|
Etoposide 50 mg cap
|
$448.00 |
$448.00 |
$448.00 |
$135.02
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$881.00 |
$881.00 |
$881.00 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$1,073.00 |
$1,073.00 |
$1,073.00 |
$347.75
|
|
Exemestane, 25 mg
|
$175.00 |
$175.00 |
$175.00 |
$60.60
|
|
External chromosome analysis 20-25 cells
|
$1,409.00 |
$1,409.00 |
$1,409.00 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$132.00 |
$132.00 |
$132.00 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,757.00 |
$1,757.00 |
$1,757.00 |
$458.73
|
|
F-18 fdg pet diag
|
$2,221.00 |
$2,221.00 |
$2,221.00 |
$602.25
|
|
F-18 florbetapir less than or equal to 10 mci
|
$45,941.00 |
$45,941.00 |
$45,941.00 |
$4,960.80
|
|
Factor ix
|
$848.00 |
$848.00 |
$848.00 |
$131.30
|
|
Factor viii
|
$975.00 |
$975.00 |
$975.00 |
$144.30
|
|
Fat/lipids feces qualitative
|
$358.00 |
$358.00 |
$358.00 |
$34.56
|
|
Fatty acids nonesterified
|
$304.00 |
$304.00 |
$304.00 |
$57.60
|
|
#fecal-sodium
|
$335.00 |
$335.00 |
$335.00 |
$37.50
|
|
Ferritin
|
$557.00 |
$557.00 |
$557.00 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5,732.00 |
$5,732.00 |
$5,732.00 |
$1,426.50
|
|
Fetal chrom aneuploidy gsa panel
|
$1,993.00 |
$1,993.00 |
$1,993.00 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$675.00 |
$675.00 |
$675.00 |
$540.54
|
|
Fetal fibronectin
|
$881.00 |
$881.00 |
$881.00 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$609.00 |
$609.00 |
$609.00 |
$88.80
|
|
Fetal hemoglobin rosette
|
$182.00 |
$182.00 |
$182.00 |
$76.70
|
|
Fibrin degradation products
|
$332.00 |
$332.00 |
$332.00 |
$62.40
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$301.00 |
$301.00 |
$301.00 |
$66.00
|
|
Flecainide (tambocor)-sendout
|
$597.00 |
$597.00 |
$597.00 |
$66.43
|
|
Flow cytometry marker each additional
|
$462.00 |
$462.00 |
$462.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$462.00 |
$462.00 |
$462.00 |
$270.75
|
|
Fludarabine 50 mg intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$601.96
|
|
Fluoroestradiol f 18
|
$8,750.00 |
$8,750.00 |
$8,750.00 |
$997.10
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$79.52
|
|
Folic acid
|
$615.00 |
$615.00 |
$615.00 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$56.70
|
|
Fomepizole 1 gram/ml intravenous solution
|
$8,117.00 |
$8,117.00 |
$8,117.00 |
$2,581.14
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3,612.00 |
$3,612.00 |
$3,612.00 |
$425.16
|
|
Foscarnet sodium injection
|
$5,277.00 |
$5,277.00 |
$5,277.00 |
$1,101.86
|
|
Fructosamine glycated protein
|
$254.00 |
$254.00 |
$254.00 |
$60.42
|
|
Ga-67 gallium 0.1 mci
|
$246.00 |
$246.00 |
$246.00 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$156.00 |
$156.00 |
$156.00 |
$119.90
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$3,045.00 |
$3,045.00 |
$3,045.00 |
$210.50
|
|
Gallium illuccix 1 millicure
|
$14,925.00 |
$14,925.00 |
$14,925.00 |
$1,395.27
|
|
Gammaglobulin ige
|
$516.00 |
$516.00 |
$516.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$313.00 |
$313.00 |
$313.00 |
$55.28
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$953.00 |
$953.00 |
$953.00 |
$134.55
|
|
Ghs histoplasma antigen
|
$266.00 |
$266.00 |
$266.00 |
$137.80
|
|
Ghs inhibitor screen
|
$300.00 |
$300.00 |
$300.00 |
$143.32
|
|
Ghs ot sensory integrative tech/15min
|
$295.00 |
$295.00 |
$295.00 |
$101.05
|
|
Ghs protoporphyrins fract
|
$384.00 |
$384.00 |
$384.00 |
$64.35
|
|
Ghs urine, porphyrins quant
|
$562.00 |
$562.00 |
$562.00 |
$70.20
|
|
Gi inhouse confirmation
|
$669.00 |
$669.00 |
$669.00 |
$87.00
|
|
Glucagon 1 mg solution for injection
|
$2,527.00 |
$2,527.00 |
$2,527.00 |
$655.20
|
|
Glucagon plasma - sendout
|
$707.00 |
$707.00 |
$707.00 |
$58.56
|
|
Glucose 1 hr post dose
|
$260.00 |
$260.00 |
$260.00 |
