|
Hla i typing complete lr
|
$77.38 |
$77.38 |
$77.38 |
$588.55
|
|
Hla i typing high res 1 allele grp ea
|
$62.50 |
$62.50 |
$62.50 |
$314.05
|
|
Hocm 350-399mg/ml iodine,1ml
|
$195.80 |
$195.80 |
$195.80 |
$68.86
|
|
Hyaluronidase 150 unit/ml injection solution
|
$367.00 |
$367.00 |
$367.00 |
$183.12
|
|
Hyaluronidase, human recombinant 150 unit/ml injection solution
|
$652.00 |
$652.00 |
$652.00 |
$180.48
|
|
Hydralazine 20 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$52.61
|
|
Hydroxyzine hcl 50 mg/ml intramuscular solution
|
$76.25 |
$76.25 |
$76.25 |
$80.11
|
|
Hydroxyzine pamoate 25 mg capsule
|
$35.75 |
$35.75 |
$35.75 |
$21.23
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$17.49 |
$17.49 |
$17.49 |
$73.45
|
|
I-123 iobenguane diag
|
$26,909.63 |
$26,909.63 |
$26,909.63 |
$5,730.40
|
|
I-123 sod iodide diag per 100 uci
|
$1,553.92 |
$1,553.92 |
$1,553.92 |
$157.80
|
|
I-131 iobenguane sulf diag mibg
|
$616.68 |
$616.68 |
$616.68 |
$5,062.20
|
|
I131 iodide cap, rx
|
$219.93 |
$219.93 |
$219.93 |
$97.90
|
|
Ibandronate 3 mg/3 ml intravenous syringe
|
$4,364.00 |
$4,364.00 |
$4,364.00 |
$839.85
|
|
Ibuprofen injection
|
$183.25 |
$183.25 |
$183.25 |
$90.23
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$4,894.75 |
$4,894.75 |
$4,894.75 |
$990.35
|
|
Icatibant injection
|
$38,124.42 |
$38,124.42 |
$38,124.42 |
$3,939.88
|
|
Ihc/icc per specimen each multiplex antibody stain
|
$1,308.90 |
$1,308.90 |
$1,308.90 |
$339.73
|
|
Immune complex assay
|
$130.00 |
$130.00 |
$130.00 |
$89.25
|
|
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution
|
$169.50 |
$169.50 |
$169.50 |
$5,956.68
|
|
Immunodiff gel qual ea antigen/ab
|
$20.00 |
$20.00 |
$20.00 |
$53.95
|
|
Immunodiffusion nes
|
$7.60 |
$7.60 |
$7.60 |
$63.05
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$150.00 |
$150.00 |
$150.00 |
$161.85
|
|
Immunofluorescence per specimen initial single antibody stain
|
$69.57 |
$69.57 |
$69.57 |
$248.64
|
|
In-111 oxyquinolin per 0.5 mci
|
$17,370.51 |
$17,370.51 |
$17,370.51 |
$2,568.98
|
|
In-111 pentetate dtpa / 0.5 mci
|
$15,704.47 |
$15,704.47 |
$15,704.47 |
$2,106.00
|
|
In-111 pentetreotide
|
$25,309.71 |
$25,309.71 |
$25,309.71 |
$6,269.30
|
|
In-111 satumomab pend
|
$18,166.86 |
$18,166.86 |
$18,166.86 |
$3,524.25
|
|
Infect ag if ea plyvlnt antsrm
|
$439.23 |
$439.23 |
$439.23 |
$38.40
|
|
Infect ag if hep delta agent
|
$60.00 |
$60.00 |
$60.00 |
$123.00
|
|
Infect ag if pneumocystis carinii
|
$616.39 |
$616.39 |
$616.39 |
$56.15
|
|
Infect ag if varicella zoster
|
$36.00 |
$36.00 |
$36.00 |
$64.80
|
|
Infect ag na hep b amp
|
$176.00 |
$176.00 |
$176.00 |
$108.44
|
|
Infect ag na influenza revr/amp ea type
|
$225.00 |
$225.00 |
$225.00 |
$124.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$77.00 |
$77.00 |
$77.00 |
$102.87
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$616.39 |
$616.39 |
$616.39 |
$81.44
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$300.15 |
$300.15 |
$300.15 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$260.61 |
$260.61 |
$260.61 |
$85.15
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$352.85 |
$352.85 |
$352.85 |
$99.04
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$616.39 |
$616.39 |
$616.39 |
$60.00
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$122.98 |
$122.98 |
$122.98 |
$143.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$983.87 |
$983.87 |
$983.87 |
$167.05
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$138.00 |
$138.00 |
$138.00 |
$175.00
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$100.00 |
$100.00 |
$100.00 |
$208.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$122.98 |
$122.98 |
$122.98 |
$135.85
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$164.80 |
$164.80 |
$164.80 |
$100.13
|
|
Infectious agent nucleic acid quantification bk virus
|
$200.00 |
$200.00 |
$200.00 |
$300.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$92.00 |
$92.00 |
$92.00 |
$381.55
|
|
Initiation & management bipap/cpap initial day
|
$2,150.76 |
$2,150.76 |
$2,150.76 |
$627.00
|
|
