|
Fluphenazine decanoate 25 mg/ml injection solution
|
$33.26 |
$33.26 |
$33.26 |
$72.52
|
|
Fluzone vacc, 3 yrs & >, im
|
$158.19 |
$158.19 |
$158.19 |
$60.00
|
|
Folic acid
|
$809.77 |
$809.77 |
$809.77 |
$99.96
|
|
Follow-up angiography
|
$10,414.85 |
$10,414.85 |
$10,414.85 |
$1,939.14
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,271.88 |
$1,271.88 |
$1,271.88 |
$490.67
|
|
Fresh frozen plasma thawing ea un
|
$70.52 |
$70.52 |
$70.52 |
$130.98
|
|
Fructosamine glycated protein
|
$426.00 |
$426.00 |
$426.00 |
$61.75
|
|
Galactose transferase test
|
$142.01 |
$142.01 |
$142.01 |
$32.00
|
|
Gammaglobulin ige
|
$583.35 |
$583.35 |
$583.35 |
$83.40
|
|
Gamma glutamyltransferase
|
$378.03 |
$378.03 |
$378.03 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$359.70 |
$359.70 |
$359.70 |
$197.40
|
|
General health panel
|
$2,431.25 |
$2,431.25 |
$2,431.25 |
$262.44
|
|
Gentamicin peak therapeutic drug level
|
$717.66 |
$717.66 |
$717.66 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$4,644.44 |
$4,644.44 |
$4,644.44 |
$1,500.00
|
|
Ghs acetylcholinesterase, rbc
|
$483.58 |
$483.58 |
$483.58 |
$43.06
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,888.21 |
$1,888.21 |
$1,888.21 |
$403.38
|
|
Ghs bleeding time (ivy)
|
$259.05 |
$259.05 |
$259.05 |
$64.08
|
|
Ghs chemo >8 hrs
|
$3,775.62 |
$3,775.62 |
$3,775.62 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$740.99 |
$740.99 |
$740.99 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$754.11 |
$754.11 |
$754.11 |
$133.00
|
|
Ghs diphtheria toxoid ab igg
|
$704.25 |
$704.25 |
$704.25 |
$55.02
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,253.63 |
$1,253.63 |
$1,253.63 |
$560.00
|
|
Ghs fat & muscle
|
$241.96 |
$241.96 |
$241.96 |
$38.08
|
|
Ghs febrile agglutinns(mayo)
|
$130.49 |
$130.49 |
$130.49 |
$48.10
|
|
Ghs fish cytogen
|
$216.82 |
$216.82 |
$216.82 |
$173.40
|
|
Ghs hcv amplificaiton
|
$1,239.30 |
$1,239.30 |
$1,239.30 |
$203.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$667.79 |
$667.79 |
$667.79 |
$144.60
|
|
Ghs histoplasma antigen
|
$550.22 |
$550.22 |
$550.22 |
$141.00
|
|
Ghs HIV antibody
|
$406.81 |
$406.81 |
$406.81 |
$90.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$4,542.06 |
$4,542.06 |
$4,542.06 |
$507.65
|
|
Ghs leukocyte alkaline phos (mayo)
|
$533.46 |
$533.46 |
$533.46 |
$73.50
|
|
Ghs mbp
|
$650.52 |
$650.52 |
$650.52 |
$75.50
|
|
Ghs musc test done w/n test comp
|
$1,205.64 |
$1,205.64 |
$1,205.64 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$1,205.64 |
$1,205.64 |
$1,205.64 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$1,205.64 |
$1,205.64 |
$1,205.64 |
$184.80
|
|
Ghs o2 saturation
|
$160.62 |
$160.62 |
$160.62 |
$69.50
|
|
Ghs optokenetic
|
$146.45 |
$146.45 |
$146.45 |
$211.20
|
|
Ghs oscillating trac
|
$134.52 |
$134.52 |
$134.52 |
$291.75
|
|
Ghs ot prosthetic training/15 min
|
$280.92 |
$280.92 |
$280.92 |
$92.35
|
|
Ghs phenylketonurid
|
$567.99 |
$567.99 |
$567.99 |
$53.76
|
|
Ghs pos nystagmus
|
$180.92 |
$180.92 |
$180.92 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$171.27 |
$171.27 |
$171.27 |
$37.44
|
|
Ghs protoporphyrins fract
|
$725.34 |
$725.34 |
$725.34 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$254.24 |
$254.24 |
$254.24 |
$146.86
|
|
Ghs quinidine
|
$708.07 |
$708.07 |
$708.07 |
$83.20
|
|
Ghs respiratory syncytical virus igg/m
|
$1,201.25 |
$1,201.25 |
$1,201.25 |
$74.82
|
|
Ghs sedimentation rate
|
$308.96 |
$308.96 |
$308.96 |
$45.50
|
|
Ghs somatosensory testing lower extremit
|
$5,375.79 |
$5,375.79 |
$5,375.79 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$2,276.27 |
$2,276.27 |
$2,276.27 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$389.25 |
$389.25 |
$389.25 |
