|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.14 |
$2.14 |
$2.14 |
$869.18
|
|
Filters elec/combo vad, rep
|
$217.00 |
$217.00 |
$217.00 |
$36.40
|
|
Finasteride, 5 mg
|
$61.77 |
$61.77 |
$61.77 |
$7.71
|
|
Flecainide (tambocor)-sendout
|
$980.00 |
$980.00 |
$980.00 |
$66.43
|
|
Flow cytometry marker each additional
|
$257.07 |
$257.07 |
$257.07 |
$97.50
|
|
Flow cytometry one marker technical component
|
$309.63 |
$309.63 |
$309.63 |
$284.40
|
|
Fluidotherapy charges pt
|
$426.56 |
$426.56 |
$426.56 |
$91.00
|
|
Fluorescent antibody titer dna
|
$1,349.28 |
$1,349.28 |
$1,349.28 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$2,868.18 |
$2,868.18 |
$2,868.18 |
$496.03
|
|
Fluoro polarize fetal lung
|
$1,914.55 |
$1,914.55 |
$1,914.55 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$2,868.18 |
$2,868.18 |
$2,868.18 |
$492.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$66.98 |
$66.98 |
$66.98 |
$72.52
|
|
Fluvirin vacc, 3 yrs & >, im
|
$220.95 |
$220.95 |
$220.95 |
$17.16
|
|
Fluzone vacc, 3 yrs & >, im
|
$6.86 |
$6.86 |
$6.86 |
$50.00
|
|
Folic acid
|
$366.43 |
$366.43 |
$366.43 |
$101.50
|
|
Follow-up angiography
|
$2,709.21 |
$2,709.21 |
$2,709.21 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,968.96 |
$4,968.96 |
$4,968.96 |
$2,581.14
|
|
Foot insert plastazote or eq
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$365.48
|
|
Foot longitudinal arch suppo
|
$701.00 |
$701.00 |
$701.00 |
$295.47
|
|
Foot longitud/metatarsal sup
|
$1,220.00 |
$1,220.00 |
$1,220.00 |
$221.20
|
|
Foot plate molded stirrup at
|
$910.00 |
$910.00 |
$910.00 |
$714.12
|
|
Formoterol fumarate, inh
|
$27.21 |
$27.21 |
$27.21 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$11.09 |
$11.09 |
$11.09 |
$457.50
|
|
Foscarnet sodium injection
|
$1,935.07 |
$1,935.07 |
$1,935.07 |
$879.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$657.17 |
$657.17 |
$657.17 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$147.82 |
$147.82 |
$147.82 |
$122.00
|
|
Fructosamine glycated protein
|
$382.06 |
$382.06 |
$382.06 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$1,619.00 |
$1,619.00 |
$1,619.00 |
$743.29
|
|
Ga-67 gallium 0.1 mci
|
$3,469.67 |
$3,469.67 |
$3,469.67 |
$118.56
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$681.44 |
$681.44 |
$681.44 |
$250.83
|
|
Gamma globulin 1 cc inj
|
$270.36 |
$270.36 |
$270.36 |
$363.35
|
|
Gammaglobulin ige
|
$752.75 |
$752.75 |
$752.75 |
$83.85
|
|
Gamma glutamyltransferase
|
$653.34 |
$653.34 |
$653.34 |
$57.54
|
|
Gamunex-c/gammaked
|
$10,328.58 |
$10,328.58 |
$10,328.58 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$1,213.19 |
$1,213.19 |
$1,213.19 |
$197.40
|
|
Gastric analy w/ph ea spec
|
$309.63 |
$309.63 |
$309.63 |
$31.80
|
|
Gastric mucosa imaging
|
$3,034.38 |
$3,034.38 |
$3,034.38 |
$555.20
|
|
Gastroesophageal reflux study
|
$3,338.45 |
$3,338.45 |
$3,338.45 |
$949.80
|
|
Gastroesophageal reflux test
|
$2,593.82 |
$2,593.82 |
$2,593.82 |
$1,321.45
|
|
Gated heart multiple
|
$1,640.65 |
$1,640.65 |
$1,640.65 |
$1,400.64
|
|
Gemcitabine 1 gram intravenous solution
|
$135.01 |
$135.01 |
$135.01 |
$207.51
|
|
General health panel
|
$3,704.12 |
$3,704.12 |
$3,704.12 |
$275.00
|
|
Gentamicin peak therapeutic drug level
|
$1,062.37 |
$1,062.37 |
$1,062.37 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$2,708.72 |
$2,708.72 |
$2,708.72 |
$1,418.18
|
|
Ghs acetylcholinesterase, rbc
|
$499.94 |
$499.94 |
$499.94 |
$42.72
|
|
Ghs antibodies (torch) igm
|
$573.80 |
$573.80 |
$573.80 |
$69.30
|
|
Ghs bleeding time (ivy)
|
$748.49 |
$748.49 |
$748.49 |
$64.40
|
|
Ghs chemo >8 hrs
|
$925.04 |
$925.04 |
$925.04 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$362.79 |
$362.79 |
$362.79 |
$286.00
|
|
Ghs ed rmvl or bivalving cast
|
$1,380.94 |
$1,380.94 |