Inj allopurinol sodium 1 mg
|
$5,049.50 |
$5,049.50 |
$5,049.50 |
$5,937.23
|
|
Inj, cefiderocol, 10 mg
|
$826.00 |
$826.00 |
$826.00 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$624.18 |
$624.18 |
$624.18 |
$333.00
|
|
Inj crotalidae im f(ab')2 eq
|
$2,551.50 |
$2,551.50 |
$2,551.50 |
$2,735.85
|
|
Injection, isavuconazonium
|
$4.90 |
$4.90 |
$4.90 |
$634.28
|
|
Injection, renflexis
|
$2,009.00 |
$2,009.00 |
$2,009.00 |
$1,407.33
|
|
Inj hydroxocobalamin IV 25mg
|
$2,907.00 |
$2,907.00 |
$2,907.00 |
$3,180.35
|
|
Inj imip 4 cilas 4 releb 2mg
|
$920.79 |
$920.79 |
$920.79 |
$1,004.42
|
|
Inj., meropenem, vaborbactam
|
$876.00 |
$876.00 |
$876.00 |
$618.43
|
|
Inj, moxifloxacin 100 mg
|
$300.40 |
$300.40 |
$300.40 |
$153.27
|
|
Inj pantoprazole(hikma) 40mg
|
$39.00 |
$39.00 |
$39.00 |
$30.47
|
|
Inj, pedmark, 100 mg
|
$862.20 |
$862.20 |
$862.20 |
$96.08
|
|
Inj progesterone per 50 mg
|
$615.25 |
$615.25 |
$615.25 |
$49.00
|
|
Inj testosterone cypionate
|
$3.50 |
$3.50 |
$3.50 |
$81.39
|
|
Insitu hybridization auto
|
$220.00 |
$220.00 |
$220.00 |
$398.51
|
|
Insitu hybridization manual
|
$131.88 |
$131.88 |
$131.88 |
$411.33
|
|
In situ hybridization per specimen initial single probe stain
|
$150.00 |
$150.00 |
$150.00 |
$341.90
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$16,362.45 |
$16,362.45 |
$16,362.45 |
$9,736.00
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$1,407.25 |
$1,407.25 |
$1,407.25 |
$3,403.20
|
|
Intracranial complete study
|
$2,691.02 |
$2,691.02 |
$2,691.02 |
$873.82
|
|
Intrinsic factor antibody
|
$67.39 |
$67.39 |
$67.39 |
$59.95
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$29.00 |
$29.00 |
$29.00 |
$184.87
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1,173.75 |
$1,173.75 |
$1,173.75 |
$236.99
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$255.60
|
|
Irradiation of blood product each unit reference
|
$352.85 |
$352.85 |
$352.85 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$358.74 |
$358.74 |
$358.74 |
$153.75
|
|
Ivp w/wo kub w/wo tomography
|
$7,562.08 |
$7,562.08 |
$7,562.08 |
$692.18
|
|
Ketogenic steroids fract
|
$62.36 |
$62.36 |
$62.36 |
$79.54
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$41.65 |
$41.65 |
$41.65 |
$52.80
|
|
Kidney imag w/bld flow multi
|
$8,432.26 |
$8,432.26 |
$8,432.26 |
$1,574.40
|
|
Kidney img w/bldflw sgl without rx
|
$6,359.41 |
$6,359.41 |
$6,359.41 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$4,963.30 |
$4,963.30 |
$4,963.30 |
$668.25
|
|
Kras gene variants exon 2
|
$372.78 |
$372.78 |
$372.78 |
$496.60
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$2.50 |
$2.50 |
$2.50 |
$29.35
|
|
Lactoferrin fecal quant
|
$44.50 |
$44.50 |
$44.50 |
$106.10
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$5,791.98 |
$5,791.98 |
$5,791.98 |
$1,090.23
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$7,397.25 |
$7,397.25 |
$7,397.25 |
$4,313.88
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$6,208.50 |
$6,208.50 |
$6,208.50 |
$4,799.28
|
|
Levetiracetam therapeutic drug level
|
$10.59 |
$10.59 |
$10.59 |
$74.92
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$40.79 |
$40.79 |
$40.79 |
$38.02
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$270.00 |
$270.00 |
$270.00 |
$130.49
|
|
Lipase
|
$1,026.33 |
$1,026.33 |
$1,026.33 |
$81.25
|
|
Lipoprotein blood high res frac & quant
|
$32.00 |
$32.00 |
$32.00 |
$89.52
|
|
Lipoprotein direct measurement hdl
|
$1,190.31 |
$1,190.31 |
$1,190.31 |
$54.60
|
|
Lithium therapeutic drug level
|
$1,061.48 |
$1,061.48 |
$1,061.48 |
$66.43
|
|
Liver/spleen imag static only
|
$6,263.10 |
$6,263.10 |
$6,263.10 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$43.75 |
$43.75 |
$43.75 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$15,670.02 |
$15,670.02 |
$15,670.02 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$15,930.50 |
$15,930.50 |
$15,930.50 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$13,436.61 |
$13,436.61 |
$13,436.61 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$8,989.39 |
$8,989.39 |
$8,989.39 |
$2,919.75
|