|
Flecainide (tambocor)-sendout
|
$14.79 |
$14.79 |
$14.79 |
$86.40
|
|
Fl exam g/colon tube w contrast
|
$307.08 |
$307.08 |
$307.08 |
$522.75
|
|
Flexible Sigmoidoscopy
|
$672.75 |
$672.75 |
$672.75 |
$1,278.72
|
|
Flow cytometry marker each additional
|
$87.24 |
$87.24 |
$87.24 |
$103.00
|
|
Flow cytometry one marker technical component
|
$298.04 |
$298.04 |
$298.04 |
$304.43
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$16.04 |
$16.04 |
$16.04 |
$48.56
|
|
Fluidotherapy charges pt
|
$103.70 |
$103.70 |
$103.70 |
$101.40
|
|
Fluorescent antibody titer dna
|
$552.38 |
$552.38 |
$552.38 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$84.57 |
$84.57 |
$84.57 |
$497.25
|
|
Fluoroscopy up to 1 hour
|
$179.36 |
$179.36 |
$179.36 |
$474.50
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$66.60 |
$66.60 |
$66.60 |
$66.60
|
|
Folic acid
|
$49.34 |
$49.34 |
$49.34 |
$85.50
|
|
Foot X-ray
|
$127.34 |
$127.34 |
$127.34 |
$339.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$43.46 |
$43.46 |
$43.46 |
$66.38
|
|
Fragmenting of kidney stone
|
$9,885.59 |
$9,885.59 |
$9,885.59 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$105.35 |
$105.35 |
$105.35 |
$186.55
|
|
Fructosamine glycated protein
|
$81.00 |
$81.00 |
$81.00 |
$69.55
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.08 |
$1.08 |
$1.08 |
$13.18
|
|
Gammaglobulin iga
|
$99.06 |
$99.06 |
$99.06 |
$78.60
|
|
Gammaglobulin ige
|
$68.25 |
$68.25 |
$68.25 |
$87.10
|
|
Gamma glutamyltransferase
|
$92.03 |
$92.03 |
$92.03 |
$54.60
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$9.98 |
$9.98 |
$9.98 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$54.89 |
$54.89 |
$54.89 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$546.59 |
$546.59 |
$546.59 |
$1,413.78
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$93.03 |
$93.03 |
$93.03 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$83.06 |
$83.06 |
$83.06 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$333.18 |
$333.18 |
$333.18 |
$333.18
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$161.01 |
$161.01 |
$161.01 |
$135.85
|
|
Ghs community re-entry 15 minutes
|
$56.19 |
$56.19 |
$56.19 |
$85.00
|
|
Ghs febrile agglutinns(mayo)
|
$81.45 |
$81.45 |
$81.45 |
$51.99
|
|
Ghs flow volume loop
|
$324.14 |
$324.14 |
$324.14 |
$291.75
|
|
Ghs histoplasma antigen
|
$265.31 |
$265.31 |
$265.31 |
$157.30
|
|
Ghs HIV antibody
|
$90.14 |
$90.14 |
$90.14 |
$90.14
|
|
Ghs incision thrombosed ext hemorrhoid
|
$542.18 |
$542.18 |
$542.18 |
$534.60
|
|
Ghs insertion of needle - bone
|
$315.50 |
$315.50 |
$315.50 |
$436.10
|
|
Ghs leukocyte alkaline phos (mayo)
|
$114.66 |
$114.66 |
$114.66 |
$62.28
|
|
Ghs mbp
|
$117.84 |
$117.84 |
$117.84 |
$97.20
|
|
Ghs o2 saturation
|
$76.52 |
$76.52 |
$76.52 |
$55.90
|
|
Ghs ot dds rom
|
$10.71 |
$10.71 |
$10.71 |
$53.01
|
|
Ghs ot sensory integrative tech/15min
|
$43.83 |
$43.83 |
$43.83 |
$89.73
|
|
Ghs ppd (tb intradermal)
|
$23.06 |
$23.06 |
$23.06 |
$39.77
|
|
Ghs protoporphyrins fract
|
$60.74 |
$60.74 |
$60.74 |
$68.38
|
|
Ghs sedimentation rate
|
$48.89 |
$48.89 |
$48.89 |
$36.57
|
|
Ghs semen analysis fert
|
$62.78 |
$62.78 |
$62.78 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$49.55 |
$49.55 |
$49.55 |
$55.12
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$36.90 |
$36.90 |
$36.90 |
$72.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$148.44 |
$148.44 |
$148.44 |
$342.40
|
|
Ghs urine, porphyrins quant
|
$100.26 |
$100.26 |
$100.26 |
$85.15
|
|
Gi inhouse confirmation
|
$7.97 |
$7.97 |
