|
Dhea-s (dehydroepiand sulfate)
|
$309.00 |
$309.00 |
$309.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$265.00 |
$265.00 |
$265.00 |
$78.03
|
|
Diatrizoate meglumine 18 % urethral solution
|
$1,187.00 |
$1,187.00 |
$1,187.00 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$293.00 |
$293.00 |
$293.00 |
$73.22
|
|
Dicyclomine injection
|
$947.00 |
$947.00 |
$947.00 |
$202.91
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$357.00 |
$357.00 |
$357.00 |
$78.40
|
|
Digoxin immune fab 40 mg intravenous solution
|
$12,338.00 |
$12,338.00 |
$12,338.00 |
$10,388.97
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$1,327.00 |
$1,327.00 |
$1,327.00 |
$309.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$212.00 |
$212.00 |
$212.00 |
$24.70
|
|
Disaccharidases
|
$592.00 |
$592.00 |
$592.00 |
$223.80
|
|
Dna antibody native/double stranded
|
$221.00 |
$221.00 |
$221.00 |
$102.60
|
|
Dna gardnerella
|
$389.00 |
$389.00 |
$389.00 |
$67.68
|
|
Dna probe chlamydia
|
$273.00 |
$273.00 |
$273.00 |
$82.20
|
|
Dna probe gc
|
$273.00 |
$273.00 |
$273.00 |
$88.67
|
|
Dna trichomonas
|
$389.00 |
$389.00 |
$389.00 |
$68.75
|
|
Dornase alfa non-comp unit
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$350.67
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$88.05
|
|
Dpyd gene common variants
|
$386.00 |
$386.00 |
$386.00 |
$380.50
|
|
Droperidol 2.5 mg/ml injection solution
|
$236.00 |
$236.00 |
$236.00 |
$34.85
|
|
Drug assay caffeine
|
$203.00 |
$203.00 |
$203.00 |
$81.61
|
|
Drug assay rufinamide
|
$73.00 |
$73.00 |
$73.00 |
$93.60
|
|
Drug assay vedolizumab
|
$242.00 |
$242.00 |
$242.00 |
$164.16
|
|
Drug screen quant tiagabine
|
$518.00 |
$518.00 |
$518.00 |
$91.80
|
|
Drug test def 1-7 classes
|
$431.00 |
$431.00 |
$431.00 |
$268.00
|
|
Drug test def 22+ classes
|
$2,834.00 |
$2,834.00 |
$2,834.00 |
$340.70
|
|
Drug test def 8-14 classes
|
$678.00 |
$678.00 |
$678.00 |
$282.00
|
|
Drvvt confirm - quest
|
$508.00 |
$508.00 |
$508.00 |
$101.66
|
|
Echo guide for artery repair
|
$3,585.00 |
$3,585.00 |
$3,585.00 |
$680.28
|
|
E coli 0157 ag ia
|
$171.00 |
$171.00 |
$171.00 |
$32.00
|
|
Edetate calcium disodium inj
|
$2,892.00 |
$2,892.00 |
$2,892.00 |
$6,086.32
|
|
Electrolyte panel
|
$434.00 |
$434.00 |
$434.00 |
$86.33
|
|
Embolization s&i
|
$12,328.00 |
$12,328.00 |
$12,328.00 |
$3,060.05
|
|
Endo cath bile duct s&i
|
$1,726.00 |
$1,726.00 |
$1,726.00 |
$612.37
|
|
Endoscopy swallow (fees) vid
|
$1,019.00 |
$1,019.00 |
$1,019.00 |
$402.35
|
|
Entamoeba histolytica ag eia - sendout
|
$1,319.00 |
$1,319.00 |
$1,319.00 |
$66.47
|
|
Entamoeb hist dispr ag ia
|
$342.00 |
$342.00 |
$342.00 |
$17.60
|
|
Enzyme histochemistry
|
$407.00 |
$407.00 |
$407.00 |
$460.32
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$16,583.00 |
$16,583.00 |
$16,583.00 |
$203.16
|
|
Epstein barr early antigen antibody
|
$478.00 |
$478.00 |
$478.00 |
$72.08
|
|
Epstein barr nuclear antigen antibody
|
$351.00 |
$351.00 |
$351.00 |
$81.81
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$6,086.00 |
$6,086.00 |
$6,086.00 |
$4,539.76
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$265.40
|
|
Estradiol total
|
$794.00 |
$794.00 |
$794.00 |
$153.00
|
|
Estrogens total-sendout
|
$303.00 |
$303.00 |
$303.00 |
$89.25
|
|
Etanercept injection
|
$5,243.00 |
$5,243.00 |
$5,243.00 |
$2,247.00
|
|
Ethanolamine oleate 100 mg
|
$4,613.00 |
$4,613.00 |
$4,613.00 |
$1,046.87
|
|
Ethylene glycol -sendout
|
$213.00 |
$213.00 |
$213.00 |
$75.00
|
|
Etoposide 50 mg cap
|
$412.00 |
$412.00 |
$412.00 |
$135.02
|
|
Euglobulin lysis
|
$387.00 |
$387.00 |
$387.00 |
$39.75
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$229.00 |
$229.00 |
$229.00 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$989.00 |
