|
Immunodiffusion nes
|
$850.31 |
$850.31 |
$850.31 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$804.87 |
$804.87 |
$804.87 |
$133.38
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,167.34 |
$1,167.34 |
$1,167.34 |
$250.00
|
|
Immunoglobulin assay
|
$680.87 |
$680.87 |
$680.87 |
$74.00
|
|
Imuglucerase injection
|
$454.04 |
$454.04 |
$454.04 |
$343.20
|
|
In-111 autol wbc diag per dose
|
$21,431.05 |
$21,431.05 |
$21,431.05 |
$3,704.00
|
|
In-111 oxyquinolin per 0.5 mci
|
$23,574.79 |
$23,574.79 |
$23,574.79 |
$2,808.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$22,235.08 |
$22,235.08 |
$22,235.08 |
$2,135.29
|
|
In-111 pentetreotide
|
$25,158.99 |
$25,158.99 |
$25,158.99 |
$6,617.05
|
|
Incobotulinumtoxin a
|
$4,959.49 |
$4,959.49 |
$4,959.49 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$232.12 |
$232.12 |
$232.12 |
$1,099.05
|
|
Infect ag genotype na cytomegalovirus
|
$1,280.16 |
$1,280.16 |
$1,280.16 |
$603.41
|
|
Infect ag genotype na hiv-1 other region
|
$321.63 |
$321.63 |
$321.63 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$3,062.23 |
$3,062.23 |
$3,062.23 |
$574.60
|
|
Infect ag if ea plyvlnt antsrm
|
$659.18 |
$659.18 |
$659.18 |
$37.74
|
|
Infect ag if hep delta agent
|
$477.36 |
$477.36 |
$477.36 |
$125.97
|
|
Infect ag if nos ea
|
$423.61 |
$423.61 |
$423.61 |
$60.40
|
|
Infect ag if pneumocystis carinii
|
$321.52 |
$321.52 |
$321.52 |
$62.29
|
|
Infect ag na orthopoxvirus amp prb each
|
$108.15 |
$108.15 |
$108.15 |
$102.00
|
|
Infect ag na resp virus 12-25 targets
|
$2,951.54 |
$2,951.54 |
$2,951.54 |
$859.44
|
|
Infect ag phenotype na hiv-1 1-10 drugs
|
$6,633.83 |
$6,633.83 |
$6,633.83 |
$714.67
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$998.42 |
$998.42 |
$998.42 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$667.39 |
$667.39 |
$667.39 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$906.05 |
$906.05 |
$906.05 |
$77.28
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$822.41 |
$822.41 |
$822.41 |
$83.50
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$418.42 |
$418.42 |
$418.42 |
$77.72
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$357.92 |
$357.92 |
$357.92 |
$60.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,794.30 |
$1,794.30 |
$1,794.30 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$498.39 |
$498.39 |
$498.39 |
$178.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$652.75 |
$652.75 |
$652.75 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$1,462.87 |
$1,462.87 |
$1,462.87 |
$210.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$165.83 |
$165.83 |
$165.83 |
$222.60
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$165.83 |
$165.83 |
$165.83 |
$248.15
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,743.18 |
$1,743.18 |
$1,743.18 |
$727.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,693.36 |
$1,693.36 |
$1,693.36 |
$226.35
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$2,455.70 |
$2,455.70 |
$2,455.70 |
$1,654.83
|
|
Influenza dna amp prob addl
|
$174.07 |
$174.07 |
$174.07 |
$69.60
|
|
Initiation & management bipap/cpap initial day
|
$7,975.09 |
$7,975.09 |
$7,975.09 |
$645.79
|
|
Inj calcitriol per 0.1 mcg
|
$270.88 |
$270.88 |
$270.88 |
$33.36
|
|
Inj, cefiderocol, 10 mg
|
$1,994.72 |
$1,994.72 |
$1,994.72 |
$718.84
|
|
Inj crotalidae im f(ab')2 eq
|
$9,623.13 |
$9,623.13 |
$9,623.13 |
$2,836.95
|
|
Injection, cangrelor
|
$5,355.26 |
$5,355.26 |
$5,355.26 |
$2,546.20
|
|
Injection, daratumumab 10 mg
|
$448.22 |
$448.22 |
$448.22 |
$7,107.73
|
|
Injection, fulvestrant
|
$7,607.78 |
$7,607.78 |
$7,607.78 |
$2,756.47
|
|
Injection, isavuconazonium
|
$3,112.86 |
$3,112.86 |
$3,112.86 |
$646.20
|
|
Injection, peramivir
|
$2,715.80 |
$2,715.80 |
$2,715.80 |
$1,257.68
|
|
Inj human fibrinogen con nos
|
$8.79 |
$8.79 |
$8.79 |
$1.52
|
|
Inj hydroxocobalamin IV 25mg
|
$5,351.52 |
$5,351.52 |
$5,351.52 |
$3,180.35
|
|
Inj imip 4 cilas 4 releb 2mg
|
$2,810.45 |
