|
Fluzone vacc, 3 yrs & >, im
|
$66.68 |
$66.68 |
$66.68 |
$60.00
|
|
Folic acid
|
$463.50 |
$463.50 |
$463.50 |
$99.96
|
|
Formoterol fumarate, inh
|
$4.82 |
$4.82 |
$4.82 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$2,348.63 |
$2,348.63 |
$2,348.63 |
$490.67
|
|
Fresh frozen plasma thawing ea un
|
$25.45 |
$25.45 |
$25.45 |
$130.98
|
|
Fructosamine glycated protein
|
$254.91 |
$254.91 |
$254.91 |
$61.75
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,483.00 |
$1,483.00 |
$1,483.00 |
$249.80
|
|
Galactose transferase test
|
$91.16 |
$91.16 |
$91.16 |
$32.00
|
|
Gammaglobulin ige
|
$13.26 |
$13.26 |
$13.26 |
$83.40
|
|
Gamma glutamyltransferase
|
$290.46 |
$290.46 |
$290.46 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$580.73 |
$580.73 |
$580.73 |
$197.40
|
|
Gel-syn injection 0.1 mg
|
$906.06 |
$906.06 |
$906.06 |
$680.71
|
|
General health panel
|
$2,074.95 |
$2,074.95 |
$2,074.95 |
$262.44
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$45.52 |
$45.52 |
$45.52 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$392.43 |
$392.43 |
$392.43 |
$123.84
|
|
Ghs abscess postoperative iandd complex
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$140.60 |
$140.60 |
$140.60 |
$43.06
|
|
Ghs alpha thalasemia, 7 deletions
|
$474.32 |
$474.32 |
$474.32 |
$403.38
|
|
Ghs bleeding time (ivy)
|
$254.91 |
$254.91 |
$254.91 |
$64.08
|
|
Ghs chemo >8 hrs
|
$523.22 |
$523.22 |
$523.22 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$289.16 |
$289.16 |
$289.16 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$370.78 |
$370.78 |
$370.78 |
$133.00
|
|
Ghs diphtheria toxoid ab igg
|
$451.13 |
$451.13 |
$451.13 |
$55.02
|
|
Ghs fat & muscle
|
$157.59 |
$157.59 |
$157.59 |
$38.08
|
|
Ghs fb removal - incisional
|
$824.00 |
$824.00 |
$824.00 |
$2,289.60
|
|
Ghs febrile agglutinns(mayo)
|
$156.05 |
$156.05 |
$156.05 |
$48.10
|
|
Ghs fish cytogen
|
$319.83 |
$319.83 |
$319.83 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$2,218.63 |
$2,218.63 |
$2,218.63 |
$225.00
|
|
Ghs hcv amplificaiton
|
$899.19 |
$899.19 |
$899.19 |
$203.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$435.70 |
$435.70 |
$435.70 |
$144.60
|
|
Ghs histoplasma antigen
|
$387.81 |
$387.81 |
$387.81 |
$141.00
|
|
Ghs HIV antibody
|
$279.66 |
$279.66 |
$279.66 |
$90.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$140.60 |
$140.60 |
$140.60 |
$507.65
|
|
Ghs inj tendon origin/insertion
|
$339.00 |
$339.00 |
$339.00 |
$434.12
|
|
Ghs intro needle/intracath vein - 36000
|
$692.18 |
$692.18 |
$692.18 |
$202.47
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$544.00 |
$544.00 |
$544.00 |
$576.19
|
|
Ghs leukocyte alkaline phos (mayo)
|
$227.12 |
$227.12 |
$227.12 |
$73.50
|
|
Ghs mbp
|
$761.69 |
$761.69 |
$761.69 |
$75.50
|
|
Ghs musc test done w/n test comp
|
$358.39 |
$358.39 |
$358.39 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$212.78 |
$212.78 |
$212.78 |
$272.25
|
|
Ghs ot prosthetic training/15 min
|
$254.68 |
$254.68 |
$254.68 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$254.68 |
$254.68 |
$254.68 |
$96.00
|
|
Ghs phenylketonurid
|
$91.16 |
$91.16 |
$91.16 |
$53.76
|
|
Ghs plngl fx pm cl
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
$564.50
|
|
Ghs ppd (tb intradermal)
|
$82.67 |
$82.67 |
$82.67 |
$37.44
|
|
Ghs protoporphyrins fract
|
$465.05 |
$465.05 |
$465.05 |
$60.75
|
|
Ghs quinidine
|
$276.56 |
$276.56 |
$276.56 |
$83.20
|
|
Ghs respiratory syncytical virus igg/m
|
$1,443.04 |
$1,443.04 |
$1,443.04 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$78.00 |
$78.00 |
$78.00 |
$99.00
|
|
Ghs sedimentation rate
|
$366.88 |
$366.88 |
$366.88 |
$45.50
|
|
Ghs trypsin (fecal)
|
$324.46 |
$324.46 |
$324.46 |