$989.00 |
$989.00 |
$347.75
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$61.00 |
$61.00 |
$61.00 |
$61.32
|
|
F-18 fdg pet diag
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$602.25
|
|
F-18 florbetapir less than or equal to 10 mci
|
$16,372.00 |
$16,372.00 |
$16,372.00 |
$4,960.80
|
|
F-18 sodium fluoride
|
$596.00 |
$596.00 |
$596.00 |
$564.20
|
|
Facial bones <3
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$248.60
|
|
Factor ix
|
$265.00 |
$265.00 |
$265.00 |
$131.30
|
|
Factor viii
|
$445.00 |
$445.00 |
$445.00 |
$144.30
|
|
Factor viii recombinant nos
|
$3.00 |
$3.00 |
$3.00 |
$6.55
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$210.00 |
$210.00 |
$210.00 |
$24.21
|
|
Fancc gene
|
$561.00 |
$561.00 |
$561.00 |
$147.31
|
|
Fat/lipids feces qualitative
|
$447.00 |
$447.00 |
$447.00 |
$34.56
|
|
Felbamate (felbatol(r)) - sendout
|
$193.00 |
$193.00 |
$193.00 |
$66.43
|
|
Ferritin
|
$434.00 |
$434.00 |
$434.00 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$9,829.00 |
$9,829.00 |
$9,829.00 |
$1,426.50
|
|
Fetal biophys profile w/nst 76818
|
$2,889.00 |
$2,889.00 |
$2,889.00 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$2,277.00 |
$2,277.00 |
$2,277.00 |
$834.96
|
|
Fetal contract stress test 59020 - 26
|
$2,884.00 |
$2,884.00 |
$2,884.00 |
$540.54
|
|
Fetal fibronectin
|
$1,927.00 |
$1,927.00 |
$1,927.00 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$2,500.00 |
$2,500.00 |
$2,500.00 |
$88.80
|
|
Fetal hemoglobin rosette
|
$1,793.00 |
$1,793.00 |
$1,793.00 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$584.00 |
$584.00 |
$584.00 |
$64.28
|
|
Fetal non stress test
|
$1,507.00 |
$1,507.00 |
$1,507.00 |
$507.90
|
|
Fibrin degradation products
|
$138.00 |
$138.00 |
$138.00 |
$62.40
|
|
Fibrin degrade semiquant
|
$1,422.00 |
$1,422.00 |
$1,422.00 |
$92.00
|
|
Fibrinogen activity
|
$593.00 |
$593.00 |
$593.00 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$91.00 |
$91.00 |
$91.00 |
$66.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$213.00 |
$213.00 |
$213.00 |
$59.89
|
|
Flebogamma injection
|
$973.00 |
$973.00 |
$973.00 |
$276.05
|
|
Flecainide (tambocor)-sendout
|
$193.00 |
$193.00 |
$193.00 |
$66.43
|
|
Floxuridine injection
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$4,125.55
|
|
Flt3 gene analysis
|
$448.00 |
$448.00 |
$448.00 |
$229.92
|
|
Fludarabine 50 mg intravenous solution
|
$4,409.00 |
$4,409.00 |
$4,409.00 |
$601.96
|
|
Fluoroguide for spine inject 77003-26
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$507.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$255.00 |
$255.00 |
$255.00 |
$79.52
|
|
Flutemetamol f18 diagnostic
|
$18,628.00 |
$18,628.00 |
$18,628.00 |
$5,265.00
|
|
Folic acid
|
$332.00 |
$332.00 |
$332.00 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$5.00 |
$5.00 |
$5.00 |
$56.70
|
|
Follow-up angiography
|
$1,494.00 |
$1,494.00 |
$1,494.00 |
$1,939.14
|
|
Forensic cytopathology
|
$132.00 |
$132.00 |
$132.00 |
$63.23
|
|
Formoterol fumarate, inh
|
$122.00 |
$122.00 |
$122.00 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$6,407.00 |
$6,407.00 |
$6,407.00 |
$425.16
|
|
_fragile x methylation-sendout
|
$112.00 |
$112.00 |
$112.00 |
$174.00
|
|
Fructosamine glycated protein
|
$211.00 |
$211.00 |
$211.00 |
$60.42
|
|
Ga-67 gallium 0.1 mci
|
$154.00 |
$154.00 |
$154.00 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$395.00 |
$395.00 |
$395.00 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$603.00 |
$603.00 |
$603.00 |
$162.68
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$977.00 |
$977.00 |
$977.00 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$82.50
|
|
Galectin-3
|
$597.00 |
$597.00 |
$597.00 |
$110.65
|
