|
Felbamate (felbatol(r)) - sendout
|
$653.56 |
$653.56 |
$653.56 |
$65.00
|
|
Ferritin
|
$650.46 |
$650.46 |
$650.46 |
$100.94
|
|
Fibrin degradation products
|
$403.50 |
$403.50 |
$403.50 |
$62.64
|
|
Fibrin degrade semiquant
|
$690.38 |
$690.38 |
$690.38 |
$78.09
|
|
Fibrinogen activity
|
$596.79 |
$596.79 |
$596.79 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$124.28 |
$124.28 |
$124.28 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$1,432.91 |
$1,432.91 |
$1,432.91 |
$72.80
|
|
Fibrinolytic plasminogen
|
$1,324.00 |
$1,324.00 |
$1,324.00 |
$95.92
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$535.44 |
$535.44 |
$535.44 |
$65.00
|
|
Filters elec/combo vad, rep
|
$271.00 |
$271.00 |
$271.00 |
$36.40
|
|
Finasteride, 5 mg
|
$89.29 |
$89.29 |
$89.29 |
$7.71
|
|
Flecainide (tambocor)-sendout
|
$710.33 |
$710.33 |
$710.33 |
$66.43
|
|
Flotufolastat f18 diag 1 mci
|
$774.07 |
$774.07 |
$774.07 |
$2,324.00
|
|
Floxuridine injection
|
$1,529.84 |
$1,529.84 |
$1,529.84 |
$5,929.92
|
|
Fludarabine 50 mg intravenous solution
|
$271.45 |
$271.45 |
$271.45 |
$493.35
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$300.36 |
$300.36 |
$300.36 |
$72.52
|
|
Fmri brain by tech
|
$7,277.73 |
$7,277.73 |
$7,277.73 |
$1,500.00
|
|
Folic acid
|
$710.33 |
$710.33 |
$710.33 |
$101.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$30,394.54 |
$30,394.54 |
$30,394.54 |
$2,581.14
|
|
Foot drp splt w/exp heel lg
|
$2,257.00 |
$2,257.00 |
$2,257.00 |
$143.87
|
|
Foot insert plastazote or eq
|
$1,640.00 |
$1,640.00 |
$1,640.00 |
$365.48
|
|
Foot longitudinal arch suppo
|
$784.00 |
$784.00 |
$784.00 |
$295.47
|
|
Foot longitud/metatarsal sup
|
$1,658.00 |
$1,658.00 |
$1,658.00 |
$221.20
|
|
Formoterol fumarate, inh
|
$16.32 |
$16.32 |
$16.32 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$98.89 |
$98.89 |
$98.89 |
$457.50
|
|
Foscarnet sodium injection
|
$1,765.15 |
$1,765.15 |
$1,765.15 |
$879.58
|
|
Fresh frozen plasma thawing ea un
|
$93.97 |
$93.97 |
$93.97 |
$122.00
|
|
Frozen blood prep
|
$432.65 |
$432.65 |
$432.65 |
$214.30
|
|
Ft insert ucb berkeley shell
|
$2,202.00 |
$2,202.00 |
$2,202.00 |
$743.29
|
|
Ga-67 gallium 0.1 mci
|
$230.34 |
$230.34 |
$230.34 |
$118.56
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$2,698.16 |
$2,698.16 |
$2,698.16 |
$250.83
|
|
Gammaglobulin ige
|
$694.99 |
$694.99 |
$694.99 |
$83.85
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$996.25 |
$996.25 |
$996.25 |
$197.40
|
|
Gastroesophageal reflux test
|
$3,082.91 |
$3,082.91 |
$3,082.91 |
$1,321.45
|
|
Gated heart multiple
|
$5,284.26 |
$5,284.26 |
$5,284.26 |
$1,400.64
|
|
General health panel
|
$2,244.48 |
$2,244.48 |
$2,244.48 |
$275.00
|
|
Gentamicin peak therapeutic drug level
|
$1,009.47 |
$1,009.47 |
$1,009.47 |
$126.00
|
|
Ghs abscess postoperative iandd complex
|
$12,797.10 |
$12,797.10 |
$12,797.10 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$540.02 |
$540.02 |
$540.02 |
$42.72
|
|
Ghs chemo >8 hrs
|
$757.05 |
$757.05 |
$757.05 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$785.47 |
$785.47 |
$785.47 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$360.27 |
$360.27 |
$360.27 |
$132.00
|
|
Ghs fat & muscle
|
$211.72 |
$211.72 |
$211.72 |
$38.08
|
|
Ghs fish cytogen
|
$85.92 |
$85.92 |
$85.92 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$159.56 |
$159.56 |
$159.56 |
$223.00
|
|
Ghs hcv amplificaiton
|
$1,532.63 |
$1,532.63 |
$1,532.63 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$1,362.35 |
$1,362.35 |
$1,362.35 |
$142.50
|
|
Ghs histoplasma antigen
|
$767.09 |
$767.09 |
$767.09 |
$141.00
|
|
Ghs HIV antibody
|
$1,420.63 |
$1,420.63 |
$1,420.63 |
$90.14
|
|
Ghs immun0electrophoresis
|
$1,466.65 |
$1,466.65 |
$1,466.65 |
$110.00
|
|
Ghs inhibitor screen
|
$1,274.90 |
$1,274.90 |
