|
Factor viii
|
$2,075.25 |
$2,075.25 |
$2,075.25 |
$133.81
|
|
Factor viii recomb novoeight
|
$10,875.51 |
$10,875.51 |
$10,875.51 |
$7.39
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$12.96 |
$12.96 |
$12.96 |
$22.20
|
|
Fat/lipids feces qualitative
|
$318.72 |
$318.72 |
$318.72 |
$38.35
|
|
#fecal-sodium
|
$390.45 |
$390.45 |
$390.45 |
$37.50
|
|
Ferritin
|
$318.72 |
$318.72 |
$318.72 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$775.46 |
$775.46 |
$775.46 |
$535.37
|
|
Fetal fibronectin
|
$2,114.64 |
$2,114.64 |
$2,114.64 |
$373.41
|
|
Fetal hemoglobin rosette
|
$277.57 |
$277.57 |
$277.57 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$334.00 |
$334.00 |
$334.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$750.93 |
$750.93 |
$750.93 |
$117.70
|
|
Fibrin degradation products
|
$853.88 |
$853.88 |
$853.88 |
$62.64
|
|
Fibrinogen activity
|
$646.87 |
$646.87 |
$646.87 |
$83.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$1,179.06 |
$1,179.06 |
$1,179.06 |
$65.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$21.47 |
$21.47 |
$21.47 |
$1,096.24
|
|
Finasteride, 5 mg
|
$58.78 |
$58.78 |
$58.78 |
$7.71
|
|
Flow cytometry marker each additional
|
$121.14 |
$121.14 |
$121.14 |
$97.50
|
|
Flow cytometry one marker technical component
|
$121.14 |
$121.14 |
$121.14 |
$284.40
|
|
Fluoroguide needle placement
|
$1,736.28 |
$1,736.28 |
$1,736.28 |
$510.00
|
|
Folic acid
|
$367.53 |
$367.53 |
$367.53 |
$101.50
|
|
Follow-up angiography
|
$1,080.90 |
$1,080.90 |
$1,080.90 |
$2,040.78
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$436.91 |
$436.91 |
$436.91 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$436.00 |
$436.00 |
$436.00 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$107.42 |
$107.42 |
$107.42 |
$122.00
|
|
Fructosamine glycated protein
|
$388.72 |
$388.72 |
$388.72 |
$60.75
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$695.35 |
$695.35 |
$695.35 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$2,066.59 |
$2,066.59 |
$2,066.59 |
$250.83
|
|
Gammaglobulin ige
|
$1,136.73 |
$1,136.73 |
$1,136.73 |
$83.85
|
|
Gamma glutamyltransferase
|
$546.90 |
$546.90 |
$546.90 |
$57.54
|
|
G-esoph reflx tst w/electrod
|
$2,504.89 |
$2,504.89 |
$2,504.89 |
$1,418.18
|
|
Ghs community re-entry 15 minutes
|
$458.33 |
$458.33 |
$458.33 |
$88.50
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$2,391.59 |
$2,391.59 |
$2,391.59 |
$593.91
|
|
Ghs febrile agglutinns(mayo)
|
$837.39 |
$837.39 |
$837.39 |
$48.57
|
|
Ghs hcv amplificaiton
|
$1,901.18 |
$1,901.18 |
$1,901.18 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$1,240.20 |
$1,240.20 |
$1,240.20 |
$142.50
|
|
Ghs histoplasma antigen
|
$934.41 |
$934.41 |
$934.41 |
$141.00
|
|
Ghs immun0electrophoresis
|
$1,368.41 |
$1,368.41 |
$1,368.41 |
$110.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$346.37 |
$346.37 |
$346.37 |
$76.20
|
|
Ghs mbp
|
$926.18 |
$926.18 |
$926.18 |
$77.35
|
|
Ghs myocardial strain img spckl track
|
$12,496.33 |
$12,496.33 |
$12,496.33 |
$457.80
|
|
Ghs o2 saturation
|
$444.58 |
$444.58 |
$444.58 |
$70.80
|
|
Ghs ot prosthetic training/15 min
|
$471.49 |
$471.49 |
$471.49 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$162.68 |
$162.68 |
$162.68 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$442.32 |
$442.32 |
$442.32 |
$127.80
|
|
Ghs phenylketonurid
|
$72.93 |
$72.93 |
$72.93 |
$53.76
|
|
Ghs polysom <6 yrs 4/> parameters
|
$8,973.28 |
$8,973.28 |
$8,973.28 |
$3,557.58
|
|
Ghs prostatic acid phosphatase (mayo)
|
$476.33 |
$476.33 |
$476.33 |
$43.55
|
|
Ghs pt - work hardening/int 2hrs
|
$806.99 |
$806.99 |
$806.99 |
$275.60
|
|
Ghs respiratory syncytical virus igg/m
|
$869.77 |
$869.77 |
$869.77 |
$71.20
|
|
Ghs reticulocyte count
|
$187.60 |
$187.60 |
