|
Culture anaerobic except blood
|
$189.60 |
$189.60 |
$189.60 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$34.20 |
$34.20 |
$34.20 |
$51.45
|
|
Culture body fluid
|
$180.60 |
$180.60 |
$180.60 |
$126.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$137.40 |
$137.40 |
$137.40 |
$70.72
|
|
Cyclosporine 2 hour
|
$199.80 |
$199.80 |
$199.80 |
$129.48
|
|
Cystatin c
|
$142.20 |
$142.20 |
$142.20 |
$77.50
|
|
Cytomegalovirus (cmv) antibody igg
|
$91.20 |
$91.20 |
$91.20 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$111.00 |
$111.00 |
$111.00 |
$97.50
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$39.00 |
$39.00 |
$39.00 |
$91.84
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$116.40 |
$116.40 |
$116.40 |
$168.53
|
|
Dch glucoscan
|
$30.00 |
$30.00 |
$30.00 |
$28.10
|
|
Dch validity tests
|
$13.80 |
$13.80 |
$13.80 |
$24.50
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$3,946.80 |
$3,946.80 |
$3,946.80 |
$6,324.98
|
|
Dexamethasone 4 mg tablet
|
$4.20 |
$4.20 |
$4.20 |
$5.85
|
|
Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr
|
$5.40 |
$5.40 |
$5.40 |
$21.17
|
|
Dhea-s (dehydroepiand sulfate)
|
$293.40 |
$293.40 |
$293.40 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$80.40 |
$80.40 |
$80.40 |
$79.20
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$91.80 |
$91.80 |
$91.80 |
$74.76
|
|
Dicyclomine injection
|
$268.20 |
$268.20 |
$268.20 |
$153.29
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$19.20 |
$19.20 |
$19.20 |
$69.03
|
|
Digoxin total therapeutic drug level
|
$189.00 |
$189.00 |
$189.00 |
$102.00
|
|
Diltiazem 5 mg/ml intravenous solution
|
$8.40 |
$8.40 |
$8.40 |
$47.94
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$4.80 |
$4.80 |
$4.80 |
$17.75
|
|
Disaccharidases
|
$315.00 |
$315.00 |
$315.00 |
$216.00
|
|
Dna antibody native/double stranded
|
$304.20 |
$304.20 |
$304.20 |
$97.50
|
|
Dna gardnerella
|
$37.20 |
$37.20 |
$37.20 |
$62.50
|
|
Dna trichomonas
|
$37.20 |
$37.20 |
$37.20 |
$67.80
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$96.60 |
$96.60 |
$96.60 |
$84.80
|
|
Drug test def 1-7 classes
|
$203.40 |
$203.40 |
$203.40 |
$250.52
|
|
Drug test def 8-14 classes
|
$156.60 |
$156.60 |
$156.60 |
$282.00
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$249.00 |
$249.00 |
$249.00 |
$278.85
|
|
Drvvt confirm - quest
|
$229.20 |
$229.20 |
$229.20 |
$109.20
|
|
Electrolyte panel
|
$117.00 |
$117.00 |
$117.00 |
$84.24
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$249.00 |
$249.00 |
$249.00 |
$109.71
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$54.90 |
$54.90 |
$54.90 |
$37.86
|
|
Epinephrine 1 mg/ml im kit - pediatric
|
$897.90 |
$897.90 |
$897.90 |
$393.15
|
|
Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution
|
$45.00 |
$45.00 |
$45.00 |
$34.13
|
|
Epstein barr early antigen antibody
|
$45.00 |
$45.00 |
$45.00 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$30.00 |
$30.00 |
$30.00 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$67.80 |
$67.80 |
$67.80 |
$91.00
|
|
Eptinezumab-jjmr 100 mg/ml intravenous solution
|
$6,681.60 |
$6,681.60 |
$6,681.60 |
$3,838.45
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$429.60 |
$429.60 |
$429.60 |
$222.98
|
|
ER Visit (level 1, minor)
|
$141.60 |
$141.60 |
$141.60 |
$246.24
|
|
ER Visit (level 2)
|
$279.00 |
$279.00 |
$279.00 |
$452.20
|
|
ER Visit (level 3)
|
$378.00 |
$378.00 |
$378.00 |
$770.04
|
|
ER Visit (level 4)
|
$552.00 |
$552.00 |
$552.00 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,376.40 |
$1,376.40 |
$1,376.40 |
$1,820.02
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$553.88