$46.28
|
|
Glucose blood quantitative
|
$281.00 |
$281.00 |
$281.00 |
$44.76
|
|
Glucose tolerance test (gtt) 3 specimens
|
$557.00 |
$557.00 |
$557.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$155.00 |
$155.00 |
$155.00 |
$34.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$751.00 |
$751.00 |
$751.00 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$751.00 |
$751.00 |
$751.00 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$6,654.00 |
$6,654.00 |
$6,654.00 |
$3,358.00
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$672.50
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$2,378.00 |
$2,378.00 |
$2,378.00 |
$841.56
|
|
Gu dilat ureter/urethra s&i
|
$2,785.00 |
$2,785.00 |
$2,785.00 |
$1,793.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$658.00 |
$658.00 |
$658.00 |
$36.04
|
|
Haptoglobin quantitative
|
$443.00 |
$443.00 |
$443.00 |
$89.95
|
|
Hc i-131 sodium iodide cap dx per mci
|
$595.00 |
$595.00 |
$595.00 |
$136.50
|
|
Helicobacter pylori antibody igm
|
$644.00 |
$644.00 |
$644.00 |
$84.80
|
|
Hemin 350 mg intravenous powder for solution
|
$31,548.00 |
$31,548.00 |
$31,548.00 |
$21,893.50
|
|
Hemoglobin
|
$140.00 |
$140.00 |
$140.00 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$477.00 |
$477.00 |
$477.00 |
$49.40
|
|
Hemoglobin plasma
|
$199.00 |
$199.00 |
$199.00 |
$40.56
|
|
Hemolysins/agglutinins auto
|
$255.00 |
$255.00 |
$255.00 |
$53.90
|
|
Hemolysins and agglutinins incubated
|
$417.00 |
$417.00 |
$417.00 |
$67.50
|
|
Heparin assay
|
$478.00 |
$478.00 |
$478.00 |
$130.20
|
|
Hepatitis a antibody igm
|
$528.00 |
$528.00 |
$528.00 |
$85.15
|
|
Hepatitis b core antibody igm
|
$457.00 |
$457.00 |
$457.00 |
$87.98
|
|
Hepatitis b core antibody total
|
$528.00 |
$528.00 |
$528.00 |
$83.29
|
|
Hepatitis b surface antibody
|
$469.00 |
$469.00 |
$469.00 |
$83.79
|
|
Hepatitis c antibody
|
$734.00 |
$734.00 |
$734.00 |
$108.00
|
|
Hepatobiliary system imaging
|
$3,087.00 |
$3,087.00 |
$3,087.00 |
$1,521.10
|
|
Hepb vacc 3 dose immunsup im
|
$536.00 |
$536.00 |
$536.00 |
$305.08
|
|
Herpes simplex type 1 antibody igg
|
$528.00 |
$528.00 |
$528.00 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$528.00 |
$528.00 |
$528.00 |
$87.10
|
|
Herpes simplex virus isolation
|
$566.00 |
$566.00 |
$566.00 |
$93.32
|
|
Histamine
|
$916.00 |
$916.00 |
$916.00 |
$125.40
|
|
Hla i low res one antigen equiv ea
|
$732.00 |
$732.00 |
$732.00 |
$164.00
|
|
Hla i typing high res 1 allele grp ea
|
$216.00 |
$216.00 |
$216.00 |
$307.53
|
|
Homocysteine
|
$693.00 |
$693.00 |
$693.00 |
$113.10
|
|
Homogenization tissue
|
$273.00 |
$273.00 |
$273.00 |
$39.00
|
|
Hpv types 16 & 18 only
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$93.60
|
|
H pylori (c-13) breath
|
$952.00 |
$952.00 |
$952.00 |
$219.05
|
|
Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution
|
$9,435.00 |
$9,435.00 |
$9,435.00 |
$4,190.44
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$893.00 |
$893.00 |
$893.00 |
$176.15
|
|
Hydroxyurea 500 mg
|
$100.00 |
$100.00 |
$100.00 |
$6.80
|
|
Hysterosalpingography s&i
|
$2,845.00 |
$2,845.00 |
$2,845.00 |
$629.46
|
|
I-123 iobenguane diag
|
$8,312.00 |
$8,312.00 |
$8,312.00 |
$5,730.40
|
|
I-123 ioflupane diag
|
$29,754.00 |
$29,754.00 |
$29,754.00 |
$3,887.10
|
|
I-123 sod iodide diag per 100 uci
|
$598.00 |
$598.00 |
$598.00 |
$158.05
|
|
I-131 iobenguane sulf diag mibg
|
$9,753.00 |
$9,753.00 |
$9,753.00 |
$5,062.20
|
|
I131 iodide cap, rx
|
$123.00 |
$123.00 |
$123.00 |
$91.83
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$6,053.00 |
$6,053.00 |
$6,053.00 |
$962.29
|
|
Ihc/icc per specimen each additional single antibody stain
|
$509.00 |
$509.00 |
$509.00 |
$191.75
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,519.00 |
$1,519.00 |
$1,519.00 |
$339.73
|
