|
Diazepam 5 mg/ml injection solution (wrapper)
|
$285.00 |
$285.00 |
$285.00 |
$73.22
|
|
Dicyclomine injection
|
$513.00 |
$513.00 |
$513.00 |
$202.91
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$504.00 |
$504.00 |
$504.00 |
$78.40
|
|
Digoxin immune fab 40 mg intravenous solution
|
$19,002.00 |
$19,002.00 |
$19,002.00 |
$10,388.97
|
|
Digoxin total therapeutic drug level
|
$574.00 |
$574.00 |
$574.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$309.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$367.00 |
$367.00 |
$367.00 |
$24.70
|
|
Dna antibody native/double stranded
|
$516.00 |
$516.00 |
$516.00 |
$102.60
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$696.80
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$482.03
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$88.05
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$7,886.74
|
|
Drug test def 1-7 classes
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$268.00
|
|
Drug test def 8-14 classes
|
$2,332.00 |
$2,332.00 |
$2,332.00 |
$282.00
|
|
Dup scan/hemodialysis access 93990
|
$657.00 |
$657.00 |
$657.00 |
$499.38
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$2,147.00 |
$2,147.00 |
$2,147.00 |
$757.57
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$1,457.00 |
$1,457.00 |
$1,457.00 |
$903.00
|
|
Egfr gene com variants
|
$732.00 |
$732.00 |
$732.00 |
$619.04
|
|
Electrolyte panel
|
$347.00 |
$347.00 |
$347.00 |
$86.33
|
|
Electron microscopy diagnostic
|
$1,483.00 |
$1,483.00 |
$1,483.00 |
$966.69
|
|
Endo cath bile duct s&i
|
$967.00 |
$967.00 |
$967.00 |
$612.37
|
|
Endo cath panc duct s&i
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$645.00
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$204.00 |
$204.00 |
$204.00 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - adult
|
$388.00 |
$388.00 |
$388.00 |
$50.40
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$117.00 |
$117.00 |
$117.00 |
$210.01
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$2,108.00 |
$2,108.00 |
$2,108.00 |
$136.00
|
|
Epstein barr nuclear antigen antibody
|
$574.00 |
$574.00 |
$574.00 |
$81.81
|
|
Ercp biliary & pancreas
|
$3,131.00 |
$3,131.00 |
$3,131.00 |
$943.50
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$577.00 |
$577.00 |
$577.00 |
$248.39
|
|
Estradiol total
|
$708.00 |
$708.00 |
$708.00 |
$153.00
|
|
Estrogens total-sendout
|
$713.00 |
$713.00 |
$713.00 |
$89.25
|
|
Ethylene glycol -sendout
|
$597.00 |
$597.00 |
$597.00 |
$75.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$187.00 |
$187.00 |
$187.00 |
$234.83
|
|
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
|
$2,222.00 |
$2,222.00 |
$2,222.00 |
$602.25
|
|
F-18 fluciclovine per mci
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$1,307.52
|
|
F-18 sodium fluoride
|
$1,857.00 |
$1,857.00 |
$1,857.00 |
$564.20
|
|
Facial bones <3
|
$842.00 |
$842.00 |
$842.00 |
$248.60
|
|
Factor ix
|
$848.00 |
$848.00 |
$848.00 |
$131.30
|
|
Factor viii
|
$975.00 |
$975.00 |
$975.00 |
$144.30
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$56.00 |
$56.00 |
$56.00 |
$24.21
|
|
#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
|
|
Fibrin degradation products
|
$332.00 |
$332.00 |
$332.00 |
$62.40
|
|
Fibrinogen activity
|
$478.00 |
$478.00 |
$478.00 |
$82.38
|
|
Finasteride, 5 mg
|
$111.00 |
$111.00 |
$111.00 |
$4.87
|
|
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
|
|
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
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3,612.00 |
$3,612.00 |
$3,612.00 |
$425.16
|
|
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
|
|
Gammaglobulin ige
|
$516.00 |
$516.00 |
$516.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$313.00 |
$313.00 |
$313.00 |
$55.28
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$2,547.00 |
$2,547.00 |
$2,547.00 |
$197.40
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$953.00 |
$953.00 |
$953.00 |
$134.55
|
|
Ghs ot prosthetic training/15 min
|
$367.00 |
$367.00 |
$367.00 |
$92.35
|
|
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
|
|
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
|
|
Glucose blood quantitative
|
$313.00 |
$313.00 |
$313.00 |
$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
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$1,669.00 |
$1,669.00 |
$1,669.00 |
$27,279.40
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$1,942.00 |
$1,942.00 |
$1,942.00 |
$120.02
|
|
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
|
|
Head CT scan (with and without contrast)
|
$8,262.00 |
$8,262.00 |
$8,262.00 |
$1,878.75
|
|
Head CT scan (with contrast)
|
$7,344.00 |
$7,344.00 |
$7,344.00 |
$1,520.45
|
|
Head CT scan (without contrast)
|
$4,660.00 |
$4,660.00 |
$4,660.00 |
$1,268.90
|
|
Hematocrit
|
$140.00 |
$140.00 |
$140.00 |
$33.57
|
|
Hemoglobin
|
$140.00 |
$140.00 |
$140.00 |
$31.75
|
|
Hemoglobin methemoglobin quantitative
|
$477.00 |
$477.00 |
$477.00 |
$49.40
|
|
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 immune globulin greater than 1,560 units/5 ml im solution
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$1,116.61
|
|
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
|
|
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
|
|
Homocysteine
|
$693.00 |
$693.00 |
$693.00 |
$113.10
|
|
Homogenization tissue
|
$273.00 |
$273.00 |
$273.00 |
$39.00
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$744.00 |
$744.00 |
$744.00 |
$176.15
|
