|
Infect ag eia influenza a or b ea
|
$15.05 |
$15.05 |
$15.05 |
$69.03
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$5.76 |
$5.76 |
$5.76 |
$603.75
|
|
Infect ag ia optc obs influenza
|
$9.80 |
$9.80 |
$9.80 |
$72.93
|
|
Infect ag if pneumocystis carinii
|
$24.85 |
$24.85 |
$24.85 |
$67.46
|
|
Infect ag na resp virus 12-25 targets
|
$308.91 |
$308.91 |
$308.91 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$5.76 |
$5.76 |
$5.76 |
$855.60
|
|
Infect ag phenotype na hiv-1 ea addl drg
|
$5.76 |
$5.76 |
$5.76 |
$77.00
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$16.03 |
$16.03 |
$16.03 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$19.04 |
$19.04 |
$19.04 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$57.40 |
$57.40 |
$57.40 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$0.26 |
$0.26 |
$0.26 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$22.12 |
$22.12 |
$22.12 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$18.27 |
$18.27 |
$18.27 |
$127.80
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$26.81 |
$26.81 |
$26.81 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$27.58 |
$27.58 |
$27.58 |
$267.50
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$0.56 |
$0.56 |
$0.56 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$47.81 |
$47.81 |
$47.81 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$133.49 |
$133.49 |
$133.49 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$2.98 |
$2.98 |
$2.98 |
$181.35
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$9.94 |
$9.94 |
$9.94 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$0.56 |
$0.56 |
$0.56 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$25.62 |
$25.62 |
$25.62 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$34.37 |
$34.37 |
$34.37 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$40.88 |
$40.88 |
$40.88 |
$236.08
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$1.86 |
$1.86 |
$1.86 |
$105.00
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$173.11 |
$173.11 |
$173.11 |
$429.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$5.78 |
$5.78 |
$5.78 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$14.00 |
$14.00 |
$14.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$3.50 |
$3.50 |
$3.50 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$5.95 |
$5.95 |
$5.95 |
$374.50
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$100.87 |
$100.87 |
$100.87 |
$303.59
|
|
Infliximab 100 mg intravenous solution
|
$54.04 |
$54.04 |
$54.04 |
$2,080.86
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$77.14 |
$77.14 |
$77.14 |
$1,617.43
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$30.10 |
$30.10 |
$30.10 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$504.98 |
$504.98 |
$504.98 |
$576.00
|
|
Inj, bupivacaine liposome
|
$0.91 |
$0.91 |
$0.91 |
$699.38
|
|
Inj, cefiderocol, 10 mg
|
$1.34 |
$1.34 |
$1.34 |
$544.85
|
|
Inj crotalidae im f(ab')2 eq
|
$921.55 |
$921.55 |
$921.55 |
$2,613.60
|
|
Injection, doxercalciferol
|
$0.43 |
$0.43 |
$0.43 |
$23.12
|
|
Injection,onabotulinumtoxina
|
$4.83 |
$4.83 |
$4.83 |
$2,241.61
|
|
Injection, peramivir
|
$1.33 |
$1.33 |
$1.33 |
$775.82
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$37.03 |
$37.03 |
$37.03 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$25.76 |
$25.76 |
$25.76 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$39.13 |
$39.13 |
$39.13 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$19.32 |
$19.32 |
$19.32 |
$135.20
|
|
Injection torsemide 10 mg/ml
|
$7.14 |
$7.14 |
$7.14 |
$16.02
|
|
Inj gemcitabine hcl (accord)
|
$6.02 |
$6.02 |
$6.02 |
$113.90
|
|
Inj ivig privigen 500 mg
|
$26.74 |
$26.74 |
$26.74 |
$6,967.29
|
|
Inj levocarnitine per 1 gm
|
$9.45 |