$55.59
|
|
Ghs urine, hydroxproline total
|
$332.17 |
$332.17 |
$332.17 |
$110.77
|
|
Ghs urine, porphyrins quant
|
$651.99 |
$651.99 |
$651.99 |
$73.80
|
|
Gi inhouse confirmation
|
$469.68 |
$469.68 |
$469.68 |
$86.40
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,317.12 |
$1,317.12 |
$1,317.12 |
$2,195.76
|
|
Glucagon 1 mg solution for injection
|
$306.25 |
$306.25 |
$306.25 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$303.22 |
$303.22 |
$303.22 |
$491.67
|
|
Glucagon plasma - sendout
|
$347.63 |
$347.63 |
$347.63 |
$63.20
|
|
Glucose-6-phosphate dhydrogenase screen
|
$248.76 |
$248.76 |
$248.76 |
$55.50
|
|
Glucose blood quantitative
|
$254.91 |
$254.91 |
$254.91 |
$41.40
|
|
Glucose tolerance test (gtt) 3 specimens
|
$529.93 |
$529.93 |
$529.93 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$299.73 |
$299.73 |
$299.73 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$25.54 |
$25.54 |
$25.54 |
$37.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$6,742.93 |
$6,742.93 |
$6,742.93 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$440.33 |
$440.33 |
$440.33 |
$115.80
|
|
Gonadotropin luteinizing hormone (lh)
|
$407.88 |
$407.88 |
$407.88 |
$129.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$15.68 |
$15.68 |
$15.68 |
$89.32
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$102.00 |
$102.00 |
$102.00 |
$24.41
|
|
Haptoglobin quantitative
|
$205.48 |
$205.48 |
$205.48 |
$91.80
|
|
Hcg qualitative
|
$254.91 |
$254.91 |
$254.91 |
$88.00
|
|
Hcg quantitative
|
$387.81 |
$387.81 |
$387.81 |
$137.15
|
|
Hc nm kidney imaging with flow
|
$2,660.02 |
$2,660.02 |
$2,660.02 |
$849.00
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$3,973.04 |
$3,973.04 |
$3,973.04 |
$1,327.95
|
|
Hc pet myocardial imaging metabolic eval single study
|
$19,223.41 |
$19,223.41 |
$19,223.41 |
$3,840.40
|
|
Head CT scan (with and without contrast)
|
$8,407.58 |
$8,407.58 |
$8,407.58 |
$1,818.96
|
|
Head CT scan (with contrast)
|
$5,226.84 |
$5,226.84 |
$5,226.84 |
$1,526.50
|
|
Head CT scan (without contrast)
|
$4,902.08 |
$4,902.08 |
$4,902.08 |
$1,268.90
|
|
Hemoglobin methemoglobin quantitative
|
$251.83 |
$251.83 |
$251.83 |
$52.32
|
|
Hemoglobin plasma
|
$444.96 |
$444.96 |
$444.96 |
$41.25
|
|
Hemolysins/agglutinins auto
|
$248.79 |
$248.79 |
$248.79 |
$57.28
|
|
Hemolysins and agglutinins incubated
|
$163.78 |
$163.78 |
$163.78 |
$59.80
|
|
Heparin assay
|
$1,109.30 |
$1,109.30 |
$1,109.30 |
$138.84
|
|
Hepatitis a antibody igm
|
$466.60 |
$466.60 |
$466.60 |
$88.92
|
|
Hepatitis b core antibody igm
|
$461.96 |
$461.96 |
$461.96 |
$88.80
|
|
Hepatitis b core antibody total
|
$681.35 |
$681.35 |
$681.35 |
$77.50
|
|
Hepatitis b surface antibody
|
$461.96 |
$461.96 |
$461.96 |
$81.12
|
|
Hepatitis c antibody
|
$184.59 |
$184.59 |
$184.59 |
$108.00
|
|
Hepatobiliary system imaging
|
$4,286.10 |
$4,286.10 |
$4,286.10 |
$1,438.99
|
|
Heterophile antibodies screening
|
$222.49 |
$222.49 |
$222.49 |
$72.00
|
|
Hhv-6 dna quant
|
$1,438.40 |
$1,438.40 |
$1,438.40 |
$250.80
|
|
Hip X-ray
|
$960.73 |
$960.73 |
$960.73 |
$296.05
|
|
Histamine
|
$346.08 |
$346.08 |
$346.08 |
$114.84
|
|
HIV prep, ftc/tdf 200/300mg
|
$4.38 |
$4.38 |
$4.38 |
$31.80
|
|
Hla i low res one antigen equiv ea
|
$58.71 |
$58.71 |
$58.71 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$366.16 |
$366.16 |
$366.16 |
$304.20
|
|
Hla typing a b or c
|
$2,450.39 |
$2,450.39 |
$2,450.39 |
$364.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$13.54 |
$13.54 |
$13.54 |
$79.78
|
|
Homocysteine
|
$466.60 |
$466.60 |
$466.60 |
$125.00
|
|
Homogenization tissue
|
$46.36 |
$46.36 |
$46.36 |
$41.00
|
|
Homovanillic acid (hva)
|
$981.07 |
$981.07 |
$981.07 |
$59.95
|