$187.60 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$869.77 |
$869.77 |
$869.77 |
$96.60
|
|
Ghs sensitivity (per antimicro)
|
$178.31 |
$178.31 |
$178.31 |
$57.60
|
|
Ghs urine, porphyrins quant
|
$1,004.38 |
$1,004.38 |
$1,004.38 |
$75.00
|
|
Gi inhouse confirmation
|
$879.13 |
$879.13 |
$879.13 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$3,833.62 |
$3,833.62 |
$3,833.62 |
$601.79
|
|
Glucose blood quantitative
|
$379.31 |
$379.31 |
$379.31 |
$40.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$1,309.62 |
$1,309.62 |
$1,309.62 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$1,200.81 |
$1,200.81 |
$1,200.81 |
$129.00
|
|
Guid loc target vol rad tx
|
$2,075.99 |
$2,075.99 |
$2,075.99 |
$536.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$168.11 |
$168.11 |
$168.11 |
$23.06
|
|
Haptoglobin quantitative
|
$674.50 |
$674.50 |
$674.50 |
$91.14
|
|
Hbot, full body chamber, 30m
|
$1,553.72 |
$1,553.72 |
$1,553.72 |
$526.90
|
|
Hcg qualitative
|
$775.67 |
$775.67 |
$775.67 |
$89.70
|
|
Hcg quantitative
|
$903.84 |
$903.84 |
$903.84 |
$139.20
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$5,235.56 |
$5,235.56 |
$5,235.56 |
$1,160.64
|
|
Hc nm kidney imaging with flow
|
$3,203.74 |
$3,203.74 |
$3,203.74 |
$822.60
|
|
Head CT scan (with and without contrast)
|
$4,419.07 |
$4,419.07 |
$4,419.07 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$3,895.85 |
$3,895.85 |
$3,895.85 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$3,250.31 |
$3,250.31 |
$3,250.31 |
$1,268.90
|
|
Hematocrit
|
$199.93 |
$199.93 |
$199.93 |
$33.57
|
|
Hemoglobin
|
$207.59 |
$207.59 |
$207.59 |
$31.80
|
|
Hemoglobin fetal qualitative
|
$374.60 |
$374.60 |
$374.60 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$686.26 |
$686.26 |
$686.26 |
$53.60
|
|
Hemolysins/agglutinins auto
|
$61.39 |
$61.39 |
$61.39 |
$57.14
|
|
Hemolysins and agglutinins incubated
|
$48.44 |
$48.44 |
$48.44 |
$57.14
|
|
Heparin assay
|
$645.52 |
$645.52 |
$645.52 |
$140.10
|
|
Hepatitis a antibody igm
|
$968.52 |
$968.52 |
$968.52 |
$87.75
|
|
Hepatitis b core antibody igm
|
$1,048.48 |
$1,048.48 |
$1,048.48 |
$87.98
|
|
Hepatitis b core antibody total
|
$433.99 |
$433.99 |
$433.99 |
$77.50
|
|
Hepatitis b surface antibody
|
$460.45 |
$460.45 |
$460.45 |
$82.05
|
|
Hepatitis c antibody
|
$750.93 |
$750.93 |
$750.93 |
$108.00
|
|
Hepatobiliary system imaging
|
$6,084.76 |
$6,084.76 |
$6,084.76 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$92.33 |
$92.33 |
$92.33 |
$70.00
|
|
Herpes simplex virus isolation
|
$860.00 |
$860.00 |
$860.00 |
$104.10
|
|
Heterophile antibodies screening
|
$588.06 |
$588.06 |
$588.06 |
$74.00
|
|
Histamine
|
$1,939.42 |
$1,939.42 |
$1,939.42 |
$115.00
|
|
Hla typing a b or c
|
$812.18 |
$812.18 |
$812.18 |
$364.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$838.38 |
$838.38 |
$838.38 |
$79.78
|
|
Homocysteine
|
$1,660.67 |
$1,660.67 |
$1,660.67 |
$121.92
|
|
Homogenization tissue
|
$41.16 |
$41.16 |
$41.16 |
$39.20
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$5,079.09 |
$5,079.09 |
$5,079.09 |
$5,836.20
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$621.83 |
$621.83 |
$621.83 |
$142.40
|
|
Hydralazine 20 mg/ml injection solution
|
$336.20 |
$336.20 |
$336.20 |
$46.74
|
|
Hydroxyurea 500 mg
|
$39.84 |
$39.84 |
$39.84 |
$14.00
|
|
Hysterosalpingography s&i
|
$1,155.99 |
$1,155.99 |
$1,155.99 |
$651.85
|
|
I-123 sod iodide diag per 100 uci
|
$974.22 |
$974.22 |
$974.22 |
$139.20
|
|
I131 iodide cap, rx
|
$192.02 |
$192.02 |
$192.02 |
$78.75
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$3,335.21 |
$3,335.21 |
$3,335.21 |
$980.94
|
|
Ihc/icc per specimen each additional single antibody stain
|
$432.05 |
$432.05 |
$432.05 |
$191.52
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$375.30 |
$375.30 |
$375.30 |
$328.79
|