$9.45 |
$9.45 |
$136.62
|
|
Inj, moxifloxacin 100 mg
|
$8.19 |
$8.19 |
$8.19 |
$107.25
|
|
Inj multihance
|
$3.78 |
$3.78 |
$3.78 |
$79.42
|
|
Inj prohance multipack
|
$4.76 |
$4.76 |
$4.76 |
$9.60
|
|
Inj retacrit esrd on dialysi
|
$8.26 |
$8.26 |
$8.26 |
$352.22
|
|
Inj secretin synthetic human
|
$22.33 |
$22.33 |
$22.33 |
$1,285.20
|
|
Insitu hybridization auto
|
$6.12 |
$6.12 |
$6.12 |
$371.00
|
|
Insitu hybridization manual
|
$8.59 |
$8.59 |
$8.59 |
$388.20
|
|
In situ hybridization per specimen initial single probe stain
|
$10.56 |
$10.56 |
$10.56 |
$326.04
|
|
Insulin total
|
$0.46 |
$0.46 |
$0.46 |
$66.64
|
|
Intrinsic factor antibody
|
$0.77 |
$0.77 |
$0.77 |
$66.60
|
|
Intro long gi tube w/mult fluo
|
$220.64 |
$220.64 |
$220.64 |
$449.40
|
|
Ionm in operatng room 15 min
|
$26.25 |
$26.25 |
$26.25 |
$191.40
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$3.15 |
$3.15 |
$3.15 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.77 |
$0.77 |
$0.77 |
$279.10
|
|
Iron
|
$23.38 |
$23.38 |
$23.38 |
$74.40
|
|
Iron binding capacity
|
$23.38 |
$23.38 |
$23.38 |
$63.79
|
|
Iron dextran 50 mg/ml injection solution
|
$14.07 |
$14.07 |
$14.07 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.28 |
$0.28 |
$0.28 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$5.32 |
$5.32 |
$5.32 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$8.89 |
$8.89 |
$8.89 |
$142.20
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$52.29 |
$52.29 |
$52.29 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$47.25 |
$47.25 |
$47.25 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$49.63 |
$49.63 |
$49.63 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$102.48 |
$102.48 |
$102.48 |
$439.56
|
|
Ivp w/nephrotomography
|
$299.18 |
$299.18 |
$299.18 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$248.85 |
$248.85 |
$248.85 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$18.67 |
$18.67 |
$18.67 |
$379.87
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$1.26 |
$1.26 |
$1.26 |
$23.50
|
|
Kidney function study
|
$332.64 |
$332.64 |
$332.64 |
$783.86
|
|
Kidney img w/bldflw sgl without rx
|
$381.43 |
$381.43 |
$381.43 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$191.24 |
$191.24 |
$191.24 |
$666.00
|
|
Kit lead specify 5-6-5
|
$1,203.09 |
$1,203.09 |
$1,203.09 |
$15,639.00
|
|
Knee MRI (with and without contrast)
|
$893.90 |
$893.90 |
$893.90 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$968.24 |
$968.24 |
$968.24 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$832.09 |
$832.09 |
$832.09 |
$2,169.60
|
|
Knee X-ray
|
$136.29 |
$136.29 |
$136.29 |
$425.55
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$0.14 |
$0.14 |
$0.14 |
$32.34
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.28 |
$0.28 |
$0.28 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$39.20 |
$39.20 |
$39.20 |
$55.50
|
|
Lactated ringers intravenous solution
|
$66.01 |
$66.01 |
$66.01 |
$45.56
|
|
Lactic acid
|
$46.20 |
$46.20 |
$46.20 |
$107.00
|
|
Lactoferrin fecal quant
|
$3.50 |
$3.50 |
$3.50 |
$106.10
|
|
Lead capillary
|
$0.42 |
$0.42 |
$0.42 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$521.15 |
$521.15 |
$521.15 |
$1,088.26
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$176.89 |
$176.89 |
$176.89 |
$163.62
|
|
Leuprolide acetate injeciton
|
$33.46 |
$33.46 |
$33.46 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.35 |
$0.35 |
$0.35 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$1.09 |
$1.09 |
$1.09 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.01 |
$66.01 |
$66.01 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$6.44 |
$6.44 |
$6.44 |
$385.62
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$39.48 |
$39.48 |
$39.48 |
$125.66
|