |
$74.75 |
$74.75 |
$89.73
|
|
Ghs phenylketonurid
|
$98.80 |
$98.80 |
$98.80 |
$61.20
|
|
Ghs picc line insert < 5
|
$1,721.85 |
$1,721.85 |
$1,721.85 |
$1,990.40
|
|
Ghs ppd (tb intradermal)
|
$85.80 |
$85.80 |
$85.80 |
$39.77
|
|
Ghs pr without cont pulse ox
|
$261.30 |
$261.30 |
$261.30 |
$165.60
|
|
Ghs reticulocyte count
|
$79.30 |
$79.30 |
$79.30 |
$33.57
|
|
Ghs sedimentation rate
|
$24.70 |
$24.70 |
$24.70 |
$36.57
|
|
Ghs st - re-eval for alt comm
|
$393.90 |
$393.90 |
$393.90 |
$321.00
|
|
Ghs urine, porphyrins quant
|
$99.45 |
$99.45 |
$99.45 |
$85.15
|
|
Gi inhouse confirmation
|
$159.90 |
$159.90 |
$159.90 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$591.50 |
$591.50 |
$591.50 |
$351.53
|
|
Glucose 1 hr post dose
|
$139.10 |
$139.10 |
$139.10 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$9.75 |
$9.75 |
$9.75 |
$20.00
|
|
Glucose blood quantitative
|
$51.35 |
$51.35 |
$51.35 |
$40.80
|
|
Glucose body fluid
|
$53.30 |
$53.30 |
$53.30 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$67.60 |
$67.60 |
$67.60 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$26.00 |
$26.00 |
$26.00 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$12.15 |
$12.15 |
$12.15 |
$11.60
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$4,880.83 |
$4,880.83 |
$4,880.83 |
$61.21
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$183.95 |
$183.95 |
$183.95 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$179.40 |
$179.40 |
$179.40 |
$117.65
|
|
Hand X-ray
|
$299.65 |
$299.65 |
$299.65 |
$317.78
|
|
Haptoglobin quantitative
|
$97.50 |
$97.50 |
$97.50 |
$75.00
|
|
Hcg qualitative
|
$79.30 |
$79.30 |
$79.30 |
$72.50
|
|
Hcg quantitative
|
$201.50 |
$201.50 |
$201.50 |
$105.00
|
|
Head CT scan (with and without contrast)
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,329.90 |
$1,329.90 |
$1,329.90 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,075.10 |
$1,075.10 |
$1,075.10 |
$1,252.80
|
|
Helicobacter pylori antibody igm
|
$133.90 |
$133.90 |
$133.90 |
$84.80
|
|
Hematocrit
|
$27.95 |
$27.95 |
$27.95 |
$32.50
|
|
Hemoglobin
|
$31.20 |
$31.20 |
$31.20 |
$28.60
|
|
Hemoglobin methemoglobin quantitative
|
$107.25 |
$107.25 |
$107.25 |
$43.01
|
|
Hemoglobin plasma
|
$47.45 |
$47.45 |
$47.45 |
$43.80
|
|
Heparin assay
|
$185.25 |
$185.25 |
$185.25 |
$107.50
|
|
Hepatitis a antibody igm
|
$12.35 |
$12.35 |
$12.35 |
$80.60
|
|
Hepatitis b core antibody igm
|
$14.30 |
$14.30 |
$14.30 |
$85.80
|
|
Hepatitis b core antibody total
|
$22.75 |
$22.75 |
$22.75 |
$84.75
|
|
Hepatitis b surface antibody
|
$151.45 |
$151.45 |
$151.45 |
$81.12
|
|
Hepatitis c antibody
|
$155.35 |
$155.35 |
$155.35 |
$106.50
|
|
Hepatobiliary system imaging
|
$1,067.30 |
$1,067.30 |
$1,067.30 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$117.00 |
$117.00 |
$117.00 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$113.75 |
$113.75 |
$113.75 |
$96.20
|
|
Heterophile antibodies screening
|
$72.15 |
$72.15 |
$72.15 |
$59.40
|
|
Hip X-ray
|
$232.70 |
$232.70 |
$232.70 |
$262.64
|
|
Histamine
|
$294.45 |
$294.45 |
$294.45 |
$132.60
|
|
Hla ii typing 1 loc hr
|
$224.90 |
$224.90 |
$224.90 |
$342.60
|
|
Hla i low res one antigen equiv ea
|
$53.30 |
$53.30 |
$53.30 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$163.80 |
$163.80 |
$163.80 |
$340.00
|
|
Homocysteine
|
$180.05 |
$180.05 |
$180.05 |
$100.00
|
|
Homovanillic acid (hva)
|
$42.25 |
$42.25 |
$42.25 |
$66.60
|
|
H pylori (c-13) breath
|
$96.20 |
$96.20 |
$96.20 |
$236.00
|
|
H pylori drug admin
|
$31.85 |
$31.85 |
$31.85 |
$33.00
|