$1,274.90 |
$187.32
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$487.51 |
$487.51 |
$487.51 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$488.14 |
$488.14 |
$488.14 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$566.87 |
$566.87 |
$566.87 |
$569.40
|
|
Ghs leukocyte alkaline phos (mayo)
|
$582.98 |
$582.98 |
$582.98 |
$76.20
|
|
Ghs mbp
|
$1,376.14 |
$1,376.14 |
$1,376.14 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$144.51 |
$144.51 |
$144.51 |
$242.31
|
|
Ghs myocardial strain img spckl track
|
$820.32 |
$820.32 |
$820.32 |
$457.80
|
|
Ghs o2 saturation
|
$503.20 |
$503.20 |
$503.20 |
$70.80
|
|
Ghs ot sensory integrative tech/15min
|
$108.67 |
$108.67 |
$108.67 |
$94.80
|
|
Ghs ppd (tb intradermal)
|
$289.97 |
$289.97 |
$289.97 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$596.79 |
$596.79 |
$596.79 |
$43.55
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$661.23 |
$661.23 |
$661.23 |
$50.05
|
|
Ghs quinidine
|
$860.66 |
$860.66 |
$860.66 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$648.96 |
$648.96 |
$648.96 |
$71.20
|
|
Ghs reticulocyte count
|
$297.64 |
$297.64 |
$297.64 |
$34.45
|
|
Ghs sedimentation rate
|
$332.92 |
$332.92 |
$332.92 |
$45.50
|
|
Ghs trypsin (fecal)
|
$1,569.44 |
$1,569.44 |
$1,569.44 |
$50.93
|
|
Ghs urine, hydroxproline total
|
$1,661.50 |
$1,661.50 |
$1,661.50 |
$109.60
|
|
Ghs urine, porphyrins quant
|
$790.10 |
$790.10 |
$790.10 |
$75.00
|
|
Giardia lamblia antibody
|
$497.06 |
$497.06 |
$497.06 |
$83.44
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$5,005.57 |
$5,005.57 |
$5,005.57 |
$2,098.85
|
|
Glucagon 1 mg solution for injection
|
$1,871.98 |
$1,871.98 |
$1,871.98 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$1,871.98 |
$1,871.98 |
$1,871.98 |
$491.67
|
|
Glucagon plasma - sendout
|
$960.39 |
$960.39 |
$960.39 |
$63.00
|
|
Glucose-6-phosphate dhydrogenase screen
|
$538.52 |
$538.52 |
$538.52 |
$55.50
|
|
Glucose tolerance test (gtt) 3 specimens
|
$782.42 |
$782.42 |
$782.42 |
$100.16
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$1,268.76 |
$1,268.76 |
$1,268.76 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$705.70 |
$705.70 |
$705.70 |
$129.00
|
|
Granisetron hcl injection
|
$3,860.77 |
$3,860.77 |
$3,860.77 |
$45.03
|
|
Gu dilat ureter/urethra s&i
|
$2,883.07 |
$2,883.07 |
$2,883.07 |
$1,923.60
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$79.01 |
$79.01 |
$79.01 |
$23.06
|
|
Haptoglobin quantitative
|
$687.30 |
$687.30 |
$687.30 |
$91.14
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$4,705.41 |
$4,705.41 |
$4,705.41 |
$759.72
|
|
Hc nm kidney imaging with flow
|
$1,171.62 |
$1,171.62 |
$1,171.62 |
$822.60
|
|
Heart infarct image
|
$2,392.50 |
$2,392.50 |
$2,392.50 |
$940.55
|
|
Heavy metal qual any number
|
$274.61 |
$274.61 |
$274.61 |
$68.88
|
|
Hemin 350 mg intravenous powder for solution
|
$98,401.84 |
$98,401.84 |
$98,401.84 |
$20,618.46
|
|
Hemoglobin f (fetal) chemical
|
$670.43 |
$670.43 |
$670.43 |
$42.00
|
|
Hemoglobin methemoglobin quantitative
|
$596.79 |
$596.79 |
$596.79 |
$53.60
|
|
Hemoglobin plasma
|
$1,104.59 |
$1,104.59 |
$1,104.59 |
$41.25
|
|
Hepagam b intravenous, inj
|
$1,054.46 |
$1,054.46 |
$1,054.46 |
$562.52
|
|
Heparin assay
|
$497.06 |
$497.06 |
$497.06 |
$140.10
|
|
Hepatitis a antibody igm
|
$679.64 |
$679.64 |
$679.64 |
$87.75
|
|
Hepatitis b core antibody igm
|
$671.97 |
$671.97 |
$671.97 |
$87.98
|
|
Hepatitis b core antibody total
|
$582.98 |
$582.98 |
$582.98 |
$77.50
|
|
Hepatitis b surface ag quan
|
$547.70 |
$547.70 |
$547.70 |
$54.88
|
|
Hepatobiliary system imaging
|
$2,404.08 |
$2,404.08 |
$2,404.08 |
$1,438.58
|
|
Hepb vacc 3 dose immunsup im
|
$884.67 |
$884.67 |
$884.67 |
$319.52
|
|
Herpes simplex virus isolation
|
$694.99 |
$694.99 |
$694.99 |
$104.10
|