$161.76
|
|
Ghs spont nystagmus
|
$180.14 |
$180.14 |
$180.14 |
$228.00
|
|
Ghs sp train/fitting sp device - kx
|
$462.32 |
$462.32 |
$462.32 |
$249.60
|
|
Ghs trypsin (fecal)
|
$46.05 |
$46.05 |
$46.05 |
$55.59
|
|
Ghs urine, hydroxproline total
|
$521.94 |
$521.94 |
$521.94 |
$110.77
|
|
Ghs urine, porphyrins quant
|
$650.52 |
$650.52 |
$650.52 |
$73.80
|
|
Gi inhouse confirmation
|
$309.82 |
$309.82 |
$309.82 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,877.90 |
$3,877.90 |
$3,877.90 |
$2,195.76
|
|
Glucagon 1 mg solution for injection
|
$282.25 |
$282.25 |
$282.25 |
$601.79
|
|
Glucagon plasma - sendout
|
$82.51 |
$82.51 |
$82.51 |
$63.20
|
|
Glucose-6-phosphate dhydrogenase screen
|
$370.34 |
$370.34 |
$370.34 |
$55.50
|
|
Glucose blood quantitative
|
$270.57 |
$270.57 |
$270.57 |
$41.40
|
|
Glucose tolerance test (gtt) 3 specimens
|
$567.99 |
$567.99 |
$567.99 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$188.05 |
$188.05 |
$188.05 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$629.40 |
$629.40 |
$629.40 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$639.00 |
$639.00 |
$639.00 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,742.64 |
$2,742.64 |
$2,742.64 |
$4,496.37
|
|
Gu dilat ureter/urethra s&i
|
$20,480.88 |
$20,480.88 |
$20,480.88 |
$1,980.66
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$90.50 |
$90.50 |
$90.50 |
$24.41
|
|
Haptoglobin quantitative
|
$462.47 |
$462.47 |
$462.47 |
$91.80
|
|
Hbot, full body chamber, 30m
|
$620.99 |
$620.99 |
$620.99 |
$526.90
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$6,056.56 |
$6,056.56 |
$6,056.56 |
$721.00
|
|
Hcg qualitative
|
$381.86 |
$381.86 |
$381.86 |
$88.00
|
|
Hcg quantitative
|
$591.02 |
$591.02 |
$591.02 |
$137.15
|
|
Hc nm kidney imaging with flow
|
$4,992.93 |
$4,992.93 |
$4,992.93 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$7,446.98 |
$7,446.98 |
$7,446.98 |
$1,327.95
|
|
Hemin 350 mg intravenous powder for solution
|
$32,859.78 |
$32,859.78 |
$32,859.78 |
$20,618.46
|
|
Hemoglobin methemoglobin quantitative
|
$76.16 |
$76.16 |
$76.16 |
$52.32
|
|
Hemoglobin plasma
|
$683.11 |
$683.11 |
$683.11 |
$41.25
|
|
Hemolysins/agglutinins auto
|
$206.14 |
$206.14 |
$206.14 |
$57.28
|
|
Hemophilus influenza antibdy
|
$477.81 |
$477.81 |
$477.81 |
$62.70
|
|
Heparin assay
|
$1,742.35 |
$1,742.35 |
$1,742.35 |
$138.84
|
|
Hepatitis a antibody igm
|
$470.15 |
$470.15 |
$470.15 |
$88.92
|
|
Hepatitis b core antibody igm
|
$698.49 |
$698.49 |
$698.49 |
$88.80
|
|
Hepatitis b core antibody total
|
$1,038.13 |
$1,038.13 |
$1,038.13 |
$77.50
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,796.62 |
$1,796.62 |
$1,796.62 |
$1,174.30
|
|
Hepatitis b surface antibody
|
$698.49 |
$698.49 |
$698.49 |
$81.12
|
|
Hepatitis c antibody
|
$339.66 |
$339.66 |
$339.66 |
$108.00
|
|
Hepatobiliary system imaging
|
$8,425.54 |
$8,425.54 |
$8,425.54 |
$1,438.99
|
|
Heterophile antibodies screening
|
$335.82 |
$335.82 |
$335.82 |
$72.00
|
|
Hhv-6 dna quant
|
$729.18 |
$729.18 |
$729.18 |
$250.80
|
|
Hip X-ray
|
$2,530.38 |
$2,530.38 |
$2,530.38 |
$296.05
|
|
Histamine
|
$92.10 |
$92.10 |
$92.10 |
$114.84
|
|
Histochemical stains add-on
|
$398.60 |
$398.60 |
$398.60 |
$152.75
|
|
Hla class i high defin qual
|
$1,161.36 |
$1,161.36 |
$1,161.36 |
$625.00
|
|
Hla i low res one antigen equiv ea
|
$118.97 |
$118.97 |
$118.97 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$395.43 |
$395.43 |
$395.43 |
$304.20
|
|
Hla typing a b or c
|
$3,739.96 |
$3,739.96 |
$3,739.96 |
$364.00
|
|
Homocysteine
|
$733.03 |
$733.03 |
$733.03 |
$125.00
|
|
Homogenization tissue
|
$39.90 |
$39.90 |
$39.90 |
$41.00
|
|
Homovanillic acid (hva)
|
$1,537.05 |
$1,537.05 |
$1,537.05 |
$59.95
|