|
|
Estradiol total
|
$223.20 |
$223.20 |
$223.20 |
$146.50
|
|
Estrogens total-sendout
|
$293.40 |
$293.40 |
$293.40 |
$96.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$198.00 |
$198.00 |
$198.00 |
$108.60
|
|
Factor ix
|
$640.20 |
$640.20 |
$640.20 |
$156.13
|
|
Factor viii
|
$640.20 |
$640.20 |
$640.20 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.20 |
$4.20 |
$4.20 |
$22.20
|
|
Fat/lipids feces qualitative
|
$40.80 |
$40.80 |
$40.80 |
$38.35
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$37.20 |
$37.20 |
$37.20 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,310.20 |
$3,310.20 |
$3,310.20 |
$2,590.25
|
|
Ferritin
|
$247.20 |
$247.20 |
$247.20 |
$100.94
|
|
Fibrin degrade semiquant
|
$69.60 |
$69.60 |
$69.60 |
$78.09
|
|
Fibrinogen activity
|
$155.40 |
$155.40 |
$155.40 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$152.40 |
$152.40 |
$152.40 |
$72.80
|
|
Fibrinolytic plasminogen
|
$129.00 |
$129.00 |
$129.00 |
$107.50
|
|
Folic acid
|
$273.00 |
$273.00 |
$273.00 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$139.80 |
$139.80 |
$139.80 |
$54.75
|
|
Furosemide 10 mg/ml injection solution
|
$11.40 |
$11.40 |
$11.40 |
$19.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$363.00 |
$363.00 |
$363.00 |
$177.52
|
|
Gammaglobulin iga
|
$16.80 |
$16.80 |
$16.80 |
$67.20
|
|
Gammaglobulin ige
|
$198.60 |
$198.60 |
$198.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$135.60 |
$135.60 |
$135.60 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$326.40 |
$326.40 |
$326.40 |
$197.40
|
|
Ghs fish cytogen
|
$101.40 |
$101.40 |
$101.40 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$222.60 |
$222.60 |
$222.60 |
$223.00
|
|
Ghs histoplasma antigen
|
$109.80 |
$109.80 |
$109.80 |
$141.00
|
|
Ghs sensitivity (per antimicro)
|
$133.20 |
$133.20 |
$133.20 |
$57.60
|
|
Gi inhouse confirmation
|
$34.20 |
$34.20 |
$34.20 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$601.79
|
|
Glucose 1 hr post dose
|
$127.80 |
$127.80 |
$127.80 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$13.80 |
$13.80 |
$13.80 |
$23.86
|
|
Glucose blood quantitative
|
$130.80 |
$130.80 |
$130.80 |
$40.00
|
|
Glucose body fluid
|
$4.80 |
$4.80 |
$4.80 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$189.00 |
$189.00 |
$189.00 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$121.80 |
$121.80 |
$121.80 |
$35.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$286.80 |
$286.80 |
$286.80 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$286.80 |
$286.80 |
$286.80 |
$129.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$4.80 |
$4.80 |
$4.80 |
$23.06
|
|
Haptoglobin quantitative
|
$155.40 |
$155.40 |
$155.40 |
$91.14
|
|
Hcg qualitative
|
$120.00 |
$120.00 |
$120.00 |
$89.70
|
|
Hcg quantitative
|
$189.00 |
$189.00 |
$189.00 |
$139.20
|
|
Hematocrit
|
$61.20 |
$61.20 |
$61.20 |
$33.57
|
|
Hemoglobin
|
$60.60 |
$60.60 |
$60.60 |
$31.80
|
|
Heparin bolus from bag
|
$33.00 |
$33.00 |
$33.00 |
$66.47
|
|
Hepatitis a antibody igm
|
$161.40 |
$161.40 |
$161.40 |
$87.75
|
|
Hepatitis b core antibody igm
|
$164.40 |
$164.40 |
$164.40 |
$87.98
|
|
Hepatitis b core antibody total
|
$156.00 |
$156.00 |
$156.00 |
$77.50
|
|
Hepatitis b surface antibody
|
$216.60 |
$216.60 |
$216.60 |
$82.05
|
|
Hepatitis c antibody
|
$149.40 |
$149.40 |
$149.40 |
$108.00
|
|
Herpes simplex type 1 antibody igg
|
$135.60 |
$135.60 |
$135.60 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$109.80 |
$109.80 |
$109.80 |
$87.10
|
|
Heterophile antibodies screening
|
$111.60 |
$111.60 |
$111.60 |
$74.00
|