$1,380.94 |
$329.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$2,021.10 |
$2,021.10 |
$2,021.10 |
$593.91
|
|
Ghs fat & muscle
|
$309.63 |
$309.63 |
$309.63 |
$38.08
|
|
Ghs fish cytogen
|
$1,725.65 |
$1,725.65 |
$1,725.65 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$1,725.65 |
$1,725.65 |
$1,725.65 |
$223.00
|
|
Ghs flow volume loop
|
$275.18 |
$275.18 |
$275.18 |
$308.69
|
|
Ghs hcv amplificaiton
|
$4,688.38 |
$4,688.38 |
$4,688.38 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$4,327.62 |
$4,327.62 |
$4,327.62 |
$142.50
|
|
Ghs histoplasma antigen
|
$1,712.87 |
$1,712.87 |
$1,712.87 |
$141.00
|
|
Ghs HIV antibody
|
$1,259.80 |
$1,259.80 |
$1,259.80 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$616.19 |
$616.19 |
$616.19 |
$475.80
|
|
Ghs immun0electrophoresis
|
$735.72 |
$735.72 |
$735.72 |
$110.00
|
|
Ghs intro needle/intracath vein - 36000
|
$1,063.38 |
$1,063.38 |
$1,063.38 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$361.55 |
$361.55 |
$361.55 |
$107.58
|
|
Ghs leukocyte alkaline phos (mayo)
|
$677.48 |
$677.48 |
$677.48 |
$76.20
|
|
Ghs low level laser therapy
|
$19.58 |
$19.58 |
$19.58 |
$77.70
|
|
Ghs mbp
|
$836.55 |
$836.55 |
$836.55 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$688.95 |
$688.95 |
$688.95 |
$242.31
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$321.76 |
$321.76 |
$321.76 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$151.01 |
$151.01 |
$151.01 |
$147.75
|
|
Ghs myocardial strain img spckl track
|
$1,524.13 |
$1,524.13 |
$1,524.13 |
$457.80
|
|
Ghs ot dds rom
|
$118.88 |
$118.88 |
$118.88 |
$62.28
|
|
Ghs ot work hardening-additional hours
|
$504.87 |
$504.87 |
$504.87 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$2,243.85 |
$2,243.85 |
$2,243.85 |
$815.20
|
|
Ghs phenylketonurid
|
$208.95 |
$208.95 |
$208.95 |
$53.76
|
|
Ghs pos nystagmus
|
$520.25 |
$520.25 |
$520.25 |
$228.00
|
|
Ghs ppd (tb intradermal)
|
$56.45 |
$56.45 |
$56.45 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$1,087.94 |
$1,087.94 |
$1,087.94 |
$43.55
|
|
Ghs protoporphyrins fract
|
$1,183.10 |
$1,183.10 |
$1,183.10 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$325.86 |
$325.86 |
$325.86 |
$146.86
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$50.05
|
|
Ghs pt - work hardening/int 2hrs
|
$1,504.80 |
$1,504.80 |
$1,504.80 |
$275.60
|
|
Ghs quinidine
|
$958.69 |
$958.69 |
$958.69 |
$85.00
|
|
Ghs reticulocyte count
|
$549.66 |
$549.66 |
$549.66 |
$34.45
|
|
Ghs rsv eia (respir synctial vrs)
|
$1,518.30 |
$1,518.30 |
$1,518.30 |
$96.60
|
|
Ghs sedimentation rate
|
$502.78 |
$502.78 |
$502.78 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$574.70 |
$574.70 |
$574.70 |
$57.60
|
|
Ghs spont nystagmus
|
$345.43 |
$345.43 |
$345.43 |
$242.00
|
|
Ghs st - re-eval for alt comm
|
$1,419.50 |
$1,419.50 |
$1,419.50 |
$309.00
|
|
Ghs trypsin (fecal)
|
$2,050.90 |
$2,050.90 |
$2,050.90 |
$50.93
|
|
Ghs urine, hydroxproline total
|
$1,207.25 |
$1,207.25 |
$1,207.25 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$1,572.26 |
$1,572.26 |
$1,572.26 |
$75.00
|
|
Ghs veeg 12-26 hr intmt mont
|
$9,946.67 |
$9,946.67 |
$9,946.67 |
$1,910.25
|
|
Giardia lamblia antibody
|
$1,144.75 |
$1,144.75 |
$1,144.75 |
$83.44
|
|
Gi inhouse confirmation
|
$561.02 |
$561.02 |
$561.02 |
$83.70
|
|
Gi trc img intral esophagus
|
$3,919.28 |
$3,919.28 |
$3,919.28 |
$1,897.82
|
|
Glucagon 1 mg solution for injection
|
$1,413.45 |
$1,413.45 |
$1,413.45 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,929.13 |
$1,929.13 |
$1,929.13 |
$491.67
|
|
Glucagon plasma - sendout
|
$1,275.42 |
$1,275.42 |
$1,275.42 |
$63.00
|
|
Glucose 1 hr post dose
|
$525.52 |
$525.52 |
$525.52 |
$47.20
|
|
Glucose-6-phosphate dhydrogenase screen
|
$926.04 |
$926.04 |
$926.04 |
$55.50
|