$7.97 |
$79.50
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,418.92
|
|
Glucagon 1 mg solution for injection
|
$601.79 |
$601.79 |
$601.79 |
$351.53
|
|
Glucagon plasma - sendout
|
$95.67 |
$95.67 |
$95.67 |
$67.50
|
|
Glucose 1 hr post dose
|
$50.82 |
$50.82 |
$50.82 |
$40.00
|
|
Glucose blood quantitative
|
$50.82 |
$50.82 |
$50.82 |
$40.80
|
|
Glucose body fluid
|
$50.82 |
$50.82 |
$50.82 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$48.56 |
$48.56 |
$48.56 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$29.42 |
$29.42 |
$29.42 |
$33.15
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$62.25 |
$62.25 |
$62.25 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$62.01 |
$62.01 |
$62.01 |
$117.65
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$441.84 |
$441.84 |
$441.84 |
$1,123.34
|
|
G-tube reposition
|
$373.91 |
$373.91 |
$373.91 |
$727.35
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$60.35 |
$60.35 |
$60.35 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$12.87 |
$12.87 |
$12.87 |
$11.25
|
|
Hand X-ray
|
$117.84 |
$117.84 |
$117.84 |
$317.78
|
|
Haptoglobin quantitative
|
$64.41 |
$64.41 |
$64.41 |
$75.00
|
|
Hcg qualitative
|
$62.90 |
$62.90 |
$62.90 |
$72.50
|
|
Hcg quantitative
|
$104.48 |
$104.48 |
$104.48 |
$105.00
|
|
Hc i-131 sodium iodide cap dx per mci
|
$178.56 |
$178.56 |
$178.56 |
$184.20
|
|
Hc nm kidney imaging with flow
|
$567.18 |
$567.18 |
$567.18 |
$917.40
|
|
Head CT scan (with and without contrast)
|
$885.95 |
$885.95 |
$885.95 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$881.88 |
$881.88 |
$881.88 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$812.24 |
$812.24 |
$812.24 |
$1,252.80
|
|
Hematocrit
|
$37.20 |
$37.20 |
$37.20 |
$32.50
|
|
Hemoglobin
|
$37.20 |
$37.20 |
$37.20 |
$28.60
|
|
Hemoglobin methemoglobin quantitative
|
$72.72 |
$72.72 |
$72.72 |
$43.01
|
|
Hemoglobin plasma
|
$79.34 |
$79.34 |
$79.34 |
$43.80
|
|
Heparin assay
|
$140.10 |
$140.10 |
$140.10 |
$107.50
|
|
Heparin bolus from bag
|
$8.31 |
$8.31 |
$8.31 |
$50.95
|
|
Heparin neutralization
|
$22.32 |
$22.32 |
$22.32 |
$56.55
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$0.12 |
$0.12 |
$0.12 |
$7.15
|
|
Hepatitis a antibody igm
|
$79.34 |
$79.34 |
$79.34 |
$80.60
|
|
Hepatitis b core antibody igm
|
$54.15 |
$54.15 |
$54.15 |
$85.80
|
|
Hepatitis b core antibody total
|
$79.34 |
$79.34 |
$79.34 |
$84.75
|
|
Hepatitis b surface antibody
|
$63.26 |
$63.26 |
$63.26 |
$81.12
|
|
Hepatitis c antibody
|
$54.26 |
$54.26 |
$54.26 |
$106.50
|
|
Hepatobiliary system imaging
|
$906.38 |
$906.38 |
$906.38 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$34.74 |
$34.74 |
$34.74 |
$79.92
|
|
Herpes simplex type 2 antibody igg
|
$50.96 |
$50.96 |
$50.96 |
$96.20
|
|
Herpes simplex virus isolation
|
$28.53 |
$28.53 |
$28.53 |
$110.50
|
|
Heterophile antibodies screening
|
$59.15 |
$59.15 |
$59.15 |
$59.40
|
|
Hip X-ray
|
$131.57 |
$131.57 |
$131.57 |
$262.64
|
|
Histamine
|
$114.84 |
$114.84 |
$114.84 |
$132.60
|
|
Hla i low res one antigen equiv ea
|
$62.61 |
$62.61 |
$62.61 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$143.09 |
$143.09 |
$143.09 |
$340.00
|
|
Hla typing a b or c
|
$292.40 |
$292.40 |
$292.40 |
$379.20
|
|
Hla x-math non-cytotoxic
|
$98.00 |
$98.00 |
$98.00 |
$265.00
|
|
Hocm 350-399mg/ml iodine,1ml
|
$1.74 |
$1.74 |
$1.74 |
$9.00
|
|
Homocysteine
|
$94.23 |
$94.23 |
$94.23 |
$100.00
|
|
Homogenization tissue
|
$57.96 |
$57.96 |
$57.96 |
$39.20
|
|
Hpv types 16 & 18 only
|
$114.33 |
$114.33 |
$114.33 |
$114.33
|