$2,810.45 |
$2,810.45 |
$1,004.42
|
|
Inj levocarnitine per 1 gm
|
$908.12 |
$908.12 |
$908.12 |
$138.96
|
|
Inj., lumoxiti, 0.01 mg
|
$18,037.69 |
$18,037.69 |
$18,037.69 |
$23.39
|
|
Inj melpha hydroch nos 50 mg
|
$22,001.02 |
$22,001.02 |
$22,001.02 |
$1,518.68
|
|
Inj., meropenem, vaborbactam
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$618.43
|
|
Inj multihance
|
$19.22 |
$19.22 |
$19.22 |
$119.25
|
|
Inj. mycophenolate mofetil
|
$2,024.67 |
$2,024.67 |
$2,024.67 |
$344.84
|
|
Inj, pedmark, 100 mg
|
$237.56 |
$237.56 |
$237.56 |
$96.08
|
|
Inj prohance multipack
|
$18.07 |
$18.07 |
$18.07 |
$51.48
|
|
Inj, rimabotulinumtoxinb
|
$2,728.20 |
$2,728.20 |
$2,728.20 |
$16.56
|
|
Inj secretin synthetic human
|
$6,015.70 |
$6,015.70 |
$6,015.70 |
$741.75
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$221,035.72 |
$221,035.72 |
$221,035.72 |
$92,981.70
|
|
Inj testosterone cypionate
|
$2.93 |
$2.93 |
$2.93 |
$77.15
|
|
Inj thiotepa nos 1 mg
|
$1,447.70 |
$1,447.70 |
$1,447.70 |
$3,452.53
|
|
Inj tofersen intrathec 1 mg
|
$84,150.53 |
$84,150.53 |
$84,150.53 |
$153.66
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$20,171.70 |
$20,171.70 |
$20,171.70 |
$3,706.68
|
|
Insitu hybridization auto
|
$1,962.95 |
$1,962.95 |
$1,962.95 |
$398.16
|
|
Insitu hybridization manual
|
$2,803.51 |
$2,803.51 |
$2,803.51 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$2,165.56 |
$2,165.56 |
$2,165.56 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$707.17 |
$707.17 |
$707.17 |
$338.40
|
|
Insulin total
|
$694.28 |
$694.28 |
$694.28 |
$67.60
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$13,694.87 |
$13,694.87 |
$13,694.87 |
$3,853.81
|
|
Interrogate subq defib
|
$296.46 |
$296.46 |
$296.46 |
$139.10
|
|
Intra-atrial pacing
|
$50,552.38 |
$50,552.38 |
$50,552.38 |
$5,155.51
|
|
Intra-atrial recording
|
$50,552.38 |
$50,552.38 |
$50,552.38 |
$5,707.00
|
|
Intrapul surf admin endo tube
|
$480.33 |
$480.33 |
$480.33 |
$239.52
|
|
Intrinsic factor antibody
|
$495.94 |
$495.94 |
$495.94 |
$59.95
|
|
Io rad tx delivery by x-ray
|
$45,551.34 |
$45,551.34 |
$45,551.34 |
$10,127.56
|
|
Iron binding capacity
|
$586.81 |
$586.81 |
$586.81 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$630.41 |
$630.41 |
$630.41 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$978.78 |
$978.78 |
$978.78 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$399.50 |
$399.50 |
$399.50 |
$154.50
|
|
Ivc venogram s&i
|
$19,975.31 |
$19,975.31 |
$19,975.31 |
$3,332.55
|
|
John cunningham antibody
|
$3,106.66 |
$3,106.66 |
$3,106.66 |
$48.57
|
|
Ketogenic steroids fract
|
$1,490.83 |
$1,490.83 |
$1,490.83 |
$79.54
|
|
Kidney imaging morphology
|
$6,832.16 |
$6,832.16 |
$6,832.16 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$12,688.30 |
$12,688.30 |
$12,688.30 |
$1,468.04
|
|
Kit sound processor cochlear osia 2
|
$65,380.00 |
$65,380.00 |
$65,380.00 |
$10,444.90
|
|
Kras gene addl variants
|
$1,601.16 |
$1,601.16 |
$1,601.16 |
$346.45
|
|
Kras gene variants exon 2
|
$2,997.72 |
$2,997.72 |
$2,997.72 |
$495.00
|
|
Lactoferrin fecal qualitative
|
$490.77 |
$490.77 |
$490.77 |
$88.40
|
|
Lactoferrin fecal quant
|
$613.76 |
$613.76 |
$613.76 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$67,747.33 |
$67,747.33 |
$67,747.33 |
$22,903.90
|
|
Leishmania antibody
|
$165.52 |
$165.52 |
$165.52 |
$58.50
|
|
Levalbuterol non-comp unit
|
$26.38 |
$26.38 |
$26.38 |
$11.90
|
|
Levetiracetam therapeutic drug level
|
$1,020.74 |
$1,020.74 |
$1,020.74 |
$71.40
|
|
Lidocaine therapeutic drug level
|
$539.34 |
$539.34 |
$539.34 |
$83.85
|
|
Liletta, 52 mg
|
$4,908.34 |
$4,908.34 |
$4,908.34 |
$2,360.29
|
|
Lipoprotein blood high res frac & quant
|
$239.72 |
$239.72 |
$239.72 |
$89.52
|
|
Lipoprotein blood quant
|
$1,438.16 |
$1,438.16 |
$1,438.16 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$569.24 |
$569.24 |
$569.24 |
$55.90
|
|
Liver imaging
|
$8,688.88 |
$8,688.88 |
$8,688.88 |
$1,241.25
